MINT HEALTH NY LLC
NPI 1356004956
Family Medicine in New York, NY
About Mint Health Ny Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINT HEALTH NY LLC (NPI 1356004956) is a healthcare organization registered as a family medicine in New York, New York and active in the NPI registry since October 2021. The organization lists Nijai Blackwell, Ceo, Member, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mint Health Ny Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Mint Health Ny LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mint Health Ny LLC's NPI number?
The NPI number for Mint Health Ny LLC is 1356004956. It was assigned to this organization in the NPPES registry on October 20, 2021.
Where is Mint Health Ny LLC located?
Mint Health Ny LLC is located at 41 Saint Nicholas Ter Apt 54, New York, NY 10027. The listed phone number is (646) 259-5975.
What is Mint Health Ny LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mint Health Ny LLC enrolled in Medicare?
Yes. Mint Health Ny LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mint Health Ny LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Mint Health Ny LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mint Health Ny LLC was last updated on October 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mint Health Ny Llc · NPI 1356004956
Family Medicine organization in New York, New York. Organization record, active in the CMS NPPES registry since October 20, 2021.
## Identity
- **NPI:** 1356004956 (Entity type: Organization)
- **Enumerated:** October 20, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Nijai Blackwell, CEO, MEMBER, MANAGER
## Practice location
- **Address:** 41 SAINT NICHOLAS TER APT 54, New York, NY 10027-2739
- **Phone:** (646) 259-5975
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Family Practice) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 20, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1356004956) · Data from the CMS NPPES public registry.