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JERRY G NINIA MDPC
NPI 1508162959
Obstetrics & Gynecology in Port Jefferson Station, NY

Active since February 02, 2011
1 MEDICAL DR, SUITE D, PORT JEFFERSON STATION, NY 11776(631) 331-0500 Get Directions Write a Review

NPPES record last updated: February 2, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jerry G Ninia Mdpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRY G NINIA MDPC (NPI 1508162959) is a healthcare organization registered as an obstetrics & gynecology in Port Jefferson Station, New York and active in the NPI registry since February 2011. The organization lists Jerry G Ninia, Physician, as its authorized official.

NPPES Registry Identity

NPI1508162959
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameJERRY G NINIA MDPC
Location Address1 MEDICAL DR, SUITE DPort Jefferson Station, NY 11776-1599
Mailing Address1 Medical Dr, Suite DPort Jefferson Station, NY 11776-1599
Phone(631) 331-0500
Organization SubpartNo
Authorized OfficialJerry G NiniaPhysician · (631) 331-0500
Enumeration DateFebruary 2, 2011
✔ NPI 1508162959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NY · 174810
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1 MEDICAL DR, Port Jefferson Station, NY 11776
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JERRY NINIA OB-GYN PLLC
Obstetrics & Gynecology
1 MEDICAL DR, SUITE D
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 331-0500

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 Jerry G Ninia Mdpc's NPI number?

The NPI number for Jerry G Ninia Mdpc is 1508162959. It was assigned to this organization in the NPPES registry on February 2, 2011.

Where is Jerry G Ninia Mdpc located?

Jerry G Ninia Mdpc is located at 1 Medical Dr Suite D, Port Jefferson Station, NY 11776. The listed phone number is (631) 331-0500.

What is Jerry G Ninia Mdpc's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Jerry G Ninia Mdpc was last updated on February 2, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.