Evelyn Mankah Awundaga

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

26NR13493700 Issued in NJ

Practice address

1 Ardmore CT
Blackwood, NJ 08012-4441

Phone

(646) 730-0249

NPI assigned

Jan 28, 2016

Last updated

Mar 16, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Genesis a Clinic Inc

  • Community Health Clinic/Center
  • Burlington, NJ
  • NPI 1750257937
  NPD Authorized official
• Genesis Grace Home Inc

  • Developmentally Disabled Services Day Training Agency
  • Camden, NJ
  • NPI 1942803994
  NPD Authorized official
• Genesis Ivdrips & Wellness LLC

  • Home Infusion Agency
  • Camden, NJ
  • NPI 1750966206
  NPD Authorized official

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1538527064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 BROADWAY",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031246",
            "telephone_number": "164-673-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ARDMORE CT",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080124441",
            "telephone_number": "646-730-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWUNDAGA",
        "first_name": "EVELYN",
        "middle_name": "MANKAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-28",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR13493700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Associated Retinal Consultants, LLC (Eye Associates Vineland)
• Assurance Transportation
• Vincent Austin-Cole, LCSW
• Awaken Your Mastery
• Awaken Your Mind LLC
• Frank Milton Banks, DO
• Eric Marc Barbera, DC
• Beacon Specialized Living New Jersey, Inc.
• Beneficial Home Care
• Brenda J Bennett, DPT

• Registered Nurse in Blackwood, NJ
• Providers in Blackwood, NJ by specialty
• Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.