1. Home
  2. Directory
  3. Connecticut
  4. Brookfield
  5. Physician Assistant
  6. NPI Profile

MR. JOHN JOSEPH PENDERGAST PA-C
NPI 1902962160
Physician Assistant - Medical in Brookfield, CT

Active since December 29, 2006
246 FEDERAL RD, UNIT D-12, BROOKFIELD, CT 06804(203) 775-3290(203) 775-6970 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. John Joseph Pendergast Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JOHN JOSEPH PENDERGAST PA-C (NPI 1902962160) is an individual medical provider in Brookfield, Connecticut, licensed in Connecticut (000219) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1902962160
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. JOHN JOSEPH PENDERGASTCredential: PA-C
Location Address246 FEDERAL RD, UNIT D-12Brookfield, CT 06804-2647
Mailing Address246 Federal Rd, Unit D-12Brookfield, CT 06804-2647 · (203) 775-3290 · Fax (203) 775-6970
Phone(203) 775-3290
Fax(203) 775-6970
Sole ProprietorNo
Enumeration DateDecember 29, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1902962160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CT · 000219
246 FEDERAL RD, Brookfield, CT 06804
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOURYA HAOUES-BROWN MD LLC
Internal Medicine
246 FEDERAL RD, UNIT C32
BROOKFIELD, CT 06804
Western Connecticut Planning Region (203) 740-9099
KAREN L PARISH LCSW
Social Worker (Clinical)
246 FEDERAL RD, UNIT C-33
BROOKFIELD, CT 06804
Western Connecticut Planning Region (203) 740-7799
BEKIM SELMANI LMT
Massage Therapist
246 FEDERAL RD
BROOKFIELD, CT 06804
Western Connecticut Planning Region (203) 788-5943
BROOKFIELD PRIMARY CARE, LLC
Family Medicine
246 FEDERAL RD, UNIT C 31
BROOKFIELD, CT 06804
Western Connecticut Planning Region (203) 740-5111
MRS. LAURA CARMICHAEL DUFFY MS
Counselor (Addiction (Substance Use Disorder))
246 FEDERAL RD, UNIT C 23A
BROOKFIELD, CT 06804
Western Connecticut Planning Region (203) 364-1688
DR. THOURYA HAOUES-BROWN M.D.
Internal Medicine
246 FEDERAL RD, UNIT C-32
BROOKFIELD, CT 06804
Western Connecticut Planning Region (203) 740-9099
KATHLEEN REPOLE LCSW
Social Worker (Clinical)
246 FEDERAL RD, SUITE C23-A
BROOKFIELD, CT 06804
Western Connecticut Planning Region (203) 775-2815
SCOTT ALAN BIALIK D.D.S.
Dentist (Pediatric Dentistry)
246 FEDERAL RD, SUITE D 13
BROOKFIELD, CT 06804
Western Connecticut Planning Region (203) 791-2771

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Pendergast's NPI number?

The NPI number for John Pendergast is 1902962160. It was assigned to this individual provider in the NPPES registry on December 29, 2006.

Where is John Pendergast located?

John Pendergast practices at 246 Federal Rd Unit D-12, Brookfield, CT 06804. The listed phone number is (203) 775-3290.

What is John Pendergast's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for John Pendergast was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.