Dr Nicholas Stephen Teodoro, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Lake Grove, New York. His current practice location is
4 Smith Haven Mall Ste 1, Lake Grove, New York. You can reach out to his office (for appointments etc.) via phone at
(631) 444-4686.
Dr Nicholas Stephen Teodoro is licensed to practice in New York (license number 318989) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1225527922.
Physician's Profile
| Full Name | Dr Nicholas Stephen Teodoro |
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| Gender | Male |
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| Speciality | Obstetrics & Gynecology |
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| Location | 4 Smith Haven Mall Ste 1, Lake Grove, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1225527922
- Provider Enumeration Date: 05/08/2018
- Last Update Date: 08/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 0648525170
- Enrollment ID: I20180625000100
Medical Identifiers
Medical identifiers for Dr Nicholas Stephen Teodoro such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1225527922 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 318989 (New York) | Primary |
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. Dr Nicholas Stephen Teodoro is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Nicholas Stephen Teodoro, MD
101 Nicolls Rd # Hsc8,
Stony Brook, NY 11794-0001
Ph: () - | Dr Nicholas Stephen Teodoro, MD
4 Smith Haven Mall Ste 1,
Lake Grove, NY 11755-1219
Ph: (631) 444-4686 |
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