MINI MATHEW
NPI 1689127623
Nurse Practitioner - Family in Bronx, NY

Q: What is Mini Mathew's NPI number?

The NPI number for Mini Mathew is 1689127623. It was assigned to this individual provider in the NPPES registry on July 26, 2016.

Q: What is Mini Mathew's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mini Mathew was last updated on June 25, 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.

Active since July 26, 2016PECOS Enrolled

2015 GRAND CONCOURSE, BRONX, NY 10453(718) 618-0401 Get Directions Write a Review

NPPES record last updated: June 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mini Mathew NPPES

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

MINI MATHEW (NPI 1689127623) is an individual family provider in Bronx, New York, licensed in New York (F339921) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689127623

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMINI MATHEW

Location Address2015 GRAND CONCOURSEBronx, NY 10453-4303

Mailing Address1434 Williamsbridge Rd Fl 2Bronx, NY 10461-2507 · (718) 618-0401

Phone(718) 618-0401

Sole ProprietorYes

Enumeration DateJuly 26, 2016

Last NPPES UpdateJune 25, 2021

NPPES CertifiedJune 25, 2021

✔ NPI 1689127623 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

Licenses✔ Licensed in NY · F339921✔ Licensed in NY · F339921-1

2015 GRAND CONCOURSE, Bronx, NY 10453

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mini Mathew is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10453 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

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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.

MANA RAO M.D.

Internal Medicine (Infectious Disease)