Unbridled Aesthetics

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

UNBRIDLED AESTHETICS

Practice address

245 Hidden Pond Path
Wading River, NY 11792-2184

Phone

(631) 662-0614

NPI assigned

Jun 16, 2026

Organization subpart

No

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

Authorized official

Name

Erica McBrideNPI 1487904165

Title

Physician Assistant

Phone

(631) 662-0614

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erica Avvento McBride, PA-C

  • Physician Assistant
  • Roslun, NY
  • NPI 1487904165
  NPD Authorized official

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

{
    "created_epoch": "1781568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1538094925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 HIDDEN POND PATH",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117922184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 HIDDEN POND PATH",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117922184",
            "telephone_number": "631-662-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNBRIDLED AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-16",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "MCBRIDE",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "631-662-0614"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• TMH Medical Home
• Stephanie Marie Tomich, RPA-C
• Susan Coffin Troise, R.N.
• Lauren Turner, LCSW CASAC
• Erik Michael Ulrich, LCSW
• Sarah Verneuille, RN
• Dawn Verni
• Corinne Brooke Vidulich, M.D.
• Kim Ann Vitacco, NP
• Wading River Complete Dental Care PC

• Physician Assistant in Wading River, NY
• Providers in Wading River, NY by specialty
• Physician Assistant in New York

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.