Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Amanda Derrick Canova, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1164468161

Dr. Amanda Derrick Canova, MD is an Obstetrics/Gynecology in Hackettstown, New Jersey. Graduated from Rutgers New Jersey Medical School in 1999, 27 years ago. Practices with Lifeline Medical Associates LLC, a 151-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey and Pennsylvania.

Years since qualifying
27
Trained at
Rutgers New Jersey Medical School
Licensed in
NJ, PA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

653 Willow Grove St Ste 2200
Hackettstown, NJ 07840-1732
Phone: (908) 852-7770
Fax: (908) 852-7755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence MD441088 (PA)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence MA71710 (NJ)

Record details

NPI number1164468161
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 20, 2006
Last updated in NPPESJanuary 14, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolRUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated 1999 (27 years in practice)
Group practice Lifeline Medical Associates Llc — 151 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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