Individual provider Active NPI

Stephanie Adamchak, M.D.

  • Family Medicine Physician
  • Ellicottville, NY
National Provider Identifier
1083004840
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
314836-01 Issued in NY
Practice address
2 Hughey Aly
Ellicottville, NY 14731-7002
Phone
(716) 670-3209
Fax
(716) 227-1769
NPI assigned
Feb 2, 2015
Last updated
Jul 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 314836-01 NY Primary
Family Medicine Physician 207Q00000X 29452 NE
Family Medicine Physician 207Q00000X 2022-01914 NC
Family Medicine Physician 207Q00000X M-16392 ID

Addresses

Primary practice location

2 Hughey Aly
Ellicottville, NY 14731-7002

Mailing address

987 R C Hoag Dr
Salamanca, NY 14779-1365
Phone (716) 945-5894

Other practice location 1

275 Thomas Indian School Dr
Irving, NY 14081-9341
Phone (716) 532-5582

Other names 1

  • Stephanie Chinchen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221117002769 NC Practitioner - Family Practice 8123314564 Reassigns benefits to 1 organization
I20260604000108 NY Practitioner - Family Practice 8123314564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of Ny Upstate Medical University, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med First Immediate Care and Family Practice PAGroup PAC ID 0446332720, 94 clinicians

Practice addresses (Care Compare)

200 Cape Fear Cir
Suite 1
Sneads Ferry, NC 28460-9192
Phone (910) 327-2277

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M-16392IDMDFamily Medicine Physician
314836-01NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Med First Immediate Care & Family Practice, PA Family Medicine CurrentSince Nov 1, 2022 Accepting new patients
Med First Immediate Care & Family Practice PA Family Medicine PastSince Nov 1, 2022 Accepting new patients

Locations

609 Richlands Hwy
Ste 6
Jacksonville, NC 28540
Phone (910) 455-7888

1616 E Millbrook Rd
Ste 110
Raleigh, NC 27609
Phone (919) 341-4016

200 Cape Fear Cir
Ste 1
Sneads Ferry, NC 28460
Phone (910) 327-2277

Interoperability endpoints

  • Direct secure messaging: stephanie.adamchak.1@1905.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1083004840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "987 R C HOAG DR",
            "city": "SALAMANCA",
            "state": "NY",
            "postal_code": "147791365",
            "telephone_number": "716-945-5894",
            "fax_number": "716-242-6345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HUGHEY ALY",
            "city": "ELLICOTTVILLE",
            "state": "NY",
            "postal_code": "147317002",
            "telephone_number": "716-670-3209",
            "fax_number": "716-227-1769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "275 Thomas Indian School Dr",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "NY",
            "postal_code": "140819341",
            "country_code": "US",
            "telephone_number": "716-532-5582",
            "fax_number": "716-242-6344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMCHAK",
        "first_name": "STEPHANIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-02",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "314836-01",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "29452",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2022-01914",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-16392",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "CHINCHEN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ellicottville, NY

Sources for this page

Verify at the official NPI Registry.