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Varicose Vein Medical Office PC

Phlebology Physician in Port Jefferson, NY · enumerated 2011 · authorized official Jerry Ninia, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1356618615

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Registry record

Entity type Organization (Type 2)
Legal business name Varicose Vein Medical Office PC
Practice address 405 E Main St, Port Jefferson, NY, 11777
Phone (631) 474-1414
Fax (631) 474-2032
Enumeration date Nov 30, 2011
Last updated in NPPES Nov 30, 2011

Taxonomy & classification

202K00000X Phlebology Physician Allopathic & Osteopathic Physicians · License 174810 (NY) Primary

Authorized official

Name Jerry Ninia
Title Owner
Phone (631) 474-1414

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Varicose Vein Medical Office PC?
NPPES lists Jerry Ninia (Owner) as the authorized official for this organization.
What is the NPI number for Varicose Vein Medical Office PC?
The NPI for Varicose Vein Medical Office PC is 1356618615, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-11-30.