Theodore Randolph,dpm
NPI 1720264252 · Foot & Ankle Surgery Podiatrist · Port Jefferson Station, NY
Theodore Randolph,dpm is a Foot & Ankle Surgery Podiatrist organization in Port Jefferson Station, NY (NPI 1720264252).
Provider details
- NPI number
- 1720264252
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Theodore Randolph, Owner(631) 928-7785
- License
- 003646 (NY)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
Mailing address
Registry dates
- Enumerated
- 2008-01-15
- Last updated
- 2008-01-16
Frequently asked questions
- What is Theodore Randolph,dpm's NPI number?
- Theodore Randolph,dpm's National Provider Identifier (NPI) is 1720264252, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Theodore Randolph,dpm?
- Theodore Randolph,dpm is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Theodore Randolph,dpm located?
- Theodore Randolph,dpm's practice location on file with NPPES is 3 Medical Dr, Port Jefferson Station, NY 11776-1597.
- What is Theodore Randolph,dpm's phone number?
- The practice phone number listed in the NPPES registry for Theodore Randolph,dpm is (631) 928-7785.
- Who is the authorized official for Theodore Randolph,dpm?
- The authorized official listed on Theodore Randolph,dpm's NPPES record is Theodore Randolph, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Theodore Randolph,dpm's NPI active?
- Yes — Theodore Randolph,dpm's NPI (1720264252) is active in the NPPES registry as of the last update on 2008-01-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.