Active NPIIndividual providerSole proprietor

Marykate Pestana

Physician Assistant, Surgical in Waterbury, Connecticut

NPI Number1356035877
Practice location
56 Franklin St Ste 1, Waterbury, CT 06706-1281
Fax
—
Last updated
November 1, 2026

Marykate Pestana is a Physician Assistant, Surgical based in Waterbury, CT. Marykate Pestana practices in Waterbury, CT. The NPI Number for Marykate Pestana is 1356035877. The current practice location address for Marykate Pestana is 56 Franklin St Ste 1, Waterbury, CT 06706-1281 and can be reached out via phone at 203-709-6000.

Provider Profile Details

NPI Number
1356035877
Provider Name
Marykate Pestana
Provider Entity Type
Individual
Gender
Female
Address
56 Franklin St Ste 1, Waterbury, CT 06706-1281
Phone Number
203-709-6000
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
Yes
Provider Enumeration Date
June 7, 2023
Last Update Date
November 1, 2026
Certification Date
November 1, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
56 Franklin St Ste 1
Waterbury, CT 06706-1281
Zip
06706-1281
Phone Number
203-709-6000
Waterbury, CT 06706Get directions →

Provider Business Mailing Address Details

Address
1290 Silas Deane Hwy
Wethersfield, CT 06109-4337
City
Wethersfield
State
CT
Zip
06109-4337

License Information

Taxonomy
Physician Assistant, Surgical · 363AS0400X · Primary

Legacy Identifiers

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

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Frequently Asked Questions

What is the NPI number of Marykate Pestana?

The NPI number of Marykate Pestana is 1356035877. It was assigned on June 7, 2023 and is currently active in the NPPES registry.

What is the specialty of Marykate Pestana?

Marykate Pestana is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X).

Where does Marykate Pestana practice?

The practice location is 56 Franklin St Ste 1, Waterbury, CT 06706-1281. The office can be reached at 203-709-6000 (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 1356035877 directly on the NPPES registry website.

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