MINI MATHEW
NPI 1689127623
Nurse Practitioner - Family in Bronx, NY
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
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)
Mini Mathew is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Mini Mathew reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bronx, NY 10453
- Reassigned Medicare billing, New York enrollment
- 1,393 clinicians in this Medicare group
Bronx, NY 10452
- Reassigned Medicare billing, New York enrollment
- 683 clinicians in this Medicare group
Eastchester, NY 10709
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Medical Group Of New York PC
- 185 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.
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.
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.
BRONX, NY 10453
BRONX, NY 10453
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 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.
Where is Mini Mathew located?
Mini Mathew practices at 2015 Grand Concourse, Bronx, NY 10453. The listed phone number is (718) 618-0401.
What is Mini Mathew's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mini Mathew enrolled in Medicare?
Yes. Mini Mathew is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Mini Mathew's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mini Mathew reassigns Medicare benefits to 3 organizations: Essen Medical Associates, PC (Bronx, NY), Essen Medical Urgicare, PLLC (Bronx, NY) and Medical Group Of New York, P.C. (Eastchester, 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 Mini Mathew's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Mini Mathew · NPI 1689127623
Family physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since July 26, 2016.
## Identity
- **NPI:** 1689127623 (Entity type: Individual)
- **Enumerated:** July 26, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F339921 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2015 GRAND CONCOURSE, Bronx, NY 10453-4303
- **Phone:** (718) 618-0401
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Essen Medical Associates, PC (NPI 1366418709, Bronx, NY); Essen Medical Urgicare, PLLC (NPI 1841607298, Bronx, NY); Medical Group Of New York, P.C. (NPI 1487983516, Eastchester, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 25, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1689127623) · Data from the CMS NPPES public registry.