Southern Connecticut Geriatric & Preventive Medicine LLC
NPI 1679701882 · Geriatric Medicine (Internal Medicine) Physician · New Haven, CT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Connecticut Geriatric & Preventive Medicine LLC is a Geriatric Medicine (Internal Medicine) Physician organization in New Haven, CT (NPI 1679701882).
Provider details
- NPI number
- 1679701882
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Asefeh Heiat, Member(203) 871-9224
- License
- 041288 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-06-25
- Last updated
- 2021-10-04
- Certified
- 2021-10-04
Frequently asked questions
- What is Southern Connecticut Geriatric & Preventive Medicine LLC's NPI number?
- Southern Connecticut Geriatric & Preventive Medicine LLC's National Provider Identifier (NPI) is 1679701882, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Connecticut Geriatric & Preventive Medicine LLC?
- Southern Connecticut Geriatric & Preventive Medicine LLC is classified in the NPPES registry as Geriatric Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Southern Connecticut Geriatric & Preventive Medicine LLC located?
- Southern Connecticut Geriatric & Preventive Medicine LLC's practice location on file with NPPES is 390 Livingston St, New Haven, CT 06511-1336.
- What is Southern Connecticut Geriatric & Preventive Medicine LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Connecticut Geriatric & Preventive Medicine LLC is (203) 871-9224.
- Does Southern Connecticut Geriatric & Preventive Medicine LLC accept Medicare?
- Southern Connecticut Geriatric & Preventive Medicine LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southern Connecticut Geriatric & Preventive Medicine LLC?
- The authorized official listed on Southern Connecticut Geriatric & Preventive Medicine LLC's NPPES record is Asefeh Heiat, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Connecticut Geriatric & Preventive Medicine LLC's NPI active?
- Yes — Southern Connecticut Geriatric & Preventive Medicine LLC's NPI (1679701882) is active in the NPPES registry as of the last update on 2021-10-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.