Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Djoser Mack

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

Djoser Mack is an 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
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Practice location Address checks out

1 Hospital Plz
Stamford, CT 06902-3602
Phone: (203) 276-7777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

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

Other providers in Stamford