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PEMBERLY SENIOR HEALTH PC
NPI 1700722063
Internal Medicine in Shelton, CT

Active since April 28, 2026
5 RESEARCH DR STE 2, SHELTON, CT 06484(203) 901-2493(866) 497-2991 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 5, 2026, Apr 28, 2026 (2 updates tracked since 2026).

About Pemberly Senior Health Pc NPPES

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

PEMBERLY SENIOR HEALTH PC (NPI 1700722063) is a healthcare organization registered as an internal medicine in Shelton, Connecticut and active in the NPI registry since April 2026. The organization lists Manoj Wadhwani, Owner, as its authorized official.

NPPES Registry Identity

NPI1700722063
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePEMBERLY SENIOR HEALTH PC
Location Address5 RESEARCH DR STE 2Shelton, CT 06484-6288
Mailing Address5 Research Dr Ste 2Shelton, CT 06484-6288 · (203) 901-2493 · Fax (866) 497-2991
Phone(203) 901-2493
Fax(866) 497-2991
Organization SubpartNo
Authorized OfficialManoj WadhwaniOwner · (203) 901-2493
Enumeration DateApril 28, 2026
Last NPPES UpdateMay 5, 20262 updates tracked since enumeration
NPPES CertifiedMay 5, 2026
✔ NPI 1700722063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5 RESEARCH DR STE 2, Shelton, CT 06484
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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)

Pemberly Senior Health Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pemberly Senior Health PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Richard Feifer
Internal Medicine
NPI 1952337727
29 SPRUCE LN
Weatogue, CT 06089
(860) 217-1299
✔ PECOS42 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 Pemberly Senior Health PC's NPI number?

The NPI number for Pemberly Senior Health PC is 1700722063. It was assigned to this organization in the NPPES registry on April 28, 2026.

Where is Pemberly Senior Health PC located?

Pemberly Senior Health PC is located at 5 Research Dr Ste 2, Shelton, CT 06484. The listed phone number is (203) 901-2493.

What is Pemberly Senior Health PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Pemberly Senior Health PC enrolled in Medicare?

Yes. Pemberly Senior Health PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pemberly Senior Health PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Pemberly Senior Health 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pemberly Senior Health PC was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.