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Contact Information

PENINSULA MEDICAL SERVICES PC
5115 BEACH CHANNEL DR
FAR ROCKAWAY, NY11691-1042
 Phone: 718-734-2700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Orthopaedic Surgery

207XP3100X 02 Physician/General Surgery
 

Anatomic Pathology

207ZP0101X 22 Physician/Pathology
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for PENINSULA MEDICAL SERVICES PC

NPI Number 1609095280
LBN Legal business name PENINSULA MEDICAL SERVICES PC
Authorized official PETER GALVIN - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/24/2007
Last updated 09/11/2025 - About 9 months ago
Identifiers
NY Medicaid 01759719
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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