| Organization Name: | FUNCTIONAL DIAGNOSTICS PC |
| NPI Number: | 1922168533 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL CHILLEMI (CEO) |
| Mailing Address: | 364 Broad St Keyport |
| State: | NJ US |
| Postal Code: | 077351619 |
| Phone Number: | 7323354040 |
| Fax Number: | 7323350516 |
| NPI Enumeration Date: | 12/12/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 273Y00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Hospital Units |
| Taxonomy Classification: | Rehabilitation Unit |
| Taxonomy Specialization: | |
| Taxonomy Definition: | In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient |