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Dr. Mavis Camalita Ermakov, RD,RN,CDE,APN
Family Nurse Practitioner in Newark, New Jersey
NPI 1265614911

Mavis Camalita Ermakov is a Family Nurse Practitioner based in Piscataway, NJ and is specialized in Family. Mavis Camalita Ermakov practices in Newark, NJ and has the professional credentials of RD,RN,CDE,APN. The NPI Number for Mavis Camalita Ermakov is 1265614911 and holds a License No. 0071705 (New Jersey).

The current practice location address for Mavis Camalita Ermakov is 741 Broadway, Newark, NJ and can be reached out via phone at 973-483-1300. You can also correspond with Mavis Camalita Ermakov through the mailing address at 731 LIBERTY CT, PISCATAWAY, NJ - 08854-7206 (mailing address contact number: 732-937-5952).

Location: 741 Broadway, Newark, NJ, 08854-7206
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265614911
Provider Name
Mavis Camalita Ermakov
Credential
RD,RN,CDE,APN
Provider Entity Type
Individual
Gender
Female
Address
741 Broadway, Newark, NJ, 08854-7206
Phone Number
973-483-1300
Fax Number
Provider Enumeration Date
12/04/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0143533620 05 NJ
institution
Provider Business Practice Location Address Details
Address
741 Broadway
City
Newark
State
New Jersey
Zip
07104-4309
Phone Number
973-483-1300
Fax Number
person
Provider Business Mailing Address Details
Address
731 Liberty Ct
City
Piscataway
State
New Jersey
Zip
08854-7206
Phone Number
732-937-5952
Fax Number
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
-
Taxonomy
133V00000X
License No.
26NJ00421400 (New Jersey)
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
person
Provider's Taxonomy Details 2
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
Nutrition, Metabolic
Taxonomy
133VN1006X
License No.
26NR112011600 (New Jersey)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Diabetes Educator
Taxonomy
163WD0400X
License No.
717052 (ID#) (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
0071705 (Illinois)
Definition
Definition to come...
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