Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mini Mathew

Individual provider Family Nurse Practitioner · NPI 1689127623

Mini Mathew is a Family Nurse Practitioner in Bronx, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2016
Specialties on file
2

Practice location Address checks out

2015 Grand Concourse
Bronx, NY 10453-4303
Phone: (718) 618-0401
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F339921 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F339921-1 (NY)

Record details

NPI number1689127623
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 26, 2016
Last updated in NPPESJune 25, 2021
Certification dateJune 25, 2021

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