| Suela Lita, | |
|
300 Broadacres Dr, Bloomfield, NJ 07003-3153 | |
| (862) 314-7030 | |
| Not Available |
| Full Name | Suela Lita |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 300 Broadacres Dr, Bloomfield, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023895042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 26NJ14932200 (New Jersey) | Primary |
| Entity Name | On Site Dermatology Of New Jersey Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811389539 PECOS PAC ID: 1951616697 Enrollment ID: O20150811003325 |
| Entity Name | Restore First Health Nj Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083327290 PECOS PAC ID: 7012381106 Enrollment ID: O20230313000115 |
| Mailing Address | Practice Location Address |
|---|---|
| Suela Lita, 300 Broadacres Dr, Bloomfield, NJ 07003-3153 Ph: (862) 314-7030 | Suela Lita, 300 Broadacres Dr, Bloomfield, NJ 07003-3153 Ph: (862) 314-7030 |
Monique Vindas, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 256 Broad St, Bloomfield, NJ 07003 Phone: 973-771-0090 | |
Mr. Robert Anthony Lohse, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 256 Broad St, Bloomfield, NJ 07003 Phone: 973-743-4450 | |
Ketrice-ann Delonnay, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 Washington St, Bloomfield, NJ 07003 Phone: 347-983-9485 | |
Miss Sandra Rivera, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 194 Broad St, Bloomfield, NJ 07003 Phone: 973-748-5700 | |
Mrs. Nirmala Ratnam Baskar, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 194 Broad St, Bloomfield, NJ 07003 Phone: 973-748-5700 Fax: 973-748-5300 | |
Miss Cristin Ashley Famularo, A.P.N Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17 Lackawanna Pl, 412, Bloomfield, NJ 07003 Phone: 201-913-7146 |