Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Peninsula General Nursing Home

Skilled Nursing Facility in Far Rockaway, NY · enumerated 2005 · authorized official Alexander Skutzka, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114922689

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Registry record

Entity type Organization (Type 2)

Legal business name Peninsula General Nursing Home

Practice address 50-15 Beach Channel Drive, Far Rockaway, NY, 11691

Phone (718) 734-2000

Enumeration date Jun 20, 2005

Last updated in NPPES Sep 5, 2014

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 7003308N (NY) Primary

Authorized official

Name Alexander Skutzka

Title Administrator

Phone (718) 734-2000

Other identifiers

Identifier	Type	State	Issuer
00796	Other	NY	EMPIRE BLUECROSS
00332834	Medicaid	NY	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-09-05. Verify at npiregistry.cms.hhs.gov.

Where is Peninsula General Nursing Home located?

The practice location on file with NPPES is in Far Rockaway, NY.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-09-05.