Individual provider Active NPI

Maryann Bianciella-Thomas, DO

  • Emergency Medicine Physician
  • Pompton Plains, NJ
National Provider Identifier
1992763023
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MB07148300 Issued in NJ
Practice address
97 West Parkway
Chilton Memorial Hospital
Pompton Plains, NJ 07444
Phone
(973) 831-5000
Fax
(201) 444-3604
NPI assigned
May 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25MB07148300 NJ Primary

Addresses

Primary practice location

97 West Parkway
Chilton Memorial Hospital
Pompton Plains, NJ 07444

Mailing address

PO Box 8500-2721
Chilton Emergency Physicians LLC
Philadelphia, PA 19178-2721
Phone (800) 777-2455

Other identifiers 1

IdentifierTypeStateIssuer
8820601MedicaidNJ

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050110000867 NJ Practitioner - Emergency Medicine 6709834328 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Garden State Healthcare Associates, LLC Emergency Medicine CurrentSince Aug 11, 2014 Accepting new patients
Emergency Physician Associates of North Jersey P C Emergency Medicine CurrentSince Jan 1, 2010 Accepting new patients
Maimonides Medical Center - MMC Emergency Physicians FPP Emergency Medicine Past Accepting new patients
Long Island College Hospital Emergency Medicine Past Accepting new patients
Chilton Emergency Physicians LLC Emergency Medicine Past Accepting new patients

Locations

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

97 W Parkway
Pompton Plns, NJ 07444
Phone (973) 831-5000

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1992763023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8500-2721",
            "address_2": "CHILTON EMERGENCY PHYSICIANS LLC",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191782721",
            "telephone_number": "800-777-2455",
            "fax_number": "610-617-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 WEST PARKWAY",
            "address_2": "CHILTON MEMORIAL HOSPITAL",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "07444",
            "telephone_number": "973-831-5000",
            "fax_number": "201-444-3604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIANCIELLA-THOMAS",
        "first_name": "MARYANN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MB07148300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8820601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompton Plains, NJ

Sources for this page

Verify at the official NPI Registry.