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HomeProvidersAUTUMN RIDGE PRIMARY CARE LLC

Internal Medicine

AUTUMN RIDGE PRIMARY CARE LLC

Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.

Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.

Public record

NPI 1306471065 · enumerated 2020-03-03 · record updated 2020-08-31. Source: CMS NPPES. A listing is not a TRICARE network approval.

NPPES record Google Maps Apple Maps OpenStreetMap

Authorized official: JANICE SICILIANO DO, President · (732) 974-1980

Addresses and phones

Mailing address 3350 HWY 138 STE 217, WALL TOWNSHIP, NJ, 07719-9694 (732) 974-1980 Fax (732) 974-8020 Google Maps Apple Maps OpenStreetMap
Practice location 3350 HWY 138 STE 217, WALL TOWNSHIP, NJ, 07719-9694 (732) 974-1980 Fax (732) 974-8020 Google Maps Apple Maps OpenStreetMap

Specialties

Internal Medicine 207R00000X · Primary

In this directory

NJ Monmouth County Wall Township Internal Medicine

Locations and evidence

Practice location WALL TOWNSHIP, NJ, 077199694
Accepting new patientsNot reportedCMS NPPES · September 30, 2026

Plan acceptance

No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.