Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Djoser Mack

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1629655592

Djoser Mack practises Emergency Medicine in Stamford, Connecticut. Graduated from New York Medical College in 2021, 5 years ago. Practices with Emergency Medicine Physicians of Fairfield County LLC, a 37-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
5
Trained at
New York Medical College
Licensed in
CT
In the registry since
2021
Specialties on file
2

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Stamford, CT

Additional practice locations (1)

  • 263 Farmington Ave # Lg065, Farmington, CT 06030-0001 — (860) 679-4988

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 1.078244 (CT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1629655592
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 26, 2021
Last updated in NPPESJune 24, 2024
Certification dateJune 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 2021 (5 years in practice)
Group practice Emergency Medicine Physicians Of Fairfield County Llc — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients144
Services billed 155 a service is one billed item, such as a visit, a test or a procedure
Average patient age78

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Emergency Medicine Physicians of Fairfield County LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 37 clinicians in the practice; 12 are shown here.

Other providers in Stamford