Theodore Goldberg, MD - Obstetrics & Gynecology in Port Jefferson Station, NY

Theodore Goldberg, MD is a Obstetrics & Gynecology physician based in Port Jefferson Station, New York. Theodore Goldberg is licensed to practice in New York (license number 114421) and his current practice location is 12 Medical Dr, Port Jefferson Station, New York. He can be reached at his office (for appointments etc.) via phone at (631) 331-4400.

NPI number for Theodore Goldberg is 1750468435 and his current mailing address is 22 Waterville Rd, Avon, Connecticut. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1750468435.

Contact Information

Theodore Goldberg, MD
12 Medical Dr,
Port Jefferson Station, NY 11776-1588
(631) 331-4400
Not Available

Map and Direction




Physician's Profile

Full NameTheodore Goldberg
GenderMale
SpecialityObstetrics & Gynecology
Location12 Medical Dr, Port Jefferson Station, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1750468435
  • Provider Enumeration Date: 11/01/2006
  • Last Update Date: 09/10/2009

Medical Identifiers

Medical identifiers for Theodore Goldberg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750468435NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 114421 (New York)Primary
207VG0400XObstetrics & Gynecology - Gynecology 114421 (New York)Secondary
207VX0000XObstetrics & Gynecology - Obstetrics 114421 (New York)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Theodore Goldberg is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Theodore Goldberg, MD
22 Waterville Rd,
Avon, CT 06001-2066

Ph: () -
Theodore Goldberg, MD
12 Medical Dr,
Port Jefferson Station, NY 11776-1588

Ph: (631) 331-4400

Reviews and Comments


Obstetrics & Gynecology Doctors in Port Jefferson Station, NY

Dr. Jerry Ninia, M.D.
Obstetrics & Gynecology
Medicare: May Accept Medicare Assignments
Practice Location: 4 Roosevelt Ave, Port Jefferson Station, NY 11776
Phone: 631-331-0500    Fax: 631-331-1644
Dr. Thomas P. Erhart, D.O.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1500-11 Route 112, Suites A & B, Port Jefferson Station, NY 11776
Phone: 631-474-4917    Fax: 631-331-1120
Gustavo Sanroman, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 5225 Route 347, Suite 70, Port Jefferson Station, NY 11776
Phone: 800-645-3203    Fax: 631-474-9169
Dreux Patton, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 12 Medical Dr, Port Jefferson Station, NY 11776
Phone: 631-331-4400    
Dr. Dana L Brenner, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 5225 Rte 347 Ste 70, Port Jefferson Station, NY 11776
Phone: 631-331-8777    Fax: 631-474-9169

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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