Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ethan William Garyson Thies, APN

Individual provider Family Nurse Practitioner · NPI 1003658964

Ethan William Garyson Thies, APN is a Nurse Practitioner in Cherry Hill, New Jersey. Qualified in 2023, 3 years ago. Practices with Cmc Department of Medicine Group PA, a 474-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
3
Licensed in
NJ
In the registry since
2024
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

See every abbreviation used in this directory →

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Practice location Address checks out

401 Kings Hwy S
Cherry Hill, NJ 08034-2500
Phone: (856) 209-0447
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Federal St Ste 200, Camden, NJ 08103-1088 — (848) 288-6935

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 26NJ14996900 (NJ)

Record details

NPI number1003658964
Entity typeIndividual (Type 1)
GenderMale
Credentials APN
Sole proprietorNo
NPI enumeratedJune 11, 2024
Last updated in NPPESMarch 31, 2026
Certification dateMarch 31, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Cmc Department Of Medicine Group Pa — 474 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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