Merisa Oriana Fungkhee, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

677897 Issued in NY

Practice address

1491 E 95TH St
Brooklyn, NY 11236-5301

Phone

(347) 272-3100

NPI assigned

Dec 18, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: merisa.fungkhee.1@24989.direct.athenahealth.com

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.

• Interfaith Professional Physician Services, P.C.

  • Allergy Physician
  • Brooklyn, NY
  • NPI 1457643991
  Medicare reassignment NPD
• Soni Medical Services PC

  • Pulmonary Disease Physician
  • Brooklyn, NY
  • NPI 1922791607
  Medicare reassignment NPD
• Rd Medical Professional Services PC

  • Family Medicine Physician
  • Staten Island, NY
  • NPI 1811643166
  Medicare reassignment
• Infinite Medical PC

  • Family Medicine Physician
  • Bristol, RI
  • NPI 1407483175

  NY

  Medicare reassignment
• Pulmonary and Sleep Medical PC

  • Sleep Medicine (Internal Medicine) Physician
  • Brooklyn, NY
  • NPI 1578968657
  NPD

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1629616776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1491 E 95TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112365301",
            "telephone_number": "347-272-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1491 E 95TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112365301",
            "telephone_number": "347-272-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNGKHEE",
        "first_name": "MERISA",
        "middle_name": "ORIANA",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-18",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "677897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha S Fung
• Shauna Fung, DDS
• Steffanie Marie Fung
• Tiffany Fung, DPT
• Vivian Fung
• Brian Funk, DDS
• Olivia Gladys Funk
• Zachary Paul Funk, M.D
• Funmilayo Pharmacy Inc
• Funtastic OT, P.C.

• Family Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.