Jerry G Ninia


Address: 405 E Main St, Port Jefferson, NY 11777-1868

Jerry G Ninia (NPI# 1457350795, PAC ID# 7810186236) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.

Physician Overview

Nation Provider ID (NPI) 1457350795
PAC ID by PECOS 7810186236
Professional Enrollment ID I20110114000736
Full Name Jerry G Ninia
Address 405 E Main St
Port Jefferson
NY 11777-1868
Gender M
Medical School WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1987
Primary Specialty OBSTETRICS/GYNECOLOGY
Secondary Specialties PERIPHERAL VASCULAR DISEASE
Accepts Medicare Assignment M

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
330185 JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON
330246 ST CHARLES HOSPITAL

Other Locations

Address Phone Organization
191 Herricks Rd, Garden City Park, NY 11040-5236 5167422224 SQUARE CARE MEDICAL GROUP LLP
405 E Main St, Port Jefferson, NY 11777-1868
4 Roosevelt Ave, Port Jefferson Station, NY 11776-3363 6313310500 SQUARE CARE MEDICAL GROUP LLP

Organization Information

Office Location

Street Address 405 E MAIN ST
City PORT JEFFERSON
State NY
Zip 11777-1868

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Physicians in the same zip code

Name Specialty Organization Address
Andrea S Coladner Physical Medicine and Rehabilitation 6 Cove Ln, Port Jefferson, NY 11777-1103
Toni Derman Clinical Social Worker 33 Landing Lane, Port Jefferson, NY 11777-1106
Gabrielle Lofaso Psychologist, Clinical 20 Crooked Oak Rd, Port Jefferson, NY 11777-1120
Ronald Fein Clinical Social Worker 19 Waterview Dr, Port Jefferson, NY 11777-1169
Constance E Schoenberg Psychologist, Clinical 201 E Broadway, Port Jefferson, NY 11777-1248
Marguerite F Metzendorf Clinical Social Worker 14 E Broadway, Port Jefferson, NY 11777-1400
Dorothy M Lilly Clinical Social Worker 14 E Broadway, Suite 3, Port Jefferson, NY 11777-1400
Guy Anthony Koutouvidis Clinical Social Worker 14 E Broadway, Suite 2, Port Jefferson, NY 11777-1400
Sharon Lyn Zariello Clinical Social Worker 14 E Broadway, Port Jefferson, NY 11777-1400
Susan Prechtl-loper Physical Therapy 117 Oakwood Rd, Port Jefferson, NY 11777-1422
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Competitor

Search similar physicians

City PORT JEFFERSON
Zip Code 11777
Specialty OBSTETRICS/GYNECOLOGY
City + Specialty PORT JEFFERSON + OBSTETRICS/GYNECOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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