Deanna Tikhonov, APN

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

26NJ00531400 Issued in NJ

Practice address

125 Paterson Street
Academic Building Suite 4200
New Brunswick, NJ 08901-1977

Phone

(732) 235-7755

NPI assigned

Nov 10, 2014

Last updated

Jan 6, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Deanna Torres Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dtikhonov17953@epicdirect.rwjbh.org

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

• Women's Holistic Wellness LLC

  • Women's Health Nurse Practitioner
  • Freehold, NJ
  • NPI 1144892068
  NPD Authorized official

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452038400000",
    "number": "1831595453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 PATERSON STREET",
            "address_2": "CLINICAL ACADEMIC BUILDING SUITE 4200",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 PATERSON STREET",
            "address_2": "ACADEMIC BUILDING SUITE 4200",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011977",
            "telephone_number": "732-235-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIKHONOV",
        "first_name": "DEANNA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-10",
        "last_updated": "2016-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NJ",
            "license": "26NJ00531400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANNA",
            "last_name": "TORRES",
            "credential": "APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brett Allen Thompson
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• Rhea Antonia Thurston, M.B.B.S.
• Kerrin Tierney, LCSW
• Justin Tiongson, MD
• Titan Health Partners LLC (Astera Cancer Care)
• Titan Health Partners LLC (Astera Cancer Care)
• Titan Health Partners LLC (Astera Cancer Care)
• Titan Health Partners LLC (Astera Cancer Care)

• Women's Health Nurse Practitioner in New Brunswick, NJ
• Providers in New Brunswick, NJ by specialty
• Women's Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.