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

Vanessa Brooke Raskin

Individual provider Physician Assistant · NPI 1689490799

Vanessa Brooke Raskin is a Physician Assistant in Ithaca, New York. Qualified in 2024, 2 years ago. Practices with New York University, a 5,884-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024
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Practice location Address checks out

953 Danby Rd
Ithaca, NY 14850-7002
Phone: (917) 613-7135
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1689490799
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 25, 2024
Last updated in NPPESNovember 25, 2024
Certification dateNovember 24, 2024
Mailing address953 Danby Rd, Ithaca, NY 14850-7002

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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