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

Individual provider Obstetrics & Gynecology Physician · NPI 1750468435

Theodore Goldberg, MD is an Obstetrics & Gynecology Physician in Port Jefferson Station, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Specialties on file
3
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

12 Medical Dr
Port Jefferson Station, NY 11776-1588
Phone: (631) 331-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 114421 (NY)
Gynecology Physician Taxonomy 207VG0400X · Licence 114421 (NY)
Obstetrics Physician Taxonomy 207VX0000X · Licence 114421 (NY)

Record details

NPI number1750468435
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 1, 2006
Last updated in NPPESSeptember 10, 2009

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