Active NPI
Rowena Engracia Foronda Rivera, M.D.
- Neurology with Special Qualifications in Child Neurology Physician
- Hershey, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- 0101272251
- Practice address
- 500 University Dr
Hershey, PA 17033-2360 - Phone
- (800) 243-1455
- Fax
- (717) 531-0245
- NPI assigned
- Nov 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | MD064744L | PA | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 29287 | WV | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 0101272251 | VA | Primary |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 35-088594 | OH |
Addresses
Primary practice location
500 University Dr
Hershey, PA 17033-2360
Mailing address
PO Box 858
MC A410
Hershey, PA 17033-0858
Phone (800) 243-1455
Other practice location 1
3023 Hamaker Ct Ste 300
Fairfax, VA 22031-2240
Phone (703) 876-2788
Other practice location 2
830 Pennsylvania Ave Ste 405
Charleston, WV 25302-3390
Phone (304) 388-6950
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124190368 | Medicaid | WV | |
| 0017054580003 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-088594 | OH | MD | Neurology with Special Qualifications in Child Neurology Physician |
| MD064744L | PA | MD | Neurology with Special Qualifications in Child Neurology Physician |
| 0101272251 | VA | MD | Neurology with Special Qualifications in Child Neurology Physician |
| 29287 | WV | MD | Neurology with Special Qualifications in Child Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Area Medical Center, Inc. | Current | Accepting new patients | |
| Charleston Area Medical Center Inc | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
830 Pennsylvania Ave
Ste 405
Charleston, WV 25302
Phone (304) 345-4770
501 Morris St
Charleston, WV 25301
Phone (304) 348-6293
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Charleston, WV
- NPI 1124248752
-
- Multi-Specialty Clinic/Center
- Belpre, OH
- NPI 1588422547
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770681600000",
"number": "1124190368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 858",
"address_2": "MC A410",
"city": "HERSHEY",
"state": "PA",
"postal_code": "170330858",
"telephone_number": "800-243-1455",
"fax_number": "717-531-0245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 UNIVERSITY DR",
"city": "HERSHEY",
"state": "PA",
"postal_code": "170332360",
"telephone_number": "800-243-1455",
"fax_number": "717-531-0245"
}
],
"practiceLocations": [
{
"address_1": "3023 Hamaker Ct Ste 300",
"address_purpose": "LOCATION",
"city": "Fairfax",
"state": "VA",
"postal_code": "220312240",
"country_code": "US",
"telephone_number": "703-876-2788",
"fax_number": "571-405-5720",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "830 Pennsylvania Ave Ste 405",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253023390",
"country_code": "US",
"telephone_number": "304-388-6950",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIVERA",
"first_name": "ROWENA ENGRACIA",
"middle_name": "FORONDA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2026-02-10",
"certification_date": "2026-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "PA",
"license": "MD064744L",
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "WV",
"license": "29287",
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "VA",
"license": "0101272251",
"primary": true
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "OH",
"license": "35-088594",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1124190368",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0017054580003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hershey, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.