| Platinum Providers Group Llc | |
|
1418 New Rd Ste 1 Northfield NJ 08225-1179 | |
| (609) 796-7969 | |
| Not Available |
| Full Name | Platinum Providers Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1418 New Rd Ste 1, Northfield, New Jersey |
| Authorized Official Name and Position | Athanasios G. Papastamelos (MANAGING MEMBER) |
| Authorized Official Contact | 6094691585 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Platinum Providers Group Llc 2106 New Rd Ste F2 Linwood NJ 08221-1053 Ph: (609) 798-7969 | Platinum Providers Group Llc 1418 New Rd Ste 1 Northfield NJ 08225-1179 Ph: (609) 796-7969 |
| NPI Number | 1457080178 |
|---|---|
| Provider Enumeration Date | 06/08/2022 |
| Last Update Date | 11/04/2024 |
| Certification Date | 11/04/2024 |
| Medicare PECOS PAC ID | 5890114821 |
|---|---|
| Medicare Enrollment ID | O20200924002177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457080178 | NPI | - | NPPES |
| Provider Name | Mary Katharine Drennen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538103437 PECOS PAC ID: 7911809124 Enrollment ID: I20040127000097 |
| Provider Name | Arthur G Nahas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447446158 PECOS PAC ID: 1658267059 Enrollment ID: I20040224000147 |
| Provider Name | Barbara Greenling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467480715 PECOS PAC ID: 1759345184 Enrollment ID: I20041116000617 |
| Provider Name | Lisa A Dructor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245296169 PECOS PAC ID: 0840353124 Enrollment ID: I20090113000355 |
| Provider Name | Jenny A Stone |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245207901 PECOS PAC ID: 8729276332 Enrollment ID: I20101227000368 |
| Provider Name | Athanasios G Papastamelos |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1821051277 PECOS PAC ID: 0648206680 Enrollment ID: I20110609000670 |
| Provider Name | Julia Lee Bornmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275957466 PECOS PAC ID: 3072745405 Enrollment ID: I20140416002115 |
| Provider Name | Fiorella Paradisi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033384631 PECOS PAC ID: 0446544902 Enrollment ID: I20160805000192 |
| Provider Name | Orsalia Palapanis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861254690 PECOS PAC ID: 4587003546 Enrollment ID: I20240423004261 |
| Provider Name | Thomas Hand |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861251563 PECOS PAC ID: 8820438575 Enrollment ID: I20240429003608 |
| Provider Name | Sandra Lindemuth |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114333176 PECOS PAC ID: 4789126665 Enrollment ID: I20240606002562 |
| Provider Name | Gina Haber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154160414 PECOS PAC ID: 5799227344 Enrollment ID: I20240611001061 |
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