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

NPPES Updated May 11, 2026
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

NPPES · NUCC
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

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1659306314. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$20
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Phathom Pharmaceuticals, Inc. 1 $20.40

By nature of payment

Food and Beverage
$20