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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. TIMOTHY A PEMBERTON PA-C
NPI 1366250474
Physician Assistant in Hershey, PA

Active since December 20, 2024
500 UNIVERSITY DR, HERSHEY, PA 17033(717) 531-8807(717) 531-0132 Get Directions Write a Review

NPPES record last updated: October 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 16, 2026, Dec 20, 2024 (2 updates tracked since 2024).

About Mr. Timothy A Pemberton Pa-c NPPES

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

MR. TIMOTHY A PEMBERTON PA-C (NPI 1366250474) is an individual physician assistant in Hershey, Pennsylvania, licensed in Pennsylvania (MA068113) and active in the NPI registry since December 2024. He maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1366250474
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. TIMOTHY A PEMBERTONCredential: PA-C
Location Address500 UNIVERSITY DRHershey, PA 17033-2360
Mailing Address500 University Dr Mc Ca410Hershey, PA 17033-2360 · (717) 531-5208 · Fax (717) 531-0119
Phone(717) 531-8807
Fax(717) 531-0132
Sole ProprietorYes
Enumeration DateDecember 20, 2024
Last NPPES UpdateOctober 16, 20262 updates tracked since enumeration
NPPES CertifiedOctober 16, 2026
✔ NPI 1366250474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in PA · MA068113
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
500 UNIVERSITY DR, Hershey, PA 17033
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Secondary Practice Location 1

Location 150 W 34th St Apt 11C08New York, NY 10001-3067 · Phone (540) 419-6256

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.

MR. DANIEL MICHAEL WEISS I PA-C
Physician Assistant
500 UNIVERSITY DR
HERSHEY, PA 17033
Dauphin County (717) 531-7299
NICOLE SWALLOW M.D.
Internal Medicine
500 UNIVERSITY DR, H088
HERSHEY, PA 17033
Dauphin County (717) 531-1692
NEERAV GOYAL M.D.
Otolaryngology
500 UNIVERSITY DR
HERSHEY, PA 17033
Dauphin County (717) 531-8521
KARIMA C FITZGERALD M.D.
Surgery (Trauma Surgery)
500 UNIVERSITY DR
HERSHEY, PA 17033
Dauphin County (717) 531-8887
DR. ANTHONY SIMON BONAVIA M.D.
Anesthesiology (Critical Care Medicine)
500 UNIVERSITY DR, BOX 3951, DAVISON BLDG, TRENT DRIVE
HERSHEY, PA 17033
Dauphin County (717) 531-8521
DR. HIROKO SHIKE MD
Pathology (Clinical Pathology/Laboratory Medicine)
500 UNIVERSITY DR, HERSHEY MEDICAL CENTER
HERSHEY, PA 17033
Dauphin County (717) 531-8615
MARIUM TARIQ M.D.
Family Medicine
500 UNIVERSITY DR
HERSHEY, PA 17033
Dauphin County (717) 531-8521
KANTHI BANGALORE KRISHNA MBBS
Pediatrics (Pediatric Endocrinology)
500 UNIVERSITY DR
HERSHEY, PA 17033
Dauphin County (800) 243-1455

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 Timothy Pemberton's NPI number?

The NPI number for Timothy Pemberton is 1366250474. It was assigned to this individual provider in the NPPES registry on December 20, 2024.

Where is Timothy Pemberton located?

Timothy Pemberton practices at 500 University Dr, Hershey, PA 17033. The listed phone number is (717) 531-8807.

What is Timothy Pemberton's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Timothy Pemberton was last updated on October 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.