Boris Mazurov, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

210722 Issued in NY

Practice address

3048 Brighton 1St St
Brooklyn, NY 11235-8080

Phone

(718) 368-1170

Fax

(718) 368-2342

NPI assigned

Sep 25, 2006

Last updated

May 22, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sorin Medical PCGroup PAC ID 5193966059, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Girling Health Care of New York Home health agency, Brooklyn, NY, CCN 337243
• Maimonides Medical Center Hospital, Brooklyn, NY, CCN 330194

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: boris.mazurov.1@8181.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sorin Medical PC

  • Cardiovascular Disease Physician
  • Brooklyn, NY
  • NPI 1942543053
  Medicare reassignment Care Compare group NPD
• Intermed Care PC

  • Legal Medicine
  • Brooklyn, NY
  • NPI 1144235516
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HCS Certified Home Care Ny Inc

  dba Girling Health Care of New york, Inc

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1568886653
  Care Compare affiliation
• Maimonides Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1093777492
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1023119039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3048 BRIGHTON 1ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358080",
            "telephone_number": "718-368-1170",
            "fax_number": "718-368-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3048 BRIGHTON 1ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358080",
            "telephone_number": "718-368-1170",
            "fax_number": "718-368-2342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZUROV",
        "first_name": "BORIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "210722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01897089",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lev Mazniker, O.D.
• Bianca Mazor
• Amy Mazur, LMSW
• Justin David Mazur, M.D.
• Marina Mazur, PH.D.
• Ella Mazurova, LCSW
• Yelena Mazurskaya, DO
• Katherine Ashley Mazza Cadena, DPT
• Anthony Mazza, LCSW
• Michael Anthony Mazza, MD

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.