Sivam Diabetes, Nutrition and Family Healthcare LLC
NPI 1568974418ActiveOrganization· Nurse Practitioner, Family· East Orange, NJ
Nurse Practitioner, Family in East Orange, New Jersey, registered in NPPES in November 2017. The authorized official on file is Mavis Camalita Faulknor, FNP, APN, RN, RD, CD, Ceo/Social Entrepreneur.
Overview
| NPI | 1568974418 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 1, 2017 |
| Last updated in NPPES | Nov 1, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 26NJ00421400 | NJ |
| Dietitian, Registered, Nutrition, Metabolic | 133VN1006X | 0071705 | IL |
| Registered Nurse, Diabetes Educator | 163WD0400X | 26NR11201600 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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