Active NPI
Matthew S Favazza, FNP
- Family Nurse Practitioner
- Hyannis, MA
National Provider Identifier
1699114512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN2276825
- Practice address
- 1070 Iyannough Rd
Hyannis, MA 02601-1871 - Phone
- (888) 405-6396
- Fax
- (415) 252-7176
- NPI assigned
- Jun 25, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN2276825 | MA | Primary |
Addresses
Primary practice location
1070 Iyannough Rd
Hyannis, MA 02601-1871
Mailing address
1070 Iyannough Rd
Hyannis, MA 02601-1871
Phone (888) 405-6396
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iora Health Massachusetts, P.C. | Current | Accepting new patients | |
| Iora Health Massachusetts, P.C. | Current | Accepting new patients | |
| Iora Health Massachusetts, P.C. | Current | Accepting new patients | |
| Iora Health, LLC | Past | Accepting new patients |
Locations
101 Tremont St
Fl 6
Boston, MA 02108
1070 Route 132
Hyannis, MA 02601
Phone (508) 771-9701
1070 Iyannough Rd
Ste I10
Hyannis, MA 02601
Phone (508) 948-3400
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.
-
- Internal Medicine Physician
- Medford, MA
- NPI 1255842936
-
- Internal Medicine Physician
- Hyannis, MA
- NPI 1154660603
-
- Internal Medicine Physician
- Hyannis, MA
- NPI 1851858666
-
- Internal Medicine Physician
- Hanover, NH
- NPI 1700285616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780617600000",
"number": "1699114512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1070 IYANNOUGH RD",
"city": "HYANNIS",
"state": "MA",
"postal_code": "026011871",
"telephone_number": "888-405-6396",
"fax_number": "415-252-7176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1070 IYANNOUGH RD",
"city": "HYANNIS",
"state": "MA",
"postal_code": "026011871",
"telephone_number": "888-405-6396",
"fax_number": "415-252-7176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAVAZZA",
"first_name": "MATTHEW",
"middle_name": "S",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-25",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2276825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hyannis, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.