NPIMap

Individual provider Active NPI

Amanda B Maliphol, DO

  • Family Medicine Physician
  • Salamanca, NY
National Provider Identifier
1497275739
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
306386 Issued in NY
Practice address
987 R C Hoag Dr
Salamanca, NY 14779-1365
Phone
(716) 945-5894
Fax
(716) 242-6345
NPI assigned
Jun 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 306386 NY Primary

Addresses

Primary practice location

987 R C Hoag Dr
Salamanca, NY 14779-1365

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 identifiers 3

IdentifierTypeStateIssuer
240419000082OtherNYFIDELIS - LRJ
06164209MedicaidNY
240626000129OtherNYFIDELIS - CIR

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
I20201022000360 NY Practitioner - Family Practice 7719307289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2017
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)

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

Hospital & facility affiliations

  • Cattaraugus County Department of Health Chha Home health agency, Olean, NY, CCN 337004
  • Vna of Western Ny Chha Home health agency, Cheektowaga, NY, CCN 337006
  • Olean General Hospital Hospital, Olean, NY, CCN 330103

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
306386NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Seneca Nation of Indians CurrentSince May 6, 2024 Accepting new patients
Seneca Nation of Indians CurrentSince May 6, 2024 Accepting new patients
Seneca Nation of Indians 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 3

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

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": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1497275739",
    "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": "987 R C HOAG DR",
            "city": "SALAMANCA",
            "state": "NY",
            "postal_code": "147791365",
            "telephone_number": "716-945-5894",
            "fax_number": "716-242-6345"
        }
    ],
    "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": "MALIPHOL",
        "first_name": "AMANDA",
        "middle_name": "B",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "306386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS - LRJ",
            "identifier": "240419000082",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06164209",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS - CIR",
            "identifier": "240626000129",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salamanca, NY

Sources for this page

Verify at the official NPI Registry.