Heidi R Vidal, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25MA07861200 Issued in NJ

Practice address

404 Tatum St
Woodbury, NJ 08096-3499

Phone

(856) 845-8050

Fax

(856) 845-0688

NPI assigned

Jan 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Heidi R Deantonio Former name

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Acenda, Inc.Group PAC ID 0042290678, 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Acenda, Inc.

  • Mental Health Counselor
  • Glassboro, NJ
  • NPI 1982752333
  Medicare reassignment Care Compare group NPD
• Pennsylvania Department of Human Services

  • Psychiatric Hospital
  • Danville, PA
  • NPI 1457334336
  NPD (past)
• Pennsylvania Department of Public Welfare

  • Psychiatric Hospital
  • Allentown, PA
  • NPI 1386626919
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510617600000",
    "number": "1942367032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 TATUM ST",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080963499",
            "telephone_number": "856-845-8050",
            "fax_number": "856-845-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 TATUM ST",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080963499",
            "telephone_number": "856-845-8050",
            "fax_number": "856-845-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDAL",
        "first_name": "HEIDI",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2017-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA07861200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "DEANTONIO",
            "middle_name": "R",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erica Vazquez, LSW
• Veney Medical Transportation LLC
• John A Vergari, MD
• VF Support Services LLC
• VF Support Services LLC
• Robert C Villare, MD
• Matthew Voit
• Edwina Von Judd, CRNA
• Craig R Wagner, DO ANESTHESIOLOGIST
• Wal-Mart Stores East LP

• Psychiatry Physician in Woodbury, NJ
• Providers in Woodbury, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.