Meet your Healthcare Provider

Dr. Mavis Ermakov, DNP, APN, FNP-BC, RC, CDCES

Healthcare is provided by Dr. Mavis Ermakov, DNP, APN, FNP-BC, RC, CDCES an experienced and well-respected Family Nurse Practitioner (NP). Dr. Andrew Baddoo, MD, (Internal medicine & Nephrologist) is her collaborating physician. Sivan Diabetes & Primary Care LLC, provides convenient, personalized, and skilled care to patients from pediatrics to the elderly with a focus on Diabetes Mellitus Care Integrated with Primary Care. Dr. Mavis Ermakov’s background, experience from years of practice, collaborations with other specialist physicians, and training as a multi-disciplinary healthcare provider makes her uniquely qualified to care for patients.

Dr. Ermakov is an advocate for health and wellness, keen on promoting health literacy and access to healthcare for all. She has been trained as a Registered Dietitian, with multidisciplinary training as a Board-Certified Family Nurse Practitioner, and Certified Diabetes Care and Education Specialist (CDCES). In conjunction with more than thirty (30) years of experience in healthcare in various settings, she is a primary care provider and has essential diabetes skills to adapt care and nutrition intervention that is culturally sensitive to meet a wide variety of health needs from infancy to senior care in the primary care setting and long-term care settings.

Dr. Ermakov has a passion for taking care of patients with diabetes mellitus. Diabetes Mellitus is at an epidemic level in the United States and is the major cause of many acute and chronic complications. Specialty areas are Diabetes Mellitus; Primary Care, Obesity; Hypertension; Cardiovascular disorders (High Cholesterol), Kidney Disease, Gastrointestinal disorders; before and post Bariatric surgery, Child Nutrition, Geriatrics and overall Medical Nutrition Therapy to promote healthy eating.

Her focus is to help patients to access healthcare with a focus on diabetes mellitus care to promote healthy living for improved life performance from infancy to adulthood. The office/clinic is handicap accessible with adequate parking and our location provides easy access to public transportation.

Areas of Specialty

Comprehensive Diabetes Mellitus Management

We treat patients who have Type 1 Diabetes Mellitus and Type 2 Diabetes Mellitus, Pre-diabetes, secondary diabetes mellitus, and diabetes mellitus during pregnancy (gestational diabetes mellitus).

Sivam Diabetes & Primary Care LLC manages all aspects of diabetes and any complications, creating a complete and tailored treatment plan for each patient with diabetes mellitus that includes:

Individualized Diabetes Mellitus and Chronic Disease Management: This approach ensures better outcomes through personalized chronic disease management.
Diabetes Mellitus Education (Individual and Groups): Patients/clients will learn to lead healthier lives through diabetes self-management, education, and support training, including nutritional education and counseling.
High-risk care: We provide preventive surveillance and interventions for high-risk pre-diabetes patients.
Device Assistance: This includes insulin pump training and continuous glucose monitoring.

Primary Care

At Sivam Diabetes & Primary Care LLC, we treat even the smallest members of the family! From infancy to end of life. We conduct physical examinations, diagnosis, treatment of chronic and acute conditions, and administration of vaccines and immunizations. SDPC promotes wellness for your children and the entire family with a focus on comprehensive diabetes mellitus care. Walk-ins are welcome. Please call us at (973)-373-9080 for additional services or questions.

Telehealth Services

It you cannot make it to the clinic. Help is still available with the use of telehealth services. Our providers can meet you over a HIPAA compliant audio/visual connection. Same day appointments are available. Please access/schedule telehealth services through SIVAM DIABETES & PRIMARY CARE LLC, patient portal at the following link and schedule Telehealth services under the appointments tab: https//www.yourhealthfile.com

Telehealth (E-Visits)

Can't make it to the office? We offer e-visits also known as telehealth/ telemedicine.

Services such as medications refills and treatment of simple conditions such as UTI, cough, allergies, minor skin rashes/conditions can be provided with the use of telehealth.

Terms and Conditions

NEVER REQUEST AN ELECTRONIC VISIT FOR A EMERGENCY MEDICAL PROBLEM.

An electronic or e-visit is an alternative designed to efficiently respond to routine, non-complex medical problems. (Examples might include mild

cough, a mild stomach virus, UTI).

