Provider Profile

Miyasari Ranoewidjojo, PA C

Unclaimed Profile

About Miyasari Ranoewidjojo

Miyasari Ranoewidjojo, PA C is a physician assistant based in Hackensack, NJ. Miyasari is a 2002 graduate of State University of New York Downstate Medical Center. Medicare claims data shows Miyasari provided 27 services to 27 patients. The services billed most often include initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes. The provider's National Provider Identifier (NPI) is 1033324645.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Credentials & Licensing

NJ licenceAs reported to the NPI registry
No. 25MP00118300As reported
NPINational Provider Identifier
1033324645Issued 2007

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Miyasari Ranoewidjojo specialize in?

Miyasari Ranoewidjojo is a physician assistant in Hackensack, NJ. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Miyasari Ranoewidjojo located?

Miyasari Ranoewidjojo is listed at 30 Prospect Ave Hackensack University Medical Center, Hackensack, NJ 07601. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Miyasari Ranoewidjojo's phone number?

The number on file is (201) 996-4614. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Miyasari Ranoewidjojo?

Miyasari Ranoewidjojo's National Provider Identifier is 1033324645. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Miyasari Ranoewidjojo train?

Miyasari Ranoewidjojo attended State University of New York Downstate Medical Center, graduating in 2002. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Miyasari Ranoewidjojo have?

Miyasari Ranoewidjojo has 24 years experience. Calculated from a graduation year of 2002, reported in the CMS National Downloadable File.

CMS public data

What does Miyasari Ranoewidjojo do most often?

According to Medicare billing data, Miyasari Ranoewidjojo the Medicare record under this individual NPI shows mainly office visits and diagnostic testing. Hospital-based physicians usually have their procedural work billed by the facility rather than under their own number, so this is a floor on their practice, not a description of it. This reflects Medicare patients only and is billing volume, not a measure of quality.

Medicare claims

Is Miyasari Ranoewidjojo's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Miyasari Ranoewidjojo. If this is you, claiming it is free.

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