Autumn Ridge Primary Care LLC
Internal Medicine in Wall Township, New Jersey
1306471065- Practice location
- 3350 Hwy 138 Ste 217, Wall Township, NJ 07719-9694
- Phone
- 732-974-1980
- Fax
- 732-974-8020
- Last updated
- August 31, 2020
Autumn Ridge Primary Care LLC is a healthcare organization based in Wall Township, NJ. Autumn Ridge Primary Care LLC practices in Wall Township, NJ. The NPI Number for Autumn Ridge Primary Care LLC is 1306471065. The current practice location address for Autumn Ridge Primary Care LLC is 3350 Hwy 138 Ste 217, Wall Township, NJ 07719-9694 and can be reached out via phone at 732-974-1980 and via fax at 732-974-8020.
Provider Profile Details
- NPI Number
- 1306471065
- Provider Name
- Autumn Ridge Primary Care LLC
- Provider Entity Type
- Organization
- Address
- 3350 Hwy 138 Ste 217, Wall Township, NJ 07719-9694
- Phone Number
- 732-974-1980
- Fax Number
- 732-974-8020
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Organization Subpart
- No
- Authorized Official
- Janice Siciliano, DO · President · 732-974-1980
- Provider Enumeration Date
- March 3, 2020
- Last Update Date
- August 31, 2020
- Certification Date
- August 31, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3350 Hwy 138 Ste 217
Wall Township, NJ 07719-9694 - City
- Wall Township
- State
- New Jersey
- Zip
- 07719-9694
- Phone Number
- 732-974-1980
- Fax Number
- 732-974-8020
Provider Business Mailing Address Details
- Address
- 3350 Hwy 138 Ste 217
Wall Township, NJ 07719-9694 - City
- Wall Township
- State
- NJ
- Zip
- 07719-9694
- Phone Number
- 732-974-1980
- Fax Number
- 732-974-8020
License Information
- Taxonomy
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Autumn Ridge Primary Care LLC?
The NPI number of Autumn Ridge Primary Care LLC is 1306471065. It was assigned on March 3, 2020 and is currently active in the NPPES registry.
What is the specialty of Autumn Ridge Primary Care LLC?
Autumn Ridge Primary Care LLC is registered under the primary taxonomy Internal Medicine (code 207R00000X).
Where does Autumn Ridge Primary Care LLC practice?
The practice location is 3350 Hwy 138 Ste 217, Wall Township, NJ 07719-9694. The office can be reached at 732-974-1980 (phone) or 732-974-8020 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306471065 directly on the NPPES registry website.