Individual provider Active NPI

Ronnie Frances Funke, NP-C

  • Nurse Practitioner
  • Hillsborough, NJ
National Provider Identifier
1528618006
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00976800 Issued in NJ
Practice address
105 Raider Blvd Ste 101
Hillsborough, NJ 08844-1528
Phone
(908) 281-0221
Fax
(908) 281-0890
NPI assigned
Sep 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NR14298100 NJ
Nurse Practitioner 363L00000X 26NJ00976800 NJ Primary

Addresses

Primary practice location

105 Raider Blvd Ste 101
Hillsborough, NJ 08844-1528

Mailing address

28 Gettysburg Way
Lincoln Park, NJ 07035-1815
Phone (862) 777-2349

Other practice location 1

765 Route 10 E Ste 201
Randolph, NJ 07869-1925
Phone (973) 989-0068

Other practice location 2

11 Overlook Rd Ste Ll101
Summit, NJ 07901-3577
Phone (908) 522-5900

Other practice location 3

1 Gateway Ctr Ste 2600
Newark, NJ 07102-5323
Phone (866) 949-0108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200130001175 NJ Practitioner - Nurse Practitioner 6608202239 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

20 Prospect Ave
Suite 615
Hackensack, NJ 07601-1997
Phone (551) 996-2997

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
66.38
Promoting interoperability
100
Improvement activities
40
Cost
71.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NR14298100NJMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Apr 25, 2023 Accepting new patients
Id Care LLC CurrentSince Dec 9, 2019 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Apr 25, 2023 Accepting new patients
Practice Associates Medical Group PastSince Oct 1, 2019 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Past Accepting new patients
Infectioius Disease Specialists of NJ, Inc. PastSince Oct 1, 2019 Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

20 Prospect Ave
Ste 410
Hackensack, NJ 07601
Phone (551) 996-4070

20 Prospect Ave
Ste 615
Hackensack, NJ 07601
Phone (201) 996-0308

105 Raider Blvd
Ste 101
Hillsborough, NJ 08844
Phone (908) 281-0221

3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463

765 Route 10 E
Ste 201
Randolph, NJ 07869
Phone (973) 479-1128

765 State Route 10
Randolph, NJ 07869
Phone (973) 366-1789

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1528618006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 GETTYSBURG WAY",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070351815",
            "telephone_number": "862-777-2349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 RAIDER BLVD STE 101",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441528",
            "telephone_number": "908-281-0221",
            "fax_number": "908-281-0890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "765 Route 10 E Ste 201",
            "address_purpose": "LOCATION",
            "city": "Randolph",
            "state": "NJ",
            "postal_code": "078691925",
            "country_code": "US",
            "telephone_number": "973-989-0068",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 Overlook Rd Ste Ll101",
            "address_purpose": "LOCATION",
            "city": "Summit",
            "state": "NJ",
            "postal_code": "079013577",
            "country_code": "US",
            "telephone_number": "908-522-5900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Gateway Ctr Ste 2600",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071025323",
            "country_code": "US",
            "telephone_number": "866-949-0108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUNKE",
        "first_name": "RONNIE",
        "middle_name": "FRANCES",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR14298100",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00976800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NJ

Sources for this page

Verify at the official NPI Registry.