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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 New York, NY

Active since December 20, 2024
50 W 34TH ST APT 11C08, NEW YORK, NY 10001(540) 419-6256 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 New York, New York and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1366250474
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. TIMOTHY A PEMBERTONCredential: PA-C
Location Address50 W 34TH ST APT 11C08New York, NY 10001-3067
Mailing Address50 W 34th St Apt 11c08New York, NY 10001-3067 · (540) 419-6256
Phone(540) 419-6256
Sole ProprietorYes
Enumeration DateDecember 20, 2024
Last NPPES UpdateJune 12, 2026
NPPES CertifiedJune 12, 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
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.
50 W 34TH ST APT 11C08, New York, NY 10001
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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 50 W 34th St Apt 11c08, New York, NY 10001. The listed phone number is (540) 419-6256.

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 June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 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.