IndividualActive
Jeffrey Goldblatt, M.D.
NPI 1366478158 · Surgery Physician · Old Lyme, CT
Provider details
- NPI number
- 1366478158
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 016369 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4 Huntley Road
Sutie 1
Old Lyme, CT 06371
Phone: (860) 434-4073
Fax: (860) 434-4635
Street-level locationGet directions
Mailing address
4 Huntley Rd
Old Lyme, CT 06371-1449
Registry dates
- Enumerated
- 2006-06-23
- Last updated
- 2013-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.