Dr Jerry Ninia, MD - Medicare Obstetrics/gynecology in Port Jefferson Station, NY

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Dr Jerry Ninia, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Port Jefferson Station, New York. He went to Wayne State University School Of Medicine and graduated in 1987 and has 37 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Square Care Medical Group Llp and his current practice location is 4 Roosevelt Ave, Port Jefferson Station, New York. You can reach out to his office (for appointments etc.) via phone at (631) 331-0500.

Dr Jerry Ninia is licensed to practice in New York (license number 174810) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1457350795.

Contact Information

Dr Jerry Ninia, MD
4 Roosevelt Ave,
Port Jefferson Station, NY 11776-3363
(631) 331-0500
(631) 331-1644

Map and Direction




Physician's Profile

Full NameDr Jerry Ninia
GenderMale
SpecialityObstetrics/gynecology
Experience37 Years
Location4 Roosevelt Ave, Port Jefferson Station, New York
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jerry Ninia attended and graduated from Wayne State University School Of Medicine in 1987
  NPI Data:
  • NPI Number: 1457350795
  • Provider Enumeration Date: 07/19/2005
  • Last Update Date: 04/27/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 7810186236
  • Enrollment ID: I20110114000736

Medical Identifiers

Medical identifiers for Dr Jerry Ninia such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457350795NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 174810 (New York)Primary
202K00000XPhlebology 174810 (New York)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Charles HospitalPort jefferson, NYHospital
John T Mather Memorial Hospital Of Port JeffersonPort jefferson, NYHospital

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jerry Ninia allows following entities to bill medicare on his behalf.
Entity NameSquare Care Medical Group Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457392763
PECOS PAC ID: 7012938434
Enrollment ID: O20051220000236
Entity NameVaricose Vein Medical Office Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356618615
PECOS PAC ID: 4385956960
Enrollment ID: O20150710000658

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jerry Ninia is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jerry Ninia, MD
4 Roosevelt Ave,
Port Jefferson Station, NY 11776-3363

Ph: (631) 331-0500		Dr Jerry Ninia, MD
4 Roosevelt Ave,
Port Jefferson Station, NY 11776-3363

Ph: (631) 331-0500

Reviews and Comments


Obstetrics & Gynecology Doctors in Port Jefferson Station, NY

Dr. Thomas P. Erhart, D.O.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1500-11 Route 112, Suites A & B, Port Jefferson Station, NY 11776
Phone: 631-474-4917    Fax: 631-331-1120
Gustavo Sanroman, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 5225 Route 347, Suite 70, Port Jefferson Station, NY 11776
Phone: 800-645-3203    Fax: 631-474-9169
Dreux Patton, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 12 Medical Dr, Port Jefferson Station, NY 11776
Phone: 631-331-4400    
Theodore Goldberg, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 12 Medical Dr, Port Jefferson Station, NY 11776
Phone: 631-331-4400    
Dr. Dana L Brenner, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 5225 Rte 347 Ste 70, Port Jefferson Station, NY 11776
Phone: 631-331-8777    Fax: 631-474-9169

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.