Nicholas Teodoro, MD
Nicholas Teodoro, MD is an Obstetrics & Gynecology Physician in Lake Grove, NY, registered under NPI 1225527922.
Getting there
The practice address on file is 4 SMITH HAVEN MALL STE 1, Lake Grove, NY 11755. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 318989 | NY | Obstetrics & Gynecology Physician primary |
This provider holds licence 318989 issued in NY. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Obstetrics/gynecology
- PAC ID
- 0648525170
- Enrollment ID
- I20250710002786
Medicare enrolment is recorded as approved under the provider type Practitioner - Obstetrics/gynecology. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Obstetrics & Gynecology covers
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. NUCC Health Care Provider Taxonomy, code 207V00000X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1225527922 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | May 8, 2018 |
| Last updated | Aug 12, 2025 |
| Status | Active |
| Sole proprietor | No |
| Credential | MD |
| Practice address |
4 SMITH HAVEN MALL STE 1 Lake Grove, NY 11755 (631) 444-4686 Fax (631) 444-4622 |
| Mailing address |
101 NICOLLS RD # HSC8 Stony Brook, NY 11794 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 2 | 5 | 5 | 2 | 7 | 9 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 4 | 5 | 1 | 2 | 5 | 9 | 4 |
Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.