Doctor profile · Federal record

Dr. Nancy Widjaja

Registered Nurse (CMS: Certified Registered Nurse Anesthetist (CRNA)) · New York, NY

  • NPI 1881124949
  • Accepts Medicare
  • MIPS 84.3 / 100 · 2023
  • 9 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1275 York Ave
New York, NY 100656007
(212) 639-2000
Mailing address
209 E 56Th St Apt 3B
New York, NY 100223714

Credentials & registration

NPPES · NUCC
NPI registered
June 2017 — 9 yrs on file
Year of graduation
2017 — 9 yrs since
Specialty taxonomy
163W00000X — NUCC code
State license (1)
New York #663873

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1881124949. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
24
Distinct HCPCS
2
Medicare allowed
$2,374
HCPCS Description Services Patients Avg allowed
00731 Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 13 13 $102
00811 Anesthesia for other procedure on large bowel using an endoscope 11 11 $95

In context: peer comparison

Among 9 peers in New York Registered Nurse, average services per provider: 41. This provider delivers 0.6× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Nancy Widjaja's medical specialty?
Dr. Nancy Widjaja practices Registered Nurse in New York, NY.
Where does Dr. Nancy Widjaja practice?
Dr. Nancy Widjaja practices at 1275 York Ave, New York, NY 100656007. Office phone: 2126392000.
What is Dr. Nancy Widjaja's NPI?
Dr. Nancy Widjaja's National Provider Identifier (NPI) is 1881124949, issued by NPPES.
Does Dr. Nancy Widjaja accept Medicare assignment?
Yes. Dr. Nancy Widjaja accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Nancy Widjaja commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope (HCPCS 00731); Anesthesia for other procedure on large bowel using an endoscope (HCPCS 00811). Source: CMS Medicare Physician & Other Practitioners file.