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Im So Yoga — NPI 1740924687, Newark, NJ | NPI Central

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OrganizationActive

Im So Yoga

NPI 1740924687 · Preferred Provider Organization · Newark, NJ

Provider details

NPI number: 1740924687
Entity type: Organization
Primary specialty: Preferred Provider OrganizationManaged Care Organizations
Organization subpart: No
Authorized official: Leslie Hernandez, Ceo(862) 236-3376

Specialties & taxonomies

Preferred Provider OrganizationPrimary305R00000X
Managed Care Organizations
Community/Behavioral Health Agency251S00000X
Agencies
Mental Health Clinic/Center (Including Community Mental Health Center)261QM0801X
Ambulatory Health Care Facilities
Health Maintenance Organization302R00000X
Managed Care Organizations
Point of Service305S00000X
Managed Care Organizations

Practice location

1186 Raymond Blvd Fl 4

Newark, NJ 07102-4108

Phone: (862) 236-3376

Approximate (ZIP-level) locationGet directions

More NJ providers

Mailing address

15 Warren St Apt 2

Newark, NJ 07102-3089

Other names (DBA / former)

Former legal business name: Im So Yoga Newark

Registry dates

Enumerated: 2022-04-26
Last updated: 2022-04-26
Certified: 2022-04-26

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.