Marla Hidalgo
NPI 1164866547 · Psychiatry Physician · Berkeley Heights, NJ
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marla Hidalgo is a Psychiatry Physician provider in Berkeley Heights, NJ (NPI 1164866547).
Provider details
- NPI number
- 1164866547
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- 286909 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
13 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
225 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 120 | $113 |
| Psychotherapy With Evaluation and Management Visit, 30 Minutes90833 | 91 | $71 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 14 | $165 |
Typical Medicare-allowed amounts for these services range $71–$165 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Sertraline Hcl | 96 | 18 |
| Fluoxetine Hcl | 66 | — |
| Alprazolam | 28 | — |
| Escitalopram Oxalate | 28 | — |
| Buspirone Hcl | 25 | — |
| Citalopram Hydrobromidebrand: Citalopram Hbr | 16 | — |
| Lorazepam |
Practice location
Mailing address
Additional practice locations (2)
- 450 Clarkson Avenue Box 1262Suny Downstate Medical CenterBrooklyn, NY 11203Phone: (718) 270-8867
- 73 Market StYonkers, NY 10710-7616Phone: (914) 848-8030Fax: (914) 848-8031
Registry dates
- Enumerated
- 2013-04-29
- Last updated
- 2023-06-05
- Certified
- 2023-06-05
Frequently asked questions
- What is Marla Hidalgo's NPI number?
- Marla Hidalgo's National Provider Identifier (NPI) is 1164866547, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marla Hidalgo's specialty?
- Marla Hidalgo is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Marla Hidalgo located?
- Marla Hidalgo's practice location on file with NPPES is 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104.
- What is Marla Hidalgo's phone number?
- The practice phone number listed in the NPPES registry for Marla Hidalgo is (908) 508-8909.
- Does Marla Hidalgo accept Medicare?
- Marla Hidalgo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marla Hidalgo's NPI active?
- Yes — Marla Hidalgo's NPI (1164866547) is active in the NPPES registry as of the last update on 2023-06-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.