Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PLATINUM PROVIDERS GROUP LLC
NPI 1457080178
Internal Medicine in Northfield, NJ

Q: What is Platinum Providers Group LLC's NPI number?

The NPI number for Platinum Providers Group LLC is 1457080178. It was assigned to this organization in the NPPES registry on June 8, 2022.

Q: What is Platinum Providers Group LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since June 08, 2022CLIA Certified · 2 labs

1418 NEW RD STE 1, NORTHFIELD, NJ 08225(609) 796-7969(609) 642-2663 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2026, Apr 1, 2025, Dec 3, 2024 and 5 more (8 updates tracked since 2022).

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About Platinum Providers Group Llc NPPES

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

PLATINUM PROVIDERS GROUP LLC (NPI 1457080178) is a healthcare organization registered as an internal medicine in Northfield, New Jersey and active in the NPI registry since June 2022. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Mays Landing, and lists Athanasios G. Papastamelos, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1457080178

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NamePLATINUM PROVIDERS GROUP LLC

Location Address1418 NEW RD STE 1Northfield, NJ 08225-1179

Mailing Address2106 New Rd Ste F2Linwood, NJ 08221-1053 · (609) 796-7969 · Fax (609) 642-2663

Phone(609) 796-7969

Fax(609) 642-2663

Organization SubpartNo

Authorized OfficialAthanasios G. PapastamelosManaging Member · (609) 469-1585

Enumeration DateJune 8, 2022

Last NPPES UpdateJuly 15, 20268 updates tracked since enumeration

NPPES CertifiedJuly 15, 2026

✔ NPI 1457080178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

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.

1418 NEW RD STE 1, Northfield, NJ 08225

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Secondary Practice Location 1

Location 11161 Route 50 Ste LMays Landing, NJ 08330-2158 · Phone (609) 625-7116 · Fax (609) 642-2663

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D0934586

Platinum Providers Group LLC · Mays Landing, NJ

Active · expires Oct 8, 2027

CLIA Number31D0934586

Laboratory TypePhysician Office

Certificate Effective DateOctober 9, 2025

Certificate Expiration DateOctober 8, 2027

Laboratory DirectorMichael F. Lurakis

Laboratory Phone(609) 625-7116

Laboratory LocationPlatinum Providers Group LLC1161 Route 50 Ste L, Mays Landing, NJ 08330

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 31D2329593

Platinum Providers Group LLC · Northfield, NJ

Active · expires Sep 1, 2027

CLIA Number31D2329593

Laboratory TypePhysician Office

Certificate Effective DateSeptember 2, 2025

Certificate Expiration DateSeptember 1, 2027

Laboratory DirectorArthur Nahas

Laboratory Phone(609) 796-7969

Laboratory LocationPlatinum Providers Group LLC1418 New Road Ste 1, Northfield, NJ 08225

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SANDRA LINDEMUTH MA, LPC

Counselor (Mental Health)