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ANDREA HIDALGO M.D.
NPI 1427101302
Psychiatry & Neurology - Neurology in Newark, NJ

Active since January 22, 2007PECOS Enrolled
73.27/100
CMS Quality Rating
90 BERGEN ST, DOC 8100, NEWARK, NJ 07103(973) 972-2550(973) 972-2559 Get Directions Write a Review

NPPES record last updated: March 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Andrea Hidalgo M.d. NPPES

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

ANDREA HIDALGO M.D. (NPI 1427101302) is an individual neurology provider in Newark, New Jersey, licensed in New Jersey (25MA06282700) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427101302
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameANDREA HIDALGOCredential: M.D.
Location Address90 BERGEN ST, DOC 8100Newark, NJ 07103-2425
Mailing Address30 Bergen St, Admc 12 1205Newark, NJ 07107-3000
Phone(973) 972-2550
Fax(973) 972-2559
Sole ProprietorNo
Enumeration DateJanuary 22, 2007
Last NPPES UpdateMarch 21, 2022
NPPES CertifiedMarch 21, 2022
✔ NPI 1427101302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in NJ · 25MA06282700
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
90 BERGEN ST, Newark, NJ 07103
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Other Identifiers 1

Medicaid6651402NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Hidalgo M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
27 services27 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
22 services17 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07103 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality44.89
Promoting Interoperability83
Improvement Activities40
Cost47.69

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.

MS. YU-CHI JEN
General Acute Care Hospital
90 BERGEN ST, DOC # 3300, UMDNJ
NEWARK, NJ 07103
Essex County (973) 972-2800
UNIVERSITY SURGICAL ASSOCIATES (OM)
Surgery
90 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-2400
MARC H. LAVIETES M.D.
Internal Medicine (Pulmonary Disease)
90 BERGEN ST, DOC 4500
NEWARK, NJ 07103
Essex County (973) 972-2500
JOSEPH V SCHWAB MD
Pediatrics
90 BERGEN ST, SUITE 4300
NEWARK, NJ 07103
Essex County (973) 972-2100
DR. VISHNU CHOUDHARY POTINI MD
Orthopaedic Surgery
90 BERGEN ST, DOC SUITE 7300
NEWARK, NJ 07103
Essex County (973) 972-2150
DR. AREVIK ABRAMYAN MD, PHD
Student in an Organized Health Care Education/Training Program
90 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-2323
HANNAAN SHAFIQ CHOUDHRY
Student in an Organized Health Care Education/Training Program
90 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-2548
PATRICK MAHONY FOYE M.D.
Physical Medicine & Rehabilitation
90 BERGEN ST, DOC 3100
NEWARK, NJ 07103
Essex County (973) 972-2802

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 Andrea Hidalgo's NPI number?

The NPI number for Andrea Hidalgo is 1427101302. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Where is Andrea Hidalgo located?

Andrea Hidalgo practices at 90 Bergen St Doc 8100, Newark, NJ 07103. The listed phone number is (973) 972-2550.

What is Andrea Hidalgo's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Andrea Hidalgo enrolled in Medicare?

Yes. Andrea Hidalgo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrea Hidalgo was last updated on March 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.