SOUTHERN CONNECTICUT GERIATRIC & PREVENTIVE MEDICINE LLC
NPI 1679701882
Internal Medicine - Geriatric Medicine in New Haven, CT

Q: What is Southern Connecticut Geriatric & Preventive Medicine LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Active since June 25, 2009

390 LIVINGSTON ST, NEW HAVEN, CT 06511(203) 871-9224 Get Directions Write a Review

NPPES record last updated: October 4, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Southern Connecticut Geriatric & Preventive Medicine Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN CONNECTICUT GERIATRIC & PREVENTIVE MEDICINE LLC (NPI 1679701882) is a healthcare organization registered as a geriatric medicine in New Haven, Connecticut and active in the NPI registry since June 2009. The organization lists Asefeh Heiat, Member, as its authorized official.

NPPES Registry Identity

NPI1679701882

Entity TypeOrganization

Primary Taxonomy207RG0300X

Legal Business NameSOUTHERN CONNECTICUT GERIATRIC & PREVENTIVE MEDICINE LLC

Location Address390 LIVINGSTON STNew Haven, CT 06511-1336

Mailing Address390 Livingston StNew Haven, CT 06511-1336 · (203) 871-9224

Phone(203) 871-9224

Organization SubpartNo

Authorized OfficialAsefeh HeiatMember · (203) 871-9224

Enumeration DateJune 25, 2009

Last NPPES UpdateOctober 4, 2021

NPPES CertifiedOctober 4, 2021

✔ NPI 1679701882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RG0300X

License✔ Licensed in CT · 041288

Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Also ListedPreventive Medicine · Public Health & General Preventive MedicineTaxonomy 2083P0901X · License 041288 (CT)

390 LIVINGSTON ST, New Haven, CT 06511

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern Connecticut Geriatric & Preventive Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southern Connecticut Geriatric & Preventive Medicine LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Asefeh Heiat, M.D., M.P.H.

Internal Medicine

NPI 1033119813

390 LIVINGSTON ST
New Haven, CT 06511

(203) 871-9224

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Connecticut Geriatric & Preventive Medicine LLC's NPI number?

The NPI number for Southern Connecticut Geriatric & Preventive Medicine LLC is 1679701882. It was assigned to this organization in the NPPES registry on June 25, 2009.

Where is Southern Connecticut Geriatric & Preventive Medicine LLC located?

Southern Connecticut Geriatric & Preventive Medicine LLC is located at 390 Livingston St, New Haven, CT 06511. The listed phone number is (203) 871-9224.

What is Southern Connecticut Geriatric & Preventive Medicine LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Southern Connecticut Geriatric & Preventive Medicine LLC enrolled in Medicare?

Yes. Southern Connecticut Geriatric & Preventive Medicine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Connecticut Geriatric & Preventive Medicine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Southern Connecticut Geriatric & Preventive Medicine LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southern Connecticut Geriatric & Preventive Medicine LLC was last updated on October 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.