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MRS. SANDRA DENISE THEBAUD-YOUNG APRN-BC
NPI 1114043064
Nurse Practitioner - Adult Health in New Brunswick, NJ

Active since March 22, 2007
254 EASTON AVENUE, NEW BRUNSWICK, NEW BRUNSWICK, NJ 08901(908) 392-1948(973) 337-2045 Get Directions Write a Review

NPPES record last updated: October 26, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Sandra Denise Thebaud-young Aprn-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SANDRA DENISE THEBAUD-YOUNG APRN-BC (NPI 1114043064) is an individual adult health provider in New Brunswick, New Jersey, licensed in New Jersey (26NJ00129300) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1114043064
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. SANDRA DENISE THEBAUD-YOUNGCredential: APRN-BC
Location Address254 EASTON AVENUE, NEW BRUNSWICKNew Brunswick, NJ 08901
Mailing Address239 40th St, IrvingtonIrvington, NJ 07111-1100 · (973) 371-5563 · Fax (973) 337-2045
Phone(908) 392-1948
Fax(973) 337-2045
Sole ProprietorNo
Enumeration DateMarch 22, 2007
Last NPPES UpdateOctober 26, 2009
✔ NPI 1114043064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NJ · 26NJ00129300
254 EASTON AVENUE, New Brunswick, NJ 08901
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Other Identifiers 2

Other112818VGDMedicare
Medicaid0147320NJ

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. PATRICIA KLASS PA-C
Physician Assistant
254 EASTON AVENUE, ST. PETERS UNIVERSITY HOSPITAL
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 390-0040
MISS CHRISTINA TESORIERO PA-C
Physician Assistant (Medical)
254 EASTON AVENUE, ST. PETER'S UNIVERSITY HOSPITAL
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 745-8600
MRS. KERRI D'ONOFRIO APN
Nurse Practitioner (Family)
254 EASTON AVENUE
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 745-8600
ELIYAHU LUSTIGER M.D.
Emergency Medicine
254 EASTON AVENUE, DEPARTMENT OF EMERGENCY SERVICES
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-4296
BIBINA VARUGHESE
Dietitian, Registered
254 EASTON AVENUE
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 745-8600
MICHAEL THEODORE KICENUIK MD
Obstetrics & Gynecology (Gynecology)
254 EASTON AVENUE, WOMEN'S HEALTH -CARES BUILDING 3 RD FLOOR
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 937-6003
GICHELL WATSON RPAC
Physician Assistant
254 EASTON AVENUE, ST PETERS UNIVERSITY HOSPITAL
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 390-0040
DR. LEHAZ MOHAMMED KAKER MD
Hospitalist
254 EASTON AVENUE
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 745-8600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandra Thebaud-young's NPI number?

The NPI number for Sandra Thebaud-young is 1114043064. It was assigned to this individual provider in the NPPES registry on March 22, 2007.

Where is Sandra Thebaud-young located?

Sandra Thebaud-young practices at 254 Easton Avenue New Brunswick, New Brunswick, NJ 08901. The listed phone number is (908) 392-1948.

What is Sandra Thebaud-young's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Sandra Thebaud-young was last updated on October 26, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.