Individual provider Active NPI

Gary Oxenberg, MD

  • Internal Medicine Physician
  • Northfield, NJ
National Provider Identifier
1346214533
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA10211100 Issued in NJ
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

Updated by the provider on Oct 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
001489863007MedicaidPA
0046451MedicaidNJ

Electronic endpoints 2

TypeEndpointUseAffiliation
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, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050223000320 PA Practitioner - Internal MedicinePractitioner - General Practice 7315990082 Reassigns benefits to 1 organization
I20190411003108 NJ Practitioner - Family PracticePractitioner - Internal Medicine 7315990082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Platinum Providers Group, LLCGroup PAC ID 5890114821, 7 clinicians

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

LicenseStateTypeSpecialty
MD039259LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Platinum Providers Group LLC Family Medicine CurrentSince Nov 1, 2024 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/ICJJCD
  • FHIR API: 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.

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

Verify at the official NPI Registry.