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SHALEEZA RAFIUDDIN
NPI 1639687940
Nurse Practitioner in East Orange, NJ

Active since January 21, 2018PECOS EnrolledAccepts Medicare Assignment
90 WASHINGTON ST STE 308, EAST ORANGE, NJ 07017(973) 677-3300 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shaleeza Rafiuddin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHALEEZA RAFIUDDIN (NPI 1639687940) is an individual nurse practitioner in East Orange, New Jersey, licensed in New Jersey (26NJ00789400) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in West Orange, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1639687940
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSHALEEZA RAFIUDDIN
Location Address90 WASHINGTON ST STE 308East Orange, NJ 07017-1050
Mailing Address417 Beardsley Ave Apt 1Bloomfield, NJ 07003-5910
Phone(973) 677-3300
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 21, 2018
Last NPPES UpdateSeptember 19, 2023
NPPES CertifiedSeptember 19, 2023
✔ NPI 1639687940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NJ · 26NJ00789400
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
90 WASHINGTON ST STE 308, East Orange, NJ 07017
Open in Google Maps ↗

Secondary Practice Location 1

Location 1105 Main St, Suite 1AWest Orange, NJ 07052 · Phone (973) 344-0900

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shaleeza Rafiuddin is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618364290
PECOS Enrollment IDI20220429000084
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07017 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANTONIOUS W. ESKANDAR D.P.M
Podiatrist (Foot & Ankle Surgery)
90 WASHINGTON ST STE 308
EAST ORANGE, NJ 07017
Essex County (844) 273-3428

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shaleeza Rafiuddin's NPI number?

The NPI number for Shaleeza Rafiuddin is 1639687940. It was assigned to this individual provider in the NPPES registry on January 21, 2018.

Where is Shaleeza Rafiuddin located?

Shaleeza Rafiuddin practices at 90 Washington St Ste 308, East Orange, NJ 07017. The listed phone number is (973) 677-3300.

What is Shaleeza Rafiuddin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Shaleeza Rafiuddin enrolled in Medicare?

Yes. Shaleeza Rafiuddin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shaleeza Rafiuddin accept?

Health plans from CareSource list Shaleeza Rafiuddin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shaleeza Rafiuddin was last updated on September 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.