Doctor profile · Federal record
Dr. Nicole Maciejak, APRN
Pediatric Nurse Practitioner · New Haven, CT
- NPI 1174694798
- 20 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
35 Davis Street, Sbhc
New Haven, CT 065151601
(475) 220-7815
fax (475) 220-7842 - Additional location
-
305 Broadway
Norwich, CT 063603547
(860) 204-0442 - Mailing address
-
255 Hempstead St
New London, CT 063206204
Credentials & registration
- NPI registered
- November 2006 — 20 yrs on file
- Profile last updated
- November 13, 2019
- Specialty taxonomy
- 363LP0200X — NUCC code
- State license (1)
- Connecticut #3454
- Medicaid
- CT #004271821
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1174694798. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$118
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Sanofi Pasteur INC. | 1 | $73.40 | |
| Genentech USA, INC. | 1 | $44.27 |
By nature of payment
Frequently asked questions
What is Dr. Nicole Maciejak's medical specialty?
Dr. Nicole Maciejak practices Pediatric Nurse Practitioner in New Haven, CT.
Where does Dr. Nicole Maciejak practice?
Dr. Nicole Maciejak practices at 35 Davis Street, New Haven, CT 065151601. Office phone: 4752207815.
What is Dr. Nicole Maciejak's NPI?
Dr. Nicole Maciejak's National Provider Identifier (NPI) is 1174694798, issued by NPPES.