Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evolution Wound Management of Nj PC

Organization Nurse Practitioner · NPI 1366331811

Evolution Wound Management of Nj PC provides Nurse Practitioner services in Lakewood, New Jersey. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

410 Monmouth Ave Apt 208
Lakewood, NJ 08701-3747
Phone: (720) 684-9159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1366331811
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joshua Emdur — Owner · (720) 684-9159
NPI enumeratedJune 30, 2025
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025
Mailing address410 Monmouth Ave Apt 208, Lakewood, NJ 08701-3747

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