Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Nicholas Stephen Teodoro, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1225527922

Dr. Nicholas Stephen Teodoro, MD is an Obstetrics/Gynecology in Lake Grove, New York. Qualified in 2018, 8 years ago. Practices with University Associates in Obstetrics and Gynecology University Faculty, a 115-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

4 Smith Haven Mall Ste 1
Lake Grove, NY 11755-1219
Phone: (631) 444-4686
Fax: (631) 444-4622
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 318989 (NY)

Record details

NPI number1225527922
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 8, 2018
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice University Associates In Obstetrics And Gynecology University Faculty — 115 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount