# IN THIS MOMENT RECOVERY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295571628
- **Authorized official:** HAJAH JALLOH NP (NURSE PRACTITIONER)
- **Authorized official phone:** (732) 309-3251

## Contact information

- **Practice address:** 525 ROUTE 73 N STE 104, MARLTON, NJ 08053-3422
- **Practice address phone:** (732) 309-3251
- **Mailing address:** 51 SAINT CHARLES ST APT 2, NEWARK, NJ 07105-5023
- **Mailing address phone:** (732) 309-3251

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/04/2024
- **Last updated:** 07/04/2024