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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AUTUMN CHILDRESS
NPI 1669399556
Physician Assistant in Jersey City, NJ

Active since July 01, 2026
475 COMMUNIPAW AVE, JERSEY CITY, NJ 07304(248) 990-8572 Get Directions Write a Review

NPPES record last updated: August 15, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Autumn Childress NPPES

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

AUTUMN CHILDRESS (NPI 1669399556) is an individual physician assistant in Jersey City, New Jersey and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1669399556
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAUTUMN CHILDRESS
Location Address475 COMMUNIPAW AVEJersey City, NJ 07304-5401
Mailing Address132a Stanhope St Apt 1aBrooklyn, NY 11221-3407 · (248) 990-8572
Phone(248) 990-8572
Sole ProprietorNo
Enumeration DateJuly 1, 2026
Last NPPES UpdateAugust 15, 2026
NPPES CertifiedAugust 15, 2026
✔ NPI 1669399556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
475 COMMUNIPAW AVE, Jersey City, NJ 07304
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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 Childress's NPI number?

The NPI number for Autumn Childress is 1669399556. It was assigned to this individual provider in the NPPES registry on July 1, 2026.

Where is Autumn Childress located?

Autumn Childress practices at 475 Communipaw Ave, Jersey City, NJ 07304. The listed phone number is (248) 990-8572.

What is Autumn Childress's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Autumn Childress was last updated on August 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.