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

Theodore J Southgate, MD

Individual provider Cardiovascular Disease Physician · NPI 1730156217

Theodore J Southgate, MD is a General Surgery in Newark, New Jersey. Graduated from University of Michigan Medical School in 1980, 46 years ago. Practices with Barnabas Health Medical Group PC, a 1,025-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
46
Trained at
University of Michigan Medical School
Licensed in
NJ
In the registry since
2006
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

201 Lyons Ave Ste G5
Newark, NJ 07112-2027
Phone: (973) 926-7749
Fax: (973) 923-4683
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 25MA05005700 (NJ)

Record details

NPI number1730156217
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 3, 2006
Last updated in NPPESJuly 13, 2026

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 1980 (46 years in practice)
Group practice Barnabas Health Medical Group Pc — 1025 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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