OrganizationActive
Mazurov Medical PC
NPI 1003104456 · Specialist · Staten Island, NY
Mazurov Medical PC is a Specialist organization in Staten Island, NY (NPI 1003104456).
Provider details
- NPI number
- 1003104456
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Boris Mazurov, Owner(718) 966-1738
- License
- 210722-1 (NY)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
505 Jefferson Blvd
Staten Island, NY 10312-2225
Phone: (718) 966-1738
Street-level locationGet directions
Mailing address
505 Jefferson Blvd
Staten Island, NY 10312-2225
Registry dates
- Enumerated
- 2011-07-19
- Last updated
- 2011-07-19
Frequently asked questions
- What is Mazurov Medical PC's NPI number?
- Mazurov Medical PC's National Provider Identifier (NPI) is 1003104456, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mazurov Medical PC?
- Mazurov Medical PC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Mazurov Medical PC located?
- Mazurov Medical PC's practice location on file with NPPES is 505 Jefferson Blvd, Staten Island, NY 10312-2225.
- What is Mazurov Medical PC's phone number?
- The practice phone number listed in the NPPES registry for Mazurov Medical PC is (718) 966-1738.
- Who is the authorized official for Mazurov Medical PC?
- The authorized official listed on Mazurov Medical PC's NPPES record is Boris Mazurov, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mazurov Medical PC's NPI active?
- Yes — Mazurov Medical PC's NPI (1003104456) is active in the NPPES registry as of the last update on 2011-07-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.