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Organization
IMPACT HEALTH NEW JERSEY PC
Active
Organization
IMPACT HEALTH NEW JERSEY PC
Active
Other names
Belly Health Medical NJ
Organization subpart
No
Provider details
NPI number
Authorized official
JARED TOLLEN (AUTHORIZED OFFICIAL)
(203) 939-2317
Entity
Organization
Contact information
Practice address
580 RARITAN RD, ROSELLE, NJ 07203-2446
(866) 842-3559
(718) 337-8658
Mailing address
20 E SUNRISE HWY, VALLEY STREAM, NY 11581-1260
(203) 939-2317
(718) 337-8658
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/02/2022
Last updated
03/25/2026
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