Provider Demographics
NPI:1528037470
Name:SCHUBERT, ROMAINE (MD)
Entity type:Individual
Prefix:
First Name:ROMAINE
Middle Name:
Last Name:SCHUBERT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 BIMBLER BLVD
Mailing Address - Street 2:
Mailing Address - City:OCEAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07712
Mailing Address - Country:US
Mailing Address - Phone:914-282-9617
Mailing Address - Fax:718-246-8592
Practice Address - Street 1:NEURABILITIES HEALTHCARE
Practice Address - Street 2:2030 VOORHEES TWN CENTER
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043
Practice Address - Country:US
Practice Address - Phone:856-346-0005
Practice Address - Fax:855-266-6180
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-14
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1714102084N0402X
NJ25MA091829002084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01274120Medicaid
F00910Medicare UPIN
NY93F941Medicare PIN