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

Michael Mazer

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104352707

Michael Mazer is a Podiatry in New Hyde Park, New York. Graduated from New York College of Podiatric Medicine in 2017, 9 years ago. Practices with Boltrope Podiatry Ny PLLC, a 30-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Trained at
New York College of Podiatric Medicine
Licensed in
NY
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

3003 New Hyde Park Rd Ste 312
New Hyde Park, NY 11042-1214
Phone: (516) 492-3515
Fax: (516) 492-3616
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence N007088 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104352707
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 3, 2017
Last updated in NPPESMay 28, 2020
Certification dateMay 28, 2020

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolNEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated 2017 (9 years in practice)
Group practice Boltrope Podiatry Ny Pllc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in New Hyde Park