Theodore John Randolph, D.P.M
Foot & Ankle Surgery Podiatrist · Port Jefferson Station, NY
Theodore John Randolph, D.P.M is a foot & ankle surgery podiatrist with a practice address in Port Jefferson Station, New York, and NPI 1831197318, issued on Jul 8, 2005. Check the license (New York 003646, as entered in NPPES) with the New York board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Theodore John Randolph
- Credential
- D.P.M
- Primary taxonomy
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License number
- 003646 NY
Self-reported in NPPES; status is on the state search - Practice location
- 3 Medical Dr, Port Jefferson Station, NY 11776
- Phone
- (631) 928-7785
- Enumerated
- Jul 8, 2005
- Record last updated
- Oct 20, 2011 (not updated in 15 years: call before relying on the address or phone)
- Fax
- (631) 928-0316
- Medicaid ID
- 791048 NY
- Entity
- Type 1 · individual
8 nearest foot & ankle surgery podiatrist records → All 669 in New York → Look up another NPI →
Also registered at 3 Medical Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- David Nathan, D.D.S.General Practice Dentistry1437240223
Verify Theodore John Randolph in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich New York board licenses this profession
Search for license 003646Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Theodore John Randolph among 669 foot & ankle surgery podiatrist records in New York
Theodore John Randolph, D.P.M is one of 669 foot & ankle surgery podiatrist records with a practice address in New York. 87% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 91% newer
- In a Medicare fileNo · 87% of these records are
- In the CMS Doctors and Clinicians fileNo · 74% of these records are
- Record last updated2011 · 55% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 213ES0103X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Foot & Ankle Surgery Podiatrist providers in New York
There are 669 foot & ankle surgery podiatrist records in New York. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 669 in New York → Every provider in Port Jefferson Station → Foot & Ankle Surgery Podiatrist nationwide →
The 8 foot & ankle surgery podiatrist records with the nearest ZIP codes
- Ronika Sethi, DPMPort Jefferson Station, NY 117761396206538
- Meenakshi Singhal, DPMPort Jefferson Station, NY 117761568886539
- Duan ZhangPort Jefferson Station, NY 117761013571520
- Brittany Hervey, DPMEast Patchogue, NY 117721356847537
- Kristina Karlic, DPMEast Patchogue, NY 117721316191398
- Edward Kormylo, DPMEast Patchogue, NY 117721134373467
- John Randazzo, DPMEast Patchogue, NY 117721962922047
- Melissa Sgro, DPMPatchogue, NY 117721528383320
Common questions
What is Theodore John Randolph, D.P.M's NPI number?
Theodore John Randolph, D.P.M's National Provider Identifier (NPI) is 1831197318, issued on Jul 8, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Theodore John Randolph, D.P.M located?
The NPPES record lists a practice address at 3 Medical Dr, Port Jefferson Station, NY, 11776. Phone: (631) 928-7785. Providers update this record themselves, so call before visiting.
How can I verify Theodore John Randolph, D.P.M's license?
NPPES lists New York license number 003646, as entered by the provider. Search the New York board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.