Active NPIOrganization

Premium Medical Agency LLC

Physical Therapist in Bloomfield, New Jersey

NPI Number1760515639
Practice location
237 Bloomfield Ave, Bloomfield, NJ 07003-5622
Fax
—
Last updated
September 11, 2025

Premium Medical Agency LLC is a healthcare organization based in Bloomfield, NJ. Premium Medical Agency LLC practices in Bloomfield, NJ. The NPI Number for Premium Medical Agency LLC is 1760515639 and holds a License No. 25MA02906500 (NJ). The current practice location address for Premium Medical Agency LLC is 237 Bloomfield Ave, Bloomfield, NJ 07003-5622 and can be reached out via phone at 973-494-8143.

Provider Profile Details

NPI Number
1760515639
Provider Name
Premium Medical Agency LLC
Provider Entity Type
Organization
Address
237 Bloomfield Ave, Bloomfield, NJ 07003-5622
Phone Number
973-494-8143
Primary Taxonomy
Physical Therapist · 225100000X
Organization Subpart
No
Authorized Official
Aaron Wayne Robinson · Owner · 908-343-3762
Provider Enumeration Date
March 13, 2007
Last Update Date
September 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
237 Bloomfield Ave
Bloomfield, NJ 07003-5622
Zip
07003-5622
Phone Number
973-494-8143
Bloomfield, NJ 07003Get directions →

Provider Business Mailing Address Details

Address
671 Warfield RD
North Plainfield, NJ 07063-1649
City
North Plainfield
State
NJ
Zip
07063-1649
Phone Number
908-343-3762

License Information

License Number (1)
25MA02906500
License State (1)
NJ
Taxonomy (1)
Family Medicine, Adult Medicine · 207QA0505X
License Number (2)
25MA04542500
License State (2)
NJ
Taxonomy (2)
Family Medicine, Adult Medicine · 207QA0505X
License Number (3)
40QA00974100
License State (3)
NJ
Taxonomy (3)
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Premium Medical Agency LLC?

The NPI number of Premium Medical Agency LLC is 1760515639. It was assigned on March 13, 2007 and is currently active in the NPPES registry.

What is the specialty of Premium Medical Agency LLC?

Premium Medical Agency LLC is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 25MA02906500.

Where does Premium Medical Agency LLC practice?

The practice location is 237 Bloomfield Ave, Bloomfield, NJ 07003-5622. The office can be reached at 973-494-8143 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1760515639 directly on the NPPES registry website.

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