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Active NPI 1033324645 Individual Practitioner Female Practitioner

Miyasari Ranoewidjojo , PA-C

Physician Assistant • Hackensack, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Miyasari Ranoewidjojo, PA-C is a certified Physician Assistant practicing in Hackensack, NJ. With approximately 24 years of clinical experience since graduating from State University Of New York Downstate Medical Center in 2002, Miyasari Ranoewidjojo delivers high-quality medical care to the local community at 30 PROSPECT AVE.

Miyasari Ranoewidjojo is affiliated with Hackensack Meridian Health Medical Group - Primary Care Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, hospital observation care. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

30 Prospect Ave
Hackensack University Medical Center

Hackensack, NJ 076011914

Telephone 2019964614
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

State University Of New York Downstate Medical Center

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Hackensack, NJ

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
24 Yrs +13.9 yrs vs City Avg
City Avg: 10.1 Yrs
State Avg: 10.1 Yrs
Regional Practice Density
106 Specialists

Practicing in Hackensack, NJ (3413 Statewide)

Telehealth Adoption Rate
6.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
75.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ranoewidjojo (24 Years) 24 Yrs
Hackensack Specialty Average (10.1 Years) 10.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
27 27 $650.00 $158.41

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NJ 25MP00118300

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Hackensack Meridian Health Medical Group - Primary Care Pc

300 Perrine Rd, Old Bridge, NJ 088573628

Phone: 7327539890

Hackensack Meridian Health Medical Group - Primary Care Pc

30 Prospect Ave, Hackensack, NJ 076011915

Phone: 5519962000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

22 Associated Practitioners
Elias Sassoon , PA

Physician Assistant

NPI 1003831975

Physician Assistant

James Nelson , PA

Physician Assistant

NPI 1023037371

Physician Assistant

NPI 1053340513

Doctor of Medicine (M.D.)

Jeffrey Heilpern , FNP

Nurse Practitioner - Family

NPI 1093914145

Family Nurse Practitioner

Deborah Festa , APN

Nurse Practitioner - Acute Care

NPI 1104851328

Advanced Practice Nurse

Dr. Herman Morchel , MD

Emergency Medicine

NPI 1154527661

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 13, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location December 13, 2007

Registered at 30 PROSPECT AVE, HACKENSACK UNIVERSITY MEDICAL CENTER, HACKENSACK, NJ 076011914 (Tel: 2019964614)

📍
Updated Business Mailing Address December 13, 2007

Registered at 45 GENOBLE RD, MONTVILLE, NJ 07045 (Tel: 3472238788)

👤
Provider Name / Credentials Updated December 13, 2007

Recorded as MIYASARI RANOEWIDJOJO, PA C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2007

Physician Assistant (License #25MP00118300 in NJ)

🟢
Initial NPI Registration & Enumeration May 14, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033324645
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 14, 2007
Last Update: December 13, 2007
Sole Proprietor: No

Mailing Address

45 Genoble Rd

Montville, NJ 07045

Phone: 3472238788

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.