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

Nonna Badalova, MD, DO

Individual provider Family Medicine Physician · NPI 1336600428

Nonna Badalova, MD, DO is a Family Practice in Port Jefferson Station, New York. Qualified in 2019, 7 years ago. Practices with North Shore Lij Urgent Care PC, a 395-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5145 Nesconset Hwy Ste 4
Port Jefferson Station, NY 11776-2118
Phone: (347) 493-2945
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 10229 Queens Blvd, Forest Hills, NY 11375-3258 — (718) 691-5546

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 316743 (NY)

Record details

NPI number1336600428
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , DO
Sole proprietorNo
NPI enumeratedMarch 29, 2019
Last updated in NPPESDecember 2, 2024
Certification dateDecember 2, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice North Shore Lij Urgent Care Pc — 395 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Port Jefferson Station