Doctor profile · Federal record
Dr. MARISA SHAKER, PA
Medical Physician Assistant · WATERBURY, CT
- NPI 1659306314
- 20 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
56 FRANKLIN ST
WATERBURY, CT 067061221
(203) 709-3538
fax (203) 709-7258 - Mailing address
-
PO BOX 1090
WINDSOR, CT 060956190
Credentials & registration
- NPI registered
- July 2006 — 20 yrs on file
- Profile last updated
- September 23, 2022
- Specialty taxonomy
- 363AM0700X — NUCC code
- State license (1)
- Connecticut #001133
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1659306314. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$20
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Phathom Pharmaceuticals, Inc. | 1 | $20.40 |