Theodore Southgate, MD
NPI 1730156217 · Cardiovascular Disease Physician · Newark, NJ
Enrolled with Medicare as Practitioner - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theodore Southgate, MD is a Cardiovascular Disease Physician provider in Newark, NJ (NPI 1730156217).
Provider details
- NPI number
- 1730156217
- Entity type
- Individual
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- License
- 25MA05005700 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
- 2006-03-03
- Last updated
- 2007-07-08
Frequently asked questions
- What is Theodore Southgate's NPI number?
- Theodore Southgate's National Provider Identifier (NPI) is 1730156217, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theodore Southgate's specialty?
- Theodore Southgate is listed in the NPPES registry with a primary specialty of Cardiovascular Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Theodore Southgate located?
- Theodore Southgate's practice location on file with NPPES is 201 Lyons Ave, Newark, NJ 07112-2027.
- What is Theodore Southgate's phone number?
- The practice phone number listed in the NPPES registry for Theodore Southgate is (973) 926-7749.
- Does Theodore Southgate accept Medicare?
- Theodore Southgate is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theodore Southgate's NPI active?
- Yes — Theodore Southgate's NPI (1730156217) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.