MR. THOMAS M CIANCIA MSN, ACNPC-AG, CEN
NPI 1366037467
Nurse Practitioner - Adult Health in New Brunswick, NJ

Active since March 02, 2021PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1 RWJ PL, NEW BRUNSWICK, NJ 08901(732) 828-3000 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Mar 2, 2021 (2 updates tracked since 2021).

About Mr. Thomas M Ciancia Msn, Acnpc-ag, Cen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. THOMAS M CIANCIA MSN, ACNPC-AG, CEN (NPI 1366037467) is an individual adult health provider in New Brunswick, New Jersey, licensed in New Jersey (26NJ01111600) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1366037467
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMR. THOMAS M CIANCIACredential: MSN, ACNPC-AG, CEN
Location Address1 RWJ PLNew Brunswick, NJ 08901-1928
Mailing Address1 Rwj PlNew Brunswick, NJ 08901-1928 · (732) 828-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 2, 2021
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPPES CertifiedMarch 2, 2021
NPI 1366037467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NJ · 26NJ01111600
1 RWJ PL, New Brunswick, NJ 08901

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Thomas M Ciancia Msn, Acnpc-ag, Cen is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284031758
PECOS Enrollment IDI20210927000371
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
326 services122 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
302 services100 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
143 services54 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
126 services67 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
106 services61 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
75 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Adult Health)
1 RWJ PL
NEW BRUNSWICK, NJ 08901
Nurse Practitioner (Acute Care)
1 RWJ PL
NEW BRUNSWICK, NJ 08901
Emergency Medicine
1 RWJ PL
NEW BRUNSWICK, NJ 08901
Social Worker (Clinical)
1 RWJ PL
NEW BRUNSWICK, NJ 08901
Internal Medicine (Pulmonary Disease)
1 RWJ PL, MEB 568
NEW BRUNSWICK, NJ 08901
Nurse Practitioner (Acute Care)
1 RWJ PL
NEW BRUNSWICK, NJ 08901
Physical Therapist
1 RWJ PL
NEW BRUNSWICK, NJ 08901
Pediatrics (Pediatric Cardiology)
1 RWJ PL
NEW BRUNSWICK, NJ 08901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Ciancia's NPI number?

The NPI number for Thomas Ciancia is 1366037467. It was assigned to this individual provider in the NPPES registry on March 2, 2021.

Where is Thomas Ciancia located?

Thomas Ciancia practices at 1 Rwj Pl, New Brunswick, NJ 08901. The listed phone number is (732) 828-3000.

What is Thomas Ciancia's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Thomas Ciancia enrolled in Medicare?

Yes. Thomas Ciancia is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Thomas Ciancia accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Thomas Ciancia as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thomas Ciancia was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.