Individual provider Active NPI

Aaron Funtanilla

  • Psychiatric/Mental Health Nurse Practitioner
  • Cherry Hill, NJ
National Provider Identifier
1912644816
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ14842300 Issued in NJ
Practice address
2051 Springdale Rd
Cherry Hill, NJ 08003-1603
Phone
(609) 267-5928
NPI assigned
May 13, 2022
Last updated
Feb 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ14842300 NJ Primary

Addresses

Primary practice location

2051 Springdale Rd
Cherry Hill, NJ 08003-1603

Mailing address

2051 Springdale Rd
Cherry Hill, NJ 08003-1603
Phone (856) 254-3800

Other practice location 1

6 Clemson Rd
Cherry Hill, NJ 08034-1212
Phone (856) 259-1333

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
I20231025001259 NJ Practitioner - Nurse Practitioner 6305292558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Oaks Integrated CareGroup PAC ID 6709961857, 32 clinicians

Practice addresses (Care Compare)

2051 Springdale Rd
Cherry Hill, NJ 08003-1603
Phone (856) 254-3800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ14842300NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oaks Integrated Care CurrentSince Jul 12, 2023 Accepting new patients

Locations

2051 Springdale Rd
Cherry Hill, NJ 08003
Phone (856) 254-3800

79 Chestnut St
Lumberton, NJ 08048
Phone (609) 518-5470

770 Woodlane Rd
Westampton, NJ 08060
Phone (606) 267-5928

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1652400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1912644816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 SPRINGDALE RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031603",
            "telephone_number": "856-254-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 SPRINGDALE RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031603",
            "telephone_number": "609-267-5928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Clemson Rd",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080341212",
            "country_code": "US",
            "telephone_number": "856-259-1333",
            "fax_number": "856-545-1918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUNTANILLA",
        "first_name": "AARON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-13",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ14842300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.