Provider Demographics
NPI:1699657684
Name:PLATINUM HEARTS A NJ NON-PROFIT CORPORATION
Entity type:Organization
Organization Name:PLATINUM HEARTS A NJ NON-PROFIT CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:E
Authorized Official - Last Name:BENJAMIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-697-9802
Mailing Address - Street 1:309 RARITAN AVE LOWR LEVEL
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08904-2701
Mailing Address - Country:US
Mailing Address - Phone:732-658-3771
Mailing Address - Fax:732-658-3774
Practice Address - Street 1:309 RARITAN AVE LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:08904-2701
Practice Address - Country:US
Practice Address - Phone:732-658-3771
Practice Address - Fax:732-658-3774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty
No251E00000XAgenciesHome Health