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

Q: 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.

Q: What is Andrea Hidalgo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Andrea Hidalgo was last updated on March 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 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: October 18, 2026.

On this page

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Andrea Hidalgo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Physician Associates Of New Jersey Inc

Same address

Neurology

90 BERGEN ST
Newark, NJ 07103

Reassigned Medicare billing, New Jersey enrollment
21 clinicians in this Medicare group

NPI 1902816507 (973) 972-2550

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.

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

Quality

44.89

Promoting Interoperability

Improvement Activities

Cost

47.69

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.

Which organization bills Medicare for Andrea Hidalgo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Hidalgo reassigns Medicare benefits to University Physician Associates Of New Jersey Inc (Newark, NJ). The 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 Andrea 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 Andrea Hidalgo was last updated on March 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.