# FUNCDE, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Functional Endocrinology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487184800
- **Authorized official:** NAILA M GOLDENBERG MD (PRACTICE OWNER)
- **Authorized official phone:** (513) 604-1004

## Contact information

- **Practice address:** 969 READING RD STE N, MASON, OH 45040
- **Practice address phone:** (513) 604-1004
- **Practice address fax:** (513) 437-0571
- **Mailing address:** 969 READING RD STE N, MASON, OH 45040-2654
- **Mailing address phone:** (513) 604-1004
- **Mailing address fax:** (513) 437-0571

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | OH | Yes |

## Other

- **Enumeration date:** 06/18/2017
- **Last updated:** 04/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0079958 | — | OH |
| 05 | — | 0233942 | — | OH |
| 05 | — | 7100510650 | — | KY |