| Shaleeza Rafiuddin, | |
|
90 Washington St Ste 308, East Orange, NJ 07017-1050 | |
| (973) 677-3300 | |
| Not Available |
| Full Name | Shaleeza Rafiuddin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 90 Washington St Ste 308, East Orange, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639687940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 26NJ00789400 (New Jersey) | Primary |
| Entity Name | Consensus Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811466881 PECOS PAC ID: 2961748181 Enrollment ID: O20190109001851 |
| Entity Name | Signify Health Medical Associates Of New Jersey Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174187728 PECOS PAC ID: 4284966896 Enrollment ID: O20191031002559 |
| Mailing Address | Practice Location Address |
|---|---|
| Shaleeza Rafiuddin, 417 Beardsley Ave Apt 1, Bloomfield, NJ 07003-5910 Ph: () - | Shaleeza Rafiuddin, 90 Washington St Ste 308, East Orange, NJ 07017-1050 Ph: (973) 677-3300 |
Miss Hana Michele Baron, NP, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 385 Tremont Ave, East Orange, NJ 07018 Phone: 973-676-1000 | |
Mrs. Carla Francis, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 385 Tremont Ave, East Orange, NJ 07018 Phone: 973-676-1000 | |
Miss Adaugo Oriji, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 132 Halsted St, East Orange, NJ 07018 Phone: 973-674-0036 | |
Devang Patel, AGPCNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 60 Evergreen Pl, East Orange, NJ 07018 Phone: 973-395-1550 | |
Sanjaykumar Shah, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 310 Central Avenue, Suite 102, East Orange, NJ 07018 Phone: 973-395-1550 Fax: 973-395-1556 | |
Dr. Theresa Reed, DNP, APN, ENP,FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 385 Tremont Ave, East Orange, NJ 07018 Phone: 973-676-1000 Fax: 973-395-7135 | |
Ms. Janet Ellen Coley-lima, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 385 Tremont Avenue, Hbpc, Mail Code 11e-3, East Orange, NJ 07018 Phone: 973-676-1000 Fax: 973-395-7042 |