Active NPIOrganization

Platinum Providers Group LLC

Internal Medicine in Northfield, New Jersey

NPI Number1457080178
Practice location
1418 New RD Ste 1, Northfield, NJ 08225-1179
Fax
609-642-2663
Last updated
July 15, 2026

Platinum Providers Group LLC is a healthcare organization based in Northfield, NJ. Platinum Providers Group LLC practices in Northfield, NJ. The NPI Number for Platinum Providers Group LLC is 1457080178. The current practice location address for Platinum Providers Group LLC is 1418 New RD Ste 1, Northfield, NJ 08225-1179 and can be reached out via phone at 609-796-7969 and via fax at 609-642-2663.

Provider Profile Details

NPI Number
1457080178
Provider Name
Platinum Providers Group LLC
Provider Entity Type
Organization
Address
1418 New RD Ste 1, Northfield, NJ 08225-1179
Phone Number
609-796-7969
Fax Number
609-642-2663
Primary Taxonomy
Internal Medicine · 207R00000X
Organization Subpart
No
Authorized Official
Athanasios G. Papastamelos, DO · Managing Member · 609-469-1585
Provider Enumeration Date
June 8, 2022
Last Update Date
July 15, 2026
Certification Date
July 15, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1418 New RD Ste 1
Northfield, NJ 08225-1179
Zip
08225-1179
Phone Number
609-796-7969
Fax Number
609-642-2663
Northfield, NJ 08225Get directions →

Provider Business Mailing Address Details

Address
2106 New RD Ste F2
Linwood, NJ 08221-1053
City
Linwood
State
NJ
Zip
08221-1053
Phone Number
609-796-7969
Fax Number
609-642-2663

License Information

Taxonomy
Internal Medicine · 207R00000X · 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 Platinum Providers Group LLC?

The NPI number of Platinum Providers Group LLC is 1457080178. It was assigned on June 8, 2022 and is currently active in the NPPES registry.

What is the specialty of Platinum Providers Group LLC?

Platinum Providers Group LLC is registered under the primary taxonomy Internal Medicine (code 207R00000X).

Where does Platinum Providers Group LLC practice?

The practice location is 1418 New RD Ste 1, Northfield, NJ 08225-1179. The office can be reached at 609-796-7969 (phone) or 609-642-2663 (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 1457080178 directly on the NPPES registry website.

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