Dr. Mavis Camalita Ermakov
R.D., RN., CDE., APN | Nurse Practitioner
741 Broadway, Newark
New Jersey, 07104-4309
973-483-1300
Dr. Mavis Camalita Ermakov is a Newark, New Jersey based nurse practitioner who is specialized as Nurse Practitioner nurse. Active license number of Dr. Mavis Camalita Ermakov is 26NJ00421400 for Family in New Jersey. Her current practice location is 741 Broadway, Newark. Patients can reach her at 973-483-1300. Dr. Mavis Camalita Ermakov is R.D., RN., CDE., APN with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1265614911.
Dr. Mavis Camalita Ermakov has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Dr. Mavis Camalita Ermakov speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Dr. Mavis Camalita Ermakov |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | R.D., RN., CDE., APN |
| Practice Address: | 741 Broadway, Newark,
New Jersey, 07104-4309 |
| Phone: | 973-483-1300 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1265614911 |
| NPI Enumeration Date: | 04 Dec, 2007 |
| NPI Last Update On: | 17 Aug, 2021 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mavis Camalita Ermakov are as mentioned below.
| License Number | Specialization | State | Status | |
| 26NJ00421400 | Family | New Jersey | Primary | |
| 0071705 | Dietitian, Registered | Illinois | Secondary | |
| 717052 (ID#) | Dietitian, Registered | Illinois | Secondary | |
| 26NR112011600 | Registered Nurse | New Jersey | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Mavis Camalita Ermakov such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0143533620 | Medicaid | New Jersey | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Dr. Mavis Camalita Ermakov
731 Liberty Ct,
Piscataway, New Jersey |
| Zip: | 08854-7206 |
| Phone Number: | 732-937-5952 |
Patients can reach Dr. Mavis Camalita Ermakov at
741 Broadway, Newark, New Jersey or can
call to book an appointment on 973-483-1300.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.