MISS MYRIAM C MENTOR NP
NPI 1407501125
Nurse Practitioner - Family in New York, NY
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Miss Myriam C Mentor Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Myriam Mentor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10025
- Reassigned Medicare billing, New York enrollment
- 5,251 clinicians in this Medicare group
Jamaica, NY 11418
- Reassigned Medicare billing, New York enrollment
- 738 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, NYPhysician 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.
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.
NEW YORK, NY 10075
NEW YORK, NY 10075
NEW YORK, NY 10075
NEW YORK, NY 10075
NEW YORK, NY 10075
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.
Which organizations bill Medicare for Myriam Mentor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Myriam Mentor reassigns Medicare benefits to 2 organizations: Montefiore Medical Center (New York, NY) and Jamaica Hospital (Jamaica, NY). Each 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 Myriam Mentor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Miss Myriam C Mentor, NP · NPI 1407501125
Family physician in New York, New York. Individual provider, active in the CMS NPPES registry since February 22, 2022.
## Identity
- **NPI:** 1407501125 (Entity type: Individual)
- **Enumerated:** February 22, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 348611 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 130 E 77TH ST, New York, NY 10075-1851
- **Phone:** (212) 434-6400
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Montefiore Medical Center (NPI 1760288278, New York, NY); Jamaica Hospital (NPI 1477505220, Jamaica, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** February 22, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1407501125) · Data from the CMS NPPES public registry.