Sivam Diabetes & Primary Care LLC
NPI 1710525662 · Family Nurse Practitioner · Newark, NJ
Sivam Diabetes & Primary Care LLC is a Family Nurse Practitioner organization in Newark, NJ (NPI 1710525662).
Provider details
- NPI number
- 1710525662
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Mavis Ermakov, Director/Ceo(201) 618-1472
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Registered Dietitian133V00000X
Dietary & Nutritional Service Providers
- Diabetes Educator Registered Nurse163WD0400X
Nursing Service Providers
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Sivam Diabetes, Nutrition and Family Healthcare
- Doing business as
- Sivam Diabetes, Nutrition and Family Healthcare
Registry dates
- Enumerated
- 2019-12-11
- Last updated
- 2021-09-01
- Certified
- 2021-08-16
Frequently asked questions
- What is Sivam Diabetes & Primary Care LLC's NPI number?
- Sivam Diabetes & Primary Care LLC's National Provider Identifier (NPI) is 1710525662, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sivam Diabetes & Primary Care LLC?
- Sivam Diabetes & Primary Care LLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Sivam Diabetes & Primary Care LLC located?
- Sivam Diabetes & Primary Care LLC's practice location on file with NPPES is 1120-1122 South Orange Avenue, Newark, NJ 07106.
- What is Sivam Diabetes & Primary Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Sivam Diabetes & Primary Care LLC is (201) 618-1472.
- Who is the authorized official for Sivam Diabetes & Primary Care LLC?
- The authorized official listed on Sivam Diabetes & Primary Care LLC's NPPES record is Mavis Ermakov, Director/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sivam Diabetes & Primary Care LLC's NPI active?
- Yes — Sivam Diabetes & Primary Care LLC's NPI (1710525662) is active in the NPPES registry as of the last update on 2021-09-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.