An e-visit is not designed for complex or non-routine medical care, especially problems that might require the relating of extensive history information or a thorough physical exam. E-visits are only offered to ADULT patients, and you agree that during the visit you are representing yourself and not another person. You will be asked to present a government issued ID. E-visits are not billed by our practice to any insurer, as they are usually considered a non-covered service. The patient is always responsible for our typical e-visit charges. Our standard e-visit charge is $50..

Requests for e-visits must be approved and confirmed at least 1-2 hours in advance. Prior to the visit you may be asked to complete certain medical questionnaires. Sometimes, after reviewing your information, or during the e-visit it may be determined that your problem is too complex for an e-visit session. In that case, our office will schedule you for a traditional office visit and your e-visit fee will be applied to the patient balance related to your office visit.

Communication during an e-visit may be exchanged via teleconference, landline phone, cellular phone, and online chat. These methods are by their very nature not as secure as a face-to-face encounter. By requesting an e-visit you acknowledge that some personal health information will be communicated in a manner that is not encrypted. Please refrained from emailing personal information aside from your age, gender, and basic reason for your visit. You will be granted access to the secure portal as part of the registration for more detailed information.

As with any medical service, decision, or treatment, there are risks; and an e-visit is no different. Because this visit is electronic and without physical exam, you acknowledge that the risk may be greater than a traditional office visit. You agree to schedule/seek follow up as advised by the provider and abide by all home care instructions given during the consultation. By requesting the visit, you agree to accept the outcome-even if it is undesirable and you will not be entitled to a refund for services.

Medical Nutrition Therapy (MNT)

Sivam Diabetes & Primary care LLC is committed to providing quality nutrition education and counseling services to people/clients in our community.

A Registered Dietitian provides all nutrition care. Individual nutrition counseling and follow-up nutrition care is provided on an outpatient basis for disease-related nutrition problems, including, but not limited to:

Diabetes ∙ Hypoglycemia
Pre-Diabetes ∙ Renal Disease
Gestational Diabetes ∙ Weight Management
Hypertension ∙ Eating Disorders
Food Allergies ∙ Celiac Disease
Sports Nutrition ∙ Irritable Bowel
Diverticulitis ∙ Osteoporosis
Cardiac Disease · Bariatric Surgery
Gastrointestinal Diseases (GI)

Individual nutrition intervention (MNT), allows the provider and patient/client the opportunity to plan a tailored nutrition program that will allow nutrition and long-term lifestyle changes to meet health goals. Daytime and evening hours are available for appointments to meet your needs.

Why should I see a Registered Dietitian (RD)? Can I have sugar because of a diagnosis with diabetes mellitus or what can I eat? These are often the first thoughts that you may have when you are diagnosed with diabetes, celiac disease or are struggling to manage your weight.

A Registered Dietitian is the nutrition expert who can help you choose practical solutions for healthy eating based on your individual needs. Your dietitian will work with you to develop a meal plan, read labels, or figure out how to eat out successfully.

Registered Dietitians at our clinic can help you with diabetes, weight management, cardiac disease, GI disease, eating disorders and many other nutrition-related conditions. Talk to your doctor about a referral to see a Registered Dietitian and check with your insurance company to determine if nutrition counseling is a covered benefit. Most insurances and Medicare cover diabetes services. Call 973-373-9080 for more information.

DIABETES SELF-MANAGEMENT EDUCATION AND SUPPORT (DSMES)

Diabetes Self-Management Education and Support (DSMES). DSMES is “the ongoing process of facilitating the knowledge, skills, and ability necessary for diabetes self-care, as well as activities that assist a person in implementing and sustaining the behaviors needed to manage his or her condition on an ongoing basis, beyond or outside of formal self-management training.”

DSMES CLASSES WILL COVER:

Pathophysiology and treatment options.
Healthy eating.
Physical activity.
Medication usage.
Blood glucose monitoring.
Pattern management
Preventing detecting, and treating acute complications (hypoglycemia, hyperglycemia, diabetic ketoacidosis, sick days, severe weather or crisis supply management).
Preventing, detecting, and treating chronic complications (immunizations; eye, foot, or dental exams; and kidney function testing as indicated).
Healthy coping.
Problem solving.

Please call: (973)-373-9080 for a schedule of classes.