GUILLERMO HIDALGO (NPI# 1548207038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548207038 |
| Entity Type | Individual |
| Full Name | GUILLERMO HIDALGO |
| Credential | MD |
| Practice Address |
19 Davis Ave Fl 5 Neptune NJ 07753-4488 |
| Mailing Address |
3600 Route 66 Fl 3 Neptune NJ 07753-2605 |
| Practice Telephone | 7328973400 |
| Practice Fax Number | 7328973481 |
| Mailing Telephone | 7328070877 |
| Mailing Fax Number | 2017511680 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2019-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 4301084948 | MI | Allopathic & Osteopathic Physicians |
| Y | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
25MA10679200 | NJ | Allopathic & Osteopathic Physicians |
| N | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
2011-00127 | NC | Allopathic & Osteopathic Physicians |
| N | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
036117155 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBSNC | 161WY | 01 |
| NC | 5916951 | 05 | |
| IL | MEDICAL LICENSE | 036117155 | 01 |
| Street Address |
19 DAVIS AVE FL 5 |
| City | NEPTUNE |
| State | NJ |
| Zip Code | 07753-4488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093781387 | Heather Grossman | Pediatrics | 19 Davis Ave Fl 5, Neptune, NJ 07753-4488 | 2006-02-27 |
| 1760978118 | Ekadasi Drikpalsingh | Nurse Practitioner | 19 Davis Ave Fl 5, Neptune, NJ 07753-4488 | 2018-07-09 |
| 1144767708 | Kathryn Stancato | Nurse Practitioner | 19 Davis Ave Fl 5, Neptune, NJ 07753-4488 | 2017-01-20 |
| 1205178787 | Andrew Mitchell Silverman | Pediatrics | 19 Davis Ave Fl 5, Neptune, NJ 07753-4488 | 2013-03-21 |
| 1437393600 | Rohini Singh | Pediatrics | 19 Davis Ave Fl 5, Neptune, NJ 07753-4488 | 2009-05-01 |
| 1598963902 | Nader John Nakhleh | Pediatrics | 19 Davis Ave Fl 5, Neptune, NJ 07753-4488 | 2007-07-06 |
| 1487663670 | Harpreet Pall | Pediatrics | 19 Davis Ave Fl 5, Neptune, NJ 07753-4488 | 2006-08-05 |
| 1104882109 | Charles K. Dadzie | Pediatrics | 19 Davis Ave Fl 5, Neptune, NJ 07753-4488 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255938361 | Maryjoy Marzan | Nurse Practitioner | Hope Tower - Jersey Shore University Medical Center, 19 Davis St 6th Floor, Neptune, NJ 07753 | 2020-10-02 |
| 1174138952 | Darlene Lupo | Nurse Practitioner | 72 Morris Ave, Neptune, NJ 07753 | 2020-09-09 |
| 1124645148 | Charlotte Emily Parker | Audiologist | 3700 Nj-33, Suite 101, Neptune City, NJ 07753 | 2020-06-26 |
| 1023667896 | Joseph Renninger | Psychologist | 2100 Route 33 Suite 9/10, Neptune, NJ 07753 | 2019-09-05 |
| 1952950800 | Matthew Aaron Brigle | Psychologist | 2100 Nj-33, Suite 9-10, Neptune City, NJ 07753 | 2019-09-04 |
| 1285292110 | Joseph F Mcnamara | Nurse Practitioner | 1945 Nj State Highway 33, Neptune, NJ 07753 | 2019-06-05 |
| 1679046601 | Richard Valderas Penalosa Jr. | Nurse Practitioner | 409 Locust St, Neptune, NJ 07753 | 2019-01-02 |
| 1528539822 | Neptune Rx LLC | Pharmacy | West Lake Pharmacy, 1828 West Lake Avenue, Neptune, NJ 07753 | 2018-12-12 |
| 1053880286 | Hmh Hospitals Corporation | Clinic/Center | 1200 Jumping Brook Rd., Bldg 5, Ste 201, Neptune, NJ 07753 | 2018-11-16 |
| 1972084424 | Melissa Hillebrecht | Psychologist | 2100 Nj-33 Suite 9-10, Neptune, NJ 07753 | 2018-08-23 |
| Find all providers in zip 07753 | ||||
| Taxonomy Code | 2080P0210X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Nephrology |
| A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740815968 | St. Luke's Warren Physician Group, PC | Pediatrics | 755 Memorial Pkwy Ste 207, Phillipsburg, NJ 08865-2773 | 2020-03-09 |
| 1053639492 | Maria Josefina Sharma | Pediatrics | 63 Central Avenue, Passaic, NJ 07055 | 2010-05-10 |
| 1740825215 | Stc Pediatrics LLC | Pediatrics | 100 Kings Way E Ste C, Sewell, NJ 08080-2238 | 2019-11-08 |
| 1225469489 | Valeriya M Feygina | Pediatrics | 89 French St Fl 2, New Brunswick, NJ 08901 | 2013-12-12 |
| 1043594120 | Mahmoud Loghman-adham | Pediatrics | 340 Kingsland St, Nutley, NJ 07110-1150 | 2011-10-06 |
| 1932365400 | Joann Carlson | Pediatrics | 89 French St, New Brunswick, NJ 08901-1935 | 2008-08-04 |
| 1306968078 | Cooper Pediatric Specialists | Pediatrics | 6400 Main St, Voorhees, NJ 08043-4606 | 2007-04-04 |
| 1154462687 | Abraham Aviv | Pediatrics | 30 Bergen St, Admc 12 1205, Newark, NJ 07107-3000 | 2007-02-09 |
| 1508935248 | Constancia Somera Uy | Pediatrics | 90 Bergen St, Doc 5100, Newark, NJ 07103-2425 | 2006-11-07 |
| 1215022231 | Children's Healthcare Associates of New Jersey PC | Pediatrics | 1012 Laurel Oak Rd, Chop Care Network At Voorhees Scc, Voorhees, NJ 08043-3505 | 2006-10-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GUILLERMO HIDALGO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.