Kaitlin Ngo
Physician Assistant, Surgical in Waterbury, CT. Individual provider (NPI-1).
NPI number1962079152
StatusActive
Last updated in NPPESNov 16, 2021
Details
- NPI
- 1962079152
- Entity type
- Individual (NPI-1)
- Name
- Kaitlin Ngo
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 7, 2021
- Certification date
- Sep 9, 2021
- Last updated
- Nov 16, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | – | – | Yes |
Practice location
133 Scovill St Ste 303Waterbury, CT 06706-1127
Phone 203-709-6871
Mailing address
133 Scovill St Ste 303Waterbury, CT 06706-1127
Phone 203-709-6871
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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