MR. PATRICK JOHN FAVA JR. (NPI# 1972991438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972991438 |
| Entity Type | Individual |
| Full Name | MR. PATRICK JOHN FAVA JR. |
| Credential | ATC, LAT |
| Practice Address |
631 S College Ave Athletic Training Room Newark DE 19716-2010 |
| Mailing Address |
6477 83rd Pl Middle Village NY 11379-2434 |
| Practice Telephone | 3028318857 |
| Mailing Telephone | 7185072961 |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2015-01-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
J3-0000524 | DE | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
631 S COLLEGE AVE ATHLETIC TRAINING ROOM |
| City | NEWARK |
| State | DE |
| Zip Code | 19716-2010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821025701 | John Joseph Smith | Specialist/Technologist | 631 S College Ave, 142 Bcc Training Room, Newark, DE 19716-2010 | 2006-06-27 |
| 1073150215 | Stephanie Ann Minite | Specialist/Technologist | 631 S College Ave, Newark, DE 19716-2010 | 2019-12-06 |
| 1437794328 | Steven Browne | Specialist/Technologist | 631 S College Ave, Newark, DE 19716-2010 | 2019-11-14 |
| 1164923942 | Caroline M Howard | Specialist/Technologist | 631 S College Ave, Newark, DE 19716-2010 | 2018-02-27 |
| 1033618475 | Brandon Desantis | Specialist/Technologist | 631 S College Ave, Newark, DE 19716-2010 | 2018-02-12 |
| 1154836971 | Melanee Johnson | Specialist/Technologist | 631 S College Ave, Newark, DE 19716-2010 | 2017-12-04 |
| 1780131177 | Tiana Mckim | Specialist/Technologist | 631 S College Ave, Newark, DE 19716-2010 | 2016-09-02 |
| 1992252332 | Sarah Roger | Specialist/Technologist | 631 S College Ave, Newark, DE 19716-2010 | 2016-09-01 |
| 1760801435 | Daniel Watson | Specialist/Technologist | 631 S College Ave, Newark, DE 19716-2010 | 2014-04-10 |
| 1477972420 | Paul Lowry | Specialist/Technologist | 631 S College Ave, Bob Carpenter Center, Newark, DE 19716-2010 | 2014-04-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245865310 | William James Gaffney | Specialist/Technologist | 541 S College Ave, Newark, DE 19716 | 2020-03-09 |
| 1013306356 | Thomas William Kaminski | Specialist/Technologist | 541 South College Avenue, University of Delaware - Hpl159, Newark, DE 19716 | 2015-01-09 |
| 1962708875 | Anna O'shea Shovestul | Physical Therapist | 63 Delaware Avenue, 053 Mckinly Lab, Newark, DE 19716 | 2011-02-10 |
| 1629300264 | Anthony Carroll | Physical Medicine & Rehabilitation | 063 East Delaware Ave, 053 Mckinly Lab, Newark, DE 19716 | 2010-02-08 |
| 1376734590 | Sean Christopher Cole | Physical Therapist | University of Delaware Physical Therapy Clinic, 63 East Delaware Avenue, Newark, DE 19716 | 2007-08-05 |
| 1770618530 | Roberta M Moloff | Psychiatry & Neurology | 209 Laurel Hall, University of Delaware, Newark, DE 19716 | 2007-02-22 |
| 1801939400 | Charles Buz Swanik | Specialist/Technologist | 547 South College Avenue, 151 Hpl, C O Fred Rust Arena, Newark, DE 19716 | 2007-02-14 |
| 1760524177 | Michele A Lobo | Physical Therapist | Delaware & Academy Avenues, Pt Clinic, Mckinly Building, The University of Delaware, Newark, DE 19716 | 2007-02-13 |
| 1740320274 | Megan Kathleen Schaefer | Physical Therapist | 53 Mckinley Lab, University of Delaware Pt Clinic, Newark, DE 19716 | 2007-02-07 |
| 1609916832 | Lynn Snyder-mackler | Physical Therapist | E. Delaware Avenue, 053 Mckinly Lab, Newark, DE 19716 | 2007-02-07 |
| Find all providers in zip 19716 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235759143 | Melanie Lu | Specialist/Technologist | 123 Halloween Run, Newark, DE 19702-2312 | 2020-04-21 |
| 1245865310 | William James Gaffney | Specialist/Technologist | 541 S College Ave, Newark, DE 19716 | 2020-03-09 |
| 1700418431 | Tyler Dalton | Specialist/Technologist | 130 New London Rd, Newark, DE 19711-7037 | 2020-02-11 |
| 1528690260 | Laura Durkee | Specialist/Technologist | 329 E Main St Apt 310, Newark, DE 19711-7199 | 2020-02-11 |
| 1396377347 | Kyle Alea | Specialist/Technologist | 1365 Pulaski Hwy, Newark, DE 19702-5105 | 2020-02-07 |
| 1851923957 | Sabrina Bermudez | Specialist/Technologist | 240 Mount Vernon Pl Apt 7k, Newark, NJ 07106-3130 | 2020-02-06 |
| 1225674633 | Michael Francis Stant | Specialist/Technologist | Delaware Field House, 617 South College Avenue Rm 111b, Newark, DE 19713 | 2019-11-20 |
| 1730649658 | Neil Turner | Specialist/Technologist | 4051 Ogletown Rd Ste 202a, Newark, DE 19713-3101 | 2019-03-25 |
| 1053882779 | Emma Leigh Nelson | Specialist/Technologist | 16647 Townhouse Rd, Newark, IL 60541-9219 | 2018-12-06 |
| 1679042295 | Henry Paul Grayner | Specialist/Technologist | 100 Lock St, Newark, NJ 07102 | 2018-11-14 |
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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.