ELISSA A. FAVATA MD – NPI #1619039971
Preventive Medicine

A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.

ELISSA FAVATA is a physician located in CHERRY HILL, NJ. NPPES has assigned the NPI number 1619039971 to ELISSA FAVATA on December 14, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2083P0500X from the Health Care Provider Taxonomy code set, which is classified as Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine

The NPI profile was previously updated about 19 years ago on Jul 11, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ELISSA FAVATA below.

NPI Profile for
ELISSA A. FAVATA

NPI Number
1619039971
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
ELISSA A. FAVATA
Credentials
MD
Primary location
1401 ROUTE 70 EAST, SUITE 14
SOUTH JERSEY MEDICAL CENTER
CHERRY HILL, NJ 08034
Phone: (856) 216-1100 Fax: (856) 216-0484
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2083P0500X
- Preventive Medicine / Preventive Medicine/Occupational Environmental Medicine (Primary)
PA MD046205L
207R00000X
- Internal Medicine
NJ 25MA04036200

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.