Individual provider Active NPI

Richard J Schaller, MD

  • Emergency Medicine Physician
  • Old Bridge, NJ
National Provider Identifier
1154308708
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MA06065000 Issued in NJ
Practice address
2624 Hwy 516
Old Bridge, NJ 08857-2306
Phone
(732) 952-5000
Fax
(329) 525-0057
NPI assigned
Dec 26, 2005
Last updated
Dec 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA60650 NJ
Physical Medicine & Rehabilitation Physician 208100000X MA60650 NJ
Public Health & General Preventive Medicine Physician 2083P0901X MD448923 PA
Occupational Medicine Physician 2083X0100X MA60650 NJ
Emergency Medicine Physician 207P00000X 25MA06065000 NJ Primary

Addresses

Primary practice location

2624 Hwy 516
Old Bridge, NJ 08857-2306

Mailing address

31 Ward Dr
Brick, NJ 08723-7533
Phone (908) 472-3536

Other identifiers 6

IdentifierTypeStateIssuer
P621793OtherNJOXFORD
115541400OtherNJFIRST HEALTH
223442762OtherFEDERAL TAX ID
J027572OtherNJTRICARE
6402500MedicaidNJ
010060511OtherNJRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041203000558 NJ Practitioner - Emergency Medicine 1052377801 Reassigns benefits to 5 organizations
I20190321002856 PA Practitioner - Emergency MedicinePractitioner - Family Practice 1052377801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Pennsylvania State University College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hackensack Meridian Urgent Care PCGroup PAC ID 2769751270, 50 clinicians
Excel Urgent Care of NJ LLCGroup PAC ID 9638396849, 21 clinicians

Practice addresses (Care Compare)

1080 Stelton Rd
Piscataway, NJ 08854-5201
Phone (848) 230-6802

2624 Hwy 516
Old Bridge, NJ 08857-2306
Phone (732) 952-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA06065000NJMDEmergency Medicine Physician
MD448923PAMDPublic Health & General Preventive Medicine Physician
MA60650NJMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Urgent Care of NJ LLC CurrentSince Nov 28, 2023 Accepting new patients
Hackensack Meridian Urgent Care, PC CurrentSince Nov 28, 2023 Accepting new patients
Prohealth Urgent Care Medicine of New Jersey LLP CurrentSince Dec 1, 2021 Accepting new patients
Plainfield Emergency Physicians, PA Emergency Medicine CurrentSince Sep 1, 2018 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Jul 1, 2020 Accepting new patients
St. Luke's Physician Group, Inc. Emergency Medicine CurrentSince Jul 1, 2020 Accepting new patients
Northern Ohio Medical Specialists, LLC PastSince Nov 28, 2023 Accepting new patients
Mac Physicians LLC Past Accepting new patients
Garden State Healthcare Associates, LLC Emergency Medicine PastSince Nov 28, 2023 Accepting new patients
Hogarth Emergency Physicians Emergency Medicine Past Accepting new patients
Eastern Emergency Physicians LLC Emergency Medicine Past Accepting new patients

Locations

1210 Route 130 N
Ste 1438
Cinnaminson, NJ 08077
Phone (551) 313-0170

315 W Main St
Freehold, NJ 07728
Phone (732) 414-6850

415 W Saint Georges Ave
Linden, NJ 07036
Phone (908) 925-0363

215 Applegarth Rd
Monroe Twp, NJ 08831
Phone (848) 888-4436

2624 Highway 516
Old Bridge, NJ 08857
Phone (973) 671-8775

1 Harmon Plz
Ste 1010
Secaucus, NJ 07094

484 Temple Hill Rd
Ste 103
New Windsor, NY 12553

250 S 21st St
Easton, PA 18042
Phone (610) 250-4300

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Interoperability endpoints

  • Direct secure messaging: hackensackmeridian.richardschaller@136290.advancedmd-direct.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1154308708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 WARD DR",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237533",
            "telephone_number": "908-472-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2624 HWY 516",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572306",
            "telephone_number": "732-952-5000",
            "fax_number": "329-525-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHALLER",
        "first_name": "RICHARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-26",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA60650",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "MA60650",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "PA",
            "license": "MD448923",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NJ",
            "license": "MA60650",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA06065000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P621793",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "115541400",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "223442762",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "J027572",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6402500",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "010060511",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

Verify at the official NPI Registry.