DEDHAM MEDICAL ASSOCIATES, INC.
NPI 1972503043
Otolaryngology in Dedham, MA
NPI Status: Active since July 29, 2005
Contact Information
1 LYONS ST
DEDHAM, MA
ZIP 02026
Phone: (781) 329-1400
Fax: (781) 278-5667
- Organization
- Otolaryngology
- CLIA Number: 22D0073841
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-25-2027
About DEDHAM MEDICAL ASSOCIATES, INC.
This page provides the complete NPI Profile along with additional information for Dedham Medical Associates, Inc., a provider established in Dedham, Massachusetts operating as a Otolaryngology. The healthcare provider is registered in the NPI registry with number 1972503043 assigned on July 2005. The practitioner's primary taxonomy code is 207Y00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Dedham Medical Associates, Inc. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mr. Richard M Russo (Cfo)
- NPI
- 1972503043
- Provider Name
- DEDHAM MEDICAL ASSOCIATES, INC.
- Entity Type
- Organization
- Location Address
- 1 LYONS ST DEDHAM, MA 02026
- Location Phone
- (781) 329-1400
- Location Fax
- (781) 278-5667
- Mailing Address
- PO BOX 9120 DEDHAM, MA 02027
- Mailing Phone
- (781) 329-1400
- Mailing Fax
- (781) 278-5667
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-29-2005
- Last Update Date
- 07-21-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Otolaryngology
- Taxonomy Code
- 207Y00000X
- Type
- Allopathic & Osteopathic Physicians
- License State
- MA
- Taxonomy Description
- An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9766537 | MEDICAID (05) | MA | |
| 9766561 | MEDICAID (05) | MA | |
| 9766588 | MEDICAID (05) | MA | |
| 9766596 | MEDICAID (05) | MA | |
| 9766634 | MEDICAID (05) | MA | |
| 976626 | MEDICAID (05) | MA | |
| 9766529 | MEDICAID (05) | MA | |
| 9766545 | MEDICAID (05) | MA | |
| 9766618 | MEDICAID (05) | MA | |
| 9766553 | MEDICAID (05) | MA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 22D0073841
- Facility Type
- Physician Office
- Certificate Effective Date
- May 26, 2025
- Certificate Expiration Date
- May 25, 2027
- Laboratory Director
- DR. TAO YANG
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Dedham Medical Associates, Inc. on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 7 | 2 | 5 | 0 | 3 | 0 | 4 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 14 | 2 | 10 | 0 | 6 | 0 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 4 + 2 + 1 + 0 + 0 + 6 + 0 + 8 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1972503043 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1205832821 | JENNIFER K FEHSER MD Individual | Pediatrics | 1 LYONS ST DEDHAM, MA 02026 (781) 329-1400 |
| 1609872233 | R MATTHEW MINER D.D.S. Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 1 LYONS ST DEDHAM, MA 02026 (781) 329-1400 |
| 1659378289 | TERRI LOEWENTHAL CCC-A Individual | Audiologist | 1 LYONS ST DEDHAM, MA 02026 (781) 329-1400 |
| 1801893433 | CAROLYN A GAYLE MD Individual | Pediatrics | 1 LYONS ST DEDHAM, MA 02026 (781) 329-1400 |
| 1629075254 | REGINA WU MD Individual | Internal Medicine | 1 LYONS ST DEDHAM, MA 02026 (781) 329-1400 |
| 1265439822 | LORRAINE A GOMBA MD Individual | Physical Medicine & Rehabilitation | 1 LYONS ST DEDHAM, MA 02026 (781) 329-1400 |
| 1023015609 | DANIEL C-S LEE MD Individual | Internal Medicine | 1 LYONS ST DEDHAM, MA 02026 (781) 329-1400 |
| 1366449894 | MARK R HALPERIN DDS Individual | Dentist (General Practice) | 1 LYONS ST DEDHAM, MA 02026 (781) 329-1400 |
| 1184621617 | RENE S PSICHOS PT Individual | Physical Therapist | 1 LYONS ST DEDHAM, MA 02026 (781) 329-1400 |
| 1427055953 | MONIQUE E ROTH MD Individual | Dermatology | 1 LYONS ST DEDHAM, MA 02026 (781) 329-1400 |
| 1518964063 | HUMEIRA BADSHA Individual | Internal Medicine (Rheumatology) | 1 LYONS ST DEDHAM, MA 02026 (781) 329-1400 |
| 1861499394 | LOUIS J SAWAN DMD Individual | Dentist (General Practice) | 1 LYONS ST DEDHAM, MA 02026 (781) 329-1400 |
| 1265439657 | DREW M MITTELMAN DMD Individual | Dentist (General Practice) | 1 LYONS ST DEDHAM, MA 02026 (781) 329-1400 |
| 1104823152 | MAURIA V FALCONE PT Individual | Physical Therapist | 1 LYONS ST DEDHAM, MA 02026 (781) 329-1400 |
| 1780681627 | THERESA L SHANAHAN MD Individual | Pediatrics | 1 LYONS ST DEDHAM, MA 02026 (781) 329-1400 |
| 1386641215 | RICHARD KOSINSKI DMD Individual | Dentist (General Practice) | 1 LYONS ST DEDHAM, MA 02026 (781) 329-1400 |
| 1376541631 | MARGARET M HOFFMAN NP Individual | Nurse Practitioner | 1 LYONS ST DEDHAM, MA 02026 (781) 329-1400 |
| 1811996614 | LISBETH M.B. HOWE MD Individual | Pediatrics | 1 LYONS ST DEDHAM, MA 02026 (781) 329-1400 |
| 1942209390 | ELIZABETH B TARNELL MD Individual | Internal Medicine | 1 LYONS ST DEDHAM, MA 02026 (781) 329-1400 |
| 1861466716 | JOHN N RENNEBURG JR. MD Individual | Allergy & Immunology | 1 LYONS ST DEDHAM, MA 02026 (781) 329-1400 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972503043, enumerated in the NPI registry as an "organization" on July 29, 2005
The provider is located at 1 Lyons St Dedham, Ma 02026 and the phone number is (781) 329-1400
This medical organization specializes in Otolaryngology with taxonomy code 207Y00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 22D0073841 for a "physician office" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on July 29, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.