AUTUMN RIDGE PRIMARY CARE LLC
NPI 1306471065
Internal Medicine in Wall Township, NJ

Active since March 03, 2020
3350 HWY 138 STE 217, WALL TOWNSHIP, NJ 07719(732) 974-1980(732) 974-8020 Get Directions Write a Review

NPPES record last updated: August 31, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 31, 2020, Aug 20, 2020, Mar 3, 2020 (3 updates tracked since 2020).

  • Organization
  • Internal Medicine

About AUTUMN RIDGE PRIMARY CARE LLC

This page provides the complete NPI Profile along with additional information for Autumn Ridge Primary Care Llc, an internist established in Wall Township, New Jersey operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1306471065 assigned on March 2020. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Autumn Ridge Primary Care Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Janice Siciliano Do (President)

NPI
1306471065 Verify this NPI
Provider Name
AUTUMN RIDGE PRIMARY CARE LLC
Entity Type
Organization
Location Address
3350 HWY 138 STE 217 WALL TOWNSHIP, NJ 07719
Location Phone
(732) 974-1980
Location Fax
(732) 974-8020
Mailing Address
3350 HWY 138 STE 217 WALL TOWNSHIP, NJ 07719
Mailing Phone
(732) 974-1980
Mailing Fax
(732) 974-8020
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-03-2020
Last Update Date
08-31-2020
Code Navigator

An internist like Autumn Ridge Primary Care Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JANICE SICILIANO DO

Authorized Official Title
PRESIDENT
Authorized Official Phone
(732) 974-1980

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Internal Medicine
3350 HWY 138 STE 217
WALL TOWNSHIP, NJ 07719

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306471065, enumerated as an "organization" on March 03, 2020.

The provider is located at 3350 HWY 138 STE 217 WALL TOWNSHIP, NJ 07719 and the phone number is (732) 974-1980.

Internal Medicine with taxonomy code 207R00000X.