Active NPI
Favate Neurology PC
- Neurology Physician
- New York, NY
National Provider Identifier
1306149778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 161583
- Legal business name
- FAVATE NEUROLOGY PC
- Practice address
- 80 Fifth Avenue Suite 1605
New York, NY 10011 - Phone
- (212) 675-3878
- Fax
- (212) 647-1931
- NPI assigned
- Dec 7, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Albert Favate, M.D.
- Title
- President
- Phone
- (212) 675-3878
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 161583 | NY | Primary |
Addresses
Primary practice location
80 Fifth Avenue Suite 1605
New York, NY 10011
Mailing address
80 Fifth Avenue Suite 1605
New York, NY 10011
Phone (212) 675-3878
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P3239454 | Other | OXFORD | |
| 01602400 | Medicaid | NY | |
| 7C6669 | Other | HEALTHNET | |
| 4637585 | Other | NY | AETNA PPO |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- New York, NY
- NPI 1598859589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291680000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291680000000",
"number": "1306149778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 FIFTH AVENUE SUITE 1605",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10011",
"telephone_number": "212-675-3878",
"fax_number": "212-647-1931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 FIFTH AVENUE SUITE 1605",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10011",
"telephone_number": "212-675-3878",
"fax_number": "212-647-1931"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAVATE NEUROLOGY PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-07",
"last_updated": "2010-12-07",
"status": "A",
"authorized_official_last_name": "FAVATE",
"authorized_official_first_name": "ALBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "212-675-3878",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "161583",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3239454",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01602400",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "7C6669",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "4637585",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.