MEDICARE: PLATINUM PROVIDERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172A00000X	Driver

General Provider Information

NPI Number	:	1881546943
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PLATINUM PROVIDERS

Provider Business Mailing Address
First Line	:	909 GRAVIER ST APT 2008
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70112-1758
Country	:	US
Telephone Number	:	504-914-0664
Fax Number	:

Provider Business Practice Location Address
First Line	:	909 GRAVIER ST APT 2008
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70112-1758
Country	:	US
Telephone Number	:	504-914-0664
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. ROBERT WINDLES BOLES
Credential	:
Telephone Number	:	504-914-0664

Provider Enumeration Date	:	02/11/2026
Last Update Date	:	02/11/2026

Similar Medicare Providers

1346221660 — JUDITH HERTANU MD
Practice Location Address:

10 UNION SQ E , BETH ISRAEL MED CTR- DEPT OF REHAB MEDICARE
NEW YORK, NY
10003-3314

Practice Phone: 212-420-2757
Practice Fax:

1447635933 — RAPHAELLE O'NEIL
Practice Location Address:

1758 N TONTI ST
NEW ORLEANS, LA
70119-1555

Practice Phone: 504-975-0054
Practice Fax:

1619971975 — JAQUELINE M WORTH MD
Practice Location Address:

1225 PARK AVE STE 1D
NEW YORK, NY
10128-1758

Practice Phone: 212-741-2229
Practice Fax: 212-741-2228

1013935824 — DR. PHYLLIS TOMPKINS LCSW, PH.D
Practice Location Address:

1225 PARK AVE , 1A
NEW YORK, NY
10128-1758

Practice Phone: 917-741-1120
Practice Fax:

1013921774 — DR. JAMES AARON ROYLE JR. D.C.
Practice Location Address:

255 S NEW PROSPECT RD
JACKSON, NJ
08527-1758

Practice Phone: 732-367-1099
Practice Fax: 732-367-1909

1053404384 — DR. GARY PAUL KATZMAN M.D.
Practice Location Address:

1225 PARK AVE , #1E
NEW YORK, NY
10128-1758

Practice Phone: 212-410-6750
Practice Fax: 212-410-6751

Directions to “PLATINUM PROVIDERS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.