LAVENDER GROVE LONG TERM CARE PC
NPI 1295528230
Internal Medicine - Geriatric Medicine in Shelton, CT

Q: What is Lavender Grove Long Term Care PC's NPI number?

The NPI number for Lavender Grove Long Term Care PC is 1295528230. It was assigned to this organization in the NPPES registry on May 23, 2025.

Q: What is Lavender Grove Long Term Care PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Active since May 23, 2025

5 RESEARCH DR, SHELTON, CT 06484(203) 901-2493 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Lavender Grove Long Term Care Pc NPPES

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

LAVENDER GROVE LONG TERM CARE PC (NPI 1295528230) is a healthcare organization registered as a geriatric medicine in Shelton, Connecticut and active in the NPI registry since May 2025. The organization lists Manoj Wadhwani, Owner, as its authorized official.

NPPES Registry Identity

NPI1295528230

Entity TypeOrganization

Primary Taxonomy207RG0300X

Legal Business NameLAVENDER GROVE LONG TERM CARE PC

Location Address5 RESEARCH DRShelton, CT 06484-6232

Mailing Address5 Research DrShelton, CT 06484-6232 · (203) 901-2493

Phone(203) 901-2493

Organization SubpartNo

Authorized OfficialManoj WadhwaniOwner · (203) 901-2493

Enumeration DateMay 23, 2025

NPPES CertifiedMay 23, 2025

✔ NPI 1295528230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RG0300X

Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

5 RESEARCH DR, Shelton, CT 06484

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lavender Grove Long Term Care Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 5 clinicians reassign Medicare billing to Lavender Grove Long Term Care PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

David Penry, APRN

Nurse Practitioner

NPI 1306849922

NP RESOURCES, LLC. SIX CORPORATE DRIVE, SUITE 420
Shelton, CT 06484

(203) 925-9600

✔ PECOS✔ Accepts Medicare2.8 mi

Michael Leung, M.D.

Internal Medicine

NPI 1558305078

1 CEDAR CREST VILLAGE DR
Pompton Plains, NJ 07444

(973) 831-3540

✔ PECOS65 mi

Attila Farkas, M.D.

Internal Medicine

NPI 1639114614

55 MADISON AVENUE SUITE 310
Morristown, NJ 07960

(973) 993-9536

✔ PECOS77 mi

Stephanie Szylar, APN

Nurse Practitioner

NPI 1033568290

63 REMMEY ST
Fords, NJ 08863

(732) 221-7530

✔ PECOS79 mi

Melissa Sunga-Martin, FNP-BC

Nurse Practitioner

NPI 1023734415

3086 STATE ROUTE 27 STE 10
Kendall Park, NJ 08824

(201) 815-3224

✔ PECOS93 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Lavender Grove Long Term Care PC's NPI number?

The NPI number for Lavender Grove Long Term Care PC is 1295528230. It was assigned to this organization in the NPPES registry on May 23, 2025.

Where is Lavender Grove Long Term Care PC located?

Lavender Grove Long Term Care PC is located at 5 Research Dr, Shelton, CT 06484. The listed phone number is (203) 901-2493.

What is Lavender Grove Long Term Care PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Lavender Grove Long Term Care PC enrolled in Medicare?

Yes. Lavender Grove Long Term Care PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lavender Grove Long Term Care PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Lavender Grove Long Term Care PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3) and Internal Medicine (2). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lavender Grove Long Term Care PC was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.