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 | Restore First Health Nj Llc |
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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 |
Lisa Blomgren, ACNPC-AG Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 120 Lindbergh Blvd, Bloomfield, NJ 07003 Phone: 973-508-2697 | |
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 | |
Jacqueline Wiseman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 92 Willow St Unit 1, Bloomfield, NJ 07003 Phone: 201-982-6128 | |
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 |