Theodore Goldberg, M.D.
Theodore Goldberg, M.D. is an Obstetrics & Gynecology Physician in Port Jefferson Station, NY, registered under NPI 1750468435. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 12 MEDICAL DR, Port Jefferson Station, NY 11776. 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 |
|---|---|---|
| 114421 | NY | Obstetrics & Gynecology Physician primary |
| 114421 | NY | Gynecology Physician |
| 114421 | NY | Obstetrics Physician |
This provider holds licence 114421 issued in NY. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
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
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology Physician | 114421 | NY | primary |
| 207VG0400X | Gynecology Physician Gynecology | 114421 | NY | |
| 207VX0000X | Obstetrics Physician Obstetrics | 114421 | NY |
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 | 1750468435 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Nov 1, 2006 |
| Last updated | Sep 10, 2009 |
| Status | Active |
| Sole proprietor | No |
| Credential | M.D. |
| Practice address |
12 MEDICAL DR Port Jefferson Station, NY 11776 (631) 331-4400 |
| Mailing address |
22 WATERVILLE RD Avon, CT 06001 |
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 | 7 | 5 | 0 | 4 | 6 | 8 | 4 | 3 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 1 | 0 | 8 | 6 | 7 | 4 | 6 |
Sum = 65 · next multiple of 10 = 70 · check digit = 5 · actual last digit = 5
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.