Function Builder LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

FUNCTION BUILDER LLC

Practice address

7210 164TH St
Fresh Meadows, NY 11365-4222

Phone

(718) 591-2064

Fax

(718) 591-2064

NPI assigned

Sep 30, 2019

Last updated

Sep 30, 2019By 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

Maria Juson, P.T.

Title

Physical Therapist

Phone

(917) 293-8821

Specialties & licenses 1

Addresses

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.

• Maria Elena Monica Juson, P.T.

  • Physical Therapist
  • Fresh Meadows, NY
  • NPI 1881839868
  NPD (past)

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569801600000",
    "number": "1518508688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7210 164TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113654222",
            "telephone_number": "718-591-2064",
            "fax_number": "718-591-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7210 164TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113654222",
            "telephone_number": "718-591-2064",
            "fax_number": "718-591-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTION BUILDER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-30",
        "last_updated": "2019-09-30",
        "status": "A",
        "authorized_official_last_name": "JUSON",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "917-293-8821",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fresh Meadows PT PLLC
• Fresh Meds Pharmacy Inc.
• Suzanne J Friedler, MD
• Paolo Frlic, OTR
• Malvina Fulman, M.D.
• Fundamental Play Occupational Therapy P C
• Michael Anthony Fusco, PA
• Natalie Fuzailov
• Natella Fuzaylova, PA
• Feliciano Gahoy, RN

• Early Intervention Provider Agency in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.

Verify at the official NPI Registry.