1. Home
  2. Directory
  3. New Jersey
  4. Cherry Hill
  5. Preventive Medicine
  6. NPI Profile

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

Active since December 14, 2006
1401 ROUTE 70 EAST, SUITE 14, SOUTH JERSEY MEDICAL CENTER, CHERRY HILL, NJ 08034(856) 216-1100(856) 216-0484 Get Directions Write a Review

NPPES record last updated: July 11, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elissa Ann Favata Md NPPES

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

ELISSA ANN FAVATA MD (NPI 1619039971) is an individual preventive medicine/occupational environmental medicine provider in Cherry Hill, New Jersey, licensed in New Jersey (25MA04036200) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1619039971
Entity TypeIndividualFemale
Primary Taxonomy2083P0500X
Provider Legal NameELISSA ANN FAVATACredential: MD
Location Address1401 ROUTE 70 EAST, SUITE 14, SOUTH JERSEY MEDICAL CENTERCherry Hill, NJ 08034
Mailing Address1401 Route 70 East, Suite 14, South Jersey Medical CenterCherry Hill, NJ 08034 · (856) 216-1100 · Fax (856) 216-0484
Phone(856) 216-1100
Fax(856) 216-0484
Sole ProprietorYes
Enumeration DateDecember 14, 2006
Last NPPES UpdateJuly 11, 2007
✔ NPI 1619039971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0500X
Licenses✔ Licensed in NJ · 25MA04036200✔ Licensed in PA · MD046205L✔ Licensed in DE · C1-0004751
Definition
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD046205L (PA), C1-0004751 (DE), 25MA04036200 (NJ)
1401 ROUTE 70 EAST, SUITE 14, Cherry Hill, NJ 08034
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINC63225NJ
Medicare ID-Type Unspecified574041NJ · Medicare Provider No.

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 Elissa Favata's NPI number?

The NPI number for Elissa Favata is 1619039971. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is Elissa Favata located?

Elissa Favata practices at 1401 Route 70 East, Suite 14 South Jersey Medical Center, Cherry Hill, NJ 08034. The listed phone number is (856) 216-1100.

What is Elissa Favata's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine, with taxonomy code 2083P0500X.

When was this NPI record last updated?

The NPPES record for Elissa Favata was last updated on July 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.