Active NPI
Gary Oxenberg, MD
- Internal Medicine Physician
- Northfield, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA10211100
- Practice address
- 1418 New Rd Ste 2
Northfield, NJ 08225-1179 - Phone
- (609) 796-7969
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD039259L | PA | |
| Internal Medicine Physician | 207R00000X | 25MA10211100 | NJ | Primary |
Addresses
Primary practice location
1418 New Rd Ste 2
Northfield, NJ 08225-1179
Mailing address
2106 New Rd Ste F2
Linwood, NJ 08221-1053
Phone (609) 796-7969
Other practice location 1
1161 Route 50 Ste L
Mays Landing, NJ 08330-2158
Phone (609) 625-7116
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001489863007 | Medicaid | PA | |
| 0046451 | Medicaid | NJ |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gary.oxenberg@ppgl.eclinicaldirectplus.com | ||
| Direct Messaging Address | gary.oxenberg@ppgl.eclinicaldirectplus.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1161 Route 50
Suite L
Mays Landing, NJ 08330-2158
Phone (609) 625-7116
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD039259L | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Platinum Providers Group LLC | Family Medicine | Current | Accepting new patients |
| Executive Health Resources Clinical Staffing Solutions PC | Internal Medicine | Past | Accepting new patients |
| Atlanticare Regional Medical Center | Past | Accepting new patients |
Locations
2106 New Rd
Ste F2
Linwood, NJ 08221
Phone (609) 699-5750
1161 Route 50
Ste L
Mays Landing, NJ 08330
Phone (609) 625-7116
1418 New Rd
Ste 2
Northfield, NJ 08225
Phone (609) 645-8282
1418 New Rd
Ste 1
Northfield, NJ 08225
Phone (609) 796-7969
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ICJJCD
- https://fhir4.healow.com/fhir/r4/ICJJCD/Endpoint/ICJJCD
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Northfield, NJ
- NPI 1457080178
Family Medicine
-
- General Acute Care Hospital
- Pomona, NJ
- NPI 1013919315
-
- Internal Medicine Physician
- Newtown Square, PA
- NPI 1225067424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760572800000",
"number": "1346214533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2106 NEW RD STE F2",
"city": "LINWOOD",
"state": "NJ",
"postal_code": "082211053",
"telephone_number": "609-796-7969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1418 NEW RD STE 2",
"city": "NORTHFIELD",
"state": "NJ",
"postal_code": "082251179",
"telephone_number": "609-796-7969"
}
],
"practiceLocations": [
{
"address_1": "1161 Route 50 Ste L",
"address_purpose": "LOCATION",
"city": "Mays Landing",
"state": "NJ",
"postal_code": "083302158",
"country_code": "US",
"telephone_number": "609-625-7116",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OXENBERG",
"first_name": "GARY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2025-10-16",
"certification_date": "2025-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD039259L",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA10211100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001489863007",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0046451",
"state": "NJ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gary.oxenberg@ppgl.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "1418 New Rd Ste 2",
"city": "Northfield",
"state": "NJ",
"country_code": "US",
"postal_code": "082251179",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gary.oxenberg@ppgl.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "1161 Route 50 Ste L",
"city": "Mays Landing",
"state": "NJ",
"country_code": "US",
"postal_code": "083302158",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Northfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.