Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JERRY NINIA, M.D.
Deactivated Sole ProprietorDR. JERRY NINIA, M.D. is a Obstetrics & Gynecology healthcare provider located in PORT JEFFERSON STATION, New York. NPI 1457350795 is deactivated in the NPPES registry. Verify at CMS.
Obstetrics & Gynecology · PORT JEFFERSON STATION, NY
This NPI has been deactivated.
The record was deactivated on March 20, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1457350795
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 19, 2005 (0.66849315068493 yrs)
- Last Updated
- Apr 27, 2017
- Deactivated
- Mar 20, 2006
- Licenses
-
174810 (NY)174810 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4 ROOSEVELT AVEPORT JEFFERSON STATION, NY, 117763363Browse NY providers · Browse ZIP 11776
- Phone
- 6313310500
- Fax
- 6313311644
- Primary Specialty
-
Obstetrics & Gynecology
207V00000X
- Additional Specialty
- 202K00000X
Other Obstetrics & Gynecology Providers in PORT JEFFERSON STATION, NY
| Name | Credential | NPI |
|---|---|---|
| DR. DANA L BRENNER | MD | 1902850878 |
| GUSTAVO SANROMAN | M.D. | 1619917960 |
| DR. THOMAS P. ERHART | D.O. | 1508891425 |
| THEODORE GOLDBERG | M.D. | 1750468435 |
| DREUX PATTON | M.D. | 1699852384 |
| DR. FARZANA MOHAMED GARCIA | DO | 1891130902 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.