Active NPI
Boris Mayzler, D.O.,M.D.
- Family Medicine Physician
- Stamford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- CT038982
- Practice address
- 144 Morgan St
Suite1
Stamford, CT 06905-5433 - Phone
- (203) 961-0063
- Fax
- (203) 961-0064
- NPI assigned
- Oct 17, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | CT038982 | CT | Primary |
Addresses
Primary practice location
144 Morgan St
Suite1
Stamford, CT 06905-5433
Mailing address
144 Morgan St
Suite1
Stamford, CT 06905-5433
Phone (203) 961-0063
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rehabilitation Associates Inc
Practice addresses (Care Compare)
1931 Black Rock Tpke
Fairfield, CT 06825-3506
Phone (203) 384-8681
70 Mill River St
Stamford, CT 06902-3725
Phone (203) 961-0063
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CT038982 | CT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boris Mayzler DO LLC | Family Medicine | Current | Accepting new patients |
| The Charlotte Hungerford Hospital | Past | Accepting new patients |
Locations
144 Morgan St
Ste 1
Stamford, CT 06905
Phone (203) 252-2463
70 Mill River St
Stamford, CT 06902
Phone (203) 323-8989
70 Mill River St
Ste UL1
Stamford, CT 06902
Phone (203) 961-0063
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Stamford, CT
- NPI 1376739730
-
- General Acute Care Hospital
- Torrington, CT
- NPI 1629075734
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greenwich, CT
- NPI 1609846088
-
- General Acute Care Hospital
- Stamford, CT
- NPI 1356331425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417038753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 MORGAN ST",
"address_2": "SUITE1",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069055433",
"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": "144 MORGAN ST",
"address_2": "SUITE1",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069055433",
"telephone_number": "203-961-0063",
"fax_number": "203-961-0064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYZLER",
"first_name": "BORIS",
"name_prefix": "Dr.",
"credential": "D.O.,M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CT",
"license": "CT038982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.