Chisa Hidaka, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

201234 Issued in NY

Practice address

165 E 60TH St
New York, NY 10022-1300

Phone

(718) 683-4570

NPI assigned

Mar 6, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362528000000",
    "number": "1568703106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 E 60TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221300",
            "telephone_number": "718-683-4570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 E 60TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221300",
            "telephone_number": "718-683-4570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIDAKA",
        "first_name": "CHISA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-06",
        "last_updated": "2013-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "201234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "201234",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samanda Hicks, RN
• Terrence Hicks, OTRL
• Zohar Shoshanna Hicks, LMFT
• Hicksville Physical Therapy Associates PPLC
• Kaori Hida, LMSW
• Manuel Hidalgo Medina, M.D.
• Sofia Hidalgo Perea, MD
• Joel Hidalgo Rodriguez
• Carolina Hidalgo Vargas
• Alexandra Hidalgo, MT

• General Practice Physician in New York, NY
• Providers in New York, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.