Provider Demographics
NPI:1689620551
Name:NEW BEGINNINGS OBSTETRICS AND GYNECOLOGY, LLC
Entity Type:Organization
Organization Name:NEW BEGINNINGS OBSTETRICS AND GYNECOLOGY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:THEOCHARIDES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-308-0800
Mailing Address - Street 1:16 SHADY TREE LN
Mailing Address - Street 2:
Mailing Address - City:COLTS NECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07722-2401
Mailing Address - Country:US
Mailing Address - Phone:732-863-0381
Mailing Address - Fax:732-810-0239
Practice Address - Street 1:30 STATE ROUTE 34
Practice Address - Street 2:SUITE 7
Practice Address - City:COLTS NECK
Practice Address - State:NJ
Practice Address - Zip Code:07722-0148
Practice Address - Country:US
Practice Address - Phone:732-308-0800
Practice Address - Fax:732-308-0810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMAO64843174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty