Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Peninsula Medical Services PC

Organization Emergency Medicine Physician · NPI 1609095280

Peninsula Medical Services PC is an Emergency Medicine Physician in Far Rockaway, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
Specialties on file
8
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5115 Beach Channel Dr
Far Rockaway, NY 11691-1042
Phone: (718) 734-2700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Orthopaedic Surgery Physician (primary) Taxonomy 207XP3100X (NY)
Emergency Medicine Physician Taxonomy 207P00000X (NY)
Family Medicine Physician Taxonomy 207Q00000X (NY)
Internal Medicine Physician Taxonomy 207R00000X (NY)
Gynecology Physician Taxonomy 207VG0400X (NY)
Anatomic Pathology Physician Taxonomy 207ZP0101X (NY)
Pediatrics Physician Taxonomy 208000000X (NY)
Surgery Physician Taxonomy 208600000X (NY)

Record details

NPI number1609095280
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Galvin — Director · (718) 734-2700
NPI enumeratedApril 24, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address407 Airport Executive Park, Nanuet, NY 10954-5288

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