Active NPI
Heritage Internal Medicine Associates LLC
- Internal Medicine Physician
- Manchester, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 038384
- Legal business name
- HERITAGE INTERNAL MEDICINE ASSOCIATES LLC
- Practice address
- 945 Main St
Suite 102
Manchester, CT 06040-6064 - Phone
- (860) 643-0319
- Fax
- (860) 812-0310
- NPI assigned
- Jan 3, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marjorie Arzt Garrett, M.D.
- Title
- Owner
- Phone
- (860) 801-0316
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 038384 | CT | Primary |
Addresses
Primary practice location
945 Main St
Suite 102
Manchester, CT 06040-6064
Mailing address
945 Main St
Suite 102
Manchester, CT 06040-6064
Phone (860) 643-0319
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080326000550 | CT | Part B Supplier - Clinic/Group Practice | 2365528791 |
Receives reassigned benefits from 6 practitioners Practice locations: Manchester, CT |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 07D1078372 | Heritage Internal Medicine Associates | Certificate of waiver | Jan 7, 2028 |
National Provider Directory
National Provider DirectoryLocations
1824 Manchester Rd
Glastonbury, CT 06033
Phone (860) 647-1695
949 Main St Ste 106
Manchester, CT 06040
945 Main St
Ste 102
Manchester, CT 06040
Phone (860) 643-0319
946 Main St Ste 103
Manchester, CT 06040
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Manchester, CT
- NPI 1710955935
CT, Internal Medicine
-
- Internal Medicine Physician
- Manchester, CT
- NPI 1386613305
CT, Internal Medicine
-
- Internal Medicine Physician
- Manchester, CT
- NPI 1992788970
CT, Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1362096000000",
"number": "1609051044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "945 MAIN ST",
"address_2": "SUITE 102",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060406064",
"telephone_number": "860-643-0319",
"fax_number": "860-801-0310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "945 MAIN ST",
"address_2": "SUITE 102",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060406064",
"telephone_number": "860-643-0319",
"fax_number": "860-812-0310"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HERITAGE INTERNAL MEDICINE ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-03",
"last_updated": "2013-03-01",
"status": "A",
"authorized_official_last_name": "GARRETT",
"authorized_official_first_name": "MARJORIE",
"authorized_official_middle_name": "ARZT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "860-801-0316",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CT",
"license": "038384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.