| Partners in Freedom LLC | |
|
3350 Hwy 138 Ste 217 Wall Township NJ 07719-9694 | |
| (732) 974-1980 | |
| (732) 681-0835 |
| Full Name | Partners in Freedom LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 3350 Hwy 138 Ste 217, Wall Township, New Jersey |
| Authorized Official Name and Position | Janice Siciliano (OFFICIAL DELEGATE/PRESIDENT) |
| Authorized Official Contact | 7329741980 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Partners in Freedom LLC 3350 Hwy 138 Ste 217 Wall Township NJ 07719-9694 Ph: (732) 974-1980 | Partners in Freedom LLC 3350 Hwy 138 Ste 217 Wall Township NJ 07719-9694 Ph: (732) 974-1980 |
| NPI Number | 1114978939 |
|---|---|
| Provider Enumeration Date | 05/15/2006 |
| Last Update Date | 02/13/2023 |
| Certification Date | 02/13/2023 |
| Medicare PECOS PAC ID | 1254318256 |
|---|---|
| Medicare Enrollment ID | O20040707000371 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114978939 | NPI | - | NPPES |
| 0034835 | Medicaid | NJ | |
| 5599107 | Other | NJ | GHI |
| 60004140 | Other | NJ | HORIZON NJ HEALTH |
| 2296455002 | Other | NJ | AMERIHEALTH HOWELL LOCATI |
| 2296455001 | Other | NJ | AMERIHEALTH SEA GIRT LOCA |
| DB7403 | Other | NJ | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (New Jersey) | Secondary |
| 207R00000X | Internal Medicine | (New Jersey) | Primary |
| Provider Name | Donald M Micallef |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467486365 PECOS PAC ID: 3577535012 Enrollment ID: I20040806000340 |
| Provider Name | Janice M Siciliano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689612129 PECOS PAC ID: 2567498587 Enrollment ID: I20050712000237 |
| Provider Name | Amanda Cody |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255071460 PECOS PAC ID: 6709381536 Enrollment ID: I20250923004726 |
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