Healthcare Provider Details

I. General information

NPI: 1447104492
Provider Name (Legal Business Name): EMPOWER YOGA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2026
Last Update Date: 02/25/2026
Certification Date: 02/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 CAMPUS CIRCLE STE 202
EWING NJ
08638
US

IV. Provider business mailing address

2 COVENTRY CIR
PRINCETON NJ
08540-6412
US

V. Phone/Fax

Practice location:
  • Phone: 609-403-6769
  • Fax:
Mailing address:
  • Phone: 732-425-7179
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: DANIEL R MANDELL
Title or Position: GENERAL MANAGER
Credential:
Phone: 732-425-7179