DR. CHRISTOPHER D. FUNDERBURK M.D., M.S.
NPI 1518257484
Surgery - Plastic and Reconstructive Surgery in New York, NY

Active since April 13, 2011PECOS Enrolled
100 E 77TH ST, NEW YORK, NY 10075(404) 272-9428 Get Directions Write a Review

NPPES record last updated: April 21, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 21, 2020, Mar 29, 2016 (2 updates tracked since 2016).

About Dr. Christopher D. Funderburk M.d., M.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHRISTOPHER D. FUNDERBURK M.D., M.S. (NPI 1518257484) is an individual plastic and reconstructive surgery provider in New York, New York, licensed in New York (296318) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518257484
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameDR. CHRISTOPHER D. FUNDERBURKCredential: M.D., M.S.
Location Address100 E 77TH STNew York, NY 10075-1850
Mailing Address1161 York Ave, Apt 10eNew York, NY 10065-7973 · (404) 272-9428
Sole ProprietorNo
Enumeration DateApril 13, 2011
Last NPPES UpdateApril 21, 20202 updates tracked since enumeration
NPPES CertifiedApril 21, 2020
NPI 1518257484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License Licensed in NY · 296318
Definition

A surgeon who specializes in plastic and reconstructive surgery.

100 E 77TH ST, New York, NY 10075

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Christopher D. Funderburk M.d., M.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Neonatal-Perinatal Medicine)
100 E 77TH ST
NEW YORK, NY 10075
Internal Medicine (Hematology)
100 E 77TH ST, DEPT OF MEDICINE, 6TH FLOOR
NEW YORK, NY 10075
Internal Medicine
100 E 77TH ST
NEW YORK, NY 10075
Radiology (Diagnostic Radiology)
100 E 77TH ST
NEW YORK, NY 10075
Emergency Medicine
100 E 77TH ST
NEW YORK, NY 10075
Emergency Medicine
100 E 77TH ST
NEW YORK, NY 10075
Pathology (Anatomic Pathology & Clinical Pathology)
100 E 77TH ST
NEW YORK, NY 10075
Radiology (Diagnostic Radiology)
100 E 77TH ST
NEW YORK, NY 10075

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518257484, enumerated as an "individual" on April 13, 2011.

The provider is located at 100 E 77TH ST NEW YORK, NY 10075 and the phone number is (404) 272-9428.

Surgery with taxonomy code 2086S0122X and a focus in Plastic and Reconstructive Surgery.