Active NPIIndividual provider

Dr. Jennifer Maldonado, DO

Emergency Medicine, Sports Medicine in Farmington, Connecticut

NPI Number1366029167
Practice location
263 Farmington Ave # Lg065, Farmington, CT 06030-0001
Fax
—
Last updated
May 20, 2026

Jennifer Maldonado is an Emergency Medicine, Sports Medicine based in Farmington, CT. Jennifer Maldonado practices in Farmington, CT and has the professional credentials of DO. The NPI Number for Jennifer Maldonado is 1366029167 and holds a License No. 82438 (CT). The current practice location address for Jennifer Maldonado is 263 Farmington Ave # Lg065, Farmington, CT 06030-0001 and can be reached out via phone at 860-679-4988.

Provider Profile Details

NPI Number
1366029167
Provider Name
Jennifer Maldonado
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
263 Farmington Ave # Lg065, Farmington, CT 06030-0001
Phone Number
860-679-4988
Primary Taxonomy
Emergency Medicine, Sports Medicine · 207PS0010X
Sole Proprietor
No
Provider Enumeration Date
March 26, 2021
Last Update Date
May 20, 2026
Certification Date
May 20, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
263 Farmington Ave # Lg065
Farmington, CT 06030-0001
Zip
06030-0001
Phone Number
860-679-4988
Farmington, CT 06030Get directions →

Provider Business Mailing Address Details

Address
263 Farmington Ave
Farmington, CT 06030-1921
City
Farmington
State
CT
Zip
06030-1921
Phone Number
860-679-2147
Fax Number
860-679-4624

License Information

License Number (1)
82438
License State (1)
CT
Taxonomy (1)
Emergency Medicine, Sports Medicine · 207PS0010X
License Number (2)
OS23454
License State (2)
FL
Taxonomy (2)
Emergency Medicine, Sports Medicine · 207PS0010X · Primary
License Number (3)
82438
License State (3)
CT
Taxonomy (3)
Emergency Medicine · 207P00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Emergency Medicine, Sports Medicine providers near Farmington, CT

View all Emergency Medicine, Sports Medicine providers in Farmington →

Frequently Asked Questions

What is the NPI number of Dr. Jennifer Maldonado, DO?

The NPI number of Dr. Jennifer Maldonado, DO is 1366029167. It was assigned on March 26, 2021 and is currently active in the NPPES registry.

What is the specialty of Dr. Jennifer Maldonado, DO?

Dr. Jennifer Maldonado, DO is registered under the primary taxonomy Emergency Medicine, Sports Medicine (code 207PS0010X), licensed in CT under license number 82438.

Where does Dr. Jennifer Maldonado, DO practice?

The practice location is 263 Farmington Ave # Lg065, Farmington, CT 06030-0001. The office can be reached at 860-679-4988 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366029167 directly on the NPPES registry website.

Browse related providers