Active NPI
Sage Hollow Health PC
- Geriatric Medicine (Internal Medicine) Physician
- Shelton, CT
National Provider Identifier
1003700071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- Legal business name
- SAGE HOLLOW HEALTH PC
- Practice address
- 5 Research Dr
Shelton, CT 06484-6232 - Phone
- (203) 901-2493
- Fax
- (866) 497-2991
- NPI assigned
- Jun 5, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Manoj Wadhwani
- Title
- Owner
- Phone
- (203) 901-2493
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | Primary |
Addresses
Primary practice location
5 Research Dr
Shelton, CT 06484-6232
Mailing address
5 Research Dr
Shelton, CT 06484-6232
Phone (203) 901-2493
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, MD
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250708002459 | CT | Part B Supplier - Clinic/Group Practice | 2062926512 |
Receives reassigned benefits from 1 practitioner Practice locations: Shelton, CT |
| O20251113000261 | MD | Part B Supplier - Clinic/Group Practice | 2062926512 |
Receives reassigned benefits from 36 practitioners Practice locations: Hebron, MD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 101
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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- Internal Medicine Physician
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Geriatric Medicine, MD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749081600000",
"number": "1003700071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 RESEARCH DR",
"city": "SHELTON",
"state": "CT",
"postal_code": "064846232",
"telephone_number": "203-901-2493",
"fax_number": "866-497-2991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 RESEARCH DR",
"city": "SHELTON",
"state": "CT",
"postal_code": "064846232",
"telephone_number": "203-901-2493",
"fax_number": "866-497-2991"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAGE HOLLOW HEALTH PC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-05",
"last_updated": "2025-06-05",
"certification_date": "2025-06-05",
"status": "A",
"authorized_official_last_name": "WADHWANI",
"authorized_official_first_name": "MANOJ",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "203-901-2493"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.