Miyasari Ranoewidjojo
HUMC MEDICAL OBSERVATION


Address: 30 Prospect Ave, Hackensack, NJ 07601-1915
Phone: 5519965045

Miyasari Ranoewidjojo (NPI# 1033324645, PAC ID# 2668568908) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.

Physician Overview

Nation Provider ID (NPI) 1033324645
PAC ID by PECOS 2668568908
Professional Enrollment ID I20071017000625
Full Name Miyasari Ranoewidjojo
Organization Legal Name HUMC MEDICAL OBSERVATION
Address 30 Prospect Ave
Hackensack
NJ 07601-1915
Phone Number 5519965045
Gender F
Graduation Year 2002
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 8729104021
Number of Group Practice Members 29
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
310001 HACKENSACK UNIVERSITY MEDICAL CENTER

Other Locations

Address Phone Organization
30 Prospect Ave, Hackensack, NJ 07601-1915 5519965045 HUMC MEDICAL OBSERVATION

Organization Information

Organization Legal Name HUMC MEDICAL OBSERVATION
Physicians 31

Physicians with the same organization

Name Specialty Organization Address
Suzanne M Marcellaro Nurse Practitioner Humc Medical Observation 30 Prospect Ave, Hackensack, NJ 07601-1915
Jeffrey Heilpern Nurse Practitioner Humc Medical Observation 30 Prospect Ave, Hackensack, NJ 07601-1915
Svetlana Zakharchenko Emergency Medicine Humc Medical Observation 30 Prospect Ave, Hackensack, NJ 07601-1915
Adryanna Tavares Nurse Practitioner Humc Medical Observation 30 Prospect Ave, Hackensack, NJ 07601-1915
Melissa Cobos Nurse Practitioner Humc Medical Observation 30 Prospect Ave, Hackensack, NJ 07601-1915
Mark Brubaker Internal Medicine Humc Medical Observation 30 Prospect Ave, Hackensack, NJ 07601-1915
Margaret M Fleming-keane Nurse Practitioner Humc Medical Observation 30 Prospect Ave, Hackensack, NJ 07601-1915
Jun Jie Han Internal Medicine Humc Medical Observation 30 Prospect Ave, Hackensack, NJ 07601-1915
Anna Yarygina Emergency Medicine Humc Medical Observation 30 Prospect Ave, Hackensack, NJ 07601-1915
Mariam S Said Nurse Practitioner Humc Medical Observation 30 Prospect Ave, Hackensack, NJ 07601-1915

Office Location

Street Address 30 PROSPECT AVE
City HACKENSACK
State NJ
Zip 07601-1915

Physicians in the same location

Name Specialty Organization Address
Jesus R Alvarez Perez Obstetrics/gynecology Hackensack University Medical Group PC 30 Prospect Ave, Hackensack, NJ 07601-1915
Hong Cheng Pathology Hackensack Pathology Associates, LLC 30 Prospect Ave, Hackensack, NJ 07601-1915
Parul P Lakhlani Anesthesiology New Jersey Healthcare Specialists PC 30 Prospect Ave, Hackensack, NJ 07601-1914
Paarth Raj Emergency Medicine Hackensack University Medical Group PC 30 Prospect Ave, Hackensack, NJ 07601-1915
Duncan S Eckhardt Certified Registered Nurse Anesthetist (crna) New Jersey Healthcare Specialists PC 30 Prospect Ave, Hackensack, NJ 07601-1914
Philip O Eck Anesthesiology New Jersey Healthcare Specialists PC 30 Prospect Ave, Hackensack, NJ 07601-1914
David K Chen Anesthesiology New Jersey Healthcare Specialists PC 30 Prospect Ave, Hackensack, NJ 07601-1914
Somdatta Gupta Anesthesiology New Jersey Healthcare Specialists PC 30 Prospect Ave, Hackensack, NJ 07601-1914
Ellen A Ronnen Medical Oncology Regional Cancer Care Associates LLC 30 Prospect Ave, Hackensack, NJ 07601-1915
Mukesh Solanky Neurology Hackensack Non Invasive Vascular Laboratory Associates 30 Prospect Ave, Rm G231, Hackensack, NJ 07601-1915
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Denise Kimberly Rozzelle Nurse Practitioner Housecalls for The Homebound Medicine Nj PC 2 University Plaza Dr, Suite 204, Hackensack, NJ 07601
Robert Mateo Nurse Practitioner 2 University Plaza Dr, Suite 204, Hackensack, NJ 07601
Geraldine Charles Nurse Practitioner Housecalls for The Homebound Medicine Nj PC 2 University Plaza Dr, Suite 204, Hackensack, NJ 07601
David J Bikoff Plastic and Reconstructive Surgery 146 Rt 17, 3rd Floor, Hackensack, NJ 07601-1038
John J Vaccaro Plastic and Reconstructive Surgery 146 N State Rt, Suite 3, Hackensack, NJ 07601-1038
Arie Rosen Otolaryngology 2 S Summit Ave, Hackensack, NJ 07601-1117
Jeffrey Schlesinger Chiropractic 5 Summit Ave, Suite 101, Hackensack, NJ 07601-1214
Rey I Pella Nurse Practitioner Mulkay Cardiology Consultants At Holy Name Medical Center, PC 493 Essex St, Hackensack, NJ 07601-1215
Julie Y An Nurse Practitioner Mulkay Cardiology Consultants At Holy Name Medical Center, PC 493 Essex St, Hackensack, NJ 07601-1215
Joseph C Yu Cardiovascular Disease (cardiology) Mulkay Cardiology Consultants At Holy Name Medical Center, PC 493 Essex St, Hackensack, NJ 07601-1215
Find all physicians in zip 07601

Competitor

Search similar physicians

City HACKENSACK
Zip Code 07601
Specialty PHYSICIAN ASSISTANT
City + Specialty HACKENSACK + PHYSICIAN ASSISTANT

Improve Information

Please comment or provide details below to improve the information on Miyasari Ranoewidjojo.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

Trending Searches