Individual provider · NPI-1
Kristopher Bianconi, MD
Emergency Medicine · Livingston, NJ
NPI number1043779945
StatusActive
Last updated in NPPESApr 8, 2025
Details
- NPI
- 1043779945
- Entity type
- Individual (NPI-1)
- Name
- Kristopher Bianconi
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 19, 2019
- Certification date
- Apr 8, 2025
- Last updated
- Apr 8, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 25MA11478200 | NJ | Yes |
| 207P00000X | Emergency Medicine | 322311-01 | NY | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
94 Old Short Hills RdLivingston, NJ 07039-5672
Phone 973-322-5000 · Fax 732-923-2272
Mailing address
267 Community DrSmithtown, NY 11787-3876
Phone 802-376-5719
Other practice locations
201 Lyons Ave
Newark, NJ 07112-2027
Newark, NJ 07112-2027
Phone 973-926-7000
101 Nicolls Rd
Stony Brook, NY 11794-2027
Stony Brook, NY 11794-2027
Phone 631-689-8333
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