Active NPI
Mylaine Riobe Heron, MD
- Integrative Medicine Physician
- New York, NY
National Provider Identifier
1487687943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Integrative Medicine Physician
- License
- 322475
- Practice address
- 345 7TH Avenue
#1601
New York, NY 10001 - Phone
- (917) 477-3538
- Fax
- (772) 219-8111
- NPI assigned
- Jul 8, 2006
- Last updated
- Jul 22, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME82630 | FL | |
| Obstetrics & Gynecology Physician | 207V00000X | 322475 | NY | |
| Integrative Medicine Physician | 202D00000X | ME82630 | FL | |
| Integrative Medicine Physician | 202D00000X | 322475 | NY | Primary |
Addresses
Primary practice location
345 7TH Avenue
#1601
New York, NY 10001
Mailing address
1001 SE Monterey Commons Blvd
Suite 100
Stuart, FL 34996-3329
Phone (772) 266-4258
Other names 1
- Dr. Mylaine Riobe
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2017 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 322475 | NY | MD | Integrative Medicine Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Medical Specialty Clinic/Center
- Stuart, FL
- NPI 1689972200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1487687943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 SE MONTEREY COMMONS BLVD",
"address_2": "SUITE 100",
"city": "STUART",
"state": "FL",
"postal_code": "349963329",
"telephone_number": "772-266-4258",
"fax_number": "772-219-8111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 7TH AVENUE",
"address_2": "#1601",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10001",
"telephone_number": "917-477-3538",
"fax_number": "772-219-8111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIOBE HERON",
"first_name": "MYLAINE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-08",
"last_updated": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME82630",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "322475",
"primary": false
},
{
"code": "202D00000X",
"taxonomy_group": "",
"desc": "Integrative Medicine",
"state": "FL",
"license": "ME82630",
"primary": false
},
{
"code": "202D00000X",
"taxonomy_group": "",
"desc": "Integrative Medicine",
"state": "NY",
"license": "322475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MYLAINE",
"last_name": "RIOBE",
"prefix": "DR.",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.