EVOLUTION WOUND MANAGEMENT OF NJ PC
NPI 1366331811
Nurse Practitioner in Lakewood, NJ

Active since June 30, 2025
410 MONMOUTH AVE APT 208, LAKEWOOD, NJ 08701(720) 684-9159 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evolution Wound Management Of Nj Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVOLUTION WOUND MANAGEMENT OF NJ PC (NPI 1366331811) is a healthcare organization registered as a nurse practitioner in Lakewood, New Jersey and active in the NPI registry since June 2025. The organization lists Joshua Alan Emdur, Owner, as its authorized official.

NPPES Registry Identity

NPI1366331811
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameEVOLUTION WOUND MANAGEMENT OF NJ PC
Location Address410 MONMOUTH AVE APT 208Lakewood, NJ 08701-3747
Mailing Address410 Monmouth Ave Apt 208Lakewood, NJ 08701-3747
Organization SubpartNo
Authorized OfficialJoshua Alan EmdurOwner · (720) 684-9159
Enumeration DateJune 30, 2025
NPPES CertifiedJune 30, 2025
NPI 1366331811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
410 MONMOUTH AVE APT 208, Lakewood, NJ 08701

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evolution Wound Management Of Nj PC's NPI number?

The NPI number for Evolution Wound Management Of Nj PC is 1366331811. It was assigned to this organization in the NPPES registry on June 30, 2025.

Where is Evolution Wound Management Of Nj PC located?

Evolution Wound Management Of Nj PC is located at 410 Monmouth Ave Apt 208, Lakewood, NJ 08701. The listed phone number is (720) 684-9159.

What is Evolution Wound Management Of Nj PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Evolution Wound Management Of Nj PC was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.