Greater Monmouth Neurology PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

25MA02773400 Issued in NJ

Legal business name

GREATER MONMOUTH NEUROLOGY PC

Practice address

130 Maple Ave
Suite 1a
Red Bank, NJ 07701-1734

Phone

(732) 741-1378

Fax

(732) 741-1677

NPI assigned

Oct 18, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Schuber C Fan, M.D.

Title

President

Phone

(732) 741-1378

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1649351594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 MAPLE AVE",
            "address_2": "SUITE 1A",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011734",
            "telephone_number": "732-741-1378",
            "fax_number": "732-741-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MAPLE AVE",
            "address_2": "SUITE 1A",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011734",
            "telephone_number": "732-741-1378",
            "fax_number": "732-741-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER MONMOUTH NEUROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "FAN",
        "authorized_official_first_name": "SCHUBER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-741-1378",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA02773400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn M Graham, PSYCHOLOGIST
• Susan J Grant, MD
• Tatiana Grant, LPC, NCC
• Kelsey Gravanis, LCSW
• Charles Gravina
• Gregory A Greco, DO
• John S Greco Jr., MD
• Robin Greenfield, O.D.
• Sharon Stephen Gregory, PA-C
• Laurie Elleanore Greisch, DNP, PMHNP, F.N.P.

• Neurology Physician in Red Bank, NJ
• Providers in Red Bank, NJ by specialty
• Neurology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.