Functional Medicine Practice Associates, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FUNCTIONAL MEDICINE PRACTICE ASSOCIATES, PA

Practice address

435 South Street
Suite 160
Morristown, NJ 07960

Phone

(973) 971-6301

Fax

(973) 290-7169

NPI assigned

Oct 8, 2020

Organization subpart

No

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

Authorized official

Name

Christopher P. Zipp, D.O.

Title

Medical Director

Phone

(937) 971-7257

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1932706322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 SOUTH STREET",
            "address_2": "SUITE 160",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "07960",
            "telephone_number": "973-971-6301",
            "fax_number": "973-290-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 SOUTH STREET",
            "address_2": "SUITE 160",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "07960",
            "telephone_number": "973-971-6301",
            "fax_number": "973-290-7169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL MEDICINE PRACTICE ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "ZIPP",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "937-971-7257",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Nmi Frost, MD
• Wendy Fruehling, RN
• Megan Lee Frutchey, M.S., CCC-SLP
• Holly Sylvia Fullman, DO
• Marci Zamore Fults
• Neveen Gabra, MSPT
• Karla Marie Gabre, RD
• Michael Gabrian
• Catherine Gaestel
• Christina Gagliardo, MD

• Family Medicine Physician in Morristown, NJ
• Providers in Morristown, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.