Mr. John J Pendergast, PA-C
Physician Assistant, Medical in Brookfield, Connecticut
1902962160- Practice location
- 246 Federal RD, Unit D-12, Brookfield, CT 06804-2647
- Phone
- 203-775-3290
- Fax
- 203-775-6970
- Last updated
- July 8, 2007
John Joseph Pendergast is a Physician Assistant, Medical based in Brookfield, CT. John Joseph Pendergast practices in Brookfield, CT and has the professional credentials of PA-C. The NPI Number for John Joseph Pendergast is 1902962160 and holds a License No. 000219 (CT). The current practice location address for John Joseph Pendergast is 246 Federal RD, Unit D-12, Brookfield, CT 06804-2647 and can be reached out via phone at 203-775-3290 and via fax at 203-775-6970.
Provider Profile Details
- NPI Number
- 1902962160
- Provider Name
- John Joseph Pendergast
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 246 Federal RD, Unit D-12, Brookfield, CT 06804-2647
- Phone Number
- 203-775-3290
- Fax Number
- 203-775-6970
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 29, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 246 Federal RD
Unit D-12
Brookfield, CT 06804-2647 - City
- Brookfield
- State
- Connecticut
- Zip
- 06804-2647
- Phone Number
- 203-775-3290
- Fax Number
- 203-775-6970
Provider Business Mailing Address Details
- Address
- 246 Federal RD
Unit D-12
Brookfield, CT 06804-2647 - City
- Brookfield
- State
- CT
- Zip
- 06804-2647
- Phone Number
- 203-775-3290
- Fax Number
- 203-775-6970
License Information
- License Number
- 000219
- License State
- CT
- Taxonomy
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mr. John J Pendergast, PA-C?
The NPI number of Mr. John J Pendergast, PA-C is 1902962160. It was assigned on December 29, 2006 and is currently active in the NPPES registry.
What is the specialty of Mr. John J Pendergast, PA-C?
Mr. John J Pendergast, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in CT under license number 000219.
Where does Mr. John J Pendergast, PA-C practice?
The practice location is 246 Federal RD, Unit D-12, Brookfield, CT 06804-2647. The office can be reached at 203-775-3290 (phone) or 203-775-6970 (fax).
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 1902962160 directly on the NPPES registry website.