Boris Mayzler DO LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

038982 Issued in CT

Legal business name

BORIS MAYZLER DO LLC

Practice address

70 Mill River St
Stamford, CT 06902-3725

Phone

(203) 961-0063

Fax

(203) 961-0064

NPI assigned

Sep 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Boris Mayzler, D ONPI 1417038753

Title

Owner

Phone

(203) 961-0063

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Boris Mayzler, D.O.,M.D.

  • Family Medicine Physician
  • Stamford, CT
  • NPI 1417038753
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1376739730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 MILL RIVER ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023725",
            "telephone_number": "203-961-0063",
            "fax_number": "203-961-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MILL RIVER ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023725",
            "telephone_number": "203-961-0063",
            "fax_number": "203-961-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORIS MAYZLER DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2023-10-06",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "MAYZLER",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-961-0063",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D O"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "038982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Bongiorno, ND, LAC
• James A. Bonheur, MD
• Miles Hugh Bonom, DDS
• Whitney A Booker, MD
• Sreevathsa Boraiah, MD
• Rebecca Borneman, MD
• Samuel John Bosco, DO
• Lindsay Bosquet, LPN
• Nichola Bott, D.C.
• Megan Bouchard

• Family Medicine Physician in Stamford, CT
• Providers in Stamford, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.