Individual provider Active NPI

Leslie L Hernandez, 8YEAR CERTIFIED YOGA

  • Health & Wellness Coach
  • Newark, NJ
National Provider Identifier
1821732710
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Practice address
1186 Raymond Blvd FL 4
Newark, NJ 07102-4108
Phone
(862) 236-3376
NPI assigned
Apr 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X NJ Primary

Addresses

Primary practice location

1186 Raymond Blvd FL 4
Newark, NJ 07102-4108

Mailing address

15 Warren St Apt 2
Newark, NJ 07102-3089
Phone (973) 495-5255

Other names 1

  • I'M So Yoga Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.imsoyoganewark.com/ Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Im So Yoga CurrentSince May 1, 2022 Accepting new patients

Locations

1186 Raymond Blvd
Fl 4
Newark, NJ 07102
Phone (862) 236-3376

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1821732710",
    "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": {
        "last_name": "HERNANDEZ",
        "first_name": "LESLIE",
        "middle_name": "L",
        "credential": "8YEAR CERTIFIED YOGA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.imsoyoganewark.com/",
            "affiliation": "N",
            "endpointDescription": "Email us for Yoga, Meditation, Breathwork, Sound Bowl Services",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "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": [
        {
            "first_name": "I'M SO",
            "last_name": "YOGA",
            "credential": "REGISTED YOGA SCHOOL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newark, NJ

Sources for this page

  • 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.