Varicose Vein Medical Office PC
NPI 1356618615ActiveOrganization· Phlebology· Port Jefferson, NY
Phlebology in Port Jefferson, New York, registered in NPPES in November 2011. The authorized official on file is Jerry Ninia, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1356618615 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 30, 2011 |
| Last updated in NPPES | Nov 30, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Phlebology Primary | 202K00000X | 174810 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
Other Phlebology providers in Port Jefferson
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