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DR. WANDA JANINA MIKULSKI MD
NPI 1962510727
Family Medicine in Bloomfield, NJ

Active since August 29, 2006PECOS Enrolled
1310 BROAD ST, BLOOMFIELD, NJ 07003(973) 338-5660(973) 338-0522 Get Directions Write a Review

NPPES record last updated: April 17, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Wanda Janina Mikulski Md NPPES

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

DR. WANDA JANINA MIKULSKI MD (NPI 1962510727) is an individual family medicine provider in Bloomfield, New Jersey, licensed in Maryland (MA035627) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962510727
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. WANDA JANINA MIKULSKICredential: MD
Location Address1310 BROAD STBloomfield, NJ 07003
Mailing Address1310 Broad StBloomfield, NJ 07003 · (973) 338-5660 · Fax (973) 338-0522
Phone(973) 338-5660
Fax(973) 338-0522
Sole ProprietorYes
Enumeration DateAugust 29, 2006
Last NPPES UpdateApril 17, 2009
✔ NPI 1962510727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MD · MA035627
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1310 BROAD ST, Bloomfield, NJ 07003
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Other Identifiers 3

Medicaid1097806NJ
Medicare UPINC52733
Medicare ID-Type Unspecified042642

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Wanda Janina Mikulski Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07003 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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 3

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

DR. CARL MICHAEL SPINELLI II DC
Chiropractor
1310 BROAD ST
BLOOMFIELD, NJ 07003
Essex County (973) 338-5577
JULIE THOMAS KIDANGAN DO
Family Medicine
1310 BROAD ST
BLOOMFIELD, NJ 07003
Essex County (973) 338-0935
KENNETH BANNERMAN MD FACC
Internal Medicine (Cardiovascular Disease)
1310 BROAD ST
BLOOMFIELD, NJ 07003
Essex County (973) 338-0800

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 Wanda Mikulski's NPI number?

The NPI number for Wanda Mikulski is 1962510727. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Wanda Mikulski located?

Wanda Mikulski practices at 1310 Broad St, Bloomfield, NJ 07003. The listed phone number is (973) 338-5660.

What is Wanda Mikulski's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Wanda Mikulski enrolled in Medicare?

Yes. Wanda Mikulski is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Wanda Mikulski was last updated on April 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.