What is Jesse Banham's NPI number?

Jesse Banham's National Provider Identifier (NPI) is 1215867619, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jesse Banham's specialty?

Jesse Banham is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).

Where is Jesse Banham located?

Jesse Banham's practice location on file with NPPES is 8304a 101st Ave, Ozone Park, NY 11416-2059.

What is Jesse Banham's phone number?

The practice phone number listed in the NPPES registry for Jesse Banham is (718) 772-6012.

Is Jesse Banham's NPI active?

Yes — Jesse Banham's NPI (1215867619) is active in the NPPES registry as of the last update on 2026-05-19.

IndividualActive

Jesse Banham, PA-C

NPI 1215867619 · Physician Assistant · Ozone Park, NY

Jesse Banham, PA-C is a Physician Assistant provider in Ozone Park, NY (NPI 1215867619).

Provider details

NPI number: 1215867619
Entity type: Individual
Primary specialty: Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Credential: PA-C
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Physician AssistantPrimary363A00000X
Physician Assistants & Advanced Practice Nursing Providers

Profile Score

Basic profile(46/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

8304a 101st Ave

Ozone Park, NY 11416-2059

Phone: (718) 772-6012

Street-level locationGet directions

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Mailing address