Organization Active NPI

Alisa Hidalgo Speech Therapy LLC

Doing business as Table Talk Feeding and Speech Therapy

  • Speech-Language Pathologist
  • Hoboken, NJ
National Provider Identifier
1063282028
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
ALISA HIDALGO SPEECH THERAPY LLC
Doing business as
Table Talk Feeding and Speech Therapy
Practice address
1001 Madison St Apt 611
Hoboken, NJ 07030-6490
Phone
(781) 864-7803
NPI assigned
Jan 2, 2024
Last updated
Jan 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Juan Hidalgo
Title
Cfo
Phone
(617) 852-4016

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

1001 Madison St Apt 611
Hoboken, NJ 07030-6490

Mailing address

1001 Madison St Apt 611
Hoboken, NJ 07030-6490
Phone (781) 864-7803

Other names 1

  • Table Talk Feeding and Speech Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1063282028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 MADISON ST APT 611",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070306490",
            "telephone_number": "781-864-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MADISON ST APT 611",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070306490",
            "telephone_number": "781-864-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALISA HIDALGO SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "HIDALGO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "617-852-4016"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Table Talk Feeding and Speech Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hoboken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.