Im So Yoga

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

IM SO YOGA

Practice address

1186 Raymond Blvd FL 4
Newark, NJ 07102-4108

Phone

(862) 236-3376

NPI assigned

Apr 26, 2022

Organization subpart

No

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

Authorized official

Name

Leslie L Hernandez, 8YR YOGA INSTRUCTORNPI 1821732710

Title

Ceo

Phone

(862) 236-3376

Specialties & licenses 5

Addresses

Other names 1

• Im So Yoga Newark Former legal business name

Electronic endpoints 1

Locations

Practitioners 1

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

• Leslie L Hernandez, 8YEAR CERTIFIED YOGA

  • Health & Wellness Coach
  • Newark, NJ
  • NPI 1821732710
  NPD Authorized official

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1740924687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WARREN ST APT 2",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071023089",
            "telephone_number": "973-495-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1186 RAYMOND BLVD FL 4",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071024108",
            "telephone_number": "862-236-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IM SO YOGA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "862-236-3376",
        "authorized_official_credential": "8YR YOGA INSTRUCTOR"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "imsoyoganewark@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Yoga, Meditation, Sound Bowl, Breathwork Services",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1186 Raymond Blvd Fl 4",
            "city": "Newark",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "071024108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Im So Yoga Newark",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Celestine Ike
• Nnamdi Ike
• Ronald Ikechi
• Vivian Ikwuako
• Fariha Ilyas, M.D.
• Immedi-Care PA
• Immedicare
• Catherine Walsh Imossi, MD, MBA
• Nicholas Sebastian-Jude Imperato, DO, MPH
• Imperial Caregivers LLC

• Preferred Provider Organization in Newark, NJ
• Providers in Newark, NJ by specialty
• Preferred Provider Organization in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.