Organization · Type 2 NPI

Peninsula Medical Services PC

Pediatric Orthopaedic Surgery Physician · Far Rockaway, NY

NPI number 1609095280 Active

Practice location

5115 Beach Channel Dr
Far Rockaway, NY 11691-1042

Call (718) 734-2700 Map

Mailing address

407 Airport Executive Park
Nanuet, NY 10954-5288

Specialties and licenses

Taxonomy	Code	License
Emergency Medicine Physician	207P00000X	None listed
Family Medicine Physician	207Q00000X	None listed
Internal Medicine Physician	207R00000X	None listed
Gynecology Physician	207VG0400X	None listed
Pediatric Orthopaedic Surgery Physician Primary	207XP3100X	None listed
Anatomic Pathology Physician	207ZP0101X	None listed
Pediatrics Physician	208000000X	None listed
Surgery Physician	208600000X	None listed

Pediatric Orthopaedic Surgery Physician: 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.

36 other providers at this address

About NPI 1609095280

Peninsula Medical Services PC's National Provider Identifier is 1609095280, issued on Apr 24, 2007. The primary taxonomy on file is Pediatric Orthopaedic Surgery Physician (207XP3100X), and the practice location is in Far Rockaway, NY. The record was last updated on Sep 11, 2025.