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TAMMY LAUREN FAVARO AGACNP
NPI 1073115929
Nurse Practitioner - Acute Care in Holtsville, NY

Active since November 14, 2020PECOS Enrolled
16 STORM DR, HOLTSVILLE, NY 11742(516) 658-5064 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 12, 2023, Nov 14, 2020 (2 updates tracked since 2020).

About Tammy Lauren Favaro Agacnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAMMY LAUREN FAVARO AGACNP (NPI 1073115929) is an individual acute care provider in Holtsville, New York, licensed in New York (431903) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073115929
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameTAMMY LAUREN FAVAROCredential: AGACNP
Location Address16 STORM DRHoltsville, NY 11742-1905
Mailing Address16 Storm DrHoltsville, NY 11742-1905 · (516) 658-5064
Phone(516) 658-5064
Sole ProprietorNo
Enumeration DateNovember 14, 2020
Last NPPES UpdateJune 12, 20232 updates tracked since enumeration
NPPES CertifiedJune 12, 2023
✔ NPI 1073115929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in NY · 431903
16 STORM DR, Holtsville, NY 11742
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tammy Lauren Favaro Agacnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11742 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tammy Favaro's NPI number?

The NPI number for Tammy Favaro is 1073115929. It was assigned to this individual provider in the NPPES registry on November 14, 2020.

Where is Tammy Favaro located?

Tammy Favaro practices at 16 Storm Dr, Holtsville, NY 11742. The listed phone number is (516) 658-5064.

What is Tammy Favaro's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Tammy Favaro enrolled in Medicare?

Yes. Tammy Favaro is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tammy Favaro was last updated on June 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.