Boris Avezov, D.P.T.

Primary specialty

SpecialistTaxonomy code 174400000X

License

040332 Issued in NY

Practice address

10236 64TH Ave
Forest Hills, NY 11375-1547

Phone

(347) 599-6099

NPI assigned

Oct 14, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Access Home Mobility & Safety Consultants, LLC

  • Durable Medical Equipment & Medical Supplies
  • New Hyde Park, NY
  • NPI 1174207989
  NPD

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742601600000",
    "number": "1336690361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9614 METROPOLITAN AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10236 64TH AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751547",
            "telephone_number": "347-599-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVEZOV",
        "first_name": "BORIS",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-14",
        "last_updated": "2025-03-22",
        "certification_date": "2025-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040332",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "040332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlee Austin
• Avag Pharm Inc
• Yekaterina Avagyan
• Maria Paula Callanta Avendano
• Michele Avent
• Adrian Carl Avila
• Mia Kiare Avila
• Boris Avizov, DO
• Avrakham Rubinov NP Adult Health PC
• Radostina Avramova

• Specialist in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.