National Provider Identifier Database

IM SO YOGA
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

IM SO YOGA
1186 RAYMOND BLVD FL 4
NEWARK, NJ07102-4108
Phone: 862-236-3376
Fax:
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X
Community/Behavioral Health 251S00000X
Health Maintenance Organization 302R00000X
Mental Health (Including Community Mental Health Center) 261QM0801X
Point of Service 305S00000X

* Indicates primary specialty

NPI Profile & details for IM SO YOGA

NPI Number 1740924687
Legal business name
LBN
IM SO YOGA
Authorized official LESLIE HERNANDEZ - (CEO)
Entity Organization
Organization subpart No
Enumeration date 04/26/2022
Last updated 04/26/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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