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

Theodore Georgian Long, MD

Individual provider Internal Medicine Physician · NPI 1265757454

Theodore Georgian Long, MD is an Internal Medicine in New Haven, Connecticut. Graduated from University of Southern California Keck School of Medicine in 2010, 16 years ago. Practices with New York City Health and Hospitals Corporation, a 538-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
16
Trained at
University of Southern California Keck School of Medicine
Licensed in
CT
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

20 York St
New Haven, CT 06510-3220
Phone: (203) 688-2470
Fax: (203) 688-4516
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 52498 (CT)

Record details

NPI number1265757454
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 31, 2010
Last updated in NPPESOctober 25, 2013

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice New York City Health And Hospitals Corporation — 538 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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