PREMIUM MEDICAL AGENCY LLC (NPI# 1760515639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760515639 |
| Entity Type | Organization |
| Organization Name | PREMIUM MEDICAL AGENCY LLC |
| Practice Address |
237 Bloomfield Ave Bloomfield NJ 07003-5622 |
| Mailing Address |
671 Warfield Rd North Plainfield NJ 07063-1649 |
| Practice Telephone | 9734948143 |
| Mailing Telephone | 9083433762 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | AARON WAYNE ROBINSON (OWNER) |
| Authorized Official Telephone | 9083433762 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
25MA02906500 | NJ | Allopathic & Osteopathic Physicians |
| X | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
25MA04542500 | NJ | Allopathic & Osteopathic Physicians |
| X | 225100000X | Physical Therapist | 40QA00974100 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
237 BLOOMFIELD AVE |
| City | BLOOMFIELD |
| State | NJ |
| Zip Code | 07003-5622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316560501 | Delores Heart,llc | Respite Care | Delores Heart, 17 Dodd St. Ste A5, Bloomfield, NJ 07003 | 2020-05-21 |
| 1235798505 | Tina Rivera | Physical Therapy Assistant | A Team Approach, Pt 265 Broad Street, Suite 4, Bloomfield, NJ 07003 | 2019-06-11 |
| 1144709239 | Jennifer Stuart | Social Worker | 27 Park Place, Apt. 13, Bloomfield, NJ 07003 | 2018-08-09 |
| 1992212179 | Kristina Camille P Manapat | Student in an Organized Health Care Education/Training Program | 1690 Broad St., Bloomfield, NJ 07003 | 2018-01-09 |
| 1760993224 | Vivian Arroyo | Counselor | 76 Baldwin Pl, Bloomfield, NJ 07003 | 2017-10-23 |
| 1942719653 | Savita Singh | Dentist | 40 Conger Street, 1402b, Bloomfield, NJ 07003 | 2017-09-26 |
| 1942729926 | Moya Mathison | Counselor | 27 West St # 5a, Bloomfield, NJ 07003 | 2017-09-11 |
| 1801319512 | Janice Rainford | Counselor | 267 Broughton Ave # 2, Bloomfield, NJ 07003 | 2017-07-25 |
| 1154841468 | Nhat Minh Nguyen | Nurse Practitioner | 3 Donald St, Apt. D, Bloomfield, NJ 07003 | 2017-06-27 |
| 1578091872 | Janice M. Steel | Physical Therapy Assistant | 265 Broad Street, Suite 4, Bloomfield, NJ 07003 | 2017-05-31 |
| Find all providers in zip 07003 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760724165 | John Ordway Alden | Family Medicine | 20 Loeffler Rd, T521c, Bloomfield, CT 06002-2276 | 2013-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215456983 | Amanda Jo Henning | Family Medicine | 1100 Westcott Dr, Flemington, NJ 08822 | 2017-09-14 |
| 1538694963 | Kathleen Carpio | Family Medicine | 1300 State Route 35 Unit 204, Ocean, NJ 07712-3533 | 2017-04-24 |
| 1396286597 | Melissa Maxine Gonzalez | Family Medicine | 1300 Highway 35 Unit 101, Ocean, NJ 07712-3533 | 2017-03-20 |
| 1821470923 | Jenee P Skinner-hamler | Family Medicine | 112 Camelot Cir, Mays Landing, NJ 08330-4907 | 2015-06-24 |
| 1104262948 | Sarah Uddin | Family Medicine | 43 Yawpo Ave Ste 3, Oakland, NJ 07436-2717 | 2013-05-20 |
| 1841514510 | Henry G Schriever | Family Medicine | 9 Sandy Cove Ln, Beach Haven, NJ 08008-6154 | 2010-03-24 |
| 1487985552 | David Abend Do Pa | Family Medicine | 400 Old Hook Rd Ste 2-6, Westwood, NJ 07675-2720 | 2010-01-28 |
| 1053647636 | Ira L Fox | Family Medicine | 23 Green Acre Way, Glassboro, NJ 08028-2706 | 2009-11-02 |
| 1235360892 | Panfilo G Canton | Family Medicine | 182 Derby Dr., Freehold, NJ 07728-2766 | 2009-07-30 |
| 1801051875 | Angelique L Colbert | Family Medicine | 36 Lancaster Dr, Westampton, NJ 08060-2453 | 2008-07-18 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMFIELD |
| Zip Code | 07003 |
Please comment or provide details below to improve the information on PREMIUM MEDICAL AGENCY LLC.
| 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.