Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jerry G Ninia Mdpc

Organization Obstetrics & Gynecology Physician · NPI 1508162959

Jerry G Ninia Mdpc is an Obstetrics & Gynecology Physician in Port Jefferson Station, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011

Practice location Address checks out

1 Medical Dr Ste D
Port Jefferson Station, NY 11776-1599
Phone: (631) 331-0500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 174810 (NY)

Record details

NPI number1508162959
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerry Ninia — Physician · (631) 331-0500
NPI enumeratedFebruary 2, 2011
Last updated in NPPESFebruary 2, 2011
Mailing address1 Medical Dr, Suite D, Port Jefferson Station, NY 11776-1599

Other providers in Port Jefferson Station