Healthcare Provider Details

I. General information

NPI: 1912959123
Provider Name (Legal Business Name): RICHARD J SCHALLER MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1814 E 2ND ST
SCOTCH PLAINS NJ
07076-1751
US

IV. Provider business mailing address

1814 E 2ND ST
SCOTCH PLAINS NJ
07076-1751
US

V. Phone/Fax

Practice location:
  • Phone: 908-322-6611
  • Fax: 908-226-3001
Mailing address:
  • Phone: 908-322-6611
  • Fax: 908-226-3001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberNJ SID2249
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberMC02101
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMA68662
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMA60650
License Number StateNJ
# 5
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberMA60650
License Number StateNJ
# 6
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License NumberMA60650
License Number StateNJ

VIII. Authorized Official

Name: DR. RICHARD J SCHALLER
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 908-322-6611