Individual provider Active NPI

Ivy Jane Dimaculangan, AUD

  • Audiologist
  • Amherst, NY
National Provider Identifier
1245176510
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
003371 Issued in NY
Practice address
4600 Main St Ste 201
Amherst, NY 14226-4500
Phone
(716) 833-4488
Fax
(716) 839-1218
NPI assigned
Apr 28, 2026
Last updated
Apr 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 003371 NY Primary

Addresses

Primary practice location

4600 Main St Ste 201
Amherst, NY 14226-4500

Mailing address

4600 Main St Ste 201
Amherst, NY 14226-4500
Phone (716) 833-4488

Other practice location 1

4063 N Buffalo St
Orchard Park, NY 14127-2448
Phone (716) 833-4488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260506000900 NY Practitioner - Qualified Audiologist 7012485295 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
State University of New York at Buffalo School of Medicine, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4600 Main St
Suite 201
Amherst, NY 14226-4500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003371NYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing Evaluation Services of Buffalo, Inc. Audiologist CurrentSince Apr 1, 2026 Accepting new patients
Life Sounds Audiology, Inc CurrentSince Apr 1, 2026 Accepting new patients

Locations

4063 N Buffalo St
Ste 3
Orchard Park, NY 14127
Phone 7168334488 ext. 503

4600 Main St
Ste 201
Snyder, NY 14226
Phone (716) 650-5088

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1777334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1245176510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MAIN ST STE 201",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142264500",
            "telephone_number": "716-833-4488",
            "fax_number": "716-839-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 MAIN ST STE 201",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142264500",
            "telephone_number": "716-833-4488",
            "fax_number": "716-839-1218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4063 N Buffalo St",
            "address_purpose": "LOCATION",
            "city": "Orchard Park",
            "state": "NY",
            "postal_code": "141272448",
            "country_code": "US",
            "telephone_number": "716-833-4488",
            "fax_number": "716-839-1218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIMACULANGAN",
        "first_name": "IVY JANE",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-28",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "003371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; 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.