PENINSULA MEDICAL SERVICES PC
NPI 1609095280
Emergency Medicine 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

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  • Organization
  • Emergency Medicine

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 Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1609095280 assigned on April 2007. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. 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
08-22-2020
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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

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
License State
NY
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

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)

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

PETER GALVIN

Authorized Official Title
DIRECTOR
Authorized Official Phone
(718) 734-2700

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
01759719MEDICAID (05)NY 

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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.
1609095280
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26090910216
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

(718) 734-2000

DR. ALBERT KUZNETSOV M.D.

Anesthesiology

5115 BEACH CHANNEL DR
FAR ROCKAWAY, NY
ZIP 11691

(718) 734-2000

MR. WILLIAM J TOMASULO R.PH.

Pharmacist

(Pharmacotherapy)

5115 BEACH CHANNEL DR
FAR ROCKAWAY, NY
ZIP 11691

(718) 734-2647

MR. RAJBIR SINGH CHOPRA MD

Internal Medicine

(Nephrology)

5115 BEACH CHANNEL DR
FAR ROCKAWAY, NY
ZIP 11691

(718) 734-2870

DR. HEINO R. ANTO M.D.

Internal Medicine

(Nephrology)

5115 BEACH CHANNEL DR
FAR ROCKAWAY, NY
ZIP 11691

(718) 734-2870

DR. JEFFREY KEITH SCHLEGER D.P.M.

Podiatrist

(Foot Surgery)

5115 BEACH CHANNEL DR
FAR ROCKAWAY, NY
ZIP 11691

(516) 242-4648

VALERIY KAYROV MD, DO

Family Medicine

5115 BEACH CHANNEL DR
FAR ROCKAWAY, NY
ZIP 11691

(718) 734-2444

QUEENS OPHTHALMOLOGY PC

Ophthalmology

5115 BEACH CHANNEL DR
FAR ROCKAWAY, NY
ZIP 11691

(718) 380-8050

MRS. NANCY M REYES RN

Registered Nurse

5115 BEACH CHANNEL DR
FAR ROCKAWAY, NY
ZIP 11691

(718) 734-2588

CLARK D. HABER MD

Emergency Medicine

5115 BEACH CHANNEL DR
PENINSULA HOSPITAL CENTER
FAR ROCKAWAY, NY
ZIP 11691

(718) 734-2700

PENINSULA RADIOLOGY ASSOCIATES P C

Radiology

(Diagnostic Radiology)

5115 BEACH CHANNEL DR
FAR ROCKAWAY, NY
ZIP 11691

(718) 734-2616

GOOD WILL MEDICAL, P.C.

Family Medicine

5115 BEACH CHANNEL DR
FAR ROCKAWAY, NY
ZIP 11691

(212) 563-2497

PENINSULA CARDIOLOGY, PC

Internal Medicine

(Cardiovascular Disease)

5115 BEACH CHANNEL DR
FAR ROCKAWAY, NY
ZIP 11691

(212) 563-2497

DR. LARISA V. KLEYMENOVA M.D.

Family Medicine

5115 BEACH CHANNEL DR
FAR ROCKAWAY, NY
ZIP 11691

(212) 563-2627

DR. SALLI LAUFER M.D.

Family Medicine

5115 BEACH CHANNEL DR
FAR ROCKAWAY, NY
ZIP 11691

(212) 563-2627

DR. JEANNE ELISE FRANKS D.O.

Emergency Medicine

5115 BEACH CHANNEL DR
FAR ROCKAWAY, NY
ZIP 11691

(718) 734-2700

DR. OLAJIDE F OLAWEPO M.D

Pediatrics

(Adolescent Medicine)

5115 BEACH CHANNEL DR
FAR ROCKAWAY, NY
ZIP 11691

(718) 734-2320

DR. VICTOR LOPEZ JR. D.O.

Student in an Organized Health Care Education/Training Program

5115 BEACH CHANNEL DR
FAR ROCKAWAY, NY
ZIP 11691

(718) 734-3020

DR. IGOR A. TALIS D.O.

Family Medicine

5115 BEACH CHANNEL DR
PMC
FAR ROCKAWAY, NY
ZIP 11691

(718) 734-3027

LADA GALILOVA D.O.

Family Medicine

5115 BEACH CHANNEL DR
FAR ROCKAWAY, NY
ZIP 11691

(718) 734-3020

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.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.