MEDICARE: URBAN HEALTH PLAN, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)	02994952	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245651637
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	URBAN HEALTH PLAN, INC.

Provider Business Mailing Address
First Line	:	1065 SOUTHERN BLVD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10459-2417
Country	:	US
Telephone Number	:	718-589-2440
Fax Number	:	718-991-4516

Provider Business Practice Location Address
First Line	:	1300 BOYNTON AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10472-1511
Country	:	US
Telephone Number	:	718-589-2440
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT AND CEO
Name	:	MS. PALOMA HERNANDEZ
Credential	:	MHP
Telephone Number	:	718-589-2440

Provider Enumeration Date	:	01/02/2014
Last Update Date	:	01/02/2014

Similar Medicare Providers

1679823009 — LUIS MARTINEZ MS. ED.
Practice Location Address:

1511 E 172ND ST , APARTMENT 1-R
BRONX, NY
10472-2154

Practice Phone: 917-538-6519
Practice Fax:

1689973885 — MR. KEVIN P HUESTON
Practice Location Address:

1511 BANTAM PL
BRONX, NY
10469-5928

Practice Phone: 718-670-7352
Practice Fax: 866-522-9101

1265796098 — PORT MORRIS HOME CARE AGENCY, LLC
Practice Location Address:

3530 WAYNE AVE
BRONX, NY
10467-1511

Practice Phone: 718-655-1700
Practice Fax: 718-798-7691

1750837308 — DORKA M BAUTISTA B.A., M.A.
Practice Location Address:

3010 GRAND CONCOURSE , APT. 3K
BRONX, NY
10458-1511

Practice Phone: 646-639-8829
Practice Fax:

1376131730 — MR. WILLIAM I. OWENS III OTR/L
Practice Location Address:

3530 WAYNE AVE
BRONX, NY
10467-1511

Practice Phone: 718-655-1700
Practice Fax:

1114652252 — HANA SICHEL NURSE PRACTITIONER IN FAMILY HEALTH PLLC
Practice Location Address:

3530 WAYNE AVE
BRONX, NY
10467-1511

Practice Phone: 732-267-8747
Practice Fax:

Directions to “URBAN HEALTH PLAN, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.