Alex Vincent Funicello, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME98852 Issued in FL

Practice address

5996 SW 70TH St FL 5
South Miami, FL 33143-3540

Phone

(305) 284-7655

Fax

(305) 284-7763

NPI assigned

May 31, 2007

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 FL, NJ, TX, ND4 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 4

Specialty

General Surgery

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Multispecialty Medical Services LLCGroup PAC ID 1850558842, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Larkin Community Hospital Palm Springs Campus Hospital, Hialeah, FL, CCN 100050
• Larkin Community Hospital Hospital, South Miami, FL, CCN 100181

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alexfunicello@normd.allscriptsdirect.net

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.

• Advanced Multispecialty Medical Services LLC

  • Specialist
  • South Miami, FL
  • NPI 1891079125
  Medicare reassignment Care Compare group NPD
• Nova Medical Services - Wound Care Division LLC

  • Family Medicine Physician
  • Miami, FL
  • NPI 1578145793
  Medicare reassignment NPD
• Lawton Indian Hospital

  • General Acute Care Hospital
  • Lawton, OK
  • NPI 1760489223

  TX

  Medicare reassignment NPD
• St Joseph'S Hospital and Health Center

  • Clinic/Center
  • Dickinson, ND
  • NPI 1730464108
  Medicare reassignment NPD
• St Joseph'S Hospital and Health Center

  • Critical Access Hospital
  • Dickinson, ND
  • NPI 1992947956
  Medicare reassignment NPD
• Virtua Medical Group, PA

  • Family Medicine Physician
  • Marlton, NJ
  • NPI 1649226515
  Medicare reassignment NPD
• Nova Medical Services - Surgical Division LLC

  • Surgery Physician
  • Miami, FL
  • NPI 1205548831
  Medicare reassignment
• St Joseph'S Hospital and Health Center

  • Rural Health Clinic/Center
  • Beach, ND
  • NPI 1669491262
  NPD
• St Josephs Hospital and Health Center

  • Orthopaedic Surgery Physician
  • Dickinson, ND
  • NPI 1225058217
  NPD
• Virtua Medical Group, PA

  • Orthopaedic Surgery Physician
  • Delran, NJ
  • NPI 1841087988
  NPD
• Virtua Medical Group, PA

  • Urgent Care Clinic/Center
  • Haddon Township, NJ
  • NPI 1932659778
  NPD
• Lawnwood Healthcare Specialists LLC

  • Neurological Surgery Physician
  • Fort Pierce, FL
  • NPI 1649437765
  NPD (past)

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

• Larkin Community Hospital Inc

  • General Acute Care Hospital
  • Miami, FL
  • NPI 1952311243
  Care Compare affiliation
• Larkin Community Hospital Palm Springs Campus, LLC

  • General Acute Care Hospital
  • Hialeah, FL
  • NPI 1013382860
  Care Compare affiliation

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1992906432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8060 SANCTUARY DR UNIT 1",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341045998",
            "telephone_number": "914-584-8257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5996 SW 70TH ST FL 5",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433540",
            "telephone_number": "305-284-7655",
            "fax_number": "305-284-7763"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3677 Central Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339018226",
            "country_code": "US",
            "telephone_number": "239-790-1263",
            "fax_number": "239-790-1074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUNICELLO",
        "first_name": "ALEX",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME98852",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME98852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115914100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dalia Freijo Larios, RBT-20-124694
• Brandon William Friedman, D.O.
• Danielle Friedman, LMHC, CRC
• Lauren Elizabeth Frost, MD
• Marina Fuentes Hechem, MD
• FWC Urogynecology, LLC
• FWC Urogynecology, LLC
• G & B Medical
• Maurice Gabay, MD
• Aashna Gahlon

• Surgery Physician in South Miami, FL
• Providers in South Miami, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.