# GENESIS A CLINIC INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750257937
- **Authorized official:** EVELYN MANKAH AWUNDAGA (RN)
- **Authorized official phone:** (646) 730-0249

## Contact information

- **Practice address:** 1105 SUNSET RD STE C, BURLINGTON, NJ 08016-2290
- **Practice address phone:** (646) 730-0249
- **Mailing address:** 1105 SUNSET RD STE C, BURLINGTON, NJ 08016-2290
- **Mailing address phone:** (646) 730-0249

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174H00000X | Health Educator | — | NULL | — |
| 174H00000X | Health Educator | — | — | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |
| 261QC1800X | Corporate Health Clinic/Center | — | NULL | — |
| 261QF0400X | Federally Qualified Health Center (FQHC) | — | NULL | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 261QR0208X | Mobile Radiology Clinic/Center | — | NULL | — |
| 261QS1000X | Student Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 10/14/2025
- **Last updated:** 08/01/2026