MR. CHRISTOPHER JOHN FUNFGELD (NPI# 1225478597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225478597 |
| Entity Type | Individual |
| Full Name | MR. CHRISTOPHER JOHN FUNFGELD |
| Credential | PA-C |
| Practice Address |
10261 66th Rd Attn: Surgery Department Flushing NY 11375 |
| Mailing Address |
216 Gardner Ave Jericho NY 11753-2463 |
| Practice Telephone | 7188304093 |
| Mailing Telephone | 5166809472 |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2013-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
016618 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10261 66TH RD ATTN: SURGERY DEPARTMENT |
| City | FLUSHING |
| State | NY |
| Zip Code | 11375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709623 | Nicole Ficano | Counselor | 102-02 66th Road, Forest Hills, NY 11375 | 2020-10-30 |
| 1396342473 | One Stop Senior Day Care Inc | Clinic/Center | 108-10 72nd Ave 2fl, Forest Hills, NY 11375 | 2020-10-02 |
| 1063029023 | Prohealth Care Associates, LLP | Occupational Therapist | 118-35 Queens Boulevard, Suite 1550, Forest Hills, NY 11375 | 2020-09-24 |
| 1659909398 | Lindsay Stemke | Student in an Organized Health Care Education/Training Program | 102-01 66th Rd., Forest Hills, NY 11375 | 2020-03-30 |
| 1609409887 | Yesodot, Inc | Clinic/Center | 110-06 69th Ave, Forest Hills, NY 11375 | 2020-02-17 |
| 1831744945 | Darius Douglas | Counselor | Bleuler Psychotherapy Center 104-70 Queens Blvd, Suite 500, Forest Hills, NY 11375 | 2019-08-06 |
| 1598329914 | Jane Rochelle Pahang | Physical Therapist | 116-21 Queens Blvd, Forest Hills, NY 11375 | 2019-05-01 |
| 1558828939 | Natalie Koptyev | Pharmacist | 108-14 68th Drive, Forest Hills, NY 11375 | 2019-02-21 |
| 1043782014 | Magdalena Lekic Salameh | Behavioral Analyst | 67-29 Kessel Street, Forest Hills, NY 11375 | 2018-12-31 |
| 1861960031 | Bertine Sylvie Alectine | Specialist | 108-18 Queens Blvd, 5th Floor, Suite 4a, Forest Hills, NY 11375 | 2018-11-06 |
| Find all providers in zip 11375 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154877397 | Kathleen Ming Liew | Physician Assistant | 44-65 Kissena Blvd., Apt 6g, Flushing, NY 11355 | 2016-08-28 |
| 1265801591 | George Davydov | Physician Assistant | 14130 70th Rd, Flushing, NY 11367-1937 | 2015-09-16 |
| 1144577925 | Oded Haidatov | Physician Assistant | 14707a 77th Rd, Flushing, NY 11367-3428 | 2012-08-10 |
| 1356376834 | Sadyk Fayzulayev | Physician Assistant | 6739 Kissena Blvd, Suite 3 D, Flushing, NY 11367-1571 | 2006-07-12 |
| 1720521925 | Wahidullah Niazmand | Physician Assistant | 5645 Main St, Flushing, NY 11355-5045 | 2016-11-21 |
| 1578016903 | Randy Junjie He | Physician Assistant | 5645 Main St, Flushing, NY 11355-5045 | 2016-08-02 |
| 1558714998 | Christopher Lizardo | Physician Assistant | 56-45 Main St, Flushing, NY 11355 | 2016-07-21 |
| 1093108524 | Annalisa Tolentino | Physician Assistant | 5645 Main St, Flushing, NY 11355-5045 | 2015-03-09 |
| 1457757395 | Mariam Rashidzada | Physician Assistant | 5645 Main St, Flushing, NY 11355-5045 | 2014-11-04 |
| 1164825568 | Marta Ozga | Physician Assistant | 10201 66th Rd, Flushing, NY 11375-2029 | 2014-09-30 |
| Find all providers in FLUSHING | ||||
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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.