Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIYASARI RANOEWIDJOJO, PA C
ActiveMIYASARI RANOEWIDJOJO, PA C is a Physician Assistant healthcare provider located in HACKENSACK, New Jersey. NPI 1033324645 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · HACKENSACK, NJ
Registration Details
- NPI Number
- 1033324645
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 14, 2007 (19.229606235918 yrs)
- Last Updated
- Dec 13, 2007
- License
-
25MP00118300 (NJ)
Practice Information
- Address
-
30 PROSPECT AVEHACKENSACK UNIVERSITY MEDICAL CENTERHACKENSACK, NJ, 076011914Browse NJ providers · Browse ZIP 07601
- Phone
- 2019964614
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in HACKENSACK, NJ
| Name | Credential | NPI |
|---|---|---|
| GUNJAN KUMAR | P.A.,-C | 1518963412 |
| MR. DESPEE BOCKARIE KONNEH | PA-C | 1417955279 |
| JAMES MINALL | PA | 1114973195 |
| KITABU CEESAY | PA | 1538107750 |
| MICHAEL K MOORE | PA | 1396786612 |
| LAURIE TARE | PA | 1538101811 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.