EVA FAVA (NPI# 1700343308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700343308 |
| Entity Type | Individual |
| Full Name | EVA FAVA |
| Other Name | EVA FAVA |
| Credential | LPC |
| Practice Address |
179 S Maple Ave Ridgewood NJ 07450-4541 |
| Mailing Address |
322 Livingston Ave Lyndhurst NJ 07071-2103 |
| Practice Telephone | 5512525270 |
| Mailing Telephone | 2019786198 |
| Enumeration Date | 2019-03-01 |
| Last Update Date | 2019-03-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
37PC00663800 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
179 S MAPLE AVE |
| City | RIDGEWOOD |
| State | NJ |
| Zip Code | 07450-4541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134123631 | Miles D Lazerwitz | Dentist | 179 S Maple Ave, Ridgewood, NJ 07450-4541 | 2005-06-13 |
| 1598399297 | Maureen Patricia Neumann | Psychologist | 179 S Maple Ave, Ridgewood, NJ 07450-4541 | 2020-03-03 |
| 1780143693 | Mindfully Mine Counseling Center | Psychologist | 179 S Maple Ave, Ridgewood, NJ 07450-4541 | 2019-03-19 |
| 1568928851 | Andrea Melendez | Counselor | 179 S Maple Ave, Ridgewood, NJ 07450-4541 | 2019-02-12 |
| 1386063584 | Meredith Rainer | Counselor | 179 S Maple Ave, Ridgewood, NJ 07450-4541 | 2014-04-15 |
| 1538333588 | Rosemarie Landau Helmbrecht | Social Worker | 179 S Maple Ave, Ridgewood, NJ 07450-4541 | 2008-04-21 |
| 1114041233 | John E. Macri | Psychologist | 179 S Maple Ave, Ridgewood, NJ 07450-4541 | 2007-03-16 |
| 1346384609 | Daniel Joseph Mahoney | Psychologist | 179 S Maple Ave, Ridgewood, NJ 07450-4541 | 2007-02-19 |
| 1275576308 | John Robert Corbisiero | Psychologist | 179 S Maple Ave, Ridgewood, NJ 07450-4541 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675857 | Children's Aid and Family Services, Inc. | Behavioral Analyst | 213 Larue Road, W. Milford, NJ 07450 | 2019-05-28 |
| 1962065979 | Corey Chan | Student in an Organized Health Care Education/Training Program | 550 Lynn St, Ridgewood, NJ 07450 | 2019-04-16 |
| 1679058200 | Raymond Hawash | Pharmacist | 223 North Van Dien Ave, Ridgewood, NJ 07450 | 2018-09-28 |
| 1548771967 | Leonard Swerdlof | Dentist | 160 S Broad St, Ridgewood, NJ 07450 | 2017-10-12 |
| 1336671114 | Camp Sunshine and Camp Snowflake, Inc. | Respite Care | 1133 East Ridgewood Avenue, Ridgewood, NJ 07450 | 2017-03-30 |
| 1952764862 | Elysium Aesthetics and Vein Care, Inc | Radiology | 400 State Route 17, Ridgewood, NJ 07450 | 2016-03-30 |
| 1780077362 | Paul Walter Dasher | Psychologist | 76 West Ridgewood Avenue, Ridgewood, NJ 07450 | 2015-03-06 |
| 1255750071 | Myron Frank Lesh | Pharmacist | 305 E. Ridgewood Ave., Ridgewood, NJ 07450 | 2014-04-09 |
| 1649612912 | Jane Worthman-leva | Nutritionist | 357 South Irving St, Ridgewood, NJ 07450 | 2013-07-26 |
| 1427398858 | Life Opportunities Unlimited A Non Profit Corp. | Day Training, Developmentally Disabled Services | 75 North Maple Ave, Suite 104, Ridgewood, NJ 07450 | 2013-02-21 |
| Find all providers in zip 07450 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518580695 | Robin Shawn Gardner | Counselor | 27 Chestnut St Ste 1b, Ridgewood, NJ 07450-3845 | 2020-05-22 |
| 1568957033 | Chris D Warren Dickins | Counselor | 235 Orchard Pl, Ridgewood, NJ 07450-4903 | 2018-06-27 |
| 1295125607 | Kristin Doherty | Counselor | 61 N Maple Ave Ste 204a, Ridgewood, NJ 07450-3232 | 2015-01-24 |
| 1184792442 | Marilynn Fera Nereo | Counselor | 310 Heights Rd, Ridgewood, NJ 07450-2416 | 2006-12-02 |
| 1447773544 | Brian Amorello | Counselor | 20 Wilsey Sq, Ridgewood, NJ 07450-3793 | 2017-07-20 |
| 1629430673 | Victoria Salazar | Counselor | 174 Union St, Ridgewood, NJ 07450-4498 | 2016-03-28 |
| 1174984264 | Tina Pisani | Counselor | 174 Union St, Ridgewood, NJ 07450-4498 | 2016-03-16 |
| 1134594419 | Dana Pavese | Counselor | 4 Wilsey Sq, Suite 4, Ridgewood, NJ 07450-3791 | 2015-12-11 |
| 1225433428 | Engage Counseling, LLC | Counselor | 118 Prospect St, Suite 2, Ridgewood, NJ 07450-4473 | 2014-10-30 |
| 1275977845 | Thomas Joseph Kersting | Counselor | 589 Franklin Tpke, Ridgewood, NJ 07450-1989 | 2013-04-25 |
| Find all providers in RIDGEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.