Active NPI
Kristopher Bianconi, MD
- Emergency Medicine Physician
- Livingston, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 25MA11478200
- Practice address
- 94 Old Short Hills Rd
Livingston, NJ 07039-5672 - Phone
- (973) 322-5000
- Fax
- (732) 923-2272
- NPI assigned
- Mar 19, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 322311-01 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 25MA11478200 | NJ | Primary |
Addresses
Primary practice location
94 Old Short Hills Rd
Livingston, NJ 07039-5672
Mailing address
267 Community Dr
Smithtown, NY 11787-3876
Phone (802) 376-5719
Other practice location 1
201 Lyons Ave
Newark, NJ 07112-2027
Phone (973) 926-7000
Other practice location 2
101 Nicolls Rd
Stony Brook, NY 11794-2027
Phone (631) 689-8333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
30 Prospect Ave
Hackensack, NJ 07601-1915
Phone (551) 996-1288
Hospital & facility affiliations
- Hackensack University Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA11478200 | NJ | MD | Emergency Medicine Physician |
| 322311-01 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Port Emergency Medical Services, P.C. | Emergency Medicine | Current | Accepting new patients |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Rwjbh Observation Associates LLC | Emergency Medicine | Current | Accepting new patients |
| Rwjbh Emergency Medicine Associates, LLC | Emergency Medicine | Current | Accepting new patients |
| Hackensack Meridian Health Medical Group - Primary Care PC | Current | Accepting new patients | |
| Siena Emergency Medical Services, P.C. | Emergency Medicine | Current | Accepting new patients |
| Meridian Medical Group - Specialty Care, PC | Past | Accepting new patients |
Locations
985 Cedar Bridge Ave
Brick, NJ 08723
Phone (732) 477-5600
225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224
600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455
300 Perrine Rd
Ste 324
Old Bridge, NJ 08857
Phone (732) 753-9890
865 Stone St
Rahway, NJ 07065
Phone (732) 381-4000
110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833
1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763
200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000
50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225
Interoperability endpoints
- https://mepic.hmhn.org/fhir/api/FHIR/R4/
- https://fhir4.healow.com/fhir/r4/IHJHBD
Organizations & group practices 8
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.
-
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
-
- Family Medicine Physician
- Red Bank, NJ
- NPI 1336203538
-
- Emergency Medicine Physician
- Somerset, NJ
- NPI 1912510041
-
- Emergency Medicine Physician
- Livingston, NJ
- NPI 1760095806
-
- Emergency Medicine Physician
- Port Jefferson, NY
- NPI 1912988395
-
- Emergency Medicine Physician
- Smithtown, NY
- NPI 1356507099
-
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
-
- Family Medicine Physician
- Edgewater, NJ
- NPI 1275362105
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hackensack, NJ
- NPI 1457456279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744070400000",
"number": "1043779945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "267 COMMUNITY DR",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117873876",
"telephone_number": "802-376-5719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94 OLD SHORT HILLS RD",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070395672",
"telephone_number": "973-322-5000",
"fax_number": "732-923-2272"
}
],
"practiceLocations": [
{
"address_1": "201 Lyons Ave",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "NJ",
"postal_code": "071122027",
"country_code": "US",
"telephone_number": "973-926-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 Nicolls Rd",
"address_purpose": "LOCATION",
"city": "Stony Brook",
"state": "NY",
"postal_code": "117942027",
"country_code": "US",
"telephone_number": "631-689-8333",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BIANCONI",
"first_name": "KRISTOPHER",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-19",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "322311-01",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "25MA11478200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livingston, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.