Provider Demographics
NPI:1487984811
Name:BEGINNINGS OBGYN
Entity type:Organization
Organization Name:BEGINNINGS OBGYN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:THEOCHARIDES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:877-844-4557
Mailing Address - Street 1:1569 BURNET AVE
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-4250
Mailing Address - Country:US
Mailing Address - Phone:732-682-1000
Mailing Address - Fax:732-414-4282
Practice Address - Street 1:194 STATE ROUTE 35
Practice Address - Street 2:
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-5935
Practice Address - Country:US
Practice Address - Phone:877-844-4557
Practice Address - Fax:732-414-4282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-07
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA064843261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJD94742Medicare UPIN