OrganizationActive
Impact Health New Jersey PC
NPI 1487399689 · Nurse Practitioner · Roselle, NJ
Provider details
- NPI number
- 1487399689
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jared Tollen, Authorized Official(203) 939-2317
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
580 Raritan Rd
Roselle, NJ 07203-2446
Phone: (866) 842-3559
Fax: (718) 337-8658
Street-level locationGet directions
Mailing address
20 E Sunrise Hwy
Valley Stream, NY 11581-1260
Other names (DBA / former)
- Doing business as
- Belly Health Medical Nj
Registry dates
- Enumerated
- 2022-05-02
- Last updated
- 2026-03-25
- Certified
- 2026-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.