Sivam Diabetes, Nutrition and Family Healthcare LLC
Sivam Diabetes, Nutrition and Family Healthcare LLC provides Metabolic Nutrition Registered Dietitian services in East Orange, New Jersey. Licensed in Illinois and New Jersey. Registered with an NPI since 2017.
- Licensed in
- IL, NJ
- In the registry since
- 2017
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
240 N Arlington AveEast Orange, NJ 07017-3802
Phone: (201) 618-1472
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 26NJ00421400 (NJ) |
|---|---|
| Metabolic Nutrition Registered Dietitian | Taxonomy 133VN1006X · Licence 0071705 (IL) |
| Diabetes Educator Registered Nurse | Taxonomy 163WD0400X · Licence 26NR11201600 (NJ) |
Record details
| NPI number | 1568974418 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mavis Faulknor — Ceo/Social Entrepreneur · (201) 618-1472 |
| NPI enumerated | November 1, 2017 |
| Last updated in NPPES | November 1, 2017 |
| Mailing address | 78 Kenmore Avenue, Newark, NJ 07106 |