Platinum Providers Group LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PLATINUM PROVIDERS GROUP LLC

Practice address

1418 New Rd Ste 1
Northfield, NJ 08225-1179

Phone

(609) 796-7969

Fax

(609) 642-2663

NPI assigned

Jun 8, 2022

Organization subpart

No

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

Authorized official

Name

Athanasios G. Papastamelos, DONPI 1821051277

Title

Managing Member

Phone

(609) 469-1585

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

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

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Dybus, RN

  • Family Nurse Practitioner
  • Mays Landing, NJ
  • NPI 1386343655
  Medicare reassignment Care Compare group NPD
• Barbara Greenling, APN-C

  • Family Nurse Practitioner
  • Northfield, NJ
  • NPI 1467480715
  Medicare reassignment Care Compare group NPD
• Michael Frank Lurakis, D.O.

  • Internal Medicine Physician
  • Mays Landing, NJ
  • NPI 1437228178
  Medicare reassignment Care Compare group NPD
• Gary Oxenberg, MD

  • Internal Medicine Physician
  • Northfield, NJ
  • NPI 1346214533

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Deborah K Parlett, N.P.

  • Family Nurse Practitioner
  • Mays Landing, NJ
  • NPI 1508917832

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Cherry Pie Tiu, APN-BC

  • Family Nurse Practitioner
  • Northfield, NJ
  • NPI 1346683802
  Medicare reassignment Care Compare group NPD
• Arthur George Nahas, D.O.

  • Family Medicine Physician
  • Northfield, NJ
  • NPI 1447446158
  Medicare reassignment Care Compare group
• Athanasios G. Papastamelos, DO

  • Infectious Disease Physician
  • Linwood, NJ
  • NPI 1821051277
  NPD Authorized official
• Jenna Lynn McNicholl, PA-C

  • Medical Physician Assistant
  • Linwood, NJ
  • NPI 1861798399
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1457080178",
    "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",
            "fax_number": "609-642-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 NEW RD STE 1",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251179",
            "telephone_number": "609-796-7969",
            "fax_number": "609-642-2663"
        }
    ],
    "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",
            "fax_number": "609-642-2663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PLATINUM PROVIDERS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-08",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "PAPASTAMELOS",
        "authorized_official_first_name": "ATHANASIOS",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "609-469-1585",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Petrella, PT, DPT
• Phoenix Associates LLC
• Physicians Choice Dialysis of Northfield LLC
• Jennifer Anne Pierpoint, OTR/L
• Danielle Piscal
• Jackson Pokres, PMHNP -BC
• Ronaldo Portuguez, PHYSICAL THERAPIST
• Laura J Potter, MSW, LCSW
• Prestige of Northfield Amdc, LLC
• Ashley Procopio, PA-C

• Internal Medicine Physician in Northfield, NJ
• Providers in Northfield, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.