ELISSA ANN FAVATA MD
NPI 1619039971
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Cherry Hill, NJ

NPI Status: Active since December 14, 2006

Contact Information

1401 ROUTE 70 EAST, SUITE 14
SOUTH JERSEY MEDICAL CENTER
CHERRY HILL, NJ
ZIP 08034
Phone: (856) 216-1100
Fax: (856) 216-0484

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  • Individual
  • Female
  • Preventive Medicine
  • Preventive Medicine/Occupational Environ...

About ELISSA FAVATA

This page provides the complete NPI Profile along with additional information for Elissa Favata, a provider established in Cherry Hill, New Jersey with a medical specialization in Preventive Medicine, focusing in preventive medicine/occupational environmental medicine . The healthcare provider is registered in the NPI registry with number 1619039971 assigned on December 2006. The practitioner's primary taxonomy code is 2083P0500X with license number 25MA04036200 (NJ). The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1619039971
Provider Name
ELISSA ANN FAVATA MD
Gender
Female
Entity Type
Individual
Location Address
1401 ROUTE 70 EAST, SUITE 14 SOUTH JERSEY MEDICAL CENTER CHERRY HILL, NJ 08034
Location Phone
(856) 216-1100
Location Fax
(856) 216-0484
Mailing Address
1401 ROUTE 70 EAST, SUITE 14 SOUTH JERSEY MEDICAL CENTER CHERRY HILL, NJ 08034
Mailing Phone
(856) 216-1100
Mailing Fax
(856) 216-0484
Is Sole Proprietor?
Yes
Enumeration Date
12-14-2006
Last Update Date
07-11-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Preventive Medicine Preventive Medicine/Occupational Environmental Medicine

Taxonomy Code
2083P0500X
Type
Allopathic & Osteopathic Physicians
License No.
25MA04036200
License State
NJ
Taxonomy Description
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

MD046205L (PA)
2207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

C1-0004751 (DE)
3207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

25MA04036200 (NJ)
42083P0500XAllopathic & Osteopathic Physicians

Preventive Medicine
Preventive Medicine/Occupational Environmental Medicine

MD046205L (PA)
52083P0500XAllopathic & Osteopathic Physicians

Preventive Medicine
Preventive Medicine/Occupational Environmental Medicine

C1-0004751 (DE)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
C63225MEDICARE UPIN (02)NJ 
574041MEDICARE ID-TYPE UNSPECIFIED (04)NJMEDICARE PROVIDER NO.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1619039971, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
1
Doubled → 2
Pos 4
9
Unchanged
Pos 5
0
Doubled → 0
Pos 6
3
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
9
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 0 → 0 9 → 18 → 9 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 2 + 9 + 0 + 3 + 1 + 8 + 9 + 1 + 4 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1619039971.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619039971, enumerated as an "individual" on December 14, 2006.

The provider is located at 1401 ROUTE 70 EAST, SUITE 14 SOUTH JERSEY MEDICAL CENTER CHERRY HILL, NJ 08034 and the phone number is (856) 216-1100.

Preventive Medicine with taxonomy code 2083P0500X and a focus in Preventive Medicine/Occupational Environmental Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.