Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nancy Widjaja

Individual provider Registered Nurse · NPI 1881124949

Nancy Widjaja is registered under Certified Registered Nurse Anesthetist (CRNA) in New York, New York. Qualified in 2017, 9 years ago. Practices with Memorial Anesthesiology Group, a 301-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2017
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1275 York Ave
New York, NY 10065-6007
Phone: (212) 639-2000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 663873 (NY)

Record details

NPI number1881124949
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 12, 2017
Last updated in NPPESJune 12, 2017

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Memorial Anesthesiology Group — 301 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients45
Services billed 50 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Affiliated with 1 hospital, which CMS identifies by certification number only.

Colleagues at Memorial Anesthesiology Group

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 301 clinicians in the practice; 12 are shown here.

Other providers in New York