Active NPI
Lauren Marcus Doherty, MD
- Internal Medicine Physician
- New London, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 044617
- Practice address
- 365 Montauk Ave
Room 4.512
New London, CT 06320-4700 - Phone
- (860) 442-0711
- Fax
- (860) 444-5114
- NPI assigned
- Sep 27, 2006
- Last updated
- Sep 24, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 044617 | CT | Primary |
| Hospitalist Physician | 208M00000X | 044617 | CT |
Addresses
Primary practice location
365 Montauk Ave
Room 4.512
New London, CT 06320-4700
Mailing address
365 Montauk Ave RM 4.512
New London, CT 06320-4700
Phone (860) 442-0711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044617 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CS Pacs 3 Northeast, LLC | Hospitalist | Current | Accepting new patients |
| Hospital Medicine Associates LLC | Internal Medicine | Current | Accepting new patients |
| Ma Pacs 2 PC | Hospitalist | Current | Accepting new patients |
| Sound Medical Associates, PC | Internal Medicine | Past | Accepting new patients |
| Conncare Inc | Internal Medicine | Past | Accepting new patients |
Locations
111 Church St
Middletown, CT 06457
Phone (860) 347-3786
31 Vauxhall St
New London, CT 06320
Phone (203) 789-1650
365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364
365 Montauk Ave
Rm 4
New London, CT 06320
365 Montauk Ave
Rm 4512
New London, CT 06320
88 Clark Ln
Waterford, CT 06385
Phone (860) 442-0471
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Beechwood Health & Rehabilitation Center | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Mar 1, 2025 May 21, 2025 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Beechwood Health & Rehabilitation Center
- Skilled Nursing Facility
- New London, CT
- NPI 1639980345
Adp of the SNF, Operational/Managerial Control
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hospitalist Physician
- Baton Rouge, LA
- NPI 1093758781
CT, Internal Medicine
-
- Hospitalist Physician
- Derby, CT
- NPI 1558890467
-
- Internal Medicine Physician
- Colchester, CT
- NPI 1700962040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758672000000",
"number": "1306937255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "365 MONTAUK AVE RM 4.512",
"city": "NEW LONDON",
"state": "CT",
"postal_code": "063204700",
"telephone_number": "860-442-0711",
"fax_number": "860-444-5114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "365 MONTAUK AVE",
"address_2": "ROOM 4.512",
"city": "NEW LONDON",
"state": "CT",
"postal_code": "063204700",
"telephone_number": "860-442-0711",
"fax_number": "860-444-5114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOHERTY",
"first_name": "LAUREN",
"middle_name": "MARCUS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2025-09-24",
"certification_date": "2025-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "044617",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CT",
"license": "044617",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New London, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.