Functional Medicine Centers

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ00080100 Issued in NJ

Legal business name

FUNCTIONAL MEDICINE CENTERS

Practice address

481 Hackensack Ave
Suite 2a
Hackensack, NJ 07601-6330

Phone

(201) 880-0685

Fax

(201) 342-4346

NPI assigned

Mar 22, 2017

Last updated

Mar 22, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Katrina Stevens

Title

Office Supervisor

Phone

(201) 880-0685

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan S Turkenkopf, LCSW

  • Clinical Social Worker
  • Ramsey, NJ
  • NPI 1538610605
  NPD (past)

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1487185401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 HACKENSACK AVE",
            "address_2": "SUITE 2A",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016330",
            "telephone_number": "201-880-0685",
            "fax_number": "201-342-4346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 HACKENSACK AVE",
            "address_2": "SUITE 2A",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016330",
            "telephone_number": "201-880-0685",
            "fax_number": "201-342-4346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL MEDICINE CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-22",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "OFFICE SUPERVISOR",
        "authorized_official_telephone_number": "201-880-0685"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00080100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christa Marie Frodella, MD
• Debra Fromer, MD
• Joseph S Fruchter, MD
• Kinga Fryzlewicz (Lebioda)
• Ashley Fuchs, MD
• Maritess Fusco, APN
• Cheryl Fussell
• Hany M Gaafer-Ahmed, MD
• Theresa M Gabay, APRN, BC
• Chantal D Gabriel, MD

• Psychiatric/Mental Health Nurse Practitioner in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.