Individual provider Active NPI

Matthew S Favazza, FNP

  • Family Nurse Practitioner
  • Hyannis, MA
National Provider Identifier
1699114512
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2276825 Issued in MA
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

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130903000301 MA Practitioner - Nurse Practitioner 0547403040 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Iora Health Massachusetts, P.C. Current Accepting new patients
Iora Health Massachusetts, P.C. CurrentSince Jun 18, 2018 Accepting new patients
Iora Health Massachusetts, P.C. CurrentSince Jun 18, 2018 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.

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

Verify at the official NPI Registry.