DEBORAH TEMITOPE BANJO FNP-BC, MSN, RN
NPI 1871306753
Nurse Practitioner - Family in New Hyde Park, NY

Active since January 27, 2025PECOS EnrolledAccepts Medicare Assignment
450 LAKEVILLE RD, NEW HYDE PARK, NY 11042(516) 734-8149 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Deborah Temitope Banjo Fnp-bc, Msn, Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEBORAH TEMITOPE BANJO FNP-BC, MSN, RN (NPI 1871306753) is an individual family provider in New Hyde Park, New York, licensed in New York (354385) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1871306753
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDEBORAH TEMITOPE BANJOCredential: FNP-BC, MSN, RN
Location Address450 LAKEVILLE RDNew Hyde Park, NY 11042-1118
Mailing Address23815 117th AveElmont, NY 11003-4010
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 27, 2025
NPPES CertifiedJanuary 27, 2025
NPI 1871306753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · 354385
Also ListedRegistered NurseTaxonomy 163W00000X · License 746147 (NY)
450 LAKEVILLE RD, New Hyde Park, NY 11042

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Deborah Temitope Banjo Fnp-bc, Msn, Rn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931624855
PECOS Enrollment IDI20250423000978
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
450 LAKEVILLE RD
NEW HYDE PARK, NY 11042
Internal Medicine (Hematology & Oncology)
450 LAKEVILLE RD
NEW HYDE PARK, NY 11042
Nurse Practitioner (Family)
450 LAKEVILLE RD
NEW HYDE PARK, NY 11042
Pharmacist
450 LAKEVILLE RD
LAKE SUCCESS, NY 11042
Nurse Practitioner
450 LAKEVILLE RD
NEW HYDE PARK, NY 11042
Nurse Practitioner (Family)
450 LAKEVILLE RD, PRE SURGICAL TESTING
NEW HYDE PARK, NY 11042
Nurse Practitioner (Adult Health)
450 LAKEVILLE RD
NEW HYDE PARK, NY 11042
Nurse Practitioner
450 LAKEVILLE RD
NEW HYDE PARK, NY 11042

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 Deborah Banjo's NPI number?

The NPI number for Deborah Banjo is 1871306753. It was assigned to this individual provider in the NPPES registry on January 27, 2025.

Where is Deborah Banjo located?

Deborah Banjo practices at 450 Lakeville Rd, New Hyde Park, NY 11042. The listed phone number is (516) 734-8149.

What is Deborah Banjo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Deborah Banjo enrolled in Medicare?

Yes. Deborah Banjo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Deborah Banjo affiliated with any hospitals?

According to CMS data, Deborah Banjo is affiliated with North Shore University Hospital and Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for Deborah Banjo was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.