# IMPACT HEALTH NEW JERSEY PC

> 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
- **Other names:** Belly Health Medical NJ
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487399689
- **Authorized official:** JARED TOLLEN (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (203) 939-2317

## Contact information

- **Practice address:** 580 RARITAN RD, ROSELLE, NJ 07203-2446
- **Practice address phone:** (866) 842-3559
- **Practice address fax:** (718) 337-8658
- **Mailing address:** 20 E SUNRISE HWY, VALLEY STREAM, NY 11581-1260
- **Mailing address phone:** (203) 939-2317
- **Mailing address fax:** (718) 337-8658

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/02/2022
- **Last updated:** 03/25/2026