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

Michael Robert Hanson, RPA-C

Individual provider Physician Assistant · NPI 1134358443

Michael Robert Hanson, RPA-C is a Physician Assistant in Mineola, New York. Qualified in 2009, 17 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
17
Licensed in
NY
In the registry since
2009
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Practice location Address checks out

259 1st St
Mineola, NY 11501-3957
Phone: (516) 663-8312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 23013205 (NY)

Record details

NPI number1134358443
Entity typeIndividual (Type 1)
GenderMale
Credentials RPA-C
Sole proprietorYes
NPI enumeratedJuly 8, 2009
Last updated in NPPESJuly 8, 2009

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Mineola