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NPI Code Detail

MEDICARE: HAPPY HEALTH OF NEW JERSEY PC

MEDICARE: HAPPY HEALTH OF NEW JERSEY PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM1300XMulti-Specialty Clinic/Center

General Provider Information

NPI Number : 1003780875
Entity Type Code : Organization
Provider Name (Legal Business Name) : HAPPY HEALTH OF NEW JERSEY PC
Provider Business Mailing Address
First Line : 1385 PHALEN BLVD
Second Line :
City : SAINT PAUL
State : MN
Zip : 55106-2126
Country : US
Telephone Number : 512-866-1812
Fax Number :
Provider Business Practice Location Address
First Line : 1385 PHALEN BLVD
Second Line :
City : SAINT PAUL
State : MN
Zip : 55106-2126
Country : US
Telephone Number : 512-866-1812
Fax Number :
Authorized Official
Title or Position : SR DIRECTOR OF CLINICAL OPERATIONS
Name : CONNOR L WALSH
Credential :
Telephone Number : 845-821-4574
Provider Enumeration Date : 10/03/2025
Last Update Date : 10/03/2025

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Directions to “HAPPY HEALTH OF NEW JERSEY PC ” Practice Location

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