Healthcare Provider Details

I. General information

NPI: 1679408090
Provider Name (Legal Business Name): RENA SCHUBERT MS SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 STACY CT
JACKSON NJ
08527-2912
US

IV. Provider business mailing address

18 GEFEN DR
LAKEWOOD NJ
08701-3596
US

V. Phone/Fax

Practice location:
  • Phone: 732-664-8874
  • Fax: 732-377-8777
Mailing address:
  • Phone: 848-245-4155
  • Fax: 732-377-8777

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: