Individual provider Active NPI

Emily McEwan

  • Family Nurse Practitioner
  • Wall Township, NJ
National Provider Identifier
1851270722
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ15399800 Issued in NJ
Practice address
3350 Route 138 Ste 122
Wall Township, NJ 07719-9694
Phone
(732) 280-1200
NPI assigned
Aug 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ15399800 NJ Primary

Addresses

Primary practice location

3350 Route 138 Ste 122
Wall Township, NJ 07719-9694

Mailing address

316 N Lake Dr
Belmar, NJ 07719-2131
Phone (732) 567-1363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26NJ15399800NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cosulich Dermatology 2 LLC CurrentSince Aug 10, 2026 Accepting new patients
Cosulich Dermatology LLC CurrentSince Sep 3, 2025 Accepting new patients

Locations

1004 Commons Way
#G
Toms River, NJ 08755
Phone (732) 349-6868

3350 State Route 138
Ste 122
Wall Township, NJ 07719
Phone (732) 280-1200

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1756252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1851270722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 N LAKE DR",
            "city": "BELMAR",
            "state": "NJ",
            "postal_code": "077192131",
            "telephone_number": "732-567-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 ROUTE 138 STE 122",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077199694",
            "telephone_number": "732-280-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCEWAN",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15399800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wall Township, NJ

Sources for this page

Verify at the official NPI Registry.