Megan Tuberdyke

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

617286 Issued in NY

Practice address

9 Impala Pkwy
Lancaster, NY 14086-1307

Phone

(716) 390-9722

Fax

(716) 390-9722

NPI assigned

Oct 21, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1761004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774656000000",
    "number": "1154298438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 IMPALA PKWY",
            "city": "LANCASTER",
            "state": "NY",
            "postal_code": "140861307",
            "telephone_number": "716-390-9722",
            "fax_number": "716-390-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 IMPALA PKWY",
            "city": "LANCASTER",
            "state": "NY",
            "postal_code": "140861307",
            "telephone_number": "716-390-9722",
            "fax_number": "716-390-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUBERDYKE",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-21",
        "last_updated": "2026-03-28",
        "certification_date": "2026-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "617286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randall Thompson, DC
• Laura Toczek, MBA, RD, CDN
• Ashley Tom
• Amanda Lee Tredinnick
• Irene Donna Trzybinski, D.C
• Emily Catherine Tutak, OTR
• Jennifer Lynn Vacanti, MSED
• Beth A. Vandenberg
• Vascular-Interventional Associates, P.C.
• Donna M. Velocci

• Family Nurse Practitioner in Lancaster, NY
• Providers in Lancaster, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.
• 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.