Provider Demographics
NPI:1144355322
Name:CHALEMIAN, ROBERT JOHN (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:JOHN
Last Name:CHALEMIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 PEACH TREE LN
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07417-2333
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
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
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA0276372084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
453341Medicare ID - Type Unspecified
NJB13780Medicare UPIN