MOUFDITI JEAN PHILIPPE LEREBOURS PMHNP-BC
NPI 1699282152
Nurse Practitioner - Psychiatric/Mental Health in Bronx, NY

Q: What is Moufditi Lerebours's NPI number?

The NPI number for Moufditi Lerebours is 1699282152. It was assigned to this individual provider in the NPPES registry on January 5, 2018.

Q: What is Moufditi Lerebours's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since January 05, 2018PECOS EnrolledAccepts Medicare Assignment

1265 FRANKLIN AVE, BRONX, NY 10456(718) 992-7669 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 3, 2024, Feb 6, 2019 (2 updates tracked since 2019).

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About Moufditi Jean Philippe Lerebours Pmhnp-bc NPPES

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

MOUFDITI JEAN PHILIPPE LEREBOURS PMHNP-BC (NPI 1699282152) is an individual psychiatric/mental health provider in Bronx, New York, licensed in New York (406229) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, is affiliated with Bronxcare Hospital Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1699282152

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMOUFDITI JEAN PHILIPPE LEREBOURSCredential: PMHNP-BC

Location Address1265 FRANKLIN AVEBronx, NY 10456-3501

Mailing Address1276 Fulton AveBronx, NY 10456-3467 · (718) 992-7669

Phone(718) 992-7669

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJanuary 5, 2018

Last NPPES UpdateSeptember 3, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 3, 2024

✔ NPI 1699282152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NY · 406229

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License F342102 (NY)

1265 FRANKLIN AVE, Bronx, NY 10456

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Secondary Practice Locations 2

Location 12015 Grand ConcourseBronx, NY 10453 · Phone (718) 299-7295

Location 2150 Liberty Pkwy Apt C12Spring Valley, NY 10977-5341 · Phone (845) 416-2396

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Moufditi Jean Philippe Lerebours Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335488857

PECOS Enrollment IDI20190228000613

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

15 services12 patients

Hospital Affiliations CMS Care Compare

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

Bronxcare Hospital Center

Acute Care Hospitals · Bronx, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330009

Location1276 Fulton AvenueBronx, NY 10456 · Bronx County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10456 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.

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.

TOLULOPE LANRE ONANUGA NP

Nurse Practitioner (Psychiatric/Mental Health)