Samuel John Bosco, DO
Individual provider Active NPI Otolaryngology Physician · Stamford, CT
NPI 1043847833 · NPPES record last updated Jun 5, 2025
Key facts
- NPI
- 1043847833
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Otolaryngology Physician 207Y00000X
- License
- 080698-DO (CT)
- Practice address
- 32 Strawberry Hill CT Ste 4
Stamford, CT 06902-2594 - Phone
- (203) 353-0000
- NPI assigned
- Mar 24, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Otolaryngology
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ear, Nose and Throat Center, LLP
Practice addresses (Care Compare)
32 Strawberry Hill Court
Suite 4
Stamford, CT 06902-2594
32 Strawberry Hill CT
Stamford, CT 06902-2594
Phone (203) 359-3533
Hospital & facility affiliations
- Stamford Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250806001412 | CT | Practitioner - Otolaryngology | 5597188615 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 080698-DO | CT | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ear, Nose & Throat Center, LLP | Otolaryngology | Current |
Accepting new patients |
Locations
2600 Post Rd
Southport, CT 06890
Phone (203) 255-4005
32 Strawberry Hill Ct
#4
Stamford, CT 06902
Phone (203) 353-0000
32 Strawberry Hill Ct
Ste 4
Stamford, CT 06902
Phone (203) 353-0000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Otolaryngology Physician | 207Y00000X | 080698-DO | CT | Yes |
Addresses
Primary practice location
32 Strawberry Hill CT Ste 4
Stamford, CT 06902-2594
Mailing address
32 Strawberry Hill CT Ste 4
Stamford, CT 06902-2594
Phone (203) 353-0000
Other providers in Stamford, CT
- Miles Hugh Bonom
- Whitney A Booker
- Sreevathsa Boraiah
- Boris Mayzler DO LLC
- Rebecca Borneman
- Lindsay Bosquet
- Nichola Bott
- Megan Bouchard
- Margaret Elizabeth Boucher
- Alexandria Boujid
All providers in Stamford, CT · Otolaryngology Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.