Sivam Diabetes & Primary Care Llc is a
Nurse Practitioner - Family based in Newark, New Jersey. Sivam Diabetes & Primary Care Llc 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 & Primary Care Llc is 1710525662 and their current mailing address is 78 Kenmore Ave, Newark, New Jersey. Sivam Diabetes & Primary Care Llc
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 & Primary Care Llc |
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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 & Primary Care Llc 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 & Primary Care Llc 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 & Primary Care Llc 78 Kenmore Ave, Newark, NJ 07106-1026 Ph: (201) 618-1472 | Sivam Diabetes & Primary Care Llc 1120-1122 South Orange Avenue, Newark, NJ 07106 Ph: (201) 618-1472 |
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