Organization Active NPI

McAreh Medical P.C.

  • Internal Medicine Physician
  • Guttenberg, NJ
National Provider Identifier
1285969733
Registry record updated Oct 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA08206400 Issued in NJ
Legal business name
MCAREH MEDICAL P.C.
Practice address
7012 Park Ave FL 2
Guttenberg, NJ 07093-4708
Phone
(201) 662-0065
Fax
(201) 662-0085
NPI assigned
Oct 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2009

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

Authorized official

Name
Maria del Carmen Hidalgo, M.D.NPI 1194891101
Title
President
Phone
(201) 982-2954

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 25MA08206400 NJ Primary

Addresses

Primary practice location

7012 Park Ave FL 2
Guttenberg, NJ 07093-4708

Mailing address

7012 Park Ave FL 2
Guttenberg, NJ 07093-4708
Phone (201) 662-0065

Other identifiers 3

IdentifierTypeStateIssuer
0187330MedicaidNJ
343555OtherNJAMERIGROUP
031CE1OtherNJEMPIRE BLUE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091113000020 NJ Part B Supplier - Clinic/Group Practice 3072651934 Receives reassigned benefits from 1 practitioner
Practice locations: North Bergen, NJ

National Provider Directory

National Provider Directory

Locations

7012 Park Ave
Ste 2
Guttenberg, NJ 07093
Phone (201) 364-2731

8425 Bergenline Ave
#1
North Bergen, NJ 07047
Phone (201) 662-0065

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8843/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255564800000",
    "number": "1285969733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7012 PARK AVE FL 2",
            "city": "GUTTENBERG",
            "state": "NJ",
            "postal_code": "070934708",
            "telephone_number": "201-662-0065",
            "fax_number": "201-662-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7012 PARK AVE FL 2",
            "city": "GUTTENBERG",
            "state": "NJ",
            "postal_code": "070934708",
            "telephone_number": "201-662-0065",
            "fax_number": "201-662-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCAREH MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-15",
        "last_updated": "2009-10-15",
        "status": "A",
        "authorized_official_last_name": "HIDALGO",
        "authorized_official_first_name": "MARIA DEL CARMEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-982-2954",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08206400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0187330",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "343555",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE",
            "identifier": "031CE1",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guttenberg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.