Shaleeza Rafiuddin

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

26NJ00789400 Issued in NJ

Practice address

90 Washington St Ste 308
East Orange, NJ 07017-1050

Phone

(973) 677-3300

NPI assigned

Jan 21, 2018

Last updated

Sep 19, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Consensus Medical Group LLCGroup PAC ID 2961748181, 138 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.16 of 100Reported as group

Quality

78.12

Promoting interoperability

100

Improvement activities

40

Cost

79.08

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10237/brand/1/csg/1/fhir/r4
• Direct secure messaging: shaleeza.rafiuddin.1@18614.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Consensus Medical Group LLC

  • Internal Medicine Physician
  • Manasquan, NJ
  • NPI 1811466881
  Medicare reassignment Care Compare group NPD
• Medical Service Professionals of NJ LLC

  dba Clover Home Care

  • Geriatric Medicine (Internal Medicine) Physician
  • Lyndhurst, NJ
  • NPI 1972044923
  Medicare reassignment NPD
• Signify Health Medical Associates of New Jersey, LLC

  • General Practice Physician
  • Princeton, NJ
  • NPI 1174187728

  Nurse Practitioner

  Medicare reassignment NPD
• Brookview Medical Associates, PLLC

  • General Practice Physician
  • Bohemia, NY
  • NPI 1871965855

  Nurse Practitioner

  Medicare reassignment NPD
• Advance Foot Care, LLC

  • Foot & Ankle Surgery Podiatrist
  • Belleville, NJ
  • NPI 1740690874
  NPD (past)
• Orion Healthcare LLC

  • Specialist
  • Maplewood, NJ
  • NPI 1952859522

  Internal Medicine

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1639687940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 BEARDSLEY AVE APT 1",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070035910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 WASHINGTON ST STE 308",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070171050",
            "telephone_number": "973-677-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Main St",
            "address_2": "Suite 1A",
            "address_purpose": "LOCATION",
            "city": "West Orange",
            "state": "NJ",
            "postal_code": "07052",
            "country_code": "US",
            "telephone_number": "973-344-0900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAFIUDDIN",
        "first_name": "SHALEEZA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-21",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00789400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ngan Quan
• Quantum Healthcare, LLC
• Karen Sue Quigley, PH.D.
• Ceida Quispe, PA-C
• Donald J Racek, D.C.
• Vijay Ragavan, M.D
• Stephanie Rajaram, LCSW
• Jacqueline Carol Raji
• Deepa Rajiv, MD
• Gitendra Rajiyah, MD

• Nurse Practitioner in East Orange, NJ
• Providers in East Orange, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.