Pauline Tyas, APN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ00346300 Issued in NJ

Practice address

4065 Quakerbridge Rd
Princeton JCT, NJ 08550

Phone

(609) 651-4001

NPI assigned

Mar 2, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Nurse Practitioner

Practice roles

Locations

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

• Mindwell Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ewing, NJ
  • NPI 1750037891
  Medicare reassignment NPD

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1972877371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WATERWORKS RD",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077284231",
            "telephone_number": "732-866-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4065 QUAKERBRIDGE RD",
            "city": "PRINCETON JCT",
            "state": "NJ",
            "postal_code": "08550",
            "telephone_number": "609-651-4001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 N Olden Avenue Ext Ste 29",
            "address_purpose": "LOCATION",
            "city": "Ewing",
            "state": "NJ",
            "postal_code": "086182111",
            "country_code": "US",
            "telephone_number": "609-237-7100",
            "fax_number": "609-616-7904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Waterworks Rd",
            "address_purpose": "LOCATION",
            "city": "Freehold",
            "state": "NJ",
            "postal_code": "077284231",
            "country_code": "US",
            "telephone_number": "732-866-3665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17 Andover Ct",
            "address_purpose": "LOCATION",
            "city": "Bordentown",
            "state": "NJ",
            "postal_code": "085053163",
            "country_code": "US",
            "telephone_number": "732-763-8360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TYAS",
        "first_name": "PAULINE",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-02",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00346300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Dela Victoria Landingin, NP
• Gregory McBride, MED, LCADC, LPC
• Nova Associates
• Judith Ellen Patterson, PH.D.
• Stephen Pike Rounds Jr., DMD
• Ling-Ling Wu

• Adult Health Nurse Practitioner in Princeton JCT, NJ
• Providers in Princeton JCT, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.