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

Shontal Raffington

Individual provider Nurse Practitioner · NPI 1467826065

Shontal Raffington is a Nurse Practitioner in Hackensack, New Jersey. Qualified in 2015, 11 years ago. Practices with Hackensack Meridian Health Medical Group - Specialty Care PC, a 1,897-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
11
Licensed in
NJ
In the registry since
2015
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Practice location Address checks out

20 Prospect Ave
Hackensack, NJ 07601-1997
Phone: (551) 996-4424
Fax: (551) 996-0831
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3350 Rte 138 Ste 128, Wall Township, NJ 07719-9694 — (173) 228-0272

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 26NJ00602300 (NJ)

Record details

NPI number1467826065
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 19, 2015
Last updated in NPPESJanuary 15, 2026
Certification dateJanuary 15, 2026
Mailing address331 Newman Springs Rd Ste 220, Red Bank, NJ 07701-5792

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Hackensack Meridian Health Medical Group - Specialty Care Pc — 1897 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Hackensack