Provider Demographics
NPI:1366092710
Name:NEW BEGINNING FOR SPECIAL NEEDS INC
Entity type:Organization
Organization Name:NEW BEGINNING FOR SPECIAL NEEDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:HAEJOONG
Authorized Official - Middle Name:
Authorized Official - Last Name:CHANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-328-4566
Mailing Address - Street 1:63 STONEHURST DR
Mailing Address - Street 2:
Mailing Address - City:TENAFLY
Mailing Address - State:NJ
Mailing Address - Zip Code:07670-2914
Mailing Address - Country:US
Mailing Address - Phone:201-328-4566
Mailing Address - Fax:
Practice Address - Street 1:75 STIVERS ST
Practice Address - Street 2:
Practice Address - City:CRESSKILL
Practice Address - State:NJ
Practice Address - Zip Code:07626-1817
Practice Address - Country:US
Practice Address - Phone:201-500-5270
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-18
Last Update Date:2019-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Single Specialty