Provider Demographics
NPI:1700484961
Name:NEW BEGINNINGS HEALTHCARE, PLLC
Entity Type:Organization
Organization Name:NEW BEGINNINGS HEALTHCARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:AKIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BLANDON
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:201-925-6300
Mailing Address - Street 1:24 N 7TH ST STE 102
Mailing Address - Street 2:
Mailing Address - City:STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18360-2266
Mailing Address - Country:US
Mailing Address - Phone:484-640-5400
Mailing Address - Fax:
Practice Address - Street 1:24 N 7TH ST STE 102
Practice Address - Street 2:
Practice Address - City:STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18360-2266
Practice Address - Country:US
Practice Address - Phone:484-640-5400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-11
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty