Peconic Landing at Southold Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PECONIC LANDING AT SOUTHOLD INC

Practice address

1500 Brecknock Rd
Greenport, NY 11944-3117

Phone

(631) 477-3800

Fax

(631) 477-3900

NPI assigned

Aug 3, 2005

Organization subpart

No

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

Authorized official

Name

Lisa Barbara Quinn

Title

Cfo

Phone

(631) 477-3800

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Skilled nursing facility certification: CCN 335842

Legal name

PECONIC LANDING AT SOUTHOLD INC

Doing business as

PECONIC LANDING AT SOUTHOLD, INC.

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 24, 2003

Last certification

Apr 11, 2025

Beds

66

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Dec 30, 1994 in NY

Enrollment address

1500 Brecknock Rd
Greenport, NY 11944-3117

Nursing home name

PECONIC LANDING AT SOUTHHOLD

Listed as

Peconic Landing at SouthholdCCN 335842

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

4 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Mar 24, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6652.0 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Nathanael Desire, D.O.

  • Internal Medicine Physician
  • Bellport, NY
  • NPI 1922118652

  Nursing home

  Care Compare affiliation
• Jay P Slotkin, MD

  • Internal Medicine Physician
  • Southold, NY
  • NPI 1780650226

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1033110770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 BRECKNOCK RD",
            "city": "GREENPORT",
            "state": "NY",
            "postal_code": "119443117",
            "telephone_number": "631-477-3800",
            "fax_number": "631-477-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 BRECKNOCK RD",
            "city": "GREENPORT",
            "state": "NY",
            "postal_code": "119443117",
            "telephone_number": "631-477-3800",
            "fax_number": "631-477-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PECONIC LANDING AT SOUTHOLD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-03",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "QUINN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "BARBARA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "631-477-3800"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02410795",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph John Pagano, OD
• Celine Marie Paillot, PHD
• Paragon Emergency Medicine, PC
• Kathryn Ann Park, OTR/L
• Riddhi Patel
• Peconic Pathology Associates, P.C.
• Alexa-Rae Pesce, MD
• Phamco Inc.
• Pietro Piacquadio, R.PH.
• Susan E Rambo, LICSW

• All providers in Greenport, NY
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.