Suela Lita

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

26NJ14932200 Issued in NJ

Practice address

300 Broadacres Dr
Bloomfield, NJ 07003-3153

Phone

(862) 314-7030

NPI assigned

Sep 12, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Skin Specialists LLC

  • Nurse Practitioner
  • Secaucus, NJ
  • NPI 1275326605
  Medicare reassignment NPD
• Restore First Health NJ LLC

  • General Practice Physician
  • East Windsor, NJ
  • NPI 1083327290
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1023895042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BROADACRES DR",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033153",
            "telephone_number": "862-314-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BROADACRES DR",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033153",
            "telephone_number": "862-314-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITA",
        "first_name": "SUELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-12",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ14932200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Span Wellness LLC
• Steven Arthur Lilien, D.D.S.
• Jessica Ann Lim
• Lalita Limbu
• Vincent Joseph Lipoma, DMD
• Live It Up Hair LLC
• Heather K Livezey, D.O.
• Samantha Jo Lockhart, M.A, BCBA
• Logos Christian Counseling, Inc.
• Robert Anthony Lohse, FNP-BC

• Nurse Practitioner in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.