Dr. Jerry Ninia OB-GYN PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

174810 Issued in NY

Legal business name

DR. JERRY NINIA OB-GYN PLLC

Practice address

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

Phone

(631) 331-0500

Fax

(631) 331-1644

NPI assigned

Jul 15, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jerry Ninia

Title

Sole Proprietor

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": "1247616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282694400000",
    "number": "1811127632",
    "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",
            "telephone_number": "631-331-0500",
            "fax_number": "631-331-1644"
        },
        {
            "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",
            "fax_number": "631-331-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JERRY NINIA OB-GYN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-15",
        "last_updated": "2010-08-25",
        "status": "A",
        "authorized_official_last_name": "NINIA",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "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": []
}

• Denise Lynne Donaldson Kaiser, MBA, MS,RD, CDN
• John Doris
• Virginia Dossantos, DMD
• Patricia Douglas
• Andrew J Dowd, MD
• Jaime Draghi
• Drashti Patel Physical Therapy P.C.
• Dream Sight Optical Corp.
• Alice Samantha Dreyer, PSY.D.
• Elliott B Dreznick, M.D.

• 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 Aug 25, 2010; 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.