Individual provider Active NPI

Vanessa Heller, PA

  • Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1831993815
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
150 21St St Apt 4B
Brooklyn, NY 11232-1262
Phone
(360) 719-9553
NPI assigned
Apr 1, 2025
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

150 21St St Apt 4B
Brooklyn, NY 11232-1262

Mailing address

150 21St St Apt 4B
Brooklyn, NY 11232-1262
Phone (360) 719-9553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250407001537 NY Practitioner - Physician Assistant 6305360835 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William F Ryan Community Health Center IncGroup PAC ID 4880596550, 49 clinicians

Practice addresses (Care Compare)

110 W 97 St
New York, NY 10025-6450
Phone (212) 531-7533

801 Amsterdam Ave
New York, NY 10025-5752
Phone (212) 531-7533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
033403NYMDPharmacist

Practice roles (3 of 7)

OrganizationSpecialtyStatusNew patients
William F Ryan Community Health Center Inc Current Accepting new patients
William F Ryan Community Health Center Inc CurrentSince Sep 8, 2025 Accepting new patients
William F Ryan Community Health Center Inc CurrentSince Sep 8, 2025 Accepting new patients

Locations

110 W 97th St
#0
New York, NY 10025

110 W 97th St
New York, NY 10025
Phone (212) 316-7906

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1743465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1831993815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 21ST ST APT 4B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112321262",
            "telephone_number": "360-719-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 21ST ST APT 4B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112321262",
            "telephone_number": "360-719-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLER",
        "first_name": "VANESSA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-04-01",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.