Healthcare Provider Details

I. General information

NPI: 1528037470
Provider Name (Legal Business Name): ROMAINE SCHUBERT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 07/22/2022
Certification Date: 07/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NEURABILITIES HEALTHCARE 2030 VOORHEES TWN CENTER
VOORHEES NJ
08043
US

IV. Provider business mailing address

113 BIMBLER BLVD
OCEAN NJ
07712
US

V. Phone/Fax

Practice location:
  • Phone: 856-346-0005
  • Fax: 855-266-6180
Mailing address:
  • Phone: 914-282-9617
  • Fax: 718-246-8592

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License Number171410
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License Number25MA09182900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: