PENINSULA HOSPITAL CENTER (NPI# 1184629644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184629644 |
| Entity Type | Organization |
| Organization Name | PENINSULA HOSPITAL CENTER |
| Practice Address |
5115 Beach Channel Dr Far Rockaway NY 11691-1042 |
| Practice Telephone | 7187342568 |
| Practice Fax Number | 7187342545 |
| Mailing Telephone | 7187342568 |
| Mailing Fax Number | 7187342545 |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROBERT LEVINE (CEO) |
| Authorized Official Telephone | 7187342500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 7003006H | NY | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00243898 | 05 | |
| NY | EMPIRE BLUE CROSS | 00097 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528258407 | Peninsula Hospital Center | General Acute Care Hospital | 5115 Beach Channel Dr, Far Rockaway, NY 11691-1042 | 2007-07-27 |
| 1154538346 | Peninsula Hospital Center | Clinic/Center | 5115 Beach Channel Dr, Far Rockaway, NY 11691-1042 | 2007-05-17 |
| 1700960960 | Peninsula Hospital Center | Rehabilitation Hospital | 5115 Beach Channel Dr, Far Rockaway, NY 11691-1042 | 2006-10-24 |
| Street Address |
5115 BEACH CHANNEL DR |
| City | FAR ROCKAWAY |
| State | NY |
| Zip Code | 11691-1042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144590860 | Ahava Group II | Pharmacy | 5115 Beach Channel Dr, Far Rockaway, NY 11691-1042 | 2012-01-11 |
| 1740558444 | Nora Ligia Benavides | Student in an Organized Health Care Education/Training Program | 5115 Beach Channel Dr, Far Rockaway, NY 11691-1042 | 2011-12-08 |
| 1912275041 | Martin A. Grossman, Md PC | Internal Medicine | 5115 Beach Channel Dr, Suite #421, Far Rockaway, NY 11691-1042 | 2011-12-04 |
| 1477832426 | Janice Carrero | Student in an Organized Health Care Education/Training Program | 5115 Beach Channel Dr, Far Rockaway, NY 11691-1042 | 2011-08-09 |
| 1164719159 | Christopher Michael Betz | Orthopaedic Surgery | 5115 Beach Channel Dr, Far Rockaway, NY 11691-1042 | 2011-06-29 |
| 1043506769 | Leah Spiegel | Dentist | 5115 Beach Channel Dr, Far Rockaway, NY 11691-1042 | 2011-06-21 |
| 1487966818 | William Richard Schneider | Student in an Organized Health Care Education/Training Program | 5115 Beach Channel Dr, Far Rockaway, NY 11691-1042 | 2010-07-14 |
| 1982928008 | Rajbir S. Chopra Physician, P.C. | Internal Medicine | 5115 Beach Channel Dr, Far Rockaway, NY 11691-1042 | 2010-03-18 |
| 1720318785 | Kayrov Medical P.C. | Family Medicine | 5115 Beach Channel Dr, Far Rockaway, NY 11691-1042 | 2010-01-13 |
| 1336474337 | Mindy Cacciatore | Audiologist | 5115 Beach Channel Dr, Far Rockaway, NY 11691-1042 | 2009-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487261772 | Jalpa Dholaria | Physical Therapist | 265 Beach 20th Street, Far Rockaway, NY 11691 | 2020-09-30 |
| 1578179529 | Sneha Satheesh Menon | Physical Therapist | 265 Beach 20th Street Far Rockaway, Queens, NY 11691 | 2020-09-16 |
| 1558997676 | Manuel Garcia Morell | Student in an Organized Health Care Education/Training Program | 327 Beach 19 Th St, Far Rockaway, Queens, NY 11691 | 2020-03-20 |
| 1750927992 | Barbrara Graham | Licensed Practical Nurse | 143 Baech 26th Street, Apt 2, Far Rockaway, NY 11691 | 2019-11-22 |
| 1639735665 | Ernest Okwuonu | Student in an Organized Health Care Education/Training Program | 327 Beach 19th St., Rockaway, NY 11691 | 2019-05-15 |
| 1700342433 | Reliable Care Consulting LLC | Case Management | 1858 Cornaga Ave, 2nd Fl., Far Rockaway, NY 11691 | 2019-02-19 |
| 1336604008 | Menaka Abeyewardene | Student in an Organized Health Care Education/Training Program | St. John's Episcopal Hospital, 327 Beach 19th Street, Far Rockaway, NY 11691 | 2019-02-06 |
| 1346733441 | Keisha Taylor-glanville | Social Worker | 20-2 Seagrit Blvd., Queens, NY 11691 | 2018-06-13 |
| 1336631035 | Michael Y Ivry Dds PC | Oral & Maxillofacial Surgery | 2550 Seagirt Blvd, Far Rockaway, NY 11691 | 2018-05-30 |
| 1992202071 | Angel David Aponte | Student in an Organized Health Care Education/Training Program | 327 Beach 19st, Internal Medicine Dpt, Far Rockaway, NY 11691 | 2018-04-06 |
| Find all providers in zip 11691 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396285698 | Akpobo Akporotu | General Acute Care Hospital | 327 Beach 19th St, Far Rockaway, NY 11691-4423 | 2017-03-06 |
| 1932649241 | Mark Schachter | General Acute Care Hospital | 521 Beach 20th St, Far Rockaway, NY 11691-3645 | 2017-03-06 |
| 1215326426 | Maria Andrievskaya | General Acute Care Hospital | 327 Beach 19th St, St John's Episcopal Hospital, Far Rockaway, NY 11691-4423 | 2015-01-12 |
| 1457756124 | Felipe Orellana | General Acute Care Hospital | 327 Beach 19th St, Far Rockaway, NY 11691-4423 | 2014-10-23 |
| 1972917029 | St John's Episcopal Hospital | General Acute Care Hospital | 327 Beach 19th St, Far Rockaway, NY 11691-4423 | 2014-06-17 |
| 1982017125 | Saint Johns Episcopal Hospital | General Acute Care Hospital | 327 Beach 19th St, Far Rockaway, NY 11691-4423 | 2014-06-05 |
| 1245475144 | St. John's Episcopal Hospital | General Acute Care Hospital | 327 Beach 19th St, Far Rockaway, NY 11691-4423 | 2008-12-05 |
| 1528258407 | Peninsula Hospital Center | General Acute Care Hospital | 5115 Beach Channel Dr, Far Rockaway, NY 11691-1042 | 2007-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225507114 | University Hospital At Stony Brook | General Acute Care Hospital | 740 County Road 39, Southampton, NY 11968-5090 | 2018-11-20 |
| 1184108144 | Samaritan Hospital of Troy, New York | General Acute Care Hospital | 500 Federal St Ste 602, Troy, NY 12180-2832 | 2018-09-17 |
| 1225559149 | Zulfa Omer | General Acute Care Hospital | 234 E 149th St Ste 20-8, Bronx, NY 10451-5504 | 2017-06-30 |
| 1992230171 | Ny Presbyterian-queens | General Acute Care Hospital | 85-88 Parsons Blvd., Jamaica, NY 11432 | 2017-04-26 |
| 1760916324 | Nayab Chowhan | General Acute Care Hospital | 818 Friel Pl, Brooklyn, NY 11218-2609 | 2017-04-20 |
| 1629509146 | Luke Alessi | General Acute Care Hospital | 207 Bayville Ave, Bayville, NY 11709-1652 | 2017-03-26 |
| 1376083378 | Department of Education | General Acute Care Hospital | 923 Elton Street, 2nd Floor, Brooklyn, NY 11208 | 2017-02-24 |
| 1255878492 | Winthrop University Hospital | General Acute Care Hospital | 212 Jericho Turnpike, Mineola, NY 11501 | 2017-01-26 |
| 1316480353 | Compassionate Companion Care, Pllc | General Acute Care Hospital | 204 Hendy Creek Rd, Pine City, NY 14871-9760 | 2016-11-23 |
| 1164964078 | Adrielle Ofosu | General Acute Care Hospital | 84 Kimball Ave, Yonkers, NY 10704-4222 | 2016-11-09 |
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| City | FAR ROCKAWAY |
| Zip Code | 11691 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.