Dr. Mavis Camalita Ermakov

R.D., RN., CDE., APN | Nurse Practitioner

741 Broadway, Newark
  New Jersey, 07104-4309
973-483-1300
May or may not accept Medicare Nurse Anesthetist in Newark, New Jersey.
Dr. Mavis Camalita Ermakov is a Newark, New Jersey based nurse practitioner. 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 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 (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 NumberSpecializationStateStatus
26NJ00421400Family New JerseyPrimary
0071705Dietitian, Registered IllinoisSecondary
717052 (ID#)Dietitian, Registered IllinoisSecondary
26NR112011600Registered Nurse New JerseySecondary
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.
IdentifierTypeStateIssuer
0143533620MedicaidNew 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.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.