Organization Active NPI

D. Funsch Jr, M.D., Professional Corporation

  • Emergency Medicine Physician
  • New York, NY
National Provider Identifier
1124845680
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
D. FUNSCH JR, M.D., PROFESSIONAL CORPORATION
Practice address
885 3Rd Ave FL 28
New York, NY 10022-4834
Phone
(929) 650-3990
Fax
(929) 996-6230
NPI assigned
Sep 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Authorized official

Name
Ms. Faige Miller
Title
Authorized Official
Phone
(929) 650-3990

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X

Addresses

Primary practice location

885 3Rd Ave FL 28
New York, NY 10022-4834

Mailing address

885 3Rd Ave FL 28
New York, NY 10022-4834
Phone (929) 650-3990

National Provider Directory

National Provider Directory

Locations

885 3rd Ave
Fl 28
New York, NY 10022
Phone (929) 650-3990

NPI Registry JSON

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771977600000",
    "number": "1124845680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 3RD AVE FL 28",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224834",
            "telephone_number": "929-650-3990",
            "fax_number": "929-996-6230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 3RD AVE FL 28",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224834",
            "telephone_number": "929-650-3990",
            "fax_number": "929-996-6230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D. FUNSCH JR, M.D., PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-25",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "FAIGE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "929-650-3990",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.