Provider Demographics
NPI:1235538042
Name:NEW BEGINNINGS FAMILY HEALTH LLC
Entity Type:Organization
Organization Name:NEW BEGINNINGS FAMILY HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:A
Authorized Official - Last Name:GOLDNER
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:973-850-3882
Mailing Address - Street 1:105 VAN HOUTEN AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:PASSAIC
Mailing Address - State:NJ
Mailing Address - Zip Code:07055-5518
Mailing Address - Country:US
Mailing Address - Phone:973-850-3882
Mailing Address - Fax:973-850-3882
Practice Address - Street 1:105 VAN HOUTEN AVE
Practice Address - Street 2:SUITE A
Practice Address - City:PASSAIC
Practice Address - State:NJ
Practice Address - Zip Code:07055-5518
Practice Address - Country:US
Practice Address - Phone:973-850-3882
Practice Address - Fax:973-850-3882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-18
Last Update Date:2014-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00449600261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care