Individual provider Active NPI

Rosa Eneida Perdomo Rivera, LPN

  • Licensed Practical Nurse
  • Rochester, NY
National Provider Identifier
1487524070
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
353104 Issued in NY
Practice address
2401 E Ridge Rd Apt 146
Rochester, NY 14622-2740
Phone
(585) 406-9261
NPI assigned
Nov 7, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 353104 NY Primary

Addresses

Primary practice location

2401 E Ridge Rd Apt 146
Rochester, NY 14622-2740

Mailing address

2401 E Ridge Rd Apt 146
Rochester, NY 14622-2740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
353104NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1762473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1487524070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 E RIDGE RD APT 146",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146222740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 E RIDGE RD APT 146",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146222740",
            "telephone_number": "585-406-9261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERDOMO RIVERA",
        "first_name": "ROSA",
        "middle_name": "ENEIDA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-07",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "353104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.