NPIMap

Individual provider Active NPI

Mallory K Ward, PA

  • Physician Assistant
  • Irving, NY
National Provider Identifier
1235528738
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
018385 Issued in NY
Practice address
275 Thomas Indian School Dr
Irving, NY 14081-9341
Phone
(716) 532-5582
Fax
(716) 242-6344
NPI assigned
Jan 21, 2015
Last updated
Oct 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 018385 NY Primary

Addresses

Primary practice location

275 Thomas Indian School Dr
Irving, NY 14081-9341

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
04243532MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150409002106 NY Practitioner - Physician Assistant 9436477197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seneca Nation of IndiansGroup PAC ID 8123920592, 29 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Seneca Nation of Indians CurrentSince Jan 6, 2021 Accepting new patients
Seneca Nation of Indians Past Accepting new patients
Seneca Nation of Indians Past Accepting new patients
The Chautauqua Center, Inc Past Accepting new patients

Locations

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

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

Organizations & group practices 5

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 4

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": "1421798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1235528738",
    "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": "275 THOMAS INDIAN SCHOOL DR",
            "city": "IRVING",
            "state": "NY",
            "postal_code": "140819341",
            "telephone_number": "716-532-5582",
            "fax_number": "716-242-6344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "MALLORY",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-21",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "018385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04243532",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, NY

Sources for this page

Verify at the official NPI Registry.