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KATHERINE PERDOMO
NPI 1801783204
Licensed Practical Nurse in Riverhead, NY

Active since June 19, 2025
170 OLD COUNTRY RD, RIVERHEAD, NY 11901(631) 208-4460(631) 208-4462 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Katherine Perdomo NPPES

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

KATHERINE PERDOMO (NPI 1801783204) is an individual licensed practical nurse in Riverhead, New York, licensed in New York (353199-01) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1801783204
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKATHERINE PERDOMO
Location Address170 OLD COUNTRY RDRiverhead, NY 11901-2198
Mailing Address167 1st AveLindenhurst, NY 11757-1105 · (516) 220-8679
Phone(631) 208-4460
Fax(631) 208-4462
Sole ProprietorNo
Enumeration DateJune 19, 2025
NPPES CertifiedJune 19, 2025
✔ NPI 1801783204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 353199-01
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
170 OLD COUNTRY RD, Riverhead, NY 11901
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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.

OSHRAT KAPLAN LMSW
Social Worker
170 OLD COUNTRY RD
RIVERHEAD, NY 11901
Suffolk County (631) 208-4460
CHASITY JENKINS
Social Worker
170 OLD COUNTRY RD
RIVERHEAD, NY 11901
Suffolk County (631) 208-4460
SUFFOLK PRIMARY HEALTH, LLC
Clinic/Center (Primary Care)
170 OLD COUNTRY RD
RIVERHEAD, NY 11901
Suffolk County (631) 208-4460
KELLY GUNCAY
Licensed Practical Nurse
170 OLD COUNTRY RD
RIVERHEAD, NY 11901
Suffolk County (631) 208-4460
JONATHAN SAUL ZOLTY
Social Worker
170 OLD COUNTRY RD
RIVERHEAD, NY 11901
Suffolk County (631) 208-4461
ADINA PLUTCHOK RN
Registered Nurse
170 OLD COUNTRY RD
RIVERHEAD, NY 11901
Suffolk County (347) 222-6620
BENJAMIN PENN
Physician Assistant (Medical)
170 OLD COUNTRY RD
RIVERHEAD, NY 11901
Suffolk County (631) 208-4460
JULISSA SOSA LMSW
Social Worker
170 OLD COUNTRY RD
RIVERHEAD, NY 11901
Suffolk County (631) 208-4460

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 Katherine Perdomo's NPI number?

The NPI number for Katherine Perdomo is 1801783204. It was assigned to this individual provider in the NPPES registry on June 19, 2025.

Where is Katherine Perdomo located?

Katherine Perdomo practices at 170 Old Country Rd, Riverhead, NY 11901. The listed phone number is (631) 208-4460.

What is Katherine Perdomo's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Katherine Perdomo was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.