Individual provider Active NPI

Tomiko Nicole Edmonds-Durand, DNP APRN AGPCNP-C

  • Adult Health Nurse Practitioner
  • Union, NJ
National Provider Identifier
1962153163
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ01411300 Issued in NJ
Practice address
253 Winfield Ter
Union, NJ 07083-7250
Phone
(908) 380-8130
NPI assigned
Jan 10, 2022
Last updated
Jan 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ01411300 NJ Primary
Gerontology Registered Nurse 163WG0600X 26NR11464100 NJ

Addresses

Primary practice location

253 Winfield Ter
Union, NJ 07083-7250

Mailing address

253 Winfield Ter
Union, NJ 07083-7250
Phone (908) 380-8130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26NR11464100NJMDGerontology Registered Nurse
26NJ01411300NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pradip S. Shah, M.D. PastSince May 14, 2023 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1962153163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 WINFIELD TER",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837250",
            "telephone_number": "908-380-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 WINFIELD TER",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837250",
            "telephone_number": "908-380-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMONDS-DURAND",
        "first_name": "TOMIKO",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "DNP APRN AGPCNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2023-01-03",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ01411300",
            "primary": true
        },
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "NJ",
            "license": "26NR11464100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.