Sheri A Gillis-Funderburk, MD

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

25MA07706200 Issued in NJ

Practice address

2 Capital Way
Suite 290
Pennington, NJ 08534-2521

Phone

(609) 303-4300

Fax

(609) 303-4301

NPI assigned

Jan 23, 2006

Last updated

Apr 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ, PA2 enrollments

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 2

Specialty

EndocrinologyAlso: Internal Medicine

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Capital Health Medical GroupGroup PAC ID 7618264532, 442 clinicians

Fornance Physician Services IncGroup PAC ID 8527962661, 105 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Capital Health Medical Center - Hopewell Hospital, Pennington, NJ, CCN 310044
• Capital Health Regional Medical Center Hospital, Trenton, NJ, CCN 310092
• University Medical Center of Princeton at Plainsboro Hospital, Plainsboro, NJ, CCN 310010

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4
• Direct secure messaging: sheri.gillis.funderburk.1@12833.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Capital Health Medical Group

  • Internal Medicine Physician
  • Trenton, NJ
  • NPI 1437516887

  Endocrinology, Diabetes & Metabolism, PA

  Medicare reassignment Care Compare group NPD
• Fornance Physician Services, Inc

  dba Family OB/GYN Center

  • Obstetrics & Gynecology Physician
  • Norristown, PA
  • NPI 1053363523
  Medicare reassignment Care Compare group NPD
• Einstein Practice Plan Inc

  dba Einstein Psychiatry Assoc

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1760434468
  Medicare reassignment
• Einstein Practice Plan Inc

  • Certified Registered Nurse Anesthetist
  • Philadelphia, PA
  • NPI 1457047433
  NPD
• Einstein Practice Plan Inc

  dba Einstein Sleep Medicine

  • Sleep Medicine (Internal Medicine) Physician
  • Philadelphia, PA
  • NPI 1760086219
  NPD
• Fornance Physician Services, Inc

  dba Endocrine Associates of Fornance

  • Endocrinology, Diabetes & Metabolism Physician
  • Lansdale, PA
  • NPI 1114206604
  NPD
• Fornance Physician Services, Inc.

  • Neurological Surgery Physician
  • Plymouth Meeting, PA
  • NPI 1699459388
  NPD

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

• Capital Health System Inc

  dba Regional Medical Center

  • General Acute Care Hospital
  • Trenton, NJ
  • NPI 1275583726
  Care Compare affiliation
• Capital Health System, Inc.

  dba Capital Health Medical Center - Hopewell

  • General Acute Care Hospital
  • Pennington, NJ
  • NPI 1073516183
  Care Compare affiliation
• Princeton Healthcare System, a New Jersey Non-Profit Corporation

  dba Penn Medicine Princeton Medical Center

  • General Acute Care Hospital
  • Plainsboro, NJ
  • NPI 1689714255
  Care Compare affiliation

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1922078195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CAPITAL WAY",
            "address_2": "SUITE 290",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085342521",
            "telephone_number": "609-303-4300",
            "fax_number": "609-303-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CAPITAL WAY",
            "address_2": "SUITE 290",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085342521",
            "telephone_number": "609-303-4300",
            "fax_number": "609-303-4301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Whitehorse Mercerville Rd Ste 218",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "NJ",
            "postal_code": "086193835",
            "country_code": "US",
            "telephone_number": "609-303-4300",
            "fax_number": "609-303-4301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLIS-FUNDERBURK",
        "first_name": "SHERI",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NJ",
            "license": "25MA07706200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0105066",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sheri.gillis.funderburk.1@12833.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2 Capital Way",
            "address_2": "Suite 290",
            "city": "Pennington",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "085342521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elizabeth George, RD
• Sharon Deborah Gertzman, D.O.
• Marium Ghani, M.D.
• Scott G Gill, LCSW
• Marlene Gillio, RN
• Emily Gilmore, LCSW
• Karen B Giquinto, CRNP
• Neal Robert Gittleman, DDS
• Jacqueline Glanfield, PA-C
• Lee M. Glickman, MD

• Endocrinology, Diabetes & Metabolism Physician in Pennington, NJ
• Providers in Pennington, NJ by specialty
• Endocrinology, Diabetes & Metabolism Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.