Jerry G Ninia MDPC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

174810 Issued in NY

Legal business name

JERRY G NINIA MDPC

Practice address

1 Medical Dr
Suite D
Port Jefferson Station, NY 11776-1599

Phone

(631) 331-0500

NPI assigned

Feb 2, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jerry G Ninia

Title

Physician

Phone

(631) 331-0500

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacey Digiacomo, P.A.

  • Physician Assistant
  • Port Jefferson Station, NY
  • NPI 1023233103
  NPD (past)
• Cecilia Vanisky, N.P.

  • Obstetrics & Gynecology Nurse Practitioner
  • Port Jefferson Station, NY
  • NPI 1225253222
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1508162959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL DR",
            "address_2": "SUITE D",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL DR",
            "address_2": "SUITE D",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761599",
            "telephone_number": "631-331-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY G NINIA MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-02",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "NINIA",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "631-331-0500",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "174810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Salzano LCSW P.C.
• JBG Holding Company LLC
• Kemberlie Jeanfrancois
• Jeanne M. Morris-Foley, NP Psychiatry, P.C.
• Saundra Jennings
• Joanne Della Valle LCSW P.C.
• John T. Mather Memorial Hospital
• Shirley Johnson-Hall, MD
• Colleen Breen Johnson, PA-C
• Kathy Marie Johnson, OTR

• Obstetrics & Gynecology Physician in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.