Miyasari Ranoewidjojo, PA C - Medicare Physician Assistant in Hackensack, NJ

Miyasari Ranoewidjojo, PA C is a medicare enrolled "Physician Assistant" in Hackensack, New Jersey. She went to State University Of New York Downstate Medical Center and graduated in 2002 and has 22 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Hackensack Meridian Health Medical Group - Primary Care Pc and her current practice location is 30 Prospect Ave, Hackensack University Medical Center, Hackensack, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 996-4614.

Miyasari Ranoewidjojo is licensed to practice in New Jersey (license number 25MP00118300) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1033324645.

Contact Information

Miyasari Ranoewidjojo, PA C
30 Prospect Ave, Hackensack University Medical Center,
Hackensack, NJ 07601-1914
(201) 996-4614
Not Available



Provider's Profile

Full NameMiyasari Ranoewidjojo
GenderFemale
SpecialityPhysician Assistant
Experience22 Years
Location30 Prospect Ave, Hackensack, New Jersey
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Miyasari Ranoewidjojo attended and graduated from State University Of New York Downstate Medical Center in 2002
  NPI Data:
  • NPI Number: 1033324645
  • Provider Enumeration Date: 05/14/2007
  • Last Update Date: 12/13/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 2668568908
  • Enrollment ID: I20071017000625

Medical Identifiers

Medical identifiers for Miyasari Ranoewidjojo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033324645NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 25MP00118300 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hackensack University Medical CenterHackensack, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hackensack Meridian Health Medical Group - Primary Care Pc7911003330273

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miyasari Ranoewidjojo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Miyasari Ranoewidjojo, PA C
45 Genoble Rd,
Montville, NJ 07045

Ph: (347) 223-8788
Miyasari Ranoewidjojo, PA C
30 Prospect Ave, Hackensack University Medical Center,
Hackensack, NJ 07601-1914

Ph: (201) 996-4614

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Gov. Brownback has not said whether his administration will make a recommendation on what basic health benefits should be available to Kansans who seek health insurance through the new marketplaces to be set up under the health care law.

House Dems' next step in health reform: Repeal of insurance antitrust exemption

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Physician Assistant Nurses in Hackensack, NJ

Dhaval D Shah, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 87 Summit Ave, Hackensack, NJ 07601
Phone: 201-489-0022    Fax: 201-489-6991
Isabelle Salvador, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 5 Summit Ave Ste 105, Hackensack, NJ 07601
Phone: 551-996-2900    
Elias M Sassoon, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 30 Prospect Ave, Emergency Medicine, Hackensack, NJ 07601
Phone: 201-996-4614    
James L Nelson, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 30 Prospect Ave, Emergency Medicine, Hackensack, NJ 07601
Phone: 201-996-4614    
Andrea Stuart, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 30 Prospect Ave, Hackensack University Medical Center, Hackensack, NJ 07601
Phone: 551-996-2000    
Erin Miller, P.A. - C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 30 Prospect Ave, Hackensack, NJ 07601
Phone: 551-996-2000    
Mr. Andrew William Christian, PHYSICIAN ASSISTANT
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 30 Prospect Ave, Hackensack, NJ 07601
Phone: 551-996-2609    

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