# PREMIUM MEDICAL CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Premium Medical Care LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194757617
- **Authorized official:** MR. AARON WAYNE ROBINSON (OWNER)
- **Authorized official phone:** (973) 494-9706

## Contact information

- **Practice address:** 240 GRANDVIEW AVE, PISCATAWAY, NJ 08854-2458
- **Practice address phone:** (973) 494-9706
- **Practice address fax:** (973) 954-4360
- **Mailing address:** 569 N 5TH ST, NEWARK, NJ 07107-2630
- **Mailing address phone:** (973) 494-9706
- **Mailing address fax:** (973) 954-4360

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | 44SC01309800 | NJ | — |
| 207R00000X | Internal Medicine Physician | 25MA02906500 | NJ | Yes |
| 207R00000X | Internal Medicine Physician | 25MA04542500 | NJ | — |
| 207R00000X | Internal Medicine Physician | 25MA06248800 | NJ | — |
| 225100000X | Physical Therapist | 40QA00647800 | NJ | — |
| 225100000X | Physical Therapist | 40QA00974100 | NJ | — |
| 225X00000X | Occupational Therapist | TR00324500 | NJ | — |

## Other

- **Enumeration date:** 07/07/2006
- **Last updated:** 09/11/2025
