MEDICARE: SUVITA MEDICAL AESTHETICS, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1437005212
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUVITA MEDICAL AESTHETICS, PC

Provider Business Mailing Address
First Line	:	1985 ROUTE 34 BLDG A
Second Line	:
City	:	WALL TOWNSHIP
State	:	NJ
Zip	:	07719-9100
Country	:	US
Telephone Number	:	732-282-0080
Fax Number	:

Provider Business Practice Location Address
First Line	:	1985 ROUTE 34 BLDG A
Second Line	:
City	:	WALL TOWNSHIP
State	:	NJ
Zip	:	07719-9100
Country	:	US
Telephone Number	:	732-282-0080
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER/CO-OWNER
Name	:	JENNIFER BECKER
Credential	:	PA-C
Telephone Number	:	917-685-1464

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	03/05/2026

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