Individual provider Active NPI

Peter Francis Harvey, D.O.

  • Family Medicine Physician
  • Kew Gardens, NY
National Provider Identifier
1043328578
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
172844 Issued in NY
Practice address
11940 Metropolitan Ave
Ste E1
Kew Gardens, NY 11415
Phone
(718) 849-0624
Fax
(718) 849-4935
NPI assigned
Aug 25, 2006
Last updated
Jan 12, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 172844 NY Primary

Addresses

Primary practice location

11940 Metropolitan Ave
Ste E1
Kew Gardens, NY 11415

Mailing address

11940 Metropolitan Ave
Ste E1
Kew Gardens, NY 11415-2600
Phone (718) 849-0624

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120105000011 NY Practitioner - Family PracticePractitioner - Osteopathic Manipulative MedicinePractitioner - Sports Medicine 8729254214 Reassigns benefits to 2 organizations
I20220303001111 FL Practitioner - Family Practice 8729254214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Usai Med LLCGroup PAC ID 1456718675, 4 clinicians

Practice addresses (Care Compare)

3196 N Federal Hwy
Suite a
Boca Raton, FL 33431-6700
Phone (561) 849-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
TJH Medical Services, P.C. Family Medicine CurrentSince Jan 1, 2013 Accepting new patients
Jamaica Hospital CurrentSince Jan 1, 2013 Accepting new patients
Usai Med LLC CurrentSince Dec 12, 2024 Accepting new patients
Jamaica Hospital CurrentSince Jan 1, 2013 Accepting new patients
Anti-Aging Alliance LLC PastSince Dec 12, 2024 Accepting new patients
Dwic of Tampa Bay, Inc Past Accepting new patients

Locations

3196 N Federal Hwy
Boca Raton, FL 33431
Phone (561) 338-3999

3196 N Federal Hwy
Ste A
Boca Raton, FL 33431
Phone (561) 445-4489

11940 Metropolitan Ave
Kew Gardens, NY 11415
Phone (718) 849-0839

11940 Metropolitan Ave
Apt E1
Kew Gardens, NY 11415

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326326400000",
    "number": "1043328578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11940 METROPOLITAN AVE",
            "address_2": "STE E1",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114152600",
            "telephone_number": "718-849-0624",
            "fax_number": "718-849-4935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11940 METROPOLITAN AVE",
            "address_2": "STE E1",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "11415",
            "telephone_number": "718-849-0624",
            "fax_number": "718-849-4935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "PETER",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2012-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "172844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kew Gardens, NY

Sources for this page

Verify at the official NPI Registry.