MEDICARE: A PLACE FOR NEW BEGINNINGS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	44SC05299200	NJ

General Provider Information

NPI Number	:	1700124807
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A PLACE FOR NEW BEGINNINGS, LLC

Provider Business Mailing Address
First Line	:	450 TILTON RD STE 202
Second Line	:
City	:	NORTHFIELD
State	:	NJ
Zip	:	08225-1259
Country	:	US
Telephone Number	:	609-705-8757
Fax Number	:	609-939-0466

Provider Business Practice Location Address
First Line	:	450 TILTON RD
Second Line	:	SUITE 202
City	:	NORTHFIELD
State	:	NJ
Zip	:	08225-1256
Country	:	US
Telephone Number	:	609-705-8757
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	STEVEN WINTER
Credential	:	LCSW
Telephone Number	:	609-705-8757

Provider Enumeration Date	:	01/24/2013
Last Update Date	:	02/03/2026

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