Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shaleeza Rafiuddin

Individual provider Nurse Practitioner · NPI 1639687940

Shaleeza Rafiuddin is a Nurse Practitioner in East Orange, New Jersey. Qualified in 2017, 9 years ago. Practices with Consensus Medical Group LLC, a 137-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
9
Licensed in
NJ
In the registry since
2018

Practice location Address checks out

90 Washington St Ste 308
East Orange, NJ 07017-1050
Phone: (973) 677-3300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 105 Main St, West Orange, NJ 07052 — (973) 344-0900

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 26NJ00789400 (NJ)

Record details

NPI number1639687940
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 21, 2018
Last updated in NPPESSeptember 19, 2023
Certification dateSeptember 19, 2023
Mailing address417 Beardsley Ave Apt 1, Bloomfield, NJ 07003-5910

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Consensus Medical Group Llc — 137 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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