Active NPIIndividual provider

Autumn Childress

Physician Assistant in Jersey City, New Jersey

NPI Number1669399556
Practice location
475 Communipaw Ave, Jersey City, NJ 07304-5401
Fax
—
Last updated
August 15, 2026

Autumn Childress is a Physician Assistant based in Jersey City, NJ. Autumn Childress practices in Jersey City, NJ. The NPI Number for Autumn Childress is 1669399556. The current practice location address for Autumn Childress is 475 Communipaw Ave, Jersey City, NJ 07304-5401 and can be reached out via phone at 248-990-8572.

Provider Profile Details

NPI Number
1669399556
Provider Name
Autumn Childress
Provider Entity Type
Individual
Gender
Female
Address
475 Communipaw Ave, Jersey City, NJ 07304-5401
Phone Number
248-990-8572
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
July 1, 2026
Last Update Date
August 15, 2026
Certification Date
August 15, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
475 Communipaw Ave
Jersey City, NJ 07304-5401
Zip
07304-5401
Phone Number
248-990-8572
Jersey City, NJ 07304Get directions →

Provider Business Mailing Address Details

Address
132A Stanhope St Apt 1A
Brooklyn, NY 11221-3407
City
Brooklyn
State
NY
Zip
11221-3407
Phone Number
248-990-8572

License Information

Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Childress?

The NPI number of Autumn Childress is 1669399556. It was assigned on July 1, 2026 and is currently active in the NPPES registry.

What is the specialty of Autumn Childress?

Autumn Childress is registered under the primary taxonomy Physician Assistant (code 363A00000X).

Where does Autumn Childress practice?

The practice location is 475 Communipaw Ave, Jersey City, NJ 07304-5401. The office can be reached at 248-990-8572 (phone).

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 1669399556 directly on the NPPES registry website.

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