Active NPIOrganization

Impact Health New Jersey PC

Nurse Practitioner in Roselle, New Jersey

NPI Number1487399689
Practice location
580 Raritan RD, Roselle, NJ 07203-2446
Fax
718-337-8658
Last updated
March 25, 2026

Impact Health New Jersey PC is a healthcare organization based in Roselle, NJ. Impact Health New Jersey PC practices in Roselle, NJ. The NPI Number for Impact Health New Jersey PC is 1487399689. The current practice location address for Impact Health New Jersey PC is 580 Raritan RD, Roselle, NJ 07203-2446 and can be reached out via phone at 866-842-3559 and via fax at 718-337-8658.

Provider Profile Details

NPI Number
1487399689
Provider Name
Impact Health New Jersey PC
Provider Entity Type
Organization
Address
580 Raritan RD, Roselle, NJ 07203-2446
Phone Number
866-842-3559
Fax Number
718-337-8658
Primary Taxonomy
Nurse Practitioner · 363L00000X
Organization Subpart
No
Authorized Official
Jared Tollen · Authorized Official · 203-939-2317
Other Names
Belly Health Medical Nj (Doing Business As)
Provider Enumeration Date
May 2, 2022
Last Update Date
March 25, 2026
Certification Date
March 25, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
580 Raritan RD
Roselle, NJ 07203-2446
Zip
07203-2446
Phone Number
866-842-3559
Fax Number
718-337-8658
Roselle, NJ 07203Get directions →

Provider Business Mailing Address Details

Address
20 E Sunrise Hwy
Valley Stream, NY 11581-1260
City
Valley Stream
State
NY
Zip
11581-1260
Phone Number
203-939-2317
Fax Number
718-337-8658

License Information

Taxonomy (1)
Internal Medicine · 207R00000X
Taxonomy (2)
Nurse Practitioner · 363L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Impact Health New Jersey PC?

The NPI number of Impact Health New Jersey PC is 1487399689. It was assigned on May 2, 2022 and is currently active in the NPPES registry.

What is the specialty of Impact Health New Jersey PC?

Impact Health New Jersey PC is registered under the primary taxonomy Nurse Practitioner (code 363L00000X).

Where does Impact Health New Jersey PC practice?

The practice location is 580 Raritan RD, Roselle, NJ 07203-2446. The office can be reached at 866-842-3559 (phone) or 718-337-8658 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487399689 directly on the NPPES registry website.

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