VARICOSE VEIN MEDICAL OFFICE PC
NPI 1356618615
Phlebology in Port Jefferson, NY
About Varicose Vein Medical Office Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VARICOSE VEIN MEDICAL OFFICE PC (NPI 1356618615) is a healthcare organization registered as a phlebology in Port Jefferson, New York and active in the NPI registry since November 2011. The organization lists Jerry Ninia, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Varicose Vein Medical Office Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Varicose Vein Medical Office PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Varicose Vein Medical Office PC's NPI number?
The NPI number for Varicose Vein Medical Office PC is 1356618615. It was assigned to this organization in the NPPES registry on November 30, 2011.
Where is Varicose Vein Medical Office PC located?
Varicose Vein Medical Office PC is located at 405 E Main St, Port Jefferson, NY 11777. The listed phone number is (631) 474-1414.
What is Varicose Vein Medical Office PC's specialty?
The primary specialty registered for this NPI is Phlebology with taxonomy code 202K00000X.
Is Varicose Vein Medical Office PC enrolled in Medicare?
Yes. Varicose Vein Medical Office PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Varicose Vein Medical Office PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Varicose Vein Medical Office PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Varicose Vein Medical Office PC was last updated on November 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.