Healthcare Provider Details

I. General information

NPI: 1275997330
Provider Name (Legal Business Name): CHRISTINE NEVIN SCHAFER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2016
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

680 BRANCH AVE
LITTLE SILVER NJ
07739-1254
US

IV. Provider business mailing address

680 BRANCH AVE
LITTLE SILVER NJ
07739-1254
US

V. Phone/Fax

Practice location:
  • Phone: 732-842-5222
  • Fax: 732-741-6285
Mailing address:
  • Phone: 732-842-5222
  • Fax: 732-741-6285

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number25MA11023400
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number2020015132
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2020015132
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: