NPIMap

Individual provider Active NPI

Liana Angelica Hansen, PA-C

  • Surgical Physician Assistant
  • Middletown, NJ
National Provider Identifier
1376151712
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
25MP00721500 Issued in NJ
Practice address
480 Red Hill Rd
Middletown, NJ 07748-3052
Phone
(848) 800-5913
NPI assigned
Jul 22, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X 25MP00721500 NJ Primary

Addresses

Primary practice location

480 Red Hill Rd
Middletown, NJ 07748-3052

Mailing address

267 Thousand Oaks Dr
Atlantic Highlands, NJ 07716-2455
Phone (516) 457-4505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230419000967 NJ Practitioner - Physician Assistant 2163813981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montclair Breast Center PCGroup PAC ID 6608881602, 12 clinicians

Practice addresses (Care Compare)

37 N Fullerton Ave
2ND Floor
Montclair, NJ 07042-3446
Phone (973) 509-1818

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
66.38
Promoting interoperability
100
Improvement activities
40
Cost
71.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
025438NYMDClinical Psychologist
25MP00721500NJMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Montclair Breast Center PC Single Specialty CurrentSince Dec 15, 2025 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Single Specialty PastSince Feb 12, 2023 Accepting new patients
Meridian Medical Group - Specialty Care, PC Single Specialty Past Accepting new patients

Locations

37 N Fullerton Ave
Ste 2
Montclair, NJ 07042
Phone (973) 509-1818

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1376151712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 THOUSAND OAKS DR",
            "city": "ATLANTIC HIGHLANDS",
            "state": "NJ",
            "postal_code": "077162455",
            "telephone_number": "516-457-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 RED HILL RD",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077483052",
            "telephone_number": "848-800-5913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "LIANA",
        "middle_name": "ANGELICA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00721500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NJ

Sources for this page

Verify at the official NPI Registry.