Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1801783204 Individual Practitioner Female Practitioner

Katherine Perdomo

Licensed Practical Nurse • Riverhead, NY

Professional Overview & Biography Verified Profile Summary

Katherine Perdomo is a registered healthcare professional specializing in Licensed Practical Nurse in Riverhead, NY. Practice services are available at 170 OLD COUNTRY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

170 Old Country Rd

Riverhead, NY 119012198

Telephone 6312084460
Fax 6312084462
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Riverhead, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
40 Specialists

Practicing in Riverhead, NY (23738 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-19
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NY 353199-01

An individual 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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners
Diego Cruz

Social Worker

NPI 1003620527
Gabriela Martinez

Licensed Practical Nurse

NPI 1033095930
NPI 1164128773

Licensed Master Social Worker

Chasity Jenkins

Social Worker

NPI 1174482772
Kelly Guncay

Licensed Practical Nurse

NPI 1194617225
Shaindel Schwed , BSN, RN

Registered Nurse - Infusion Therapy

NPI 1235024191

Bachelor of Science in Nursing, Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 19, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location June 19, 2025

Registered at 170 OLD COUNTRY RD, RIVERHEAD, NY 119012198 (Tel: 6312084460)

📍
Updated Business Mailing Address June 19, 2025

Registered at 167 1ST AVE, LINDENHURST, NY 117571105 (Tel: 5162208679)

👤
Provider Name / Credentials Updated June 19, 2025

Recorded as KATHERINE PERDOMO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2025

Licensed Practical Nurse (License #353199-01 in NY)

🟢
Initial NPI Registration & Enumeration June 19, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801783204
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 19, 2025
Last Update: June 19, 2025
Sole Proprietor: No

Mailing Address

167 1st Ave

Lindenhurst, NY 117571105

Phone: 5162208679

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.