Sivam Diabetes, Nutrition And Family Healthcare is a
Nurse Practitioner - Family based in Newark, New Jersey. Sivam Diabetes, Nutrition And Family Healthcare is licensed to practice in * (Not Available) (license number ) and their current practice location is
1120-1122 South Orange Avenue, Newark, New Jersey. It can be reached at their office (for appointments etc.) via phone at
(201) 618-1472.
NPI number for Sivam Diabetes, Nutrition And Family Healthcare is 1710525662 and their current mailing address is 78 Kenmore Ave, Newark, New Jersey. Sivam Diabetes, Nutrition And Family Healthcare
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1710525662.
Healthcare Provider's Profile
Full Name | Sivam Diabetes, Nutrition And Family Healthcare |
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Type | Facility |
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Speciality | Nurse Practitioner - Family |
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Location | 1120-1122 South Orange Avenue, Newark, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710525662
- Provider Enumeration Date: 12/11/2019
- Last Update Date: 09/01/2021
Medical Identifiers
Medical identifiers for Sivam Diabetes, Nutrition And Family Healthcare such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710525662 | NPI | - | NPPES |
0143533620 | Medicaid | NJ | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
163WD0400X | Registered Nurse - Diabetes Educator | (* (Not Available)) | Secondary |
261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Secondary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sivam Diabetes, Nutrition And Family Healthcare is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Sivam Diabetes, Nutrition And Family Healthcare 78 Kenmore Ave, Newark, NJ 07106-1026 Ph: (201) 618-1472 | Sivam Diabetes, Nutrition And Family Healthcare 1120-1122 South Orange Avenue, Newark, NJ 07106 Ph: (201) 618-1472 |
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