Roberta S Favant

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

017035 Issued in NY

Practice address

680 W 204TH St Apt 6F
New York, NY 10034-3004

Phone

(917) 287-4446

NPI assigned

Nov 3, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446508800000",
    "number": "1922471689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 W 204TH ST APT 6F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100343004",
            "telephone_number": "917-287-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 W 204TH ST APT 6F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100343004",
            "telephone_number": "917-287-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAVANT",
        "first_name": "ROBERTA",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-03",
        "last_updated": "2015-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "017035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Fauver
• Anissa Rose Fava, LMHC-D
• Atanasio Gaetano Fava, M.S., CCC-SLP
• Clara Elizabeth Favale, PT
• Maria Favale, PHARMD
• Favate Neurology PC
• Albert Favate, MD
• Robert Philip Favelukes, M.D.
• Kristine Abadilla Favila, D.O.
• Melissa Favis, PA

• Speech-Language Pathologist in New York, NY
• Providers in New York, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; 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.