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IM SO YOGA NPI 1740924687


NPI Information

NPI: 1740924687
Provider Name: IM SO YOGA
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
1186 RAYMOND BLVD FL 4
NEWARK, NJ
ZIP 07102
Phone: (862) 236-3376
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IM SO YOGA is a preferred provider organization in Newark, NJ. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. IM SO YOGA NPI is 1740924687. The provider is registered as an organization entity type.

The provider's business location address is:

1186 RAYMOND BLVD FL 4
NEWARK, NJ
ZIP 07102-108
Phone: (862) 236-3376

The provider's authorized official is Leslie L Hernandez .
The authorized official title is Ceo and has the following contact phone number (862) 236-3376.

The enumeration date for this NPI number is 4/26/2022 and was last updated on 4/26/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
3302R00000XHealth Maintenance OrganizationNo
4305S00000XPoint of ServiceNo
5305R00000XPreferred Provider OrganizationYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.