PENINSULA GENERAL NURSING HOME
NPI 1114922689
Skilled Nursing Facility in Far Rockaway, NY

Active since June 20, 2005
50-15 BEACH CHANNEL DRIVE, FAR ROCKAWAY, NY 11691(718) 734-2000 Get Directions Write a Review

NPPES record last updated: September 5, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peninsula General Nursing Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PENINSULA GENERAL NURSING HOME (NPI 1114922689) is a healthcare organization registered as a skilled nursing facility in Far Rockaway, New York and active in the NPI registry since June 2005. The organization lists Alexander Skutzka, Administrator, as its authorized official.

NPPES Registry Identity

NPI1114922689
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePENINSULA GENERAL NURSING HOME
Location Address50-15 BEACH CHANNEL DRIVEFar Rockaway, NY 11691
Mailing Address50-15 Beach Channel DriveFar Rockaway, NY 11691 · (718) 734-2000
Organization SubpartNo
Authorized OfficialAlexander SkutzkaAdministrator · (718) 734-2000
Enumeration DateJune 20, 2005
Last NPPES UpdateSeptember 5, 2014
NPI 1114922689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in NY · 7003308N
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
50-15 BEACH CHANNEL DRIVE, Far Rockaway, NY 11691

Other Identifiers 3

Other00796NY · Empire Bluecross
Medicare ID-Type Unspecified335387NY
Medicaid00332834NY

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peninsula General Nursing Home's NPI number?

The NPI number for Peninsula General Nursing Home is 1114922689. It was assigned to this organization in the NPPES registry on June 20, 2005.

Where is Peninsula General Nursing Home located?

Peninsula General Nursing Home is located at 50-15 Beach Channel Drive, Far Rockaway, NY 11691. The listed phone number is (718) 734-2000.

What is Peninsula General Nursing Home's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Peninsula General Nursing Home was last updated on September 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.