MISS MYRIAM C MENTOR NP
NPI 1407501125
Nurse Practitioner - Family in New York, NY

Active since February 22, 2022PECOS Enrolled
130 E 77TH ST, NEW YORK, NY 10075(212) 434-6400 Get Directions Write a Review

NPPES record last updated: February 22, 2022. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Miss Myriam C Mentor Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS MYRIAM C MENTOR NP (NPI 1407501125) is an individual family provider in New York, New York, licensed in New York (348611) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1407501125
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMISS MYRIAM C MENTORCredential: NP
Location Address130 E 77TH STNew York, NY 10075-1851
Mailing Address9405 Farragut RdBrooklyn, NY 11236-2027 · (646) 299-3239
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 22, 2022
NPPES CertifiedFebruary 22, 2022
✔ NPI 1407501125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 348611
130 E 77TH ST, New York, NY 10075

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Myriam C Mentor Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507213782
PECOS Enrollment IDI20231109000985
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
41 services39 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10075 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
130 E 77TH ST, 9TH FLOOR BLACK HALL
NEW YORK, NY 10075
Psychiatry & Neurology (Neuromuscular Medicine)
130 E 77TH ST
NEW YORK, NY 10075
Student in an Organized Health Care Education/Training Program
130 E 77TH ST
NEW YORK, NY 10075
Student in an Organized Health Care Education/Training Program
130 E 77TH ST
NEW YORK, NY 10075
Student in an Organized Health Care Education/Training Program
130 E 77TH ST
NEW YORK, NY 10075
Surgery (Vascular Surgery)
130 E 77TH ST, 13TH FLOOR
NEW YORK, NY 10075
Pediatrics
130 E 77TH ST, DEPARTMENT OF PEDIATRICS, LENOX HILL HOSPITAL
NEW YORK, NY 10075
Speech-Language Pathologist
130 E 77TH ST, 10TH FLOOR, NYHNI
NEW YORK, NY 10075

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 Myriam Mentor's NPI number?

The NPI number for Myriam Mentor is 1407501125. It was assigned to this individual provider in the NPPES registry on February 22, 2022.

Where is Myriam Mentor located?

Myriam Mentor practices at 130 E 77th St, New York, NY 10075. The listed phone number is (212) 434-6400.

What is Myriam Mentor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Myriam Mentor enrolled in Medicare?

Yes. Myriam Mentor is registered in the Medicare PECOS enrollment system.

Is Myriam Mentor affiliated with any hospitals?

According to CMS data, Myriam Mentor is affiliated with Montefiore Medical Center.

When was this NPI record last updated?

The NPPES record for Myriam Mentor was last updated on February 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.