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DJOSER MACK
NPI 1629655592
Emergency Medicine in Stamford, CT

Active since March 26, 2021PECOS EnrolledAccepts Medicare Assignment
1 HOSPITAL PLZ, STAMFORD, CT 06902(203) 276-7777 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 24, 2024, Mar 26, 2021 (2 updates tracked since 2021).

About Djoser Mack NPPES

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

DJOSER MACK (NPI 1629655592) is an individual emergency medicine provider in Stamford, Connecticut, licensed in Connecticut (1.078244) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Farmington, and is a graduate of New York Medical College (2021).

NPPES Registry Identity

NPI1629655592
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDJOSER MACK
Location Address1 HOSPITAL PLZStamford, CT 06902-3602
Mailing Address263 Famington AvenueFarmington, CT 06030-1921 · (860) 679-2147 · Fax (860) 679-4624
Phone(203) 276-7777
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 2021
Enumeration DateMarch 26, 2021
Last NPPES UpdateJune 24, 20242 updates tracked since enumeration
NPPES CertifiedJune 24, 2024
✔ NPI 1629655592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CT · 1.078244
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1 HOSPITAL PLZ, Stamford, CT 06902
Open in Google Maps ↗

Secondary Practice Location 1

Location 1263 Farmington Ave # Lg065Farmington, CT 06030-0001 · Phone (860) 679-4988 · Fax (860) 679-3489

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Djoser Mack is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264978378
PECOS Enrollment IDI20240725001659
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
89 services88 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
29 services29 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06902 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

MR. MATHIAS AIHIOKHAI PA-C
Physician Assistant
1 HOSPITAL PLZ
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 276-1000
KRISTA ANN ULRICH PHYSICIAN ASSISTANT
Physician Assistant (Surgical)
1 HOSPITAL PLZ
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 276-7022
JEFFREY HAMRLICEK PA-C
Physician Assistant (Surgical)
1 HOSPITAL PLZ
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 276-7022
DR. SCOTT A. COLE M.D.
Obstetrics & Gynecology
1 HOSPITAL PLZ
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 276-2030
JOAN MORTAROTTI FNP-C
Nurse Practitioner (Family)
1 HOSPITAL PLZ
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 276-2695
DR. ANDREAS BUB MD
Hospitalist
1 HOSPITAL PLZ
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 276-7147
FAHMIDA BEGUM PA
Physician Assistant
1 HOSPITAL PLZ
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 276-7298
MARYANA GERMAN APRN
Nurse Practitioner (Family)
1 HOSPITAL PLZ
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 348-7410

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 Djoser Mack's NPI number?

The NPI number for Djoser Mack is 1629655592. It was assigned to this individual provider in the NPPES registry on March 26, 2021.

Where is Djoser Mack located?

Djoser Mack practices at 1 Hospital Plz, Stamford, CT 06902. The listed phone number is (203) 276-7777.

What is Djoser Mack's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Djoser Mack enrolled in Medicare?

Yes. Djoser Mack is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Djoser Mack was last updated on June 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.