Longevity Clinical Ltc Associates of Connecticut, PLLC
NPI 1245057058ActiveOrganization· Nurse Practitioner, Gerontology· Hartford, CT
Nurse Practitioner, Gerontology in Hartford, Connecticut, registered in NPPES in September 2024. The authorized official on file is Diane Vincur, Manager.
Overview
| NPI | 1245057058 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 23, 2024 |
| Last updated in NPPES | Sep 23, 2024 |
| Certified by provider | Sep 23, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Gerontology Primary | 363LG0600X | — | — |
| Family Medicine | 207Q00000X | — | — |
| Family Medicine, Geriatric Medicine | 207QG0300X | — | — |
| Nurse Practitioner, Primary Care | 363LP2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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