Barry J Benjamin, M.D.
Individual provider Active NPI Otolaryngology Physician · Dedham, MA
NPI 1720085376 · NPPES record last updated Jan 28, 2021
Key facts
- NPI
- 1720085376
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Otolaryngology Physician 207Y00000X
- License
- 35621 (MA)
- Practice address
- 1 Lyons St
Dedham, MA 02026-5599 - Phone
- (617) 421-5984
- Fax
- (781) 278-5667
- NPI assigned
- Jun 28, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 35621 | MA | Yes |
Addresses
Primary practice location
1 Lyons St
Dedham, MA 02026-5599
Mailing address
1 Lyons St
Dedham, MA 02026-5599
Phone (617) 421-5984
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 035621 | Other | TUFTS BENEFIT ADMIN | |
| 61094 | Other | HARVARD/PILGRIM | |
| 27399 | Other | CHILDREN'S MEDICAL SECURI | |
| 61094 | Other | HARVARD PILGRIM PPO | |
| 9627202 | Other | HEALTHSOURCE-MA | |
| 0016755 | Other | NEIGHBORHOOD HEALTH PLAN | |
| 61094 | Other | HARVARD PILGRIM POS | |
| C07067 | Other | BS-BLUE CARE ELECT | |
| C07067 | Other | BLUE SHIELD INDEMNITY | |
| 035621 | Other | TUFTS | |
| 035621 | Other | TUFTS SECURE HORIZONS | |
| 035621 | Other | TUFTS TOTAL HEALTH PLAN | |
| C07067 | Other | HMO BLUE/BLUE CHOICE | |
| 2053136 | Other | MASS HEALTH | |
| 897246 | Other | FIRST SENIORITY | |
| 035621 | Other | TUFTS COMMONWELATH | |
| 040007325 | Other | RAILROAD MEDICARE | |
| 9627202 | Other | CIGNA HEALTH CARE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bbenjaminmd15593@direct.atrius.masshiway.net |
Other providers in Dedham, MA
- Julianne Beck
- Jaime A Beers
- Behavioral Health and Wellness Center, LLC
- Dorothy M Beke
- Judith Bellevue
- Courtney Paul Bennett Jr.
- Susan Berman
- Nadine Bernadel
- Andrew Bernstein
- Susan Ellen Bernstein
All providers in Dedham, MA · Otolaryngology Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.