Peninsula Medical Services PC is a Pediatric Orthopaedic Surgery Physician (organization) practicing in Far Rockaway, New York. The National Provider Identifier (NPI) is #1609095280, which was assigned on April 24, 2007, and the registration record was last updated on September 11, 2025. The practitioner's main practice location is at 5115 Beach Channel Dr, Far Rockaway, NY 11691-1042; the contact telephone number is 7187342700. The primary taxonomy of Peninsula Medical Services PC is Pediatric Orthopaedic Surgery Physician (207XP3100X), with specialization in Pediatric Orthopaedic Surgery. The authorized official for Peninsula Medical Services PC is Peter Galvin (Director). Peninsula Medical Services PC is licensed to practice in the state of New York, New York, New York, New York, New York, New York, New York, New York.
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.
| NPI | 1609095280 |
| Entity Type | Organization |
| Organization Name | PENINSULA MEDICAL SERVICES PC |
| Provider Name | PENINSULA MEDICAL SERVICES PC |
| Practice Address |
5115 Beach Channel Dr Far Rockaway NY 11691-1042 |
| Practice Telephone | 7187342700 |
| Mailing Address |
407 Airport Executive Park Nanuet NY 10954-5288 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2025-09-11 |
| Is Organization Subpart | N |
| Official Name | PETER GALVIN |
| Official Title | DIRECTOR |
| Telephone | 7187342700 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 193200000X MULTI-SPECIALTY GROUP | NY | ||
| N | 207Q00000X | Family Medicine | 193200000X MULTI-SPECIALTY GROUP | NY | ||
| N | 207R00000X | Internal Medicine | 193200000X MULTI-SPECIALTY GROUP | NY | ||
| N | 207VG0400X | Obstetrics & Gynecology | Gynecology | 193200000X MULTI-SPECIALTY GROUP | NY | |
| N | 207ZP0101X | Pathology | Anatomic Pathology | 193200000X MULTI-SPECIALTY GROUP | NY | |
| N | 208000000X | Pediatrics | 193200000X MULTI-SPECIALTY GROUP | NY | ||
| N | 208600000X | Surgery | 193200000X MULTI-SPECIALTY GROUP | NY | ||
| Y | 207XP3100X | Orthopaedic Surgery | Pediatric Orthopaedic Surgery | 193200000X MULTI-SPECIALTY GROUP | NY |
| Other Identifier | Issuing State | Issuer | Identifier Type |
|---|---|---|---|
| 01759719 | NY | MEDICAID |
| Code | 207XP3100X |
| Taxonomy | Pediatric Orthopaedic Surgery Physician |
| Classification | Orthopaedic Surgery |
| Specialization | Pediatric Orthopaedic Surgery |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: 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. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| Classification | Emergency Medicine |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| Classification | Family Medicine |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| Classification | Internal Medicine |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| Code | 207VG0400X |
| Taxonomy | Gynecology Physician |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: Definition to come... |
| Code | 207ZP0101X |
| Taxonomy | Anatomic Pathology Physician |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: definition reformatted; 7/1/2011: modified source] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| Classification | Pediatrics |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| Code | 208600000X |
| Taxonomy | Surgery Physician |
| Classification | Surgery |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Dayna Phillips | 44 Old Hook Road, Emerson, NJ 07630 | Pediatric Orthopaedic Surgery Physician | 2015-06-03 |
| Robert Hyun Cho | 150 N Robertson Blvd Ste 360, Beverly Hills, CA 90211-2173 | Pediatric Orthopaedic Surgery Physician | 2009-01-13 |
| Gerard Karl Williams Jr. | 3100 Samford Ave, Shreveport, LA 71103-4239 | Pediatric Orthopaedic Surgery Physician | 2019-04-30 |
