JESSE RYAN BANHAM PA-C
NPI 1215867619
Physician Assistant in Ozone Park, NY

Active since May 19, 2026
8304A 101ST AVE, OZONE PARK, NY 11416(718) 772-6012 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1215867619
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJESSE RYAN BANHAMCredential: PA-C
Location Address8304A 101ST AVEOzone Park, NY 11416-2059
Mailing Address8304a 101st AveOzone Park, NY 11416-2059 · (718) 772-6012
Sole ProprietorNo
Enumeration DateMay 19, 2026
NPPES CertifiedMay 19, 2026
NPI 1215867619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
8304A 101ST AVE, Ozone Park, NY 11416

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.