DR. MARTHA E FUNKHOUSER (NPI# 1235195157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235195157 |
| Entity Type | Individual |
| Full Name | DR. MARTHA E FUNKHOUSER |
| Credential | M.D. |
| Practice Address |
208 Bunn Dr Princeton NJ 08540-2851 |
| Practice Telephone | 6096834999 |
| Mailing Telephone | 6096834999 |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2017-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 25MA06040900 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | COMMERCIAL INSURANCES | 223777703 | 01 |
| Street Address |
208 BUNN DR |
| City | PRINCETON |
| State | NJ |
| Zip Code | 08540-2851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407810401 | Beth A Hellstern | Physician Assistant | 208 Bunn Dr, Princeton, NJ 08540-2851 | 2006-04-14 |
| 1154939064 | Kevin Liebmann | Nurse Practitioner | 208 Bunn Dr, Princeton, NJ 08540-2851 | 2020-07-16 |
| 1558993386 | Jaclyn Vinagre | Nurse Practitioner | 208 Bunn Dr, Princeton, NJ 08540-2851 | 2020-02-10 |
| 1932663713 | Anne Funke | Nurse Practitioner | 208 Bunn Dr, Princeton, NJ 08540-2851 | 2019-01-26 |
| 1467966523 | Kristin Langan | Family Medicine | 208 Bunn Dr, Princeton, NJ 08540-2851 | 2017-11-28 |
| 1609395193 | Beena G. Mahtani | Nurse Practitioner | 208 Bunn Dr, Princeton, NJ 08540-2851 | 2017-09-15 |
| 1508381708 | Mona M Fawzy | Physician Assistant | 208 Bunn Dr, Princeton, NJ 08540-2851 | 2017-08-08 |
| 1750838470 | Gita Roy | Physician Assistant | 208 Bunn Dr, Princeton, NJ 08540-2851 | 2016-09-11 |
| 1922459601 | Kelly Sprague Bell | Physician Assistant | 208 Bunn Dr, Princeton, NJ 08540-2851 | 2016-06-24 |
| 1205849981 | Mark A Wernham | Physician Assistant | 208 Bunn Dr, Princeton, NJ 08540-2851 | 2006-08-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420613 | Samantha Beatriz Manzano | Pharmacist | 301 N Harrison Street, Princeton, NJ 08540 | 2020-09-01 |
| 1306485768 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 414 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1124667589 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 415 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1215576673 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 416 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1508405929 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 411 Freedom Blvd, Princeton, NJ 08540 | 2020-01-02 |
| 1992369698 | Suzanne Haggerty | Social Worker | 716 Executive Drive, Princeton, NJ 08540 | 2019-04-28 |
| 1700349552 | Pdp Associates LLC | Social Worker | 3490 Us Highway 1, Building 16 Suite 112, Princeton, NJ 08540 | 2019-04-09 |
| 1245722438 | Kyle Bonner | Social Worker | 166 Bunn Dr Ste 105, Princeton, NJ 08540 | 2018-06-04 |
| 1942700125 | Lifetouch Behavioral Health, LLC | Community/Behavioral Health | 112 Commons Way, Building 1, Suite 112, Princeton, NJ 08540 | 2018-02-14 |
| 1912407271 | Princeton Psychiatry & Consulting, LLC | Psychiatry & Neurology | 601 Ewing St, Suite C-10, Princeton, NJ 08540 | 2018-02-13 |
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| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255677555 | Derm One Pllc | Dermatology | 34 New Hope Rd, Suite 1, Princeton, WV 24740-2354 | 2012-12-14 |
| 1942301528 | Bruce Jay Berger | Dermatology | 278 Franklin Ave, Princeton, NJ 08540 | 2006-09-26 |
| 1275575094 | The Princeton Center for Dermatology, LLC | Dermatology | 800 Bunn Dr, Suite 201, Princeton, NJ 08540-1968 | 2006-06-13 |
| 1841371507 | Steven Kazenoff | Dermatology | 419 N Harrison St, Suite 201, Princeton, NJ 08540-3521 | 2006-10-18 |
| 1891876496 | Darlene J Kwee | Dermatology | 419 N Harrison St, Suite 201, Princeton, NJ 08540-3521 | 2006-10-18 |
| 1063513679 | Princeton Medical Group,p.a. | Dermatology | 419 N Harrison St, Suite 203, Princeton, NJ 08540-3521 | 2006-09-26 |
| 1548225477 | Rachel M Grossman | Dermatology | 208 Bunn Dr, Princeton, NJ 08540-2851 | 2006-04-20 |
| 1336104561 | Princeton Dermatology Associatespc | Dermatology | 208 Bunn Dr, Princeton, NJ 08540-2851 | 2006-04-19 |
| 1740245539 | Roderick T Kaufmann Jr. | Dermatology | 208 Bunn Dr, Princeton, NJ 08540-2851 | 2006-04-18 |
| 1588644017 | Sola Choi | Dermatology | 419 N Harrison St, Princeton, NJ 08540-3521 | 2006-01-19 |
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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.