Mark J. Chelder, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

SI 03735 Issued in NJ

Practice address

28 S New York Rd
Suite B-5
Galloway, NJ 08205-9695

Phone

(800) 783-7930

Fax

(800) 783-7930

NPI assigned

Jan 10, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• The Neuropsychology Center, LLC

  • Clinical Neuropsychologist
  • Galloway, NJ
  • NPI 1487011813
  NPD (past) Authorized official

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400457600000",
    "number": "1376692889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E JIMMIE LEEDS RD",
            "address_2": "#119",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054126",
            "telephone_number": "800-783-7930",
            "fax_number": "800-783-7930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 S NEW YORK RD",
            "address_2": "SUITE B-5",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059695",
            "telephone_number": "800-783-7930",
            "fax_number": "800-783-7930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHELDER",
        "first_name": "MARK",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2014-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NJ",
            "license": "SI 03735",
            "primary": true
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "PA",
            "license": "PS-005007-L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salvatore Joseph Cerniglia, DO
• Joshua Cervone
• Emily Grace Chalbert
• Fred Chang, D.C., L.AC.
• Pei-Yuan Chang, PHYSICAL THERAPIST
• Patricia Ann Chichester, OTR
• Christopher K Chong, MD
• Christopher K Chong MD PC
• Elizabeth Christopher, LAC
• Daniel J Ciechanowski, D.M.D.

• Clinical Neuropsychologist in Galloway, NJ
• Providers in Galloway, NJ by specialty
• Clinical Neuropsychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.