Active NPI
Tomasz Jozef Funk, DPT
- Physical Therapist
- Livingston, NJ
National Provider Identifier
1245607746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 038556
- Practice address
- 14 Stoney Hill PL
Livingston, NJ 07039-3720 - Phone
- (718) 377-5000
- Fax
- (718) 377-5002
- NPI assigned
- Aug 31, 2015
- Last updated
- Oct 10, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 038556 | NY | Primary |
Addresses
Primary practice location
14 Stoney Hill PL
Livingston, NJ 07039-3720
Mailing address
14 Stoney Hill PL
Livingston, NJ 07039-3720
Phone (718) 377-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038556 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570665600000",
"number": "1245607746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 STONEY HILL PL",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070393720",
"telephone_number": "718-377-5000",
"fax_number": "718-377-5002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 STONEY HILL PL",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070393720",
"telephone_number": "718-377-5000",
"fax_number": "718-377-5002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUNK",
"first_name": "TOMASZ",
"middle_name": "JOZEF",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-31",
"last_updated": "2019-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "038556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livingston, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.