Individual provider · Type 1 NPI
Shontal Raffington
Nurse Practitioner · Hackensack, NJ
Practice location
20 Prospect Ave
Hackensack, NJ 07601-1997
Fax (551) 996-0831
Mailing address
331 Newman Springs Rd Ste 220
Red Bank, NJ 07701-5792
Other practice locations
- 3350 Rte 138 Ste 128, Wall Township, NJ 07719-9694 · (173) 228-0272
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 26NJ00602300 (NJ) |
Nurse Practitioner: (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 wit…
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About NPI 1467826065
Shontal Raffington's National Provider Identifier is 1467826065, issued on Nov 19, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Hackensack, NJ. The record was last updated on Jan 15, 2026.