Functional Healthcare PC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

25MA08113500 Issued in NJ

Legal business name

FUNCTIONAL HEALTHCARE PC

Practice address

234 Boundary Rd Unit 107
Marlboro, NJ 07746-1479

Phone

(866) 335-4040

Fax

(800) 322-0262

NPI assigned

Nov 21, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Nilay Shah, M.D.

Title

Owner

Phone

(866) 335-4040

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael D Chillemi, DC

  • Chiropractor
  • Belleville, NJ
  • NPI 1063468742
  NPD

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

{
    "created_epoch": "1384992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508803200000",
    "number": "1912337312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 RTE 34 STE 9",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077474600",
            "telephone_number": "866-335-4040",
            "fax_number": "800-322-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 BOUNDARY RD UNIT 107",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461479",
            "telephone_number": "866-335-4040",
            "fax_number": "800-322-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL HEALTHCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-21",
        "last_updated": "2017-10-24",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "NILAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "866-335-4040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "NJ",
            "license": "25MA08113500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Figaro, PA-C, ATC
• Julie I Figliolia, LCSW
• Nicolette Grace Fino
• Kayla Ashley Fittipaldi
• Anne Therese Fox
• Samantha Furando
• Brian Michael Furie, DMD
• Warren Furie, DDS
• Bernice Garfield-Szita, LPC
• Willa Sheryl Gartenhaus, M.D.

• Neurological Surgery Physician in Marlboro, NJ
• Providers in Marlboro, NJ by specialty
• Neurological Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.