PLATINUM PROVIDERS GROUP, LLC (NPI# 1043788839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043788839 |
| Entity Type | Organization |
| Organization Name | PLATINUM PROVIDERS GROUP, LLC |
| Practice Address |
301 Central Ave Ste C Egg Harbor Township NJ 08234-8347 |
| Practice Telephone | 6097980111 |
| Mailing Telephone | 6097980111 |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2020-09-18 |
| Authorized Official Name | MARSHA L. BOGGESS (CEO) |
| Authorized Official Telephone | 6097980111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
301 CENTRAL AVE STE C |
| City | EGG HARBOR TOWNSHIP |
| State | NJ |
| Zip Code | 08234-8347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073007928 | Black Horse Alr LLC | Clinic/Center | 6817 Black Horse Pike, Egg Harbor Township, NJ 08234 | 2018-06-14 |
| 1548762016 | Rebecca Flanigan | Dietitian, Registered | 2500 English Creek Ave. Building 800, Egg Harbor Township, NJ 08234 | 2018-03-01 |
| 1386164143 | Community Quest, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Apartment 312 400 Manor Drive, Absecon, NJ 08234 | 2017-06-22 |
| 1639607740 | Swarnalata Debbarma | Psychiatry & Neurology | Atlanticare Behavioral Health, Inc, Egg Harbor Twp., NJ 08234 | 2017-06-02 |
| 1164956751 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 109 Waverly Road, Cardiff, NJ 08234 | 2017-04-20 |
| 1417481003 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 409 Dogwood Lane, Egg Harbor Township, NJ 08234 | 2017-04-20 |
| 1073047668 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11 Stone Mill Court, Egg Harbor Township, NJ 08234 | 2017-04-20 |
| 1831623412 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 105 Springfield Avenue, Mc Kee City, NJ 08234 | 2017-04-20 |
| 1821453234 | Community Quest | Respite Care | 6814 Tilton Road, Egg Harbor Township, NJ 08234 | 2015-12-30 |
| 1023481074 | Caringhouse Projects, Inc | Respite Care | 15 Erma Drive, Egg Harbor Township, NJ 08234 | 2015-11-12 |
| Find all providers in zip 08234 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073787099 | Vincent R. Moloney | Family Medicine | 9 Sagemore Ct, Egg Harbor Township, NJ 08234-8351 | 2008-04-22 |
| 1427234103 | Jason Benedict Buenaventura | Family Medicine | Faa Tech Center, Building 350, Atlantic City International Airport, Egg Harbor Township, NJ 08234 | 2008-01-13 |
| 1528116795 | Charles M Richwine Iv | Family Medicine | 3110 Ocean Heights Ave, Suite 1, Egg Harbor Township, NJ 08234-7734 | 2007-01-06 |
| 1679516850 | Victoria Marie Borgia | Family Medicine | 2500 English Creek Ave Bldg 900, Egg Harbor Township, NJ 08234-5549 | 2006-06-14 |
| 1730614249 | Jang Hwan Bae | Family Medicine | 2500 English Creek Ave Ste 909, Egg Harbor Township, NJ 08234-5587 | 2017-04-22 |
| 1104358100 | Jeet Thaker | Family Medicine | 2500 English Creek Ave Ste 909, Egg Harbor Township, NJ 08234-5587 | 2017-03-29 |
| 1982962833 | Irfan S Chhipa | Family Medicine | 2500 English Creek Ave, Building 1300, Egg Harbor Township, NJ 08234-5549 | 2012-04-29 |
| 1891846895 | Charles M Richwine Iv Do, Lori Tierno Richwine Do PC | Family Medicine | 3110 Ocean Heights Ave, Egg Harbor Township, NJ 08234-7734 | 2007-01-16 |
| 1518015783 | Lori Tierno Richwine | Family Medicine | 3110 Ocean Heights Ave, Ste 1, Egg Harbor Township, NJ 08234-7734 | 2007-01-06 |
| 1093829608 | Atlanticare Physician Group Pa | Family Medicine | 2500 English Creek Ave, Suite 909, Egg Harbor Township, NJ 08234-5549 | 2006-08-19 |
| Find all providers in EGG HARBOR TOWNSHIP | ||||
| City | EGG HARBOR TOWNSHIP |
| Zip Code | 08234 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.