PLATINUM PROVIDERS GROUP LLC NPI 1457080178

NPI Information

  • NPI: 1457080178
  • Provider Name: PLATINUM PROVIDERS GROUP LLC
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • CLIA Number: 31D2329593
  • Address: 1418 NEW RD STE 1
    NORTHFIELD, NJ
    ZIP 08225
  • Phone: (609) 796-7969

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NPI Details

PLATINUM PROVIDERS GROUP LLC is an internal medicine in Northfield, NJ. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. PLATINUM PROVIDERS GROUP LLC NPI is 1457080178. The provider is registered as an organization entity type.

The provider's business location address is:

1418 NEW RD STE 1
NORTHFIELD, NJ
ZIP 08225-179
Phone: (609) 796-7969
Fax: (609) 642-2663

The provider's authorized official is Athanasios G. Papastamelos .
The authorized official title is Managing Member and has the following contact phone number (609) 469-1585.

The CLIA number assigned to this NPI record is 31D2329593 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/8/2022 and was last updated on 7/14/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
3207R00000XInternal MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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