JESSE RYAN BANHAM PA-C
NPI 1215867619
Physician Assistant in Ozone Park, NY
About Jesse Ryan Banham Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSE RYAN BANHAM PA-C (NPI 1215867619) is an individual physician assistant in Ozone Park, New York and active in the NPI registry since May 2026.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jesse Banham's NPI number?
The NPI number for Jesse Banham is 1215867619. It was assigned to this individual provider in the NPPES registry on May 19, 2026.
Where is Jesse Banham located?
Jesse Banham practices at 8304A 101st Ave, Ozone Park, NY 11416. The listed phone number is (718) 772-6012.
What is Jesse Banham's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
When was this NPI record last updated?
The NPPES record for Jesse Banham was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.