Sivam Healthcare Training Incorporated

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SIVAM HEALTHCARE TRAINING INCORPORATED

Doing business as

Sivam Home Healthcare

Practice address

1120 S Orange Ave
Newark, NJ 07106-1513

Phone

(973) 373-9080

Fax

(973) 373-9081

NPI assigned

Aug 1, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mavis Ermakov, DNP, APN, FNP-C, RD,NPI 1265614911

Title

Administrator

Phone

(973) 373-9080

Specialties & licenses 1

Addresses

Other names 1

• Sivam Home Healthcare Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mavis Camalita Ermakov, R.D., RN., CDE., APN

  • Family Nurse Practitioner
  • Newark, NJ
  • NPI 1265614911
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1679303069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 S ORANGE AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071061513",
            "telephone_number": "973-373-9080",
            "fax_number": "973-373-9081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S ORANGE AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071061513",
            "telephone_number": "973-373-9080",
            "fax_number": "973-373-9081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIVAM HEALTHCARE TRAINING INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "ERMAKOV",
        "authorized_official_first_name": "MAVIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "973-373-9080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, APN, FNP-C, RD,"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sivam Home Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Raymund Vincent Sebastian Sison, M.D.
• Sasha Sitahal-Dhaniram, MD
• Nadzeya Siutsou, CRNA
• Nithika Sivakumar
• Sivam Diabetes & Primary Care LLC (Sivam Diabetes, Nutrition and Family Healthcare)
• Adam Sivitz, MD
• Michael Ethan Skolnick, DMD
• Shira E Slasky, MD
• Carmel Slater
• Denise Slaughter

• Home Health Agency in Newark, NJ
• Providers in Newark, NJ by specialty
• Home Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.