Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Timothy A Pemberton, PA-C

Individual provider Physician Assistant · NPI 1366250474

Mr. Timothy A Pemberton, PA-C is a Physician Assistant in New York, New York. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

50 W 34th St Apt 11C08
New York, NY 10001-3067
Phone: (540) 419-6256
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1366250474
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedDecember 20, 2024
Last updated in NPPESJune 12, 2026
Certification dateJune 12, 2026

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