Provider Demographics
NPI:1417267436
Name:ROBERT J CHALEMIAN MD PA
Entity Type:Organization
Organization Name:ROBERT J CHALEMIAN MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:CHALEMIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-996-1120
Mailing Address - Street 1:169 RAMAPO VALLEY RD
Mailing Address - Street 2:SUITE ML5
Mailing Address - City:OAKLAND
Mailing Address - State:NJ
Mailing Address - Zip Code:07436-2531
Mailing Address - Country:US
Mailing Address - Phone:201-996-1120
Mailing Address - Fax:201-996-0099
Practice Address - Street 1:169 RAMAPO VALLEY RD
Practice Address - Street 2:SUITE ML5
Practice Address - City:OAKLAND
Practice Address - State:NJ
Practice Address - Zip Code:07436-2531
Practice Address - Country:US
Practice Address - Phone:201-996-1120
Practice Address - Fax:201-996-0099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-08
Last Update Date:2010-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA0276372084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ453341Medicare UPIN