Organization Active NPI

The Mind and Body Movement

  • Health & Wellness Coach
  • South Plainfield, NJ
National Provider Identifier
1093468530
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Legal business name
THE MIND AND BODY MOVEMENT
Practice address
125 Front St
South Plainfield, NJ 07080-3401
Phone
(908) 202-9046
NPI assigned
Feb 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marie BenjaminNPI 1124753157
Title
Ceo, Yoga Therapist, Coach
Phone
(908) 202-9046

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X
Health & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 171400000X Primary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X
Recreation TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225800000X

Addresses

Primary practice location

125 Front St
South Plainfield, NJ 07080-3401

Mailing address

1893 W 4TH St
Piscataway, NJ 08854-1674
Phone (908) 202-9046

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address marie@themindandbodymovement.com Direct

National Provider Directory

National Provider Directory

Locations

125 Front St
South Plainfield, NJ 07080
Phone (908) 202-9046

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1093468530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1893 W 4TH ST",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088541674",
            "telephone_number": "908-202-9046",
            "fax_number": "732-884-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 FRONT ST",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070803401",
            "telephone_number": "908-202-9046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MIND AND BODY MOVEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-02",
        "status": "A",
        "authorized_official_last_name": "BENJAMIN",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "CEO, YOGA THERAPIST, COACH",
        "authorized_official_telephone_number": "908-202-9046"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Recreation Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marie@themindandbodymovement.com",
            "affiliation": "N",
            "endpointDescription": "corporate email messenging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "125 Front St",
            "city": "South Plainfield",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070803401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Plainfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.