Peninsula Hospital Center

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

License

7003006H Issued in NY

Legal business name

PENINSULA HOSPITAL CENTER

Practice address

5115 Beach Channel Dr
Far Rockaway, NY 11691-1042

Phone

(718) 734-2568

Fax

(718) 734-2545

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Robert Levine

Title

Ceo

Phone

(718) 734-2500

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700960960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 BEACH CHANNEL DR",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116911042",
            "telephone_number": "718-734-2568",
            "fax_number": "718-734-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 BEACH CHANNEL DR",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116911042",
            "telephone_number": "718-734-2568",
            "fax_number": "718-734-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA HOSPITAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-734-2500"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "NY",
            "license": "7003006H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00243898",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS",
            "identifier": "00097",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peninsula Continuum Services LLC
• Peninsula General Nursing Home
• Peninsula Hospital Center
• Peninsula Hospital Center
• Peninsula Hospital Center
• Peninsula Medical Services PC
• Peninsula Radiology Associates P C
• Yamel Perdomo
• Andres Eduardo Perez Correa, MD
• Gisell M Perez Ortiz, LMSW

• Rehabilitation Hospital in Far Rockaway, NY
• Providers in Far Rockaway, NY by specialty
• Rehabilitation Hospital in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.