DR. MARLA HIDALGO
NPI 1164866547
Psychiatry & Neurology - Psychiatry in Berkeley Heights, NJ

Q: What is Marla Hidalgo's NPI number?

The NPI number for Marla Hidalgo is 1164866547. It was assigned to this individual provider in the NPPES registry on April 29, 2013.

Q: What is Marla Hidalgo's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Marla Hidalgo was last updated on June 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 29, 2013PECOS EnrolledAccepts Medicare Assignment

1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922(908) 508-8909 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 5, 2023, Jun 20, 2019, Jun 6, 2019 (3 updates tracked since 2019).

On this page

About Dr. Marla Hidalgo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARLA HIDALGO (NPI 1164866547) is an individual psychiatry provider in Berkeley Heights, New Jersey, licensed in New Jersey (25MB10427300) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Touro Un College Of Osteopathic Medicine, Vallejo (2013).

NPPES Registry Identity

NPI1164866547

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameDR. MARLA HIDALGO

Location Address1 DIAMOND HILL RDBerkeley Heights, NJ 07922-2104

Mailing Address800 Westchester Ave Ste N715Rye Brook, NY 10573-1369 · (914) 607-5730 · Fax (914) 457-1195

Phone(908) 508-8909

Sole ProprietorNo

Medical School CMSTouro Un College Of Osteopathic Medicine, VallejoGraduated 2013

Enumeration DateApril 29, 2013

Last NPPES UpdateJune 5, 20233 updates tracked since enumeration

NPPES CertifiedJune 5, 2023

✔ NPI 1164866547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in NJ · 25MB10427300✔ Licensed in NY · 286909

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1 DIAMOND HILL RD, Berkeley Heights, NJ 07922

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Secondary Practice Locations 2

Location 1450 Clarkson Avenue Box 1262, SUNY Downstate Medical CenterBrooklyn, NY 11203 · Phone (718) 270-8867

Location 273 Market StYonkers, NY 10710-7616 · Phone (914) 848-8030 · Fax (914) 848-8031

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Marla Hidalgo is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143580415

PECOS Enrollment IDI20190802001285

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Marla Hidalgo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Summit Medical Group PA

Same address

Multi-Specialty

1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
Berkeley Heights, NJ 07922

Reassigned Medicare billing, New Jersey enrollment
1,184 clinicians in this Medicare group

NPI 1942254347 (908) 273-4300

City Medical Of Upper East Side, PLLC

14 mi

Urgent Care

2187 RICHMOND AVE
Staten Island, NY 10314

Reassigned Medicare billing, New York enrollment
596 clinicians in this Medicare group

NPI 1518374438 (718) 280-4166

Westchester Medical Group, P.C.

44 mi

Critical Care Medicine

800 WESTCHESTER AVE STE N715
Rye Brook, NY 10573

Reassigned Medicare billing, New York enrollment
470 clinicians in this Medicare group

NPI 1881653822 (908) 988-0428

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

120 services35 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

91 services30 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07922 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$190.92 typical visit price

range $63.84 – $190.92

Typical copayment $47.73 (range $15.96 – $47.73)

Most-billed visit code 99205

Established Patient

$79.09 typical visit price

range $20.97 – $155.92

Typical copayment $19.77 (range $5.24 – $38.98)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SILPA GADIRAJU M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922

Union County (908) 273-4300

DR. JOHN H DOKKO DO

Internal Medicine (Nephrology)

1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922

Union County (908) 273-4300

DENISE RIZZOLO PA

Physician Assistant

1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922

Union County (908) 273-4300

MARIA F DOMINGUEZ BERMEO MD

Family Medicine

1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922

Union County (908) 219-6940

DR. LAWRENCE J NASTRO MD

Internal Medicine (Infectious Disease)

1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922

Union County (908) 273-4300

DEBRA A RYAN PT

Physical Therapist

1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922

Union County (908) 273-4300

CHRISTOPHER M BONI DO

Internal Medicine

1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922

Union County (908) 277-8683

LAUREN BARON P.A.

Physician Assistant (Medical)

1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922

Union County (908) 277-8880

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marla Hidalgo's NPI number?

The NPI number for Marla Hidalgo is 1164866547. It was assigned to this individual provider in the NPPES registry on April 29, 2013.

Where is Marla Hidalgo located?

Marla Hidalgo practices at 1 Diamond Hill Rd, Berkeley Heights, NJ 07922. The listed phone number is (908) 508-8909.

What is Marla Hidalgo's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Marla Hidalgo enrolled in Medicare?

Yes. Marla Hidalgo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Marla Hidalgo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marla Hidalgo reassigns Medicare benefits to 3 organizations: Summit Medical Group PA (Berkeley Heights, NJ), City Medical Of Upper East Side, PLLC (Staten Island, NY) and Westchester Medical Group, P.C. (Rye Brook, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marla Hidalgo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Marla Hidalgo was last updated on June 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.