Provider Demographics
NPI:1902865298
Name:GENTLE BEGINNINGS
Entity Type:Organization
Organization Name:GENTLE BEGINNINGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:M
Authorized Official - Last Name:SHIELDS
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:856-358-1100
Mailing Address - Street 1:PO BOX 558
Mailing Address - Street 2:389 HARDING HWY, SUITE 6
Mailing Address - City:ELMER
Mailing Address - State:NJ
Mailing Address - Zip Code:08318-0558
Mailing Address - Country:US
Mailing Address - Phone:856-358-1100
Mailing Address - Fax:856-358-1313
Practice Address - Street 1:389 HARDING HWY
Practice Address - Street 2:SUITE 6
Practice Address - City:ELMER
Practice Address - State:NJ
Practice Address - Zip Code:08318-2050
Practice Address - Country:US
Practice Address - Phone:856-358-1100
Practice Address - Fax:856-358-1313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO09537400176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6340202Medicaid
NJ762536Medicare ID - Type Unspecified