PLATINUM PHYSIATRY
NPI 1346980737
Clinic/Center in Bergenfield, NJ

Active since April 01, 2022
75 DUDLEY DR, BERGENFIELD, NJ 07621(718) 362-8182(718) 414-1651 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Platinum Physiatry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PLATINUM PHYSIATRY (NPI 1346980737) is a healthcare organization registered as a clinic/center in Bergenfield, New Jersey and active in the NPI registry since April 2022. The organization lists Susanna Shepper, Owner, as its authorized official.

NPPES Registry Identity

NPI1346980737
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePLATINUM PHYSIATRY
Location Address75 DUDLEY DRBergenfield, NJ 07621-2613
Mailing Address75 Dudley DrBergenfield, NJ 07621-2613 · (718) 362-8182 · Fax (718) 414-1651
Fax(718) 414-1651
Organization SubpartNo
Authorized OfficialSusanna ShepperOwner · (732) 361-2859
Enumeration DateApril 1, 2022
Last NPPES UpdateJune 10, 2026
NPPES CertifiedJune 10, 2026
✔ NPI 1346980737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
75 DUDLEY DR, Bergenfield, NJ 07621

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Platinum Physiatry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Platinum Physiatry, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Medicine and Rehabilitation
NPI 1164792420
475 NEW HEMPSTEAD RD
New City, NY 10956
(872) 231-3162
✔ PECOS✔ Accepts Medicare16 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Platinum Physiatry's NPI number?

The NPI number for Platinum Physiatry is 1346980737. It was assigned to this organization in the NPPES registry on April 1, 2022.

Where is Platinum Physiatry located?

Platinum Physiatry is located at 75 Dudley Dr, Bergenfield, NJ 07621. The listed phone number is (718) 362-8182.

What is Platinum Physiatry's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Platinum Physiatry enrolled in Medicare?

Yes. Platinum Physiatry is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Platinum Physiatry?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Medicine and Rehabilitation) reassigns their Medicare billing to Platinum Physiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Platinum Physiatry was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.