Lookup NPI Numbers from the NPI Registry
NPI Profile for Dr MAVIS C ERMAKOV in NEWARK, NJ.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Diabetes Educator |
163WD0400X | |||
Dietitian, Registered |
133V00000X | 71 | Registered Dietitian or Nutrition Professional | |
Nutrition, Metabolic |
133VN1006X | 71 | Registered Dietitian or Nutrition Professional |
| NPI # | 1265614911 |
|
| Status | Active | |
| Credentials | R.D., RN., CDE., APN | |
| Entity | Individual | |
| Enumeration date | 12/04/2007 | |
| Last updated | 08/17/2021 - About 5 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MAVIS C ERMAKOV
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MAVIS C ERMAKOV, R.D., RN., CDE., APN