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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MAVIS CAMALITA ERMAKOV, R.D., RN., CDE., APN

Active

DR. MAVIS CAMALITA ERMAKOV, R.D., RN., CDE., APN is a Family Nurse Practitioner healthcare provider located in NEWARK, New Jersey. NPI 1265614911 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · NEWARK, NJ

Registration Details

NPI Number
1265614911
Provider Type
Individual
Gender
Female
NPI Issued
Dec 4, 2007 (18.648719902998 yrs)
Last Updated
Aug 17, 2021
Licenses
0071705 (IL)
717052 (ID#) (IL)
26NR112011600 (NJ)
26NJ00421400 (NJ)

Practice Information

Address
741 BROADWAY
NEWARK, NJ, 071044309
Browse NJ providers · Browse ZIP 07104
Phone
9734831300
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Metabolic Nutrition
Additional Specialty
Diabetes Educator Nurse
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in NEWARK, NJ

Name Credential NPI
MRS. JOANN C SAAB APRN 1740269901
TIFFANY FITCH FNP 1386624641
VERA HOU FNP 1750308565
MS. REETU MALINI SOOKRAJ APRN, BC 1912000712
MS. SUSAN E KELLY FNP 1154429660
RASHMI AGGARWAL APN 1154414316
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.