BORIS AVEZOV D.P.T.
NPI 1336690361
Specialist in Forest Hills, NY

Active since October 14, 2016
10236 64TH AVE, FOREST HILLS, NY 11375(347) 599-6099 Get Directions Write a Review

NPPES record last updated: March 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 22, 2025, Feb 2, 2020, May 3, 2019 and 2 more (5 updates tracked since 2016).

About Boris Avezov D.p.t. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BORIS AVEZOV D.P.T. (NPI 1336690361) is an individual specialist in Forest Hills, New York, licensed in New York (040332) and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1336690361
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameBORIS AVEZOVCredential: D.P.T.
Location Address10236 64TH AVEForest Hills, NY 11375-1547
Mailing Address9614 Metropolitan AveForest Hills, NY 11375-6674
Sole ProprietorNo
Enumeration DateOctober 14, 2016
Last NPPES UpdateMarch 22, 20255 updates tracked since enumeration
NPPES CertifiedMarch 22, 2025
NPI 1336690361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NY · 040332
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedPhysical TherapistTaxonomy 225100000X · License 040332 (NY)
10236 64TH AVE, Forest Hills, NY 11375

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%24 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
10236 64TH AVE, APT, 4C
FOREST HILLS, NY 11375
Registered Nurse
10236 64TH AVE
FOREST HILLS, NY 11375

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Boris Avezov's NPI number?

The NPI number for Boris Avezov is 1336690361. It was assigned to this individual provider in the NPPES registry on October 14, 2016.

Where is Boris Avezov located?

Boris Avezov practices at 10236 64th Ave, Forest Hills, NY 11375. The listed phone number is (347) 599-6099.

What is Boris Avezov's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Boris Avezov was last updated on March 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.