Boris Avizov, DO

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

10222 62ND Rd
Forest Hills, NY 11375-1044

Phone

(347) 837-8403

NPI assigned

Apr 11, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

Interoperability endpoints

• Direct secure messaging: bavizov117330@mskcc.direct-ci.com

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

{
    "created_epoch": "1618099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1508446816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10222 62ND RD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751044",
            "telephone_number": "347-837-8403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10222 62ND RD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751044",
            "telephone_number": "347-837-8403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVIZOV",
        "first_name": "BORIS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-11",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Paula Callanta Avendano
• Michele Avent
• Boris Avezov, D.P.T.
• Adrian Carl Avila
• Mia Kiare Avila
• Avrakham Rubinov NP Adult Health PC
• Radostina Avramova
• Jamilya Avshalumova
• Mohamed S Awad, MD
• Maria Awwad

• Student in an Organized Health Care Education/Training Program in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.