PECONIC BAY SKILLED NURSING FACILITY
NPI 1114973856
Skilled Nursing Facility in Riverhead, NY

Active since May 25, 2006
1300 ROANOKE AVE, RIVERHEAD, NY 11901(631) 548-6000(631) 548-6007 Get Directions Write a Review

NPPES record last updated: January 20, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Peconic Bay Skilled Nursing Facility NPPES

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

PECONIC BAY SKILLED NURSING FACILITY (NPI 1114973856) is a healthcare organization registered as a skilled nursing facility in Riverhead, New York and active in the NPI registry since May 2006. The organization lists Ronald Mcmanus, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1114973856
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCENTRAL SUFFOLK HOSPITAL
Location Address1300 ROANOKE AVERiverhead, NY 11901-2031
Mailing Address1300 Roanoke AveRiverhead, NY 11901-2031 · (631) 548-6000 · Fax (631) 548-6007
Fax(631) 548-6007
Organization SubpartNo
Authorized OfficialRonald McmanusVp Of Operations · (631) 548-6071
Enumeration DateMay 25, 2006
Last NPPES UpdateJanuary 20, 2015
NPI 1114973856 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 · 5155000N
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.
1300 ROANOKE AVE, Riverhead, NY 11901

Other Names 1

Doing Business AsPeconic Bay Skilled Nursing Facility

Other Identifiers 3

Other009459NY · Blue Cross
Medicare ID-Type Unspecified335688NY · Medicare
Medicaid01040922NY

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
1300 ROANOKE AVE, DEPARTMENT OF EMERGENCY MEDICINE
RIVERHEAD, NY 11901
Hospitalist
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Emergency Medicine
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Anesthesiology
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Nurse Practitioner (Adult Health)
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Nurse Practitioner (Acute Care)
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Nurse Anesthetist, Certified Registered
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Surgery
1300 ROANOKE AVE
RIVERHEAD, NY 11901

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 Central Suffolk Hospital's NPI number?

The NPI number for Central Suffolk Hospital is 1114973856. It was assigned to this organization in the NPPES registry on May 25, 2006. The provider is doing business as Peconic Bay Skilled Nursing Facility.

Where is Central Suffolk Hospital located?

Central Suffolk Hospital is located at 1300 Roanoke Ave, Riverhead, NY 11901. The listed phone number is (631) 548-6000.

What is Central Suffolk Hospital'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 Central Suffolk Hospital was last updated on January 20, 2015. 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.