Healthcare Provider Details

I. General information

NPI: 1356305650
Provider Name (Legal Business Name): MERI SCHACHTER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/13/2006
Last Update Date: 11/30/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 WOODVALE ROAD
GLEN ROCK NJ
07452
US

IV. Provider business mailing address

124 WOODVALE ROAD
GLEN ROCK NJ
07452
US

V. Phone/Fax

Practice location:
  • Phone: 201-445-0220
  • Fax: 201-445-6099
Mailing address:
  • Phone: 201-445-0220
  • Fax: 201-445-6099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number25MA02746800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: