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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: October 25, 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
Phone(720) 684-9159
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
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evolution Wound Management Of Nj Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Evolution Wound Management Of Nj PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Justin Kleppe, FNP
Nurse Practitioner
NPI 1104619113
277 NJ-70 SUITE 231
Toms River, NJ 08755
(212) 516-2300
✔ PECOS4.5 mi
Laura Crotty, APN
Nurse Practitioner
NPI 1477287860
11 PROSPECT TER
East Rutherford, NJ 07073
(201) 212-9633
✔ PECOS52 mi
Rachel Erasmo
Nurse Practitioner
NPI 1558055855
100 CHALLENGER RD # 205
Ridgefield Park, NJ 07660
(443) 383-9300
✔ PECOS✔ Accepts Medicare53 mi
Joshua Emdur, DO
Family Practice
NPI 1649218389
30 MARYLAND PLZ FL 3
Saint Louis, MO 63108
(800) 449-4280
✔ PECOS✔ Accepts Medicare864 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Evolution Wound Management Of Nj PC enrolled in Medicare?

Yes. Evolution Wound Management Of Nj PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Evolution Wound Management Of Nj PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Evolution Wound Management Of Nj PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3) and Family Practice (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 15 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.