PENINSULA MEDICAL SERVICES PC
NPI 1609095280
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Far Rockaway, NY
NPI Status: Active since April 24, 2007
Contact Information
5115 BEACH CHANNEL DR
FAR ROCKAWAY, NY
ZIP 11691
Phone: (718) 734-2700
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Organization
- Orthopaedic Surgery
- Pediatric Orthopaedic Surgery
About PENINSULA MEDICAL SERVICES PC
This page provides the complete NPI Profile along with additional information for Peninsula Medical Services Pc, a provider established in Far Rockaway, New York operating as a Orthopaedic Surgery, focusing in pediatric orthopaedic surgery . The healthcare provider is registered in the NPI registry with number 1609095280 assigned on April 2007. The practitioner's primary taxonomy code is 207XP3100X. The provider is registered as an organization and their NPI record was last updated September 2025. Peninsula Medical Services Pc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Peter Galvin (Director)
- NPI
- 1609095280
- Provider Name
- PENINSULA MEDICAL SERVICES PC
- Entity Type
- Organization
- Location Address
- 5115 BEACH CHANNEL DR FAR ROCKAWAY, NY 11691
- Location Phone
- (718) 734-2700
- Mailing Address
- 407 AIRPORT EXECUTIVE PARK NANUET, NY 10954
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-24-2007
- Last Update Date
- 09-11-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery Pediatric Orthopaedic Surgery
- Taxonomy Code
- 207XP3100X
- Type
- Allopathic & Osteopathic Physicians
- License State
- NY
- Taxonomy Description
- An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine | (NY) |
| 2 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | (NY) |
| 3 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | (NY) |
| 4 | 207VG0400X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | (NY) |
| 5 | 207ZP0101X | Allopathic & Osteopathic Physicians | Pathology | (NY) |
| 6 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | (NY) |
| 7 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | (NY) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 01759719 | MEDICAID (05) | NY |
Reviews for PENINSULA MEDICAL SERVICES PC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 0 | 9 | 0 | 9 | 5 | 2 | 8 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 0 | 9 | 0 | 9 | 10 | 2 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 0 + 9 + 0 + 9 + 1 + 0 + 2 + 1 + 6 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1609095280 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. GAUDENCIO ARRUEJO M.D.
Anesthesiology
5115 BEACH CHANNEL DR
FAR ROCKAWAY, NY
ZIP 11691
DR. ALBERT KUZNETSOV M.D.
Anesthesiology
5115 BEACH CHANNEL DR
FAR ROCKAWAY, NY
ZIP 11691
MR. WILLIAM J TOMASULO R.PH.
Pharmacist
(Pharmacotherapy)
5115 BEACH CHANNEL DR
FAR ROCKAWAY, NY
ZIP 11691
DR. HEINO R. ANTO M.D.
Internal Medicine
(Nephrology)
5115 BEACH CHANNEL DR
FAR ROCKAWAY, NY
ZIP 11691
DR. JEFFREY KEITH SCHLEGER D.P.M.
Podiatrist
(Foot Surgery)
5115 BEACH CHANNEL DR
FAR ROCKAWAY, NY
ZIP 11691
VALERIY KAYROV MD, DO
Family Medicine
5115 BEACH CHANNEL DR
FAR ROCKAWAY, NY
ZIP 11691
QUEENS OPHTHALMOLOGY PC
Ophthalmology
5115 BEACH CHANNEL DR
FAR ROCKAWAY, NY
ZIP 11691
MRS. NANCY M REYES RN
Registered Nurse
5115 BEACH CHANNEL DR
FAR ROCKAWAY, NY
ZIP 11691
CLARK D. HABER MD
Emergency Medicine
5115 BEACH CHANNEL DR
PENINSULA HOSPITAL CENTER
FAR ROCKAWAY, NY
ZIP 11691
PENINSULA RADIOLOGY ASSOCIATES P C
Radiology
(Diagnostic Radiology)
5115 BEACH CHANNEL DR
FAR ROCKAWAY, NY
ZIP 11691
GOOD WILL MEDICAL, P.C.
Family Medicine
5115 BEACH CHANNEL DR
FAR ROCKAWAY, NY
ZIP 11691
PENINSULA CARDIOLOGY, PC
Internal Medicine
(Cardiovascular Disease)
5115 BEACH CHANNEL DR
FAR ROCKAWAY, NY
ZIP 11691
DR. LARISA V. KLEYMENOVA M.D.
Family Medicine
5115 BEACH CHANNEL DR
FAR ROCKAWAY, NY
ZIP 11691
DR. SALLI LAUFER M.D.
Family Medicine
5115 BEACH CHANNEL DR
FAR ROCKAWAY, NY
ZIP 11691
DR. JEANNE ELISE FRANKS D.O.
Emergency Medicine
5115 BEACH CHANNEL DR
FAR ROCKAWAY, NY
ZIP 11691
DR. OLAJIDE F OLAWEPO M.D
Pediatrics
(Adolescent Medicine)
5115 BEACH CHANNEL DR
FAR ROCKAWAY, NY
ZIP 11691
DR. VICTOR LOPEZ JR. D.O.
Student in an Organized Health Care Education/Training Program
5115 BEACH CHANNEL DR
FAR ROCKAWAY, NY
ZIP 11691
DR. IGOR A. TALIS D.O.
Family Medicine
5115 BEACH CHANNEL DR
PMC
FAR ROCKAWAY, NY
ZIP 11691
LADA GALILOVA D.O.
Family Medicine
5115 BEACH CHANNEL DR
FAR ROCKAWAY, NY
ZIP 11691
DR. BELMA DOYLE D.O
Student in an Organized Health Care Education/Training Program
5115 BEACH CHANNEL DR
FAR ROCKAWAY, NY
ZIP 11691
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609095280, enumerated as an "organization" on April 24, 2007.
The provider is located at 5115 BEACH CHANNEL DR FAR ROCKAWAY, NY 11691 and the phone number is (718) 734-2700.
Orthopaedic Surgery with taxonomy code 207XP3100X and a focus in Pediatric Orthopaedic Surgery.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
