Provider Demographics
NPI:1699935015
Name:ARNOLD SCHAM, M.D., P.A.
Entity type:Organization
Organization Name:ARNOLD SCHAM, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARNOLD
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-327-7805
Mailing Address - Street 1:30 PLEASANT AVE
Mailing Address - Street 2:
Mailing Address - City:UPPER SADDLE RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07458-2427
Mailing Address - Country:US
Mailing Address - Phone:201-327-7805
Mailing Address - Fax:201-327-6872
Practice Address - Street 1:169 DAYTON ST
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07450-4407
Practice Address - Country:US
Practice Address - Phone:201-447-0331
Practice Address - Fax:201-327-6872
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-10
Last Update Date:2009-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA023733002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
141679YKTMedicare PIN