Maryann Bianciella-thomas, DO | |
97 West Parkway, Chilton Memorial Hospital, Pompton Plains, NJ 07444 | |
(973) 831-5000 | |
(201) 444-3604 |
Full Name | Maryann Bianciella-thomas |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 97 West Parkway, Pompton Plains, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992763023 | NPI | - | NPPES |
8820601 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 25MB07148300 (New Jersey) | Primary |
Entity Name | Emergency Physician Associates Of North Jersey P C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497783419 PECOS PAC ID: 7911992326 Enrollment ID: O20040825001558 |
Entity Name | Garden State Healthcare Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700014545 PECOS PAC ID: 8426190687 Enrollment ID: O20100126000693 |
Mailing Address | Practice Location Address |
---|---|
Maryann Bianciella-thomas, DO Po Box 8500-2721, Chilton Emergency Physicians Llc, Philadelphia, PA 19178-2721 Ph: (800) 777-2455 | Maryann Bianciella-thomas, DO 97 West Parkway, Chilton Memorial Hospital, Pompton Plains, NJ 07444 Ph: (973) 831-5000 |
Gennaro Joseph Marino, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 97 West Parkway, Chilton Memorial Hospital, Pompton Plains, NJ 07444 Phone: 973-831-5000 | |
Kinza Saleem, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 97 W Parkway, Pompton Plains, NJ 07444 Phone: 973-831-5155 Fax: 973-907-1069 | |
Francis Ronald Dynof, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 97 West Parkway, Chilton Memorial Hospital, Pompton Plains, NJ 07444 Phone: 973-831-5000 Fax: 201-444-3604 | |
Lindsay Anne Van Pelt, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 97 West Parkway, Pompton Plains, NJ 07444 Phone: 973-831-5000 | |
Sungdo Park, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 97 West Parkway, Chilton Memorial Hospital, Pompton Plains, NJ 07444 Phone: 973-831-5000 Fax: 201-444-3604 |