Individual provider Active NPI

Diane Elena Favata

  • Registered Nurse
  • Hartsdale, NY
National Provider Identifier
1174248678
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
477839 Issued in NY
Practice address
68 E Hartsdale Ave Apt 2a
Hartsdale, NY 10530-2715
Phone
(914) 270-2949
NPI assigned
Oct 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 477839 NY Primary

Addresses

Primary practice location

68 E Hartsdale Ave Apt 2a
Hartsdale, NY 10530-2715

Mailing address

68 E Hartsdale Ave Apt 2a
Hartsdale, NY 10530-2715
Phone (914) 270-2949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
477839NYMDRegistered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1174248678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 E HARTSDALE AVE APT 2A",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105302715",
            "telephone_number": "914-270-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 E HARTSDALE AVE APT 2A",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105302715",
            "telephone_number": "914-270-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAVATA",
        "first_name": "DIANE",
        "middle_name": "ELENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "477839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartsdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.