Miyasari Ranoewidjojo, PA C
NPI 1033324645 · Physician Assistant · Hackensack, NJ
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Miyasari Ranoewidjojo, PA C is a Physician Assistant provider in Hackensack, NJ (NPI 1033324645).
Provider details
- NPI number
- 1033324645
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA C
- Sex
- Female
- Sole proprietor
- No
- License
- 25MP00118300 (NJ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
27 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 27 | $158 |
Typical Medicare-allowed amounts for these services range $158–$158 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-05-14
- Last updated
- 2007-12-13
Frequently asked questions
- What is Miyasari Ranoewidjojo's NPI number?
- Miyasari Ranoewidjojo's National Provider Identifier (NPI) is 1033324645, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Miyasari Ranoewidjojo's specialty?
- Miyasari Ranoewidjojo is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Miyasari Ranoewidjojo located?
- Miyasari Ranoewidjojo's practice location on file with NPPES is 30 Prospect Ave, Hackensack, NJ 07601-1914.
- What is Miyasari Ranoewidjojo's phone number?
- The practice phone number listed in the NPPES registry for Miyasari Ranoewidjojo is (201) 996-4614.
- Does Miyasari Ranoewidjojo accept Medicare?
- Miyasari Ranoewidjojo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Miyasari Ranoewidjojo's NPI active?
- Yes — Miyasari Ranoewidjojo's NPI (1033324645) is active in the NPPES registry as of the last update on 2007-12-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.