Elissa Ann Favata, MD is a
Preventive Medicine - Preventive Medicine/occupational Environmental Medicine physician based in Cherry Hill, New Jersey. Elissa Ann Favata is licensed to practice in New Jersey (license number 25MA04036200) and her current practice location is 1401 Route 70 East, Suite 14, South Jersey Medical Center, Cherry Hill, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(856) 216-1100.
NPI number for Elissa Ann Favata is 1619039971 and her current mailing address is 1401 Route 70 East, Suite 14, South Jersey Medical Center, Cherry Hill, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619039971.
Physician's Profile
| Full Name | Elissa Ann Favata |
|---|
| Gender | Female |
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| Speciality | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine |
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| Location | 1401 Route 70 East, Suite 14, Cherry Hill, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1619039971
- Provider Enumeration Date: 12/14/2006
- Last Update Date: 07/11/2007
Medical Identifiers
Medical identifiers for Elissa Ann Favata such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619039971 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 25MA04036200 (New Jersey) | Secondary |
| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | 25MA04036200 (New Jersey) | Primary |
| 207R00000X | Internal Medicine | MD046205L (Pennsylvania) | Secondary |
| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | MD046205L (Pennsylvania) | Secondary |
| 207R00000X | Internal Medicine | C1-0004751 (Delaware) | Secondary |
| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | C1-0004751 (Delaware) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elissa Ann Favata is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Elissa Ann Favata, MD
1401 Route 70 East, Suite 14, South Jersey Medical Center,
Cherry Hill, NJ 08034
Ph: (856) 216-1100 | Elissa Ann Favata, MD
1401 Route 70 East, Suite 14, South Jersey Medical Center,
Cherry Hill, NJ 08034
Ph: (856) 216-1100 |
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