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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: August 16, 2026.

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

About Autumn Ridge Primary Care Llc NPPES

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

AUTUMN RIDGE PRIMARY CARE LLC (NPI 1306471065) is a healthcare organization registered as an internal medicine in Wall Township, New Jersey and active in the NPI registry since March 2020. The organization lists Janice Siciliano, President, as its authorized official.

NPPES Registry Identity

NPI1306471065
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameAUTUMN RIDGE PRIMARY CARE LLC
Location Address3350 HWY 138 STE 217Wall Township, NJ 07719-9694
Mailing Address3350 Hwy 138 Ste 217Wall Township, NJ 07719-9694 · (732) 974-1980 · Fax (732) 974-8020
Phone(732) 974-1980
Fax(732) 974-8020
Organization SubpartNo
Authorized OfficialJanice SicilianoPresident · (732) 974-1980
Enumeration DateMarch 3, 2020
Last NPPES UpdateAugust 31, 20203 updates tracked since enumeration
NPPES CertifiedAugust 31, 2020
✔ NPI 1306471065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
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.
3350 HWY 138 STE 217, Wall Township, NJ 07719
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

PARTNERS IN FREEDOM LLC
Internal Medicine
3350 HWY 138 STE 217
WALL TOWNSHIP, NJ 07719
Monmouth County (732) 974-1980

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 Autumn Ridge Primary Care LLC's NPI number?

The NPI number for Autumn Ridge Primary Care LLC is 1306471065. It was assigned to this organization in the NPPES registry on March 3, 2020.

Where is Autumn Ridge Primary Care LLC located?

Autumn Ridge Primary Care LLC is located at 3350 Hwy 138 Ste 217, Wall Township, NJ 07719. The listed phone number is (732) 974-1980.

What is Autumn Ridge Primary Care LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Autumn Ridge Primary Care LLC was last updated on August 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.