Doctor profile · Federal record
Dr. Miyasari Ranoewidjojo, PA C
Physician Assistant · Hackensack, NJ
- NPI 1033324645
- Accepts Medicare
- MIPS 75.8 / 100 · 2023
- 24 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
30 Prospect Ave, Hackensack University Medical Center
Hackensack, NJ 076011914
(201) 996-4614 - Mailing address
-
45 Genoble RD
Montville, NJ 07045
Credentials & registration
- NPI registered
- May 2007 — 19 yrs on file
- Profile last updated
- December 13, 2007
- Year of graduation
- 2002 — 24 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- New Jersey #25MP00118300
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1033324645. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
57
Distinct HCPCS
2
Medicare allowed
$8,565
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 46 | 45 | $158 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 11 | 11 | $120 |
In context: peer comparison
Among 16 peers in Hackensack Physician Assistant, average services per provider: 70. This provider delivers 0.8× the peer median.Hospital affiliations
Frequently asked questions
What is Dr. Miyasari Ranoewidjojo's medical specialty?
Dr. Miyasari Ranoewidjojo practices Physician Assistant in Hackensack, NJ.
Where does Dr. Miyasari Ranoewidjojo practice?
Dr. Miyasari Ranoewidjojo practices at 30 Prospect Ave, Hackensack, NJ 076011914. Office phone: 2019964614.
What is Dr. Miyasari Ranoewidjojo's NPI?
Dr. Miyasari Ranoewidjojo's National Provider Identifier (NPI) is 1033324645, issued by NPPES.
Does Dr. Miyasari Ranoewidjojo accept Medicare assignment?
Yes. Dr. Miyasari Ranoewidjojo accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Miyasari Ranoewidjojo commonly perform?
Top Medicare-reported procedures in 2023: Initial hospital care with moderate level of medical decision making (HCPCS 99223); Initial hospital care with straightforward or low-level medical decision making (HCPCS 99222). Source: CMS Medicare Physician & Other Practitioners file.