Individual provider Active NPI

Joanne Favuzza, DO

  • Colon & Rectal Surgery Physician
  • Albany, NY
National Provider Identifier
1831365543
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
328466 Issued in NY
Practice address
319 S Manning Blvd Ste 310
Albany, NY 12208-1743
Phone
(518) 438-4277
Fax
(518) 438-2777
NPI assigned
May 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 328466 NY Primary

Addresses

Primary practice location

319 S Manning Blvd Ste 310
Albany, NY 12208-1743

Mailing address

PO Box 14890
Albany, NY 12212-4890

Other practice location 1

855 Route 146
Clifton Park, NY 12065-3885
Phone (518) 438-2776

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NY, OH3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190911002463 MA Practitioner - General Surgery 8527219773 Reassigns benefits to 1 organization
I20240603001398 NY Practitioner - Colorectal Surgery (Proctology) 8527219773 Reassigns benefits to 1 organization
I20240718004780 OH Practitioner - General Surgery 8527219773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
University of New England, College of Osteo Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Peter'S Health Partners Medical Associates, P.C.Group PAC ID 6103061189, 480 clinicians

Practice addresses (Care Compare)

319 S Manning Blvd
Suite 310
Albany, NY 12208-1743
Phone (518) 438-2776

Hospital & facility affiliations

  • St Peter'S Hospital Hospital, Albany, NY, CCN 330057
  • Samaritan Hospital of Troy, New York Hospital, Troy, NY, CCN 330180

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Boston University General Surgical Associates, Inc.-QMC CurrentSince Oct 1, 2019 Accepting new patients
The Metrohealth System CurrentSince May 29, 2024 Accepting new patients
The Metrohealth System Surgery CurrentSince May 29, 2024 Accepting new patients
The Metrohealth System Current Accepting new patients
St. Peter'S Health Partners Medical Associates, P.C. CurrentSince Jul 1, 2024 Accepting new patients
Boston University General Surgical Associates, Inc. Surgery CurrentSince Oct 1, 2019 Accepting new patients
St. Peter'S Hospital of the City of Albany Past Accepting new patients
St. Peter'S Health Partners Medical Associates, P.C. Past Accepting new patients

Locations

732 Harrison Ave
Fl 5
Boston, MA 02118
Phone (617) 414-6840

720 Harrison Ave
#503
Roxbury, MA 02118
Phone 6174145404 ext. 2

319 S Manning Blvd
Ste 310
Albany, NY 12208
Phone (518) 438-2776

855 Route 146
Clifton Park, NY 12065
Phone (518) 438-2776

2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

Interoperability endpoints

  • Direct secure messaging: jfavuzza280454@direct.metrohealth.org
  • Direct secure messaging: jfavuzza3410657@direct.trinity-health.org

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1831365543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 S MANNING BLVD STE 310",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122081743",
            "telephone_number": "518-438-4277",
            "fax_number": "518-438-2777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "855 Route 146",
            "address_purpose": "LOCATION",
            "city": "Clifton Park",
            "state": "NY",
            "postal_code": "120653885",
            "country_code": "US",
            "telephone_number": "518-438-2776",
            "fax_number": "518-438-2777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAVUZZA",
        "first_name": "JOANNE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-02",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NY",
            "license": "328466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "319 S Manning Blvd Ste 310",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122081743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.