SIVAM DIABETES NUTRITION AND FAMILY HEALTHCARE LLC NPI 1568974418

NPI Information

NPI: 1568974418
Provider Name: SIVAM DIABETES, NUTRITION AND FAMILY HEALTHCARE LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
240 N ARLINGTON AVE
EAST ORANGE, NJ
ZIP 07017
Phone: (201) 618-1472
Get Directions

SIVAM DIABETES, NUTRITION AND FAMILY HEALTHCARE LLC is a family nurse practitioner in East Orange, NJ. SIVAM DIABETES, NUTRITION AND FAMILY HEALTHCARE LLC NPI is 1568974418. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

240 N ARLINGTON AVE
EAST ORANGE, NJ
ZIP 07017-802
Phone: (201) 618-1472

The provider's authorized official is Mavis Camalita Faulknor .
The authorized official title is Ceo/social Entrepreneur and has the following contact phone number (201) 618-1472.

The enumeration date for this NPI number is 11/1/2017 and was last updated on 11/1/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WD0400X	Registered Nurse	Diabetes Educator	26NR11201600	NEW JERSEY	No
2	133VN1006X	Dietitian, Registered	Nutrition, Metabolic	0071705	ILLINOIS	No
3	363LF0000X	Nurse Practitioner	Family	26NJ00421400	NEW JERSEY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »