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

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: October 25, 2026.

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

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 Oscar Health.Insurance ›

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 Providers Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Platinum Providers Group LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (7)

Barbara Greenling, APN-C
Nurse Practitioner
NPI 1467480715
1418 NEW RD STE 1
Northfield, NJ 08225
(609) 798-7969
✔ PECOS✔ Accepts MedicareSame address
Arthur Nahas, D.O.
Family Practice
NPI 1447446158
1418 NEW RD STE 1
Northfield, NJ 08225
(609) 796-7969
✔ PECOS✔ Accepts MedicareSame address
Gary Oxenberg, MD
Family Practice
NPI 1346214533
1418 NEW RD STE 2
Northfield, NJ 08225
(609) 796-7969
✔ PECOS✔ Accepts MedicareSame address
Cherry Pie Tiu, APN-BC
Nurse Practitioner
NPI 1346683802
1418 NEW RD STE 1
Northfield, NJ 08225
(609) 798-7969
✔ PECOS✔ Accepts MedicareSame address
Jessica Dybus, RN
Nurse Practitioner
NPI 1386343655
1161 ROUTE 50 STE L
Mays Landing, NJ 08330
(609) 625-7116
✔ PECOS✔ Accepts Medicare11 mi
Michael Lurakis, D.O.
Internal Medicine
NPI 1437228178
1161 ROUTE 50
Mays Landing, NJ 08330
(609) 625-7116
✔ PECOS✔ Accepts Medicare11 mi
Deborah Parlett, N.P.
Nurse Practitioner
NPI 1508917832
1161 ROUTE 50 STE L
Mays Landing, NJ 08330
(609) 625-7116
✔ PECOS✔ Accepts Medicare11 mi

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

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.

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 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.

Where is Platinum Providers Group LLC located?

Platinum Providers Group LLC is located at 1418 New Rd Ste 1, Northfield, NJ 08225. The listed phone number is (609) 796-7969.

What is Platinum Providers Group LLC's specialty?

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

Is Platinum Providers Group LLC enrolled in Medicare?

Yes. Platinum Providers Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Platinum Providers Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Platinum Providers Group LLC. 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. The largest specialties are Nurse Practitioner (4), Family Practice (2) and Internal Medicine (1). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Platinum Providers Group LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Platinum Providers Group LLC accept?

Health plans from Oscar Health list Platinum Providers Group LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Platinum Providers Group LLC was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.