Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003524646 Individual Practitioner Female Practitioner

Charlene Brew

Physician Assistant • Ithaca, NY

Professional Overview & Biography Verified Profile Summary

Charlene Brew is a registered healthcare professional specializing in Physician Assistant in Ithaca, NY. Practice services are available at 10 GRAHAM RD W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10 Graham Rd W

Ithaca, NY 148501055

Telephone 6072572188
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Ithaca, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.5 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
94 Specialists

Practicing in Ithaca, NY (15701 Statewide)

Telehealth Adoption Rate
19.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-01-24
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

24 Associated Practitioners
NPI 1124000518

Doctor of Medicine (M.D.)

NPI 1124965538

Licensed Master Social Worker, Licensed Clinical Social Worker

Cecilia Tetzlaff , NP

Nurse Practitioner - Pediatrics

NPI 1215683420

Nurse Practitioner

NPI 1225443427

Doctor of Medicine (M.D.)

Yulia Maggart , MSN, RN, APRN

Nurse Practitioner - Pediatrics

NPI 1285377598

Master of Science in Nursing, Registered Nurse, Advanced Practice Registered Nurse

NPI 1285869834

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location January 24, 2025

Registered at 10 GRAHAM RD W, ITHACA, NY 148501055 (Tel: 6072572188)

📍
Updated Business Mailing Address January 24, 2025

Registered at 10 GRAHAM RD W, ITHACA, NY 148501055

NPI Profile Active November 14, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location November 14, 2022

Registered at 23 MULFORD PL, HEMPSTEAD, NY 115502127 (Tel: 5169653956)

📍
Updated Business Mailing Address November 14, 2022

Registered at 23 MULFORD PL, HEMPSTEAD, NY 115502127

👤
Provider Name / Credentials Updated November 14, 2022

Recorded as CHARLENE BREW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration November 14, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003524646
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 14, 2022
Last Update: January 24, 2025
Sole Proprietor: Yes

Mailing Address

10 Graham Rd W

Ithaca, NY 148501055

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.