DR. SCHUBER C FAN (NPI# 1245205376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245205376 |
| Entity Type | Individual |
| Full Name | DR. SCHUBER C FAN |
| Credential | M.D. |
| Practice Address |
130 Maple Ave Suite 1a Red Bank NJ 07701-1734 |
| Practice Telephone | 7327411378 |
| Practice Fax Number | 7327411677 |
| Mailing Telephone | 7327411378 |
| Mailing Fax Number | 7327411677 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2007-07-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MA27734 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | AETNA | 0004256293 | 01 |
| NJ | 1003402 | 05 | |
| NJ | HORIZON | 0619012543 | 01 |
| Street Address |
130 MAPLE AVE SUITE 1A |
| City | RED BANK |
| State | NJ |
| Zip Code | 07701-1734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235508607 | Peak Pain Management & Wellness Center | Anesthesiology | 130 Maple Ave, Unit 2a, Red Bank, NJ 07701-1734 | 2015-09-16 |
| 1144658279 | New Jersey Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 130 Maple Ave, Ste. 3b, Red Bank, NJ 07701-1734 | 2013-10-29 |
| 1124469572 | Michele M Peters | Dietitian, Registered | 130 Maple Ave, Suite 7a, Red Bank, NJ 07701-1734 | 2013-07-15 |
| 1770856023 | Joanne Stavola Lcsw LLC | Counselor | 130 Maple Ave, Suite 5b, Red Bank, NJ 07701-1734 | 2012-02-17 |
| 1710273503 | Wilson Physical Medicine LLC | Specialist | 130 Maple Ave, Suite 7a, Red Bank, NJ 07701-1734 | 2011-06-21 |
| 1912225616 | Thomas P. Bilella | Nutritionist | 130 Maple Ave, Building 3, Suite 3, Red Bank, NJ 07701-1734 | 2010-05-06 |
| 1659523371 | Mcm Pt Service | Physical Therapist | 130 Maple Ave, Suite 4a, Red Bank, NJ 07701-1734 | 2008-10-13 |
| 1780883249 | Daniel Joseph Tomasulo | Psychologist | 130 Maple Ave, Bldg. 9, Suite 9, Red Bank, NJ 07701-1734 | 2007-07-15 |
| 1144430059 | Peter C. Rutan | Clinical Neuropsychologist | 130 Maple Ave, Suite 3e, Red Bank, NJ 07701-1734 | 2007-05-23 |
| 1376769034 | Adriane Gullotta-gsell | Psychologist | 130 Maple Ave, Suite 5b, Red Bank, NJ 07701-1734 | 2007-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447801659 | Kelsey M Simonson | Occupational Therapist | 15 Fowler Court, Red Bank, NJ 07701 | 2019-09-28 |
| 1225697816 | Professional Occupational & Physical Therapy, Pllc | Occupational Therapist | 39 East Front Street, Red Bank, NJ 07701 | 2019-06-07 |
| 1164992483 | Christine Elizabeth Fernandez | Social Worker | 1 Corbett Say, Eatontown, NJ 07701 | 2018-11-29 |
| 1346725330 | The Tms Center of New Jersey PC | Psychiatry & Neurology | 55 North Gilbert St, Suite 2203, Tinton Falls, NJ 07701 | 2018-09-26 |
| 1194205187 | Enlightening Counseling & Educational Services, LLC | Social Worker | 331 Newman Springs Rd. Bldg.1, 4th Floor, Suite 143, Red Bank, NJ 07701 | 2018-08-19 |
| 1013405794 | Susan Obrien | Registered Nurse | 270 New Jersey 35, Red Bank, NJ 07701 | 2018-04-27 |
| 1477055952 | Alexandra Gingerelli | Counselor | 48 Reckless Place, Red Bank, NJ 07701 | 2018-03-01 |
| 1841702529 | Felicia Dawn Stoler | Dietitian, Registered | 31 Leroy Place, Red Bank, NJ 07701 | 2017-11-02 |
| 1710408232 | Angela Marie Freedman | Physician Assistant | 1 Riverview Plaza Multi Disciplinary Cancer Center, Red Bank, NJ 07701 | 2017-07-06 |
| 1891225769 | Asha One Pharmacy LLC | Pharmacy | 224 Shrewsbury Avenue, Red Bank, NJ 07701 | 2017-06-14 |
| Find all providers in zip 07701 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871058446 | Midatlantic Neuromonitoring Limited | Psychiatry & Neurology | 125 Half Mile Rd Ste 200, Red Bank, NJ 07701-6749 | 2019-02-07 |
| 1649351594 | Greater Monmouth Neurology PC | Psychiatry & Neurology | 130 Maple Ave, Suite 1a, Red Bank, NJ 07701-1734 | 2006-10-18 |
| 1871569616 | Edgar Y Chen | Psychiatry & Neurology | 130 Maple Ave, Red Bank, NJ 07701-1734 | 2006-02-23 |
| 1235105081 | Philip V Ilaria | Psychiatry & Neurology | 130 Maple Ave, Red Bank, NJ 07701-1734 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831717719 | Hudson Healthcare Express LLC | Psychiatry & Neurology | 9225 Kennedy Blvd Ste D, North Bergen, NJ 07047-5361 | 2020-07-08 |
| 1225660947 | Harmony Direct Psychiatric Clinic | Psychiatry & Neurology | 332 Cranbury Rd, East Brunswick, NJ 08816-3074 | 2020-02-11 |
| 1548804909 | Stc Pediatrics LLC | Psychiatry & Neurology | 100 Kings Way E Ste C, Sewell, NJ 08080-2238 | 2019-10-29 |
| 1356902134 | Balance Dizziness Center Inc. | Psychiatry & Neurology | 17 Brinkerhoff Terrace, Palisades Park, NJ 07650 | 2019-06-24 |
| 1821555376 | Executive Center for Psychological Medicine | Psychiatry & Neurology | 701 White Horse Rd Ste C-101, Voorhees, NJ 08043-2494 | 2019-02-20 |
| 1083120570 | Ah Medical PC | Psychiatry & Neurology | 3600 Bergenline Ave 2nd Floor, Ste 8, Union City, NJ 07087 | 2017-12-19 |
| 1225551146 | Bindi Akshay Patel | Psychiatry & Neurology | 125 Paterson St Ste 6100, New Brunswick, NJ 08901-1962 | 2017-07-23 |
| 1841647823 | Joshua Daniel | Psychiatry & Neurology | 58 W Aspen Way, Aberdeen, NJ 07747-1906 | 2016-05-19 |
| 1487059978 | Neurological Institute of Northern New Jersey | Psychiatry & Neurology | 3 Wedgewood Dr, West Orange, NJ 07052-2719 | 2014-10-27 |
| 1083032304 | Sepideh Akbaripanahi | Psychiatry & Neurology | 25 Rockwood Pl Ste 110, Englewood, NJ 07631 | 2014-04-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.