Peter Andrew Galvin, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

146669 Issued in NY

Practice address

12005 Newport Avenue
Rockaway Park, NY 11694

Phone

(718) 474-5027

Fax

(718) 474-4899

NPI assigned

Oct 27, 2006

Last updated

Apr 23, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Peninsula Medical Services PC

  • Pediatric Orthopaedic Surgery Physician
  • Far Rockaway, NY
  • NPI 1609095280

  Internal Medicine

  NPD (past) Authorized official
• Jennifer Smith Psychologist PC

  • Clinical Psychologist
  • Rockaway Park, NY
  • NPI 1235650201
  NPD (past)
• Park House Care Center LLC

  • Skilled Nursing Facility
  • Rockaway Beach, NY
  • NPI 1154584886
  NPD (past)
• Park Nursing Home

  • Nursing Facility/Intermediate Care Facility
  • Rockaway Park, NY
  • NPI 1801887898
  NPD (past)
• Rockapulco Medical Assoc PC

  • Internal Medicine Physician
  • Rockaway Park, NY
  • NPI 1073698221
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1962588731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12005 NEWPORT AVENUE",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "11694",
            "telephone_number": "718-474-5027",
            "fax_number": "718-474-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12005 NEWPORT AVENUE",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "11694",
            "telephone_number": "718-474-5027",
            "fax_number": "718-474-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALVIN",
        "first_name": "PETER",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "146669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00782485",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracia Shauna Fogarthy, LPN
• Lloyd G Forbes
• Trevor M. Foti, MHC-LP
• Nicholas Tafari Francis, LMSW
• Nicole Frontera, FNP
• Caitlin Kerri Gavitt, PNP
• Genesis Adult Daycare
• Afshin Gholomhassani, M.D.
• Mary Kay A Gibbons, RN
• Katelyn Gill, LMHC

• Internal Medicine Physician in Rockaway Park, NY
• Providers in Rockaway Park, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.