Sivam Diabetes, Nutrition And Family Healthcare LLC
Nurse Practitioner, Family in East Orange, New Jersey
1568974418- Practice location
- 240 N Arlington Ave, East Orange, NJ 07017-3802
- Phone
- 201-618-1472
- Fax
- —
- Last updated
- November 1, 2017
Sivam Diabetes, Nutrition And Family Healthcare LLC is a healthcare organization based in East Orange, NJ. Sivam Diabetes, Nutrition And Family Healthcare LLC practices in East Orange, NJ. The NPI Number for Sivam Diabetes, Nutrition And Family Healthcare LLC is 1568974418 and holds a License No. 26NR11201600 (NJ). The current practice location address for Sivam Diabetes, Nutrition And Family Healthcare LLC is 240 N Arlington Ave, East Orange, NJ 07017-3802 and can be reached out via phone at 201-618-1472.
Provider Profile Details
- NPI Number
- 1568974418
- Provider Name
- Sivam Diabetes, Nutrition And Family Healthcare LLC
- Provider Entity Type
- Organization
- Address
- 240 N Arlington Ave, East Orange, NJ 07017-3802
- Phone Number
- 201-618-1472
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Organization Subpart
- No
- Authorized Official
- Dr. Mavis Camalita Faulknor, FNP, APN, RN, RD, CD · Ceo/Social Entrepreneur · 201-618-1472
- Provider Enumeration Date
- November 1, 2017
- Last Update Date
- November 1, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 240 N Arlington Ave
East Orange, NJ 07017-3802 - City
- East Orange
- State
- New Jersey
- Zip
- 07017-3802
- Phone Number
- 201-618-1472
Provider Business Mailing Address Details
- Address
- 78 Kenmore Avenue
Newark, NJ 07106 - City
- Newark
- State
- NJ
- Zip
- 07106
- Phone Number
- 201-618-1472
- Fax Number
- 973-399-3393
License Information
- License Number (1)
- 26NR11201600
- License State (1)
- NJ
- Taxonomy (1)
- Registered Nurse, Diabetes Educator · 163WD0400X
- License Number (2)
- 0071705
- License State (2)
- IL
- Taxonomy (2)
- Dietitian, Registered, Nutrition, Metabolic · 133VN1006X
- License Number (3)
- 26NJ00421400
- License State (3)
- NJ
- Taxonomy (3)
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Family providers near East Orange, NJ
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Frequently Asked Questions
What is the NPI number of Sivam Diabetes, Nutrition And Family Healthcare LLC?
The NPI number of Sivam Diabetes, Nutrition And Family Healthcare LLC is 1568974418. It was assigned on November 1, 2017 and is currently active in the NPPES registry.
What is the specialty of Sivam Diabetes, Nutrition And Family Healthcare LLC?
Sivam Diabetes, Nutrition And Family Healthcare LLC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NR11201600.
Where does Sivam Diabetes, Nutrition And Family Healthcare LLC practice?
The practice location is 240 N Arlington Ave, East Orange, NJ 07017-3802. The office can be reached at 201-618-1472 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1568974418 directly on the NPPES registry website.