Waterford Ambulance Service, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

WATERFORD AMBULANCE SERVICE, INC

Practice address

454 Boston Post Rd
Waterford, CT 06385-1510

Phone

(860) 477-9301

NPI assigned

Feb 9, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Neil Wiseman

Title

President

Phone

(860) 389-2701

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1467425652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 165",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064050165",
            "telephone_number": "860-663-3634",
            "fax_number": "860-452-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 BOSTON POST RD",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063851510",
            "telephone_number": "860-477-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERFORD AMBULANCE SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-09",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "WISEMAN",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-389-2701",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "710C152A2CT01",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004172897",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP.
• Walgreen Co
• Caitlin Alice Ward, LCSW
• Waterbury Yellow Cab and Service Company, Inc.
• Waterford Dental Associates PC
• Waterford Dental Health
• Waterford Eyecare
• Waterford Optometric PC
• Waterford Pediatrics

• Land Ambulance in Waterford, CT
• Providers in Waterford, CT by specialty
• Land Ambulance in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.