Active NPI
Body & Mind Health LLC
- Primary Care Nurse Practitioner
- Belleville, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- BODY & MIND HEALTH LLC
- Practice address
- 630 Washington Ave Apt 457
Belleville, NJ 07109-2820 - Phone
- (309) 916-8527
- Fax
- (201) 720-0401
- NPI assigned
- May 8, 2026
- Last updated
- Oct 19, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yohan Hernandez Flores, APN
- Title
- Manager
- Phone
- (646) 694-9253
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
630 Washington Ave Apt 457
Belleville, NJ 07109-2820
Mailing address
630 Washington Ave Apt 457
Belleville, NJ 07109-2820
Phone (309) 916-8527
National Provider Directory
National Provider DirectoryLocations
630 Washington Ave
Apt 457
Belleville, NJ 07109
Phone (309) 916-8527
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778198400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792368000000",
"number": "1659208932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 WASHINGTON AVE APT 457",
"city": "BELLEVILLE",
"state": "NJ",
"postal_code": "071092820",
"telephone_number": "309-916-8527",
"fax_number": "201-720-0401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 WASHINGTON AVE APT 457",
"city": "BELLEVILLE",
"state": "NJ",
"postal_code": "071092820",
"telephone_number": "309-916-8527",
"fax_number": "201-720-0401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BODY & MIND HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-08",
"last_updated": "2026-10-19",
"certification_date": "2026-10-19",
"status": "A",
"authorized_official_last_name": "HERNANDEZ FLORES",
"authorized_official_first_name": "YOHAN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "646-694-9253",
"authorized_official_credential": "APN"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belleville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.