THEODORE LYLE GOLDMAN M.D.
NPI 1912968181
Obstetrics & Gynecology in East Northport, NY

Q: What is Theodore Goldman's NPI number?

The NPI number for Theodore Goldman is 1912968181. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Q: What is Theodore Goldman's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Theodore Goldman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 29, 2006PECOS EnrolledAccepts Medicare Assignment

91.25/100

CMS Quality Rating

7 PULASKI RD, EAST NORTHPORT, NY 11731(631) 261-3322(631) 368-5440 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Theodore Lyle Goldman M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THEODORE LYLE GOLDMAN M.D. (NPI 1912968181) is an individual obstetrics & gynecology provider in East Northport, New York, licensed in New York (184252) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Ns/lij Hs Huntington Hospital, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (1989).

NPPES Registry Identity

NPI1912968181

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameTHEODORE LYLE GOLDMANCredential: M.D.

Location Address7 PULASKI RDEast Northport, NY 11731-2442

Mailing Address7 Pulaski RdEast Northport, NY 11731-2442 · (631) 261-3322 · Fax (631) 368-5440

Phone(631) 261-3322

Fax(631) 368-5440

Sole ProprietorNo

Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 1989

Enumeration DateMarch 29, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1912968181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in NY · 184252

Definition

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.

7 PULASKI RD, East Northport, NY 11731

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Other Identifiers 3

Medicaid01404388NY

Medicare UPINF55697

Medicare ID-Type Unspecified59H861NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Theodore Lyle Goldman M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446388086

PECOS Enrollment IDI20100504000009

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, denosumab, 1 mg J0897

Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.

1,740 services21 patients

Stool analysis for blood to screen for colon tumors 82270

A stool analysis for blood is a non-invasive procedure used to check for the presence of hidden blood in your stool. This can be an early sign of colon tumors. The test involves collecting a small sample of stool at home and sending it to a lab for analysis.

95 services95 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

95 services95 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

93 services65 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

80 services80 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

30 services22 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ns/Lij Hs Huntington Hospital

Acute Care Hospitals · Huntington, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330045

Location270 Park AvenueHuntington, NY 11743 · Suffolk County

Emergency services Birthing friendly

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330106

Location300 Community DriveManhasset, NY 11030 · Nassau County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11731 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

74.92

Promoting Interoperability

91.67

Improvement Activities

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARIANNA SUPRINA N.P.

Nurse Practitioner (Family)

7 PULASKI RD
EAST NORTHPORT, NY 11731

Suffolk County (631) 261-3322

WGM OBSTETRICS AND GYNECOLOGY,PC

Obstetrics & Gynecology

7 PULASKI RD
EAST NORTHPORT, NY 11731

Suffolk County (631) 261-3322

JOHN RAYMOND WAGNER M.D.

Obstetrics & Gynecology

7 PULASKI RD
EAST NORTHPORT, NY 11731

Suffolk County (631) 261-3322

MALGORZATA KRYSTYNA MIERZEJEWSKI MSN,RN,FNP-BC

Nurse Practitioner (Family)

7 PULASKI RD
EAST NORTHPORT, NY 11731

Suffolk County (631) 261-3322

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodore Goldman's NPI number?

The NPI number for Theodore Goldman is 1912968181. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Where is Theodore Goldman located?

Theodore Goldman practices at 7 Pulaski Rd, East Northport, NY 11731. The listed phone number is (631) 261-3322.

What is Theodore Goldman's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Theodore Goldman enrolled in Medicare?

Yes. Theodore Goldman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Theodore Goldman affiliated with any hospitals?

According to CMS data, Theodore Goldman is affiliated with Ns/Lij Hs Huntington Hospital and North Shore University Hospital.

When was this NPI record last updated?

The NPPES record for Theodore Goldman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.