Alisa Ann Hidalgo, M.S CCC-SLP TSSLD

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

76311 Issued in MA

Practice address

1001 Madison St Apt 611
Hoboken, NJ 07030-6490

Phone

(781) 864-7803

NPI assigned

Jul 31, 2018

Last updated

Aug 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alisa Hidalgo Speech Therapy LLC

  dba Table Talk Feeding and Speech Therapy

  • Speech-Language Pathologist
  • Hoboken, NJ
  • NPI 1063282028
  NPD

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1619455730",
    "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": [
        {
            "address_1": "220 Bear Hill Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Waltham",
            "state": "MA",
            "postal_code": "02451",
            "country_code": "US",
            "telephone_number": "781-790-2479",
            "fax_number": "781-281-9181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "90 Fawcett St Unit 121",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MA",
            "postal_code": "021381180",
            "country_code": "US",
            "telephone_number": "781-784-1167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIDALGO",
        "first_name": "ALISA",
        "middle_name": "ANN",
        "credential": "M.S CCC-SLP TSSLD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-31",
        "last_updated": "2022-08-22",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "026135",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "76311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Herbert, MS, RDN
• Saturnino Domingo Herrera, M.D.
• Chelsea Hershey
• Jose Alberto Hevia, LCSW
• Lauren Marie Hickey
• Jessica Erin Hillard, M.A., CCC-SLP
• Sherie Hinnant, LCADC
• Hoboken Allergy & Asthma Specialists
• Hoboken Ankle & Foot Center
• Hoboken Board of Education

• Speech-Language Pathologist in Hoboken, NJ
• Providers in Hoboken, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.