Elliot J Favus, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

231130 Issued in NY

Practice address

202 W 24TH St
Cucs-the Christopher
New York, NY 10011-1704

Phone

(917) 952-8158

NPI assigned

Oct 18, 2008

Last updated

Oct 18, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1224288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224288000000",
    "number": "1689826950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1003",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "102761003",
            "telephone_number": "917-952-8158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W 24TH ST",
            "address_2": "CUCS-THE CHRISTOPHER",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100111704",
            "telephone_number": "917-952-8158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAVUS",
        "first_name": "ELLIOT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-18",
        "last_updated": "2008-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "231130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Favis, PA
• Favorite Healthcare Staffing
• Adrienne Margaux Favorito
• Dahlia Favreau-Herz, M.D.
• Emily Favreau, PT, DPT
• Daniel Fawaz, MD
• Khaled Ahmed Fawaz, M.D
• Rashid Fawwaz, MD
• Fay Mizue Ohsumi, MD PLLC
• Allen Fay, MD

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2008; 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.