Eva Fava, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00663800 Issued in NJ

Practice address

179 S Maple Ave
Ridgewood, NJ 07450-4541

Phone

(551) 252-5270

NPI assigned

Mar 1, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Eva Fava Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23385/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Empower U Outpatient Services

  dba Empower U.

  • Community/Behavioral Health Agency
  • Hazlet, NJ
  • NPI 1023695491
  NPD (past)

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

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1700343308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 LIVINGSTON AVE",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070712103",
            "telephone_number": "201-978-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 S MAPLE AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504541",
            "telephone_number": "551-252-5270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAVA",
        "first_name": "EVA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-01",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00663800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVA",
            "last_name": "FAVA",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Family of Caring Healthcare at Ridgewood, LLC (Family of Caring at Van Dyk)
• Family Physical Therapy of Ridgewood, L.L.C.
• Family Physician, LLC
• Alima Bibi Farooki, M.D.
• David Alan Fascitelli, MD
• Lolita Feld, PA-C
• Howard Eric Felderman, MD
• Nancy Ellen Feldman, MA, RD
• Bruce Wayne Felsenstein, MD
• Trevor Fennell

• Professional Counselor in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; 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.