Organization Active NPI

Grove Park Senior Care PC

  • Internal Medicine Physician
  • Shelton, CT
National Provider Identifier
1811833171
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GROVE PARK SENIOR CARE PC
Practice address
5 Research Dr Ste 2
Shelton, CT 06484-6288
Phone
(203) 901-2493
Fax
(866) 497-2991
NPI assigned
Apr 28, 2026
Last updated
May 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

5 Research Dr Ste 2
Shelton, CT 06484-6288

Mailing address

5 Research Dr Ste 2
Shelton, CT 06484-6288
Phone (203) 901-2493

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1777334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1811833171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 RESEARCH DR STE 2",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846288",
            "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 STE 2",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846288",
            "telephone_number": "203-901-2493",
            "fax_number": "866-497-2991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVE PARK SENIOR CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-28",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "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": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "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 May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.