NPIMap

Organization Active NPI

Genesis a Clinic Inc

  • Community Health Clinic/Center
  • Burlington, NJ
National Provider Identifier
1750257937
Registry record updated Aug 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
GENESIS A CLINIC INC
Practice address
1105 Sunset Rd Ste C
Burlington, NJ 08016-2290
Phone
(646) 730-0249
NPI assigned
Oct 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2026

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

Authorized official

Name
Evelyn Mankah AwundagaNPI 1538527064
Title
RN
Phone
(646) 730-0249

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193400000X SINGLE SPECIALTY GROUP 174H00000X
Community Health Clinic/Center 261QC1500X Primary
Corporate Health Clinic/Center 261QC1800X
Federally Qualified Health Center (FQHC) 261QF0400X
Primary Care Clinic/Center 261QP2300X
Mobile Radiology Clinic/Center 261QR0208X
Student Health Clinic/Center 261QS1000X

Addresses

Primary practice location

1105 Sunset Rd Ste C
Burlington, NJ 08016-2290

Mailing address

1105 Sunset Rd Ste C
Burlington, NJ 08016-2290
Phone (646) 730-0249

National Provider Directory

National Provider Directory

Locations

1105 Sunset Rd
Ste C
Burlington, NJ 08016
Phone (609) 540-7522

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1760400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785542400000",
    "number": "1750257937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 SUNSET RD STE C",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080162290",
            "telephone_number": "646-730-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 SUNSET RD STE C",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080162290",
            "telephone_number": "646-730-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS A CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-14",
        "last_updated": "2026-08-01",
        "certification_date": "2026-08-01",
        "status": "A",
        "authorized_official_last_name": "AWUNDAGA",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "MANKAH",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "646-730-0249"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.