Evolution Wound Management of Nj PC
NPI 1366331811ActiveOrganization· Nurse Practitioner· Lakewood, NJ
Nurse Practitioner in Lakewood, New Jersey, registered in NPPES in June 2025. The authorized official on file is Joshua Alan Emdur, DO, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1366331811 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 30, 2025 |
| Last updated in NPPES | Jun 30, 2025 |
| Certified by provider | Jun 30, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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