Individual provider Active NPI

Zachary Paul Funk, M.D

  • Emergency Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1013206416
Registry record updated Jul 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD.206938 Issued in LA
Practice address
4802 10TH Ave
Brooklyn, NY 11219-2916
Phone
(718) 283-6000
NPI assigned
Apr 6, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD.206938 LA Primary

Addresses

Primary practice location

4802 10TH Ave
Brooklyn, NY 11219-2916

Mailing address

4802 10TH Ave
Brooklyn, NY 11219-2916
Phone (718) 283-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS, AL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20140910001662 LA Practitioner - Emergency Medicine 7517186380 Reassigns benefits to 4 organizations
I20151008000303 MS Practitioner - Emergency Medicine 7517186380 Reassigns benefits to 4 organizations
I20220922000249 AL Practitioner - Emergency Medicine 7517186380 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Feb 1, 2018 Accepting new patients
Ochsner Clinic LLC CurrentSince Feb 1, 2018 Accepting new patients
Medical Services of Meridian, Inc. Emergency Medicine CurrentSince Aug 1, 2019 Accepting new patients
Keystone Medical Services of Alabama, Inc. Emergency Medicine CurrentSince Sep 1, 2022 Accepting new patients
RH Emergency Medicine of Highland Community LLC Emergency Medicine CurrentSince Feb 1, 2024 Accepting new patients
St Mary Emergency Group LLC Emergency Medicine CurrentSince Jan 20, 2020 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Foucher Emergency Group LLC Emergency Medicine CurrentSince Jul 3, 2015 Accepting new patients
Kenner Emergency Group LLC Emergency Medicine CurrentSince Jan 4, 2020 Accepting new patients
Delta Medical Group Emergency Medicine CurrentSince Dec 20, 2019 Accepting new patients
Keystone Medical Services of Ms, Inc Emergency Medicine CurrentSince Oct 1, 2015 Accepting new patients
Delta Physician Practices Past Accepting new patients

Locations

1330 Highway 231 S
Troy, AL 36081
Phone (334) 370-5000

180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284

1125 Marguerite St
Morgan City, LA 70380
Phone (985) 380-4434

1401 Foucher St
New Orleans, LA 70115
Phone (504) 897-7011

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
#9390
Raceland, LA 70394
Phone (225) 336-3100

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303

1693 Fairgrounds Rd
Greenville, MS 38703
Phone (662) 378-3783

2124 14th St
Meridian, MS 39301
Phone (601) 483-8811

130 Highland Pkwy
Picayune, MS 39466
Phone (601) 358-9400

6075 Poplar Ave
Ste 401
Memphis, TN 38119
Phone (901) 795-3600

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404172800000",
    "number": "1013206416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4802 10TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192916",
            "telephone_number": "718-283-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4802 10TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192916",
            "telephone_number": "718-283-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNK",
        "first_name": "ZACHARY",
        "middle_name": "PAUL",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-06",
        "last_updated": "2014-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "MD.206938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.