Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Daniel Joseph Bannen Jr., RPA-C

Individual provider Physician Assistant · NPI 1639320724

Daniel Joseph Bannen Jr., RPA-C is a Physician Assistant in East Meadow, New York. Qualified in 2007, 19 years ago. Practices with New York University, a 5,884-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
19
Licensed in
NY
In the registry since
2008

Practice location Address checks out

2589 Ramona St
East Meadow, NY 11554-5319
Phone: (516) 785-5416
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 012191-1 (NY)

Record details

NPI number1639320724
Entity typeIndividual (Type 1)
GenderMale
Credentials RPA-C
Sole proprietorYes
NPI enumeratedOctober 7, 2008
Last updated in NPPESJune 8, 2026
Certification dateJune 8, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in East Meadow