BODY & MIND HEALTH LLC NPI 1659208932

NPI Information

  • NPI: 1659208932
  • Provider Name: BODY & MIND HEALTH LLC
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 630 WASHINGTON AVE APT 457
    BELLEVILLE, NJ
    ZIP 07109
  • Phone: (309) 916-8527

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NPI Details

BODY & MIND HEALTH LLC is a primary care nurse practitioner in Belleville, NJ. BODY & MIND HEALTH LLC NPI is 1659208932. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

630 WASHINGTON AVE APT 457
BELLEVILLE, NJ
ZIP 07109-820
Phone: (309) 916-8527
Fax: (201) 720-0401

The provider's authorized official is Yohan Hernandez Flores .
The authorized official title is Manager and has the following contact phone number (309) 916-8527.

The enumeration date for this NPI number is 5/8/2026 and was last updated on 5/8/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP2300XNurse PractitionerPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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