Organization Active NPI

Suvita Medical Aesthetics, PC

  • Clinic/Center
  • Wall Township, NJ
National Provider Identifier
1437005212
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SUVITA MEDICAL AESTHETICS, PC
Practice address
1985 Route 34 BLDG a
Wall Township, NJ 07719-9100
Phone
(732) 282-0080
NPI assigned
Mar 5, 2026
Last updated
Mar 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Authorized official

Name
Jennifer Becker, PA-CNPI 1891898755
Title
Founder/Co-Owner
Phone
(917) 685-1464

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1985 Route 34 BLDG a
Wall Township, NJ 07719-9100

Mailing address

1985 Route 34 BLDG a
Wall Township, NJ 07719-9100
Phone (732) 282-0080

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2345298Suvita Medical Aesthetics1985 Route 34, Wall, NJ 07719Certificate of waiverJun 7, 2028

National Provider Directory

National Provider Directory

Locations

1985 State Route 34
Bldg A
Wall Township, NJ 07719
Phone (732) 282-0080

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1772668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1437005212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1985 ROUTE 34 BLDG A",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077199100",
            "telephone_number": "732-282-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1985 ROUTE 34 BLDG A",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077199100",
            "telephone_number": "732-282-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUVITA MEDICAL AESTHETICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-05",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "FOUNDER/CO-OWNER",
        "authorized_official_telephone_number": "917-685-1464",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wall Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.