Antonio Funches, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD455675 Issued in PA

Practice address

7131 Frankford Ave Ste 39
Philadelphia, PA 19135-1008

Phone

(215) 332-4164

Fax

(215) 332-9638

NPI assigned

May 9, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Howard University College of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Einstein Community Health Associates IncGroup PAC ID 7012818008, 196 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jefferson Health at Home by Bayada Home health agency, Philadelphia, PA, CCN 397643
• New Life Home Health Care Agency Inc Home health agency, Huntingdon Valley, PA, CCN 397795
• Jefferson Einstein Philadelphia Hospital Hospital, Philadelphia, PA, CCN 390142

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Einstein Community Health Associates, Inc

  • Family Medicine Physician
  • Phila, PA
  • NPI 1558316109
  Medicare reassignment Care Compare group NPD
• Einstein Community Health Associates, Inc

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1427662931
  NPD
• Paladina Medical Group of New Jersey PC

  • Family Medicine Physician
  • Hamilton, NJ
  • NPI 1891217006
  NPD (past)

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

• Einstein Hospital

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1366653818
  Care Compare affiliation Name & address match
• Jeffhome PA, LLC.

  • Home Health Agency
  • Philadelphia, PA
  • NPI 1700533049
  Care Compare affiliation
• New Life Home Health Care Agency

  • Home Health Agency
  • Huntingdon Valley, PA
  • NPI 1508861097
  Care Compare affiliation

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1659630895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E OLNEY AVE STE 400",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191202470",
            "telephone_number": "215-456-1825",
            "fax_number": "215-456-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7131 FRANKFORD AVE STE 39",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191351008",
            "telephone_number": "215-332-4164",
            "fax_number": "215-332-9638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3840 Quakerbridge Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "NJ",
            "postal_code": "086191003",
            "country_code": "US",
            "telephone_number": "609-528-2144",
            "fax_number": "609-584-1023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1602 E Wadsworth Ave # 4",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191501004",
            "country_code": "US",
            "telephone_number": "215-753-9438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUNCHES",
        "first_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-09",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA10155100",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD455675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103046777",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Laurence Fulton, MD
• Kathryn Fulton
• Rachel Fulton, MD
• Kristi Fults
• Peter Fumo, M.D.
• Functional Physical Therapy LLC.
• Christopher Edward Fundakowski, M.D.
• Gabriela Funez-Depagnier, MD
• Mary Fung-a-Fat, LPC
• Alexandra Mia Fung, LCSW

• Family Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.