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

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

Hospital & facility affiliations 1

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

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 (10 clinicians)

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 Hospital · Stamford, CT · CCN 070006

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 IDStateProvider typePAC IDDetails
I20250806001412 CT Practitioner - Otolaryngology 5597188615 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
080698-DOCTMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ear, Nose & Throat Center, LLP Otolaryngology Current
since Aug 5, 2025
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)CodeLicenseStatePrimary
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

All providers in Stamford, CT · Otolaryngology Physician in Connecticut

Sources for this page

Verify at the official NPI Registry.