Ivan Mikolaenko (NPI# 1023231883, PAC ID# 1254496706) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CRITICAL CARE (INTENSIVISTS).
| Nation Provider ID (NPI) | 1023231883 |
| PAC ID by PECOS | 1254496706 |
| Professional Enrollment ID | I20111216000136 |
| Full Name | Ivan Mikolaenko |
| Organization Legal Name | WINTHROP FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORPOR |
| Address |
200 Old Country Rd Mineola NY 11501-4298 |
| Phone Number | 5166634822 |
| Gender | M |
| Graduation Year | 1992 |
| Primary Specialty | CRITICAL CARE (INTENSIVISTS) |
| Group Practice PAC ID | 2365613783 |
| Number of Group Practice Members | 339 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330167 | WINTHROP-UNIVERSITY HOSPITAL |
| 330045 | HUNTINGTON HOSPITAL |
| 330106 | NORTH SHORE UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 200 Old Country Rd, Mineola, NY 11501-4298 | 5166634822 | WINTHROP FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORPOR |
| 200 Old Country Rd, Suite 485, Mineola, NY 11501-4298 | 5166634822 | WINTHROP FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORPOR |
| Organization Legal Name | WINTHROP FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORPOR |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather S Lampert | Family Practice | Winthrop Faculty Medical Affiliates University Faculty Practice Corpor | 135 Park Blvd, Massapequa Park, NY 11762-3643 |
| Debra Jemison | Physician Assistant | Winthrop Faculty Medical Affiliates University Faculty Practice Corpor | 1300 Franklin Ave Ul, Garden City, NY 11530-1886 |
| Richard A Young | Psychiatry | Winthrop Faculty Medical Affiliates University Faculty Practice Corpor | 222 Station N Plz, Suite 310, Mineola, NY 11501-3889 |
| Barbara E Arendash | Pathology | Winthrop Faculty Medical Affiliates University Faculty Practice Corpor | 222 Station Plz N, Suite 606, Mineola, NY 11501-3893 |
| Filiz Kahveci | Physician Assistant | Winthrop Faculty Medical Affiliates University Faculty Practice Corpor | 259 1st St, Mineola, NY 11501-3957 |
| Jaspreet Kaur | Physician Assistant | Winthrop Faculty Medical Affiliates University Faculty Practice Corpor | 120 Mineola Blvd, Suite 600, Mineola, NY 11501-4074 |
| Casey Fey | Nurse Practitioner | Winthrop Faculty Medical Affiliates University Faculty Practice Corpor | 200 Old Country Rd, Suite 485, Mineola, NY 11501-4298 |
| Alexis Corbisiero | Physician Assistant | Winthrop Faculty Medical Affiliates University Faculty Practice Corpor | 120 Mineola Blvd, Suite 600, Mineola, NY 11501-4074 |
| Jerald Cohen | Cardiovascular Disease (cardiology) | Winthrop Faculty Medical Affiliates University Faculty Practice Corpor | 1300 Franklin Ave, Garden City, NY 11530-1760 |
| Alfred A Adamo | General Surgery | Winthrop Faculty Medical Affiliates University Faculty Practice Corpor | 120 Mineola Blvd, Mineola, NY 11501-4077 |
| Street Address |
200 OLD COUNTRY RD |
| City | MINEOLA |
| State | NY |
| Zip | 11501-4298 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stuart Sherman | Dermatology | Family Dermatology Pllc | 200 Old Country Rd, Suite 366, Mineola, NY 11501-4240 |
| Michael L Friedman | Cardiovascular Disease (cardiology) | Icahn School of Medicine At Mount Sinai | 200 Old Country Rd, Suite 520, Mineola, NY 11501-4298 |
| Behzad Paimany | Cardiovascular Disease (cardiology) | Icahn School of Medicine At Mount Sinai | 200 Old Country Rd, Suite 520, Mineola, NY 11501-4298 |
| Karen L Hendler-goldberg | Ophthalmology | 200 Old Country Rd, Suite 130, Mineola, NY 11501-4237 | |
| Bruce Robin | Cardiovascular Disease (cardiology) | Icahn School of Medicine At Mount Sinai | 200 Old Country Rd, Suite 520, Mineola, NY 11501-4298 |
| Ari Michael Steiner | Diagnostic Radiology | Steven S Shayani Md PC | 200 Old Country Rd, Suite 520, Mineola, NY 11501-4298 |
| Anthony J Spadaro | Pulmonary Disease | Brian Margolis Md and Anthony Spadaro Md LLP | 200 Old Country Rd, Suite 278, Mineola, NY 11501-4298 |
| Richard Moskowitz | Dermatology | Family Dermatology Pllc | 200 Old Country Rd, Suite 366, Mineola, NY 11501-4240 |
| Steven S Shayani | Cardiovascular Disease (cardiology) | Icahn School of Medicine At Mount Sinai | 200 Old Country Rd, Suite 520, Mineola, NY 11501-4298 |
| Brian H Margolis | Internal Medicine | Brian Margolis Md and Anthony Spadaro Md LLP | 200 Old Country Rd, Suite 278, Mineola, NY 11501-4298 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Markella Kolitsopoulos | Physician Assistant | Winthrop Medical Affiliates Urgent Care University Faculty Practice C | 222 Station Plaza N, Mineola, NY 11501 |
| Philip Burns | Physical Medicine and Rehabilitation | Garden City Physical Medicine and Rehabilitation PC | 292 A Herricks Rd, Mineola, NY 11501-1103 |
| Richard Mcgraw | Physical Medicine and Rehabilitation | Garden City Physical Medicine and Rehabilitation PC | 292 A Herricks Rd, Mineola, NY 11501-1103 |
| Elizabeth J Foxen | Emergency Medicine | City Medical of Upper East Side Pllc | 292 Herricks Rd, Mineola, NY 11501-1119 |
| Sydney Hughes | Emergency Medicine | City Medical of Upper East Side Pllc | 292 Herricks Rd, Mineola, NY 11501-1119 |
| Tracy L Barilla | Physician Assistant | Winthrop Community Medical Affiliates PC | 297 Mineola Blvd, Mineola, NY 11501-1502 |
| Meghan E Daversa | Physician Assistant | Winthrop Community Medical Affiliates PC | 297 Mineola Blvd, Mineola, NY 11501-1502 |
| Burke A Cunha | Infectious Disease | Winthrop Community Medical Affiliates PC | 297 Mineola Blvd, Mineola, NY 11501-1502 |
| Stephen J Russo | Psychologist, Clinical | 302 Willis Ave, Mineola, NY 11501-1521 | |
| Yaniv N Raich | Physical Therapy | 193 Jericho Tpke, Mineola, NY 11501-1702 | |
| Find all physicians in zip 11501 | |||
| City | MINEOLA |
| Zip Code | 11501 |
| Specialty | CRITICAL CARE (INTENSIVISTS) |
| City + Specialty | MINEOLA + CRITICAL CARE (INTENSIVISTS) |
Please comment or provide details below to improve the information on Ivan Mikolaenko.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.