Godfrey Joel Funari, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DS023425L Issued in PA

Practice address

Bryn Mawr Medical Office Building, 135 S. Bryn Mawr Ave
Suite 108
Bryn Mawr, PA 19010

Phone

(610) 688-6682

Fax

(610) 971-0481

NPI assigned

Jul 22, 2006

Sex

Male

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 PA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Jefferson University Physicians

  • General Practice Physician
  • Philadelphia, PA
  • NPI 1326093675
  Medicare reassignment NPD
• Advanced Oral and Facial Surgery of the Main Line, P.C.

  • Oral and Maxillofacial Surgery Clinic/Center
  • Devon, PA
  • NPI 1306066683
  NPD (past) Authorized official
• Jefferson University Physicians

  • Gastroenterology Physician
  • Phila, PA
  • NPI 1205898723
  NPD (past)
• Oral Surgery Assoc.,LTD

  • Oral and Maxillofacial Surgery (Dentist)
  • Devon, PA
  • NPI 1982669743
  NPD (past)

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1720009863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BRYN MAWR MEDICAL OFFICE BUILDING, 135 S. BRYN MAWR AVE",
            "address_2": "SUITE 108",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103155",
            "telephone_number": "610-688-6682",
            "fax_number": "610-971-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BRYN MAWR MEDICAL OFFICE BUILDING, 135 S. BRYN MAWR AVE",
            "address_2": "SUITE 108",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "19010",
            "telephone_number": "610-688-6682",
            "fax_number": "610-971-0481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNARI",
        "first_name": "GODFREY",
        "middle_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS023425L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Friedlander
• Jonathan Samuel Friedman, DMD
• Wendy E Fuhr, MD
• Full Spectrum LLC
• April Fuller, L.S.W.
• Functional Performance Physical Therapy, LLC
• Christopher Ryan Fung, DPM
• Heather Gallagher, MSN CRNP
• Nina Rose Gallimore, PA-C
• Nancy Gambescia, PH.D.

• Oral and Maxillofacial Surgery (Dentist) in Bryn Mawr, PA
• Providers in Bryn Mawr, PA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.