SIVAM DIABETES, NUTRITION AND FAMILY HEALTHCARE LLC
NPI 1568974418
Nurse Practitioner - Family in East Orange, NJ

Q: What is Sivam Diabetes, Nutrition And Family Healthcare LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since November 01, 2017

240 N ARLINGTON AVE, EAST ORANGE, NJ 07017(201) 618-1472 Get Directions Write a Review

NPPES record last updated: November 1, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Sivam Diabetes, Nutrition And Family Healthcare Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SIVAM DIABETES, NUTRITION AND FAMILY HEALTHCARE LLC (NPI 1568974418) is a healthcare organization registered as a family in East Orange, New Jersey and active in the NPI registry since November 2017. The organization lists Mavis Camalita Faulknor, Ceo/social Entrepreneur, as its authorized official.

NPPES Registry Identity

NPI1568974418

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameSIVAM DIABETES, NUTRITION AND FAMILY HEALTHCARE LLC

Location Address240 N ARLINGTON AVEEast Orange, NJ 07017-3802

Mailing Address78 Kenmore AvenueNewark, NJ 07106 · (201) 618-1472 · Fax (973) 399-3393

Phone(201) 618-1472

Organization SubpartNo

Authorized OfficialMavis Camalita FaulknorCeo/social Entrepreneur · (201) 618-1472

Enumeration DateNovember 1, 2017

✔ NPI 1568974418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NJ · 26NJ00421400

Also ListedDietitian, Registered · Nutrition, MetabolicTaxonomy 133VN1006X · License 0071705 (IL)

Also ListedRegistered Nurse · Diabetes EducatorTaxonomy 163WD0400X · License 26NR11201600 (NJ)

240 N ARLINGTON AVE, East Orange, NJ 07017

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sivam Diabetes, Nutrition And Family Healthcare LLC's NPI number?

The NPI number for Sivam Diabetes, Nutrition And Family Healthcare LLC is 1568974418. It was assigned to this organization in the NPPES registry on November 1, 2017.

Where is Sivam Diabetes, Nutrition And Family Healthcare LLC located?

Sivam Diabetes, Nutrition And Family Healthcare LLC is located at 240 N Arlington Ave, East Orange, NJ 07017. The listed phone number is (201) 618-1472.

What is Sivam Diabetes, Nutrition And Family Healthcare LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Sivam Diabetes, Nutrition And Family Healthcare LLC was last updated on November 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.