DR. ROBERT J. PECK (NPI# 1700294030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700294030 |
| Entity Type | Individual |
| Full Name | DR. ROBERT J. PECK |
| Credential | DPM |
| Practice Address |
190 1st St Mineola NY 11501-4011 |
| Mailing Address |
160 1st St Unit 41 Mineola NY 11501-5001 |
| Practice Telephone | 5165879981 |
| Practice Fax Number | 5165480078 |
| Mailing Telephone | 5165879981 |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2020-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | N006945-1 | NY | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
N006945-1 | NY | Podiatric Medicine & Surgery Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7927 Ritchie Hwy Ste D, Glen Burnie, MD 210614373 | 4106613338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669839833 | Robert Peck | Nurse Anesthetist, Certified Registered | 365 Dow Rd, Orrington, ME 04474-3540 | 2016-01-19 |
| 1245515626 | Robert Joe Peck | Marriage & Family Therapist | 421 Camellia Way, Modesto, CA 95354-1521 | 2011-10-17 |
| 1710009964 | Robert D Peck | Chiropractor | 678 N Northwest Hwy, Unit C, Park Ridge, IL 60068-2540 | 2007-04-06 |
| 1306905278 | Robert Christopher Peck | Chiropractor | 1955 State Hwy 69 North, Hayesville, NC 28904 | 2006-12-07 |
| 1003874140 | Robert T Peck | Dentist | 7480 Northview St, Boise, ID 83704 | 2006-05-01 |
| 1417932633 | Robert F. Peck | Social Worker | 1255 Oaklawn Ave, Cranston, RI 02920-2649 | 2005-12-09 |
| 1225116973 | Robert S. Peck | Pediatrics | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2006-11-01 |
| 1093890196 | Robert N Peck | Internal Medicine | Massachusetts General Hospital, 55 Fruit Street/pediatrics, Boston, MA 02114 | 2006-10-26 |
| 1730100256 | Robert Steven Peck | Anesthesiology | 1100 W Stewart Dr, Orange, CA 92868-3849 | 2006-07-21 |
| 1427008572 | Robert Curtis Peck | Psychiatry & Neurology | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2006-05-11 |
| Street Address |
190 1ST ST |
| City | MINEOLA |
| State | NY |
| Zip Code | 11501-4011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164971735 | Leigh Journigan | Specialist | 190 1st St, Apt. 2a, Mineola, NY 11501-4011 | 2016-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500350 | Steve Abraham Simon | Student in an Organized Health Care Education/Training Program | 222 Station Plaza, Suite 509, Mineola, NY 11501 | 2020-05-18 |
| 1407478167 | Frederick Milton Bosoy | Student in an Organized Health Care Education/Training Program | 259 1st St, Mineola, Ny 11501, Mineola, NY 11501 | 2020-05-15 |
| 1982226130 | Katelyn Anne Fowler | Counselor | [email protected], 410 East Jericho Tpke, Mineola, NY 11501 | 2020-05-11 |
| 1225667819 | New York Dialysis Services, Inc | Clinic/Center | 1 East Jericho Turnpike, Mineola, NY 11501 | 2020-04-06 |
| 1518500032 | Irina Victoria Kushnareva | Social Worker | 126 Saville Rd, Mineola, NY 11501 | 2019-10-28 |
| 1861046336 | Milagros M Matias | Case Manager/Care Coordinator | 39 E. Jericho Turnpike, Mineola, NY 11501 | 2019-08-01 |
| 1154974244 | Bahram Dabiri | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N., Suite 620 Mineola, Mineola, NY 11501 | 2019-07-18 |
| 1972168748 | Nabeel A. Arain | Physician Assistant | 251 1st St., Mineola, NY 11501 | 2019-05-07 |
| 1598328940 | Ramsha Jabbar | Student in an Organized Health Care Education/Training Program | 222 Station Plaza North, Suite 305, Mineola, NY 11501 | 2019-04-20 |
| 1235628850 | Valentyna Erstenyuk | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N, Suite 611, Mineola, NY 11501 | 2018-05-09 |
| Find all providers in zip 11501 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053776096 | Country Foot Care Podiatry Pllc | Podiatrist | 173 Mineola Blvd, Suite 201, Mineola, NY 11501-2528 | 2015-12-17 |
| 1831562396 | Country Foot Care Podiatry Pllc | Podiatrist | 155 Mineola Blvd, Suite B, Mineola, NY 11501-3920 | 2015-11-05 |
| 1477831873 | Josephine Kleyner Dpm, P.C. | Podiatrist | 155 Mineola Blvd, Suite B, Mineola, NY 11501-3920 | 2011-08-02 |
| 1902030067 | Robert W Einhorn Dpm PC | Podiatrist | 155 Mineola Blvd, Suite B, Mineola, NY 11501-3920 | 2009-05-05 |
| 1598874208 | Stephen Robert Densen | Podiatrist | 155 Mineola Blvd, Suite B, Mineola, NY 11501-3920 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1891393906 | Finger Lakes Podiatry of Geneva, Pllc | Podiatrist | 220 Phoenix Mills Plz, Victor, NY 14564-1414 | 2020-10-12 |
| 1497378699 | Zh Podiatrist of Westchester PC | Podiatrist | 150 Edgepark Rd, White Plains, NY 10603-2106 | 2020-05-21 |
| 1528696259 | Capital District Podiatry, Pllc | Podiatrist | 855 Route 146 Bldg B, Clifton Park, NY 12065-3885 | 2020-03-30 |
| 1629615588 | Kelly Lucas Dpm PC | Podiatrist | 925 Hempstead Tpke Ste 110, Franklin Square, NY 11010-3636 | 2019-12-10 |
| 1811544257 | Christopher Chow Dpm PC | Podiatrist | 749 61st St Ste 503, Brooklyn, NY 11220-4211 | 2019-08-21 |
| 1063074565 | Balance Foot and Ankle LLC | Podiatrist | 611 Mitchel Field Way, Garden City, NY 11530-5057 | 2019-07-03 |
| 1083270979 | Jones Thomas | Podiatrist | 518 Terrace Blvd, New Hyde Park, NY 11040-4343 | 2019-05-15 |
| 1316419690 | Rockaway Podiatry Pllc | Podiatrist | 1957 Flatbush Ave, Brooklyn, NY 11234-2819 | 2018-12-26 |
| Find all providers with the same taxonomy | ||||
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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.