| Hayley Sacks | 3440 Hollywood Blvd Ste 140, Hollywood, FL 33021-6900 | Pediatric Orthopaedic Surgery Physician | 2019-04-15 |
| Marisa Yue-Ting Su | 500 W Putnam Ave Fl 2, Greenwich, CT 06830-2937 | Pediatric Orthopaedic Surgery Physician | 2019-03-31 |
| Aaradhana Jivendra Jha | 330 Court St, Brooklyn, NY 11231-4334 | Pediatric Orthopaedic Surgery Physician | 2019-10-01 |
| Orthocarolina | 6237 Carolina Commons Dr Ste 110, Indian Land, SC 29707-4513 | Pediatric Orthopaedic Surgery Physician | 2021-08-05 |
| Rise & Shine Orthopedics PLLC | 7237 Fenton Rd, Grand Blanc, MI 48439-8961 | Pediatric Orthopaedic Surgery Physician | 2025-10-14 |
| Orthopedic Centers of Colorado LLC | 11960 Lioness Way Ste 230, Parker, CO 80134-5644 | Pediatric Orthopaedic Surgery Physician | 2017-09-01 |
| Nicklaus Children's Pediatric Specialists, LLC | 3100 Coral Hills Dr Ste 202, Coral Springs, FL 33065-4139 | Pediatric Orthopaedic Surgery Physician | 2025-07-23 |
| Find all providers with the same taxonomy | |||
| Street Address |
5115 BEACH CHANNEL DR |
| City | FAR ROCKAWAY |
| State | NY |
| Zip Code | 11691-1042 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Peninsula Hospital Center | 5115 Beach Channel Dr, Far Rockaway, NY 11691-1042 | General Acute Care Hospital | 2007-05-17 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Kyle Derek Obiena Bucane | 50-15 Beach Channel Dr, New York, NY 11691 | Physical Therapist | 2025-01-27 |
| Nechie Katz | 2805 Faber Ter, Far Rockaway, NY 11691-1762 | Inpatient Obstetric Registered Nurse | 2014-05-14 |
| Charles Osakiduwa Omozuwa Sr. | 436 Beach 36th St Apt 3, Far Rockaway, NY 11691-1507 | Licensed Vocational Nurse | 2025-12-15 |
| Rockaway Care Center LLC | 353 Beach 48th St, Far Rockaway, NY 11691-1120 | Skilled Nursing Facility | 2008-06-24 |
| Jarrel Garing Espinili Jr. | 5015 Beach Channel Dr Ste C, Far Rockaway, NY 11691-1110 | Physical Therapist | 2026-02-23 |
| Toni Marie Jackson | 2915 Oceancrest Blvd, Far Rockaway, NY 11691-1928 | Internal Medicine Physician | 2022-04-05 |
| Fk Np In Family Health PLLC | 1328 Trist Pl, Far Rockaway, NY 11691-1637 | Family Nurse Practitioner | 2025-09-09 |
| Shoshana Perr | 806 Roosevelt Court, Far Rockaway, NY 11691 | Counselor | 2007-06-26 |
| Rachel Nisanov | 1121 Bay 24th St, Far Rockaway, NY 11691-1745 | Registered Nurse | 2025-12-16 |
| Kymberlynn Carruthers | 1116 Bay 32nd Place, 2nd Floor, Queens, NY 11691 | School Registered Nurse | 2025-07-29 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Peninsula Professional Services | 21200 Beach Blvd, Huntington Beach, CA 92648-5411 | Optometrist | 2025-09-26 |
| Peninsula Orthopaedic Assoc, Pa | 1675 Woodbrooke Dr, Salisbury, MD 21804-8502 | Durable Medical Equipment & Medical Supplies | 2007-08-06 |
| Peninsula Orthopaedic Assoc Pa | 1675 Woodbrooke Drive, Salisbury, MD 21804 | Prosthetic/Orthotic Supplier | 2006-08-21 |
| Tidalhealth Peninsula Regional, Inc. | 11101 Cathage Rd, Berlin, MD 21811 | Community/Retail Pharmacy | 2014-10-17 |
| Peninsula Day Care Inc | 1815 85th St, 3fl, Brooklyn, NY 11214-3112 | Adult Day Care Clinic/Center | 2013-07-16 |
| Mid-Peninsula Optical | 883 Santa Cruz Ave, Menlo Park, CA 94025-4638 | Contact Lens Fitter | 2007-02-24 |
| Peninsula Pharmacy | 1294 W 6th St Ste 100, San Pedro, CA 90731-2997 | Pharmacy | 2006-06-14 |
| Tidalhealth Peninsula Regional, Inc. | 201 Hall Hwy, Crisfield, MD 21817-1237 | Registered Dietitian | 2026-01-09 |
| Kenai Peninsula Hospice LLC | 44096 Sterling Hwy Ste E, Soldotna, AK 99669-8063 | Community Based Hospice Care Agency | 2026-03-30 |
| Peninsula Regional Medical Center | 11105 Cathage Rd, Berlin, MD 21811-2131 | Hematology & Oncology Physician | 2025-12-02 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |