Wading River Fire District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

WADING RIVER FIRE DISTRICT

Practice address

1503 N Country Rd
Wading River, NY 11792-1640

Phone

(631) 929-4362

NPI assigned

Dec 22, 2022

Organization subpart

No

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

Authorized official

Name

Amanda Telepan

Title

District Admin

Phone

(631) 886-0104

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1671667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1255043188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18230",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152360230",
            "telephone_number": "631-886-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 N COUNTRY RD",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117921640",
            "telephone_number": "631-929-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WADING RIVER FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-22",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "TELEPAN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "DISTRICT ADMIN",
        "authorized_official_telephone_number": "631-886-0104"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Verneuille, RN
• Dawn Verni
• Corinne Brooke Vidulich, M.D.
• Kim Ann Vitacco, NP
• Wading River Complete Dental Care PC
• Wading River Medical Care PC
• Wading River Pediatric Dentistry, PC
• Wading River Physical Therapy, PC
• Jeffrey Todd Wagner, PT, DPT
• Walgreen Co

• Land Ambulance in Wading River, NY
• Providers in Wading River, NY by specialty
• Land Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.