GUILLERMO HIDALGO MD NPI 1548207038

NPI Information

NPI: 1548207038
Provider Name: GUILLERMO HIDALGO, MD
Classification: Pediatrics - 2080P0210X
Entity Type: Individual

Specialization: Pediatric Nephrology

PECOS Registration: Yes

Address:
19 DAVIS AVE FL 5
NEPTUNE, NJ
ZIP 07753
Phone: (732) 897-3400
Get Directions

Guillermo Hidalgo, MD is a pediatric nephrology pediatrics in Neptune, NJ with 36 years of experience. The provider is 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. Guillermo Hidalgo, MD NPI is 1548207038. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

19 DAVIS AVE FL 5
NEPTUNE, NJ
ZIP 07753-488
Phone: (732) 897-3400
Fax: (732) 897-3481

The NPI 1548207038 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/1/2006 and was last updated on 10/24/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		4301084948	MICHIGAN	No
2	2080P0210X	Pediatrics	Pediatric Nephrology	036117155	ILLINOIS	No
3	2080P0210X	Pediatrics	Pediatric Nephrology	2011-00127	NORTH CAROLINA	No
4	2080P0210X	Pediatrics	Pediatric Nephrology	25MA10679200	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	161WY	OTHER	NORTH CAROLINA	BCBSNC
2	5916951	MEDICAID	NORTH CAROLINA
3	036117155	OTHER	ILLINOIS	MEDICAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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