Provider Demographics
NPI:1528188323
Name:HIDI, ROBERT J (BC-HIS)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:J
Last Name:HIDI
Suffix:
Gender:M
Credentials:BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 LINDA LN
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-4502
Mailing Address - Country:US
Mailing Address - Phone:908-757-4767
Mailing Address - Fax:
Practice Address - Street 1:1018B AMBOY AVE
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08837-2842
Practice Address - Country:US
Practice Address - Phone:732-512-1448
Practice Address - Fax:732-512-1594
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MG00027100237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist