Evolution Wound Management of NJ PC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

EVOLUTION WOUND MANAGEMENT OF NJ PC

Practice address

410 Monmouth Ave Apt 208
Lakewood, NJ 08701-3747

Phone

(720) 684-9159

NPI assigned

Jun 30, 2025

Last updated

Jun 30, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Joshua Alan Emdur, DONPI 1649218389

Title

Owner

Phone

(720) 684-9159

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rachel Erasmo

  • Gerontology Nurse Practitioner
  • Ridgefield Park, NJ
  • NPI 1558055855
  Medicare reassignment Care Compare group NPD
• Justin William Kleppe, FNP

  • Family Nurse Practitioner
  • Toms River, NJ
  • NPI 1104619113
  Medicare reassignment Care Compare group NPD
• Joshua Alan Emdur, DO

  • Family Medicine Physician
  • Saint Louis, MO
  • NPI 1649218389

  NJ

  Medicare reassignment NPD Authorized official
• Laura Crotty, APN

  • Adult Health Nurse Practitioner
  • East Rutherford, NJ
  • NPI 1477287860
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751241600000",
    "number": "1366331811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 MONMOUTH AVE APT 208",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 MONMOUTH AVE APT 208",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013747",
            "telephone_number": "720-684-9159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION WOUND MANAGEMENT OF NJ PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A",
        "authorized_official_last_name": "EMDUR",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-684-9159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia L Everitt, LCSW
• Everyday Speech Solutions LLC
• Evian Care Ohio
• Evian Care Texas
• Eviancare LLC
• Excel Therapy LLC
• Excelerate
• Expanded Capacities
• Express Speech Services LLC
• Eye Consultants PA

• Nurse Practitioner in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.