IMPACT HEALTH NEW JERSEY PC
NPI 1487399689
Nurse Practitioner in Roselle, NJ

Q: What is Impact Health New Jersey PC's NPI number?

The NPI number for Impact Health New Jersey PC is 1487399689. It was assigned to this organization in the NPPES registry on May 2, 2022. The provider is doing business as Belly Health Medical NJ.

Q: What is Impact Health New Jersey PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since May 02, 2022

580 RARITAN RD, ROSELLE, NJ 07203(866) 842-3559(718) 337-8658 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 25, 2026, Mar 6, 2026, Feb 2, 2026 and 3 more (6 updates tracked since 2022).

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About Impact Health New Jersey Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMPACT HEALTH NEW JERSEY PC (NPI 1487399689), doing business as Belly Health Medical Nj, is a healthcare organization registered as a nurse practitioner in Roselle, New Jersey and active in the NPI registry since May 2022. The organization lists Jared Tollen, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1487399689

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameIMPACT HEALTH NEW JERSEY PC

Location Address580 RARITAN RDRoselle, NJ 07203-2446

Mailing Address20 E Sunrise HwyValley Stream, NY 11581-1260 · (203) 939-2317 · Fax (718) 337-8658

Phone(866) 842-3559

Fax(718) 337-8658

Organization SubpartNo

Authorized OfficialJared TollenAuthorized Official · (203) 939-2317

Enumeration DateMay 2, 2022

Last NPPES UpdateMarch 25, 20266 updates tracked since enumeration

NPPES CertifiedMarch 25, 2026

✔ NPI 1487399689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedInternal MedicineTaxonomy 207R00000X

580 RARITAN RD, Roselle, NJ 07203

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Other Names 1

Doing Business AsBelly Health Medical Nj

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Impact Health New Jersey PC's NPI number?

The NPI number for Impact Health New Jersey PC is 1487399689. It was assigned to this organization in the NPPES registry on May 2, 2022. The provider is doing business as Belly Health Medical NJ.

Where is Impact Health New Jersey PC located?

Impact Health New Jersey PC is located at 580 Raritan Rd, Roselle, NJ 07203. The listed phone number is (866) 842-3559.

What is Impact Health New Jersey PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Impact Health New Jersey PC was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.