Active NPI
Mary Schubert Gang, VMD
- Veterinarian
- Medford, NJ
National Provider Identifier
1972770402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Veterinarian
- License
- 29VI00298300
- Practice address
- 128 Route 70
Unit 10
Medford, NJ 08055-2371 - Phone
- (609) 953-9557
- Fax
- (609) 953-9770
- NPI assigned
- May 14, 2008
- Last updated
- May 14, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Veterinarian | 174M00000X | 29VI00298300 | NJ | Primary |
Addresses
Primary practice location
128 Route 70
Unit 10
Medford, NJ 08055-2371
Mailing address
128 Route 70
Unit 10
Medford, NJ 08055-2371
Phone (609) 953-9557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29VI00298300 | NJ | MD | Veterinarian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210723200000",
"number": "1972770402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 ROUTE 70",
"address_2": "UNIT 10",
"city": "MEDFORD",
"state": "NJ",
"postal_code": "080552371",
"telephone_number": "609-953-9557",
"fax_number": "609-953-9770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 ROUTE 70",
"address_2": "UNIT 10",
"city": "MEDFORD",
"state": "NJ",
"postal_code": "080552371",
"telephone_number": "609-953-9557",
"fax_number": "609-953-9770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANG",
"first_name": "MARY",
"middle_name": "SCHUBERT",
"name_prefix": "Dr.",
"credential": "VMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-14",
"last_updated": "2008-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "NJ",
"license": "29VI00298300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.