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DR. MARIA MIKOLAENKO DO
NPI 1063824761
Family Medicine - Adult Medicine in Bridgeport, CT

Active since May 29, 2014
2979 MAIN ST, BRIDGEPORT, CT 06606(203) 382-2345(203) 366-0868 Get Directions Write a Review

NPPES record last updated: October 2, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 2, 2020, Dec 13, 2018, Jun 19, 2017 (3 updates tracked since 2017).

About Dr. Maria Mikolaenko Do NPPES

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

DR. MARIA MIKOLAENKO DO (NPI 1063824761) is an individual adult medicine provider in Bridgeport, Connecticut, licensed in Connecticut (66720) and active in the NPI registry since May 2014. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1063824761
Entity TypeIndividualFemale
Primary Taxonomy207QA0505X
Provider Legal NameDR. MARIA MIKOLAENKOCredential: DO
Location Address2979 MAIN STBridgeport, CT 06606-4284
Mailing Address1290 Silas Deane HwyWethersfield, CT 06109-4337
Phone(203) 382-2345
Fax(203) 366-0868
Sole ProprietorNo
Enumeration DateMay 29, 2014
Last NPPES UpdateOctober 2, 20203 updates tracked since enumeration
NPPES CertifiedOctober 2, 2020
✔ NPI 1063824761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Licenses✔ Licensed in CT · 66720✔ Licensed in FL · OS15147
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
2979 MAIN ST, Bridgeport, CT 06606
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Secondary Practice Locations 3

Location 116 Station Rd Ste 5Bellport, NY 11713-2449 · Phone (631) 286-3995
Location 21545 9th St SWVero Beach, FL 32962-4312 · Phone (772) 257-8224 · Fax (772) 213-3157
Location 3787 37th St Ste 140Vero Beach, FL 32960 · Phone (772) 257-8224 · Fax (772) 213-3157

Other Identifiers 1

OtherOS15147FL · State License

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.

DANIELLE C RIVERA
Nurse Practitioner (Family)
2979 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 382-2345
AMANDA RUSZCZYCKI
Physician Assistant
2979 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 683-5100
STEPHANIE LAROSE
Nurse Practitioner (Family)
2979 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 382-2345
ANNIKA NICOLE CHAMBERS MD
Internal Medicine
2979 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 382-2345
DR. ROBERT A CASERTA MD
Internal Medicine (Cardiovascular Disease)
2979 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 333-8800
IVAN M ROSAS PA-C
Physician Assistant
2979 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 683-5100
DR. JANELLE DUAH MD
Internal Medicine
2979 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 382-2345
HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS, LLC
Internal Medicine
2979 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 382-2100

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 Maria Mikolaenko's NPI number?

The NPI number for Maria Mikolaenko is 1063824761. It was assigned to this individual provider in the NPPES registry on May 29, 2014.

Where is Maria Mikolaenko located?

Maria Mikolaenko practices at 2979 Main St, Bridgeport, CT 06606. The listed phone number is (203) 382-2345.

What is Maria Mikolaenko's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Maria Mikolaenko was last updated on October 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.