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

Peter Gerhardt Kooienga, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1316632185

Peter Gerhardt Kooienga, DO is a Student in an Organized Health Care Education/Training Program in Elmhurst, New York. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

7901 Broadway
Elmhurst, NY 11373-1329
Phone: (718) 334-3437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1316632185
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 7, 2023
Last updated in NPPESApril 7, 2023
Certification dateApril 7, 2023
Mailing address79-01 Broadway, Attn: Peter Kooienga, Elmhurst, NY 11373-1329

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