SOUTHERN CONNECTICUT GERIATRIC & PREVENTIVE MEDICINE LLC
SOUTHERN CONNECTICUT GERIATRIC & PREVENTIVE MEDICINE LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1679701882, based in New Haven, CT. The organization lists 2 taxonomy classifications, with Geriatric Medicine (Internal Medicine) Physician recorded as primary.
Getting there
The practice address on file is 390 LIVINGSTON ST, New Haven, CT 06511. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 041288 | CT | Geriatric Medicine (Internal Medicine)… primary |
| 041288 | CT | Public Health & General Preventive… |
This provider holds licence 041288 issued in CT. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 2365597911
- Enrollment ID
- O20090922000146
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Geriatric Medicine covers
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. NUCC Health Care Provider Taxonomy, code 207RG0300X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician Geriatric Medicine | 041288 | CT | primary |
| 2083P0901X | Public Health & General Preventive Medicine Physician Public Health & General Preventive Medicine | 041288 | CT | |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician Geriatric Medicine | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1679701882 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jun 25, 2009 |
| Last updated | Oct 4, 2021 |
| Status | Active |
| Practice address |
390 LIVINGSTON ST New Haven, CT 06511 (203) 871-9224 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 7 | 9 | 7 | 0 | 1 | 8 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 5 | 9 | 5 | 0 | 2 | 8 | 7 |
Sum = 68 · next multiple of 10 = 70 · check digit = 2 · actual last digit = 2
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.