Southern Connecticut Geriatric & Preventive Medicine LLC
NPI 1679701882ActiveOrganization· Internal Medicine, Geriatric Medicine· New Haven, CT
Internal Medicine, Geriatric Medicine in New Haven, Connecticut, registered in NPPES in June 2009. The authorized official on file is Asefeh Heiat, M.D., M.P.H., Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1679701882 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 25, 2009 |
| Last updated in NPPES | Oct 4, 2021 |
| Certified by provider | Oct 4, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Geriatric Medicine Primary | 207RG0300X | 041288 | CT |
| Internal Medicine, Geriatric Medicine | 207RG0300X | — | — |
| Preventive Medicine, Public Health & General Preventive Medicine | 2083P0901X | 041288 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CT) |
|---|
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