Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Monica Tirtarahardja, PA-C

Individual provider Surgical Physician Assistant · NPI 1770117830

Miss. Monica Tirtarahardja, PA-C is a Physician Assistant in Lake Worth, Florida. Qualified in 2019, 7 years ago. Practices with South Florida Neurosurgery, a 2-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5503 S Congress Ave Ste 204
Lake Worth, FL 33462-6626
Phone: (561) 410-5110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9112886 (FL)

Record details

NPI number1770117830
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedFebruary 27, 2020
Last updated in NPPESJuly 12, 2020
Certification dateJuly 12, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice South Florida Neurosurgery — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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