URBAN HEALTH PLAN, INC (NPI# 1699072686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699072686 |
| Entity Type | Organization |
| Organization Name | URBAN HEALTH PLAN, INC |
| Other Organization Name | ADOLESCENT HEALTH AND WELLNESS CENTER |
| Practice Address |
960 Southern Blvd Bronx NY 10459-3402 |
| Mailing Address |
1065 Southern Blvd Bronx NY 10459-2417 |
| Practice Telephone | 7185892440 |
| Practice Fax Number | 7189914516 |
| Mailing Telephone | 7185892440 |
| Mailing Fax Number | 7189914516 |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2012-07-24 |
| Authorized Official Name | DR. SAMUEL DELEON JR. (VP MEDICAL AFFAIRS/CMO) |
| Authorized Official Telephone | 7185892440 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | ADOLESCENT HEALTH AND WELLNESS CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02994952 | 05 | |
| NY | SITE MEDICARE ID # | 331015 | 01 |
| Other Name | Type Code |
|---|---|
| ADOLESCENT HEALTH AND WELLNESS CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730487034 | Urban Health Plan, Inc | Clinic/Center | 984 Faile St, Bronx, NY 10459-3703 | 2011-03-10 |
| 1811433196 | Urban Health Plan, Inc | Clinic/Center | 154 W 127th St, New York, NY 10027-3739 | 2017-01-11 |
| 1770847014 | Urban Health Plan, Inc | Clinic/Center | 1967 Turnbull Ave, Suite 17, Bronx, NY 10473-2519 | 2012-07-02 |
| 1831497130 | Urban Health Plan, Inc | Clinic/Center | 1290 Spofford Ave, Bronx, NY 10474-6511 | 2011-03-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | URBAN HEALTH PLAN, INC. | 1065 Southern Blvd, Bronx, NY 10459-2417 |
| Street Address |
960 SOUTHERN BLVD |
| City | BRONX |
| State | NY |
| Zip Code | 10459-3402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689792632 | Kisalyn Dawn Michael | Social Worker | 960 Southern Blvd, Bronx, NY 10459-3402 | 2007-03-27 |
| 1154966836 | Melissa Jean Montalvo | Physician Assistant | 960 Southern Blvd, Bronx, NY 10459-3402 | 2019-11-17 |
| 1659914851 | Nyla Hashim | Nurse Practitioner | 960 Southern Blvd, Bronx, NY 10459-3402 | 2019-10-21 |
| 1225686678 | Victoria M Del Toro | Social Worker | 960 Southern Blvd, Bronx, NY 10459-3402 | 2019-08-29 |
| 1760940985 | Chrismary A Cepeda | Nutritionist | 960 Southern Blvd, Bronx, NY 10459-3402 | 2019-03-06 |
| 1720312598 | Ama B Degraft-johnson | Pediatrics | 960 Southern Blvd, Bronx, NY 10459-3402 | 2009-09-28 |
| 1902038870 | Gladys Yaneth Raveneau | Pediatrics | 960 Southern Blvd, Bronx, NY 10459-3402 | 2009-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508458 | Sterling Smiles LLC | Dentist | 1022 E163rd St, Bronx, NY 10459 | 2020-11-02 |
| 1710496633 | Vitus C. Ezerioha | Licensed Practical Nurse | 870 Southern Blvd., Apt 1a, Bronx, NY 10459 | 2017-09-22 |
| 1790208403 | Jessica S Lee | Early Intervention Provider Agency | 985 Intervale Ave Apt. 2c, Bronx, NY 10459 | 2017-07-25 |
| 1669901070 | Ruthlyn Merrick | Registered Nurse | 1466 Louis Nine Blvd, Bronx, NY 10459 | 2017-06-08 |
| 1154865681 | John Wahl | Speech-Language Pathologist | 977 Fox St., Is 217, Bronx, NY 10459 | 2016-12-19 |
| 1801349675 | Aneesa Ible | Social Worker | 953 Southern Blvd, Suite 301, Odyssey House Inc., Bronx, NY 10459 | 2016-07-28 |
| 1457711277 | Agboade Ademiju | Registered Nurse | 900 Intervale Ave, Archcare, Bronx, Bronx, NY 10459 | 2016-03-07 |
| 1952760076 | Apollo Radio Dispatcher | Taxi | 801 Freeman Street, Bronx, NY 10459 | 2016-02-17 |
| 1730547522 | Foxhurst Medical of New York LLC | Surgery | 947 Southern Blvd Ste B, Bronx, NY 10459 | 2016-02-08 |
| 1063892388 | Vismar Radio Dispatch Inc. | Taxi | 1040-52 Freeman St, Bronx, NY 10459 | 2015-06-02 |
| Find all providers in zip 10459 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184263485 | Urban Health Plan, Inc. | Clinic/Center | 271 E 138th St, Bronx, NY 10454-2909 | 2020-01-03 |
| 1164994190 | Morris Heights Health Center, Inc. | Clinic/Center | 1 W Burnside Ave, Bronx, NY 10453-4003 | 2019-01-02 |
| 1881177533 | Hudson River Healthcare, Inc. | Clinic/Center | 459 East 149th Street, The Hub Health Center, Bronx, NY 10455-1314 | 2018-09-10 |
| 1720561517 | Hudson River Healthcare, Inc. | Clinic/Center | 226 East 144th Street, Brightpoint Health Citiwide, Bronx, NY 10451-5909 | 2018-09-08 |
| 1023503927 | Urban Health Plan, Inc. | Clinic/Center | 1000 Jennings St, Bronx, NY 10460-6099 | 2018-06-25 |
| 1669912341 | Morris Heights Health Center, Inc. | Clinic/Center | 1227 Edward L Grant Hwy, Bronx Medical and Wellness Center, Bronx, NY 10452-3101 | 2017-03-01 |
| 1104374685 | Morris Heights Health Center, Inc. | Clinic/Center | 825 E 233rd St, Bronx, NY 10466-3203 | 2016-09-14 |
| 1790154466 | Damian Family Care Centers, Inc. | Clinic/Center | 2604 3rd Avenue, Bronx, NY 10454 | 2015-09-23 |
| 1659754885 | Union Community Health Center, Inc. | Clinic/Center | 2101 Quarry Road, Bronx, NY 10457-2594 | 2015-07-07 |
| 1740679695 | Care for The Homeless | Clinic/Center | 800 Barretto St, Bronx, NY 10474-5304 | 2015-01-15 |
| Find all providers in BRONX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.