Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ryan J. Dadasovich, MD

Individual provider Internal Medicine Physician · NPI 1639390750

Ryan J. Dadasovich, MD is an Internal Medicine in Stamford, Connecticut. Qualified in 2006, 20 years ago. Practices with Northeast Medical Group Inc, a 1,360-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
20
Licensed in
CT
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2015 W Main St
Stamford, CT 06902-4536
Phone: (203) 863-3671
Fax: (203) 863-4758
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 048922 (CT)

Record details

NPI number1639390750
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 2, 2007
Last updated in NPPESDecember 16, 2021
Certification dateDecember 16, 2021
Mailing address2015 W Main St, Stamford, CT 06902-4536

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Northeast Medical Group Inc — 1360 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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