MIYASARI RANOEWIDJOJO PA C
NPI 1033324645
Physician Assistant in Hackensack, NJ
About Miyasari Ranoewidjojo Pa C NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIYASARI RANOEWIDJOJO PA C (NPI 1033324645) is an individual physician assistant in Hackensack, New Jersey, licensed in New Jersey (25MP00118300) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of State University Of New York Downstate Medical Center (2002).
NPPES Registry Identity
Specialties & Licenses
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
Miyasari Ranoewidjojo Pa C 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hackensack University Medical Center
Acute Care Hospitals · Hackensack, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HACKENSACK, NJ 07601
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 Miyasari Ranoewidjojo's NPI number?
The NPI number for Miyasari Ranoewidjojo is 1033324645. It was assigned to this individual provider in the NPPES registry on May 14, 2007.
Where is Miyasari Ranoewidjojo located?
Miyasari Ranoewidjojo practices at 30 Prospect Ave Hackensack University Medical Center, Hackensack, NJ 07601. The listed phone number is (201) 996-4614.
What is Miyasari Ranoewidjojo's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Miyasari Ranoewidjojo enrolled in Medicare?
Yes. Miyasari Ranoewidjojo 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.
Is Miyasari Ranoewidjojo affiliated with any hospitals?
According to CMS data, Miyasari Ranoewidjojo is affiliated with Hackensack University Medical Center.
When was this NPI record last updated?
The NPPES record for Miyasari Ranoewidjojo was last updated on December 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Miyasari Ranoewidjojo, PA C · NPI 1033324645
Physician Assistant physician in Hackensack, New Jersey. Individual provider, active in the CMS NPPES registry since May 14, 2007.
## Identity
- **NPI:** 1033324645 (Entity type: Individual)
- **Enumerated:** May 14, 2007
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 25MP00118300 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 30 PROSPECT AVE, HACKENSACK UNIVERSITY MEDICAL CENTER, Hackensack, NJ 07601-1914
- **Phone:** (201) 996-4614
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** State University Of New York Downstate Medical Center, class of 2002
## Record status
- **NPPES last updated:** December 13, 2007
---
Source: [NPI Profile](https://npiprofile.com/npi/1033324645) · Data from the CMS NPPES public registry.