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

Dr. Robert J. Peck, DPM

Individual provider Podiatrist · NPI 1700294030

Dr. Robert J. Peck, DPM is a Podiatry in Mineola, New York. Qualified in 2014, 12 years ago. Accepts Medicare assignment. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2014
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

190 1st St
Mineola, NY 11501-4011
Phone: (516) 587-9981
Fax: (516) 548-0078
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence N006945-1 (NY)
Podiatrist Taxonomy 213E00000X · Licence N006945-1 (NY)

Record details

NPI number1700294030
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJuly 30, 2014
Last updated in NPPESJune 25, 2020
Certification dateJune 25, 2020
Mailing address160 1st St Unit 41, Mineola, NY 11501-5001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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