Active NPI
Militza E Suarez-Favetta, M.D.
- Infectious Disease Physician
- Tunkhannock, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- MD041299E
- Practice address
- 1 Kim Ave Ste 2
Tunkhannock, PA 18657-9101 - Phone
- (570) 996-6555
- Fax
- (570) 996-6557
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA05929800 | NJ | |
| Internal Medicine Physician | 207R00000X | MD041299E | PA | |
| Infectious Disease Physician | 207RI0200X | 25MA05929800 | NJ | |
| Infectious Disease Physician | 207RI0200X | MD041299E | PA | Primary |
Addresses
Primary practice location
1 Kim Ave Ste 2
Tunkhannock, PA 18657-9101
Mailing address
330 Bowman St Unit 1
Wilkes Barre, PA 18702-5448
Phone (570) 823-5808
Other practice location 1
1710 E Broad St Ste A
Hazleton, PA 18201-5695
Phone (570) 459-6030
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | msuarez@wvacinc.org.nextgen.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
330 Bowman St
Unit 1
Wilkes Barre, PA 18702-5448
Phone (570) 823-5808
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA05929800 | NJ | MD | Internal Medicine Physician |
| 59298 | NJ | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Current | Accepting new patients | |
| Wyoming Valley AIDS Council | Infectious Disease | Current | Accepting new patients |
| Geisinger Clinic | Current | Accepting new patients | |
| Intermountain Medical Group, Inc | Past | Accepting new patients |
Locations
100 N Academy Ave
Danville, PA 17822
426 Airport Rd
Ste 130
Hazle Township, PA 18202
Phone (570) 459-6030
1710 E Broad St
Ste A
Hazleton, PA 18201
Phone (570) 459-6030
1 Kim Ave
Ste 3
Tunkhannock, PA 18657
Phone (570) 996-6555
1 Kim Ave
Ste 2
Tunkhannock, PA 18657
Phone (570) 996-6555
250 Old River Rd
Ste C
Wilkes Barre, PA 18702
Phone (570) 826-5038
1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300
330 Bowman St
Unit 1
Wilkes Barre, PA 18702
Phone (570) 823-5808
675 Baltimore Dr
Wilkes Barre, PA 18702
Phone (570) 808-5757
Interoperability endpoints
- militza.suarez-favetta@wvac-pa.direct.office.nextgen.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Infectious Disease Physician
- Wilkes Barre, PA
- NPI 1588080824
-
- Family Medicine Physician
- Danville, PA
- NPI 1366493868
-
- Family Medicine Physician
- Peckville, PA
- NPI 1528475100
-
- Clinical Medical Laboratory
- Kingston, PA
- NPI 1932271624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565136000000",
"number": "1477652196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 BOWMAN ST UNIT 1",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187025448",
"telephone_number": "570-823-5808",
"fax_number": "570-970-2725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 KIM AVE STE 2",
"city": "TUNKHANNOCK",
"state": "PA",
"postal_code": "186579101",
"telephone_number": "570-996-6555",
"fax_number": "570-996-6557"
}
],
"practiceLocations": [
{
"address_1": "1710 E Broad St Ste A",
"address_purpose": "LOCATION",
"city": "Hazleton",
"state": "PA",
"postal_code": "182015695",
"country_code": "US",
"telephone_number": "570-459-6030",
"fax_number": "570-459-6206",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUAREZ-FAVETTA",
"first_name": "MILITZA",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2019-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA05929800",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD041299E",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NJ",
"license": "25MA05929800",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "PA",
"license": "MD041299E",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "msuarez@wvacinc.org.nextgen.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1 Kim Ave Ste 2",
"city": "Tunkhannock",
"state": "PA",
"country_code": "US",
"postal_code": "186579101",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tunkhannock, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.