Organization Active NPI

Platinum Therapy

  • Clinic/Center
  • Manchester, NJ
National Provider Identifier
1679222178
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PLATINUM THERAPY
Practice address
2485 Holly Hill Rd
Manchester, NJ 08759-6119
Phone
(732) 451-3398
NPI assigned
Mar 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Authorized official

Name
Pessie KrohnNPI 1205354768
Title
Owner
Phone
(732) 451-3398

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2485 Holly Hill Rd
Manchester, NJ 08759-6119

Mailing address

2485 Holly Hill Rd
Manchester, NJ 08759-6119
Phone (732) 451-3398

Other practice location 1

500 River Ave
Lakewood, NJ 08701-4738
Phone (732) 905-1212

National Provider Directory

National Provider Directory

Locations

500 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647907200000",
    "number": "1679222178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2485 HOLLY HILL RD",
            "city": "MANCHESTER",
            "state": "NJ",
            "postal_code": "087596119",
            "telephone_number": "732-451-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 HOLLY HILL RD",
            "city": "MANCHESTER",
            "state": "NJ",
            "postal_code": "087596119",
            "telephone_number": "732-451-3398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 River Ave",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "NJ",
            "postal_code": "087014738",
            "country_code": "US",
            "telephone_number": "732-905-1212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PLATINUM THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "KROHN",
        "authorized_official_first_name": "PESSIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-451-3398"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.