Search › New Jersey › 363LF0000X
Mavis Ermakov, R.D., RN., CDE., APN
NPI 1265614911 · on the registry since 2007
Practice
- Address
- 741 Broadway
Newark, NJ 07104 - Phone
- (973) 483-1300
- Organisation at this address
- Newark Community Health Centers Inc
Newark Community Health Centers, Inc.
Newark Community Health Centers, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 55
Additional practice sites
- 731 Liberty Ct, Piscataway, NJ
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 133V00000X
133VN1006X
163WD0400X - Licence states on file
- IL, NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-08-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey