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Sivam Diabetes & Primary Care Llc
Family Nurse Practitioner in Newark, New Jersey
NPI 1710525662

Sivam Diabetes & Primary Care Llc is a Family Nurse Practitioner based in Newark, NJ and is specialized in Family. Sivam Diabetes & Primary Care Llc practices in Newark, NJ. The NPI Number for Sivam Diabetes & Primary Care Llc is 1710525662 and holds a License No. (New Jersey).

The current practice location address for Sivam Diabetes & Primary Care Llc is 1120-1122 South Orange Avenue, Newark, NJ and can be reached out via phone at 201-618-1472. You can also correspond with Sivam Diabetes & Primary Care Llc through the mailing address at 78 KENMORE AVE, NEWARK, NJ - 07106-1026 (mailing address contact number: 201-618-1472).

Location: 1120-1122 South Orange Avenue, Newark, NJ, 07106-1026
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710525662
Provider Name
Sivam Diabetes & Primary Care Llc
Credential
Provider Entity Type
Organization
Address
1120-1122 South Orange Avenue, Newark, NJ, 07106-1026
Phone Number
201-618-1472
Fax Number
Provider Enumeration Date
12/11/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0143533620 05 NJ
institution
Provider Business Practice Location Address Details
Address
1120-1122 South Orange Avenue
City
Newark
State
New Jersey
Zip
07106
Phone Number
201-618-1472
Fax Number
person
Provider Business Mailing Address Details
Address
78 Kenmore Ave
City
Newark
State
New Jersey
Zip
07106-1026
Phone Number
201-618-1472
Fax Number
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
-
Taxonomy
133V00000X
License No.
()
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
Nursing Service Providers
Classification
Registered Nurse
Speciality
Diabetes Educator
Taxonomy
163WD0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
()
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.
()
Definition
Definition to come...
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