Provider Type Icon

URBAN HEALTH PLAN INC. NPI 1932499274


NPI Information

NPI: 1932499274
Provider Name: URBAN HEALTH PLAN, INC.

Doing Business As: KIPS BAYS BOYS AND GIRLS CLUB/CREST SMILE SHOPPE DENTAL CLINIC

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1930 RANDALL AVE
BRONX, NY
ZIP 10473
Phone: (718) 893-2600
Get Directions

URBAN HEALTH PLAN, INC. is a federally qualified health center (fqhc) clinic center in Bronx, NY. URBAN HEALTH PLAN, INC. NPI is 1932499274. The provider is registered as an organization entity type.
The provider Is Doing Business As Kips Bays Boys And Girls Club/crest Smile Shoppe Dental Clinic.

The provider's business location address is:

1930 RANDALL AVE
BRONX, NY
ZIP 10473-608
Phone: (718) 893-2600

The provider's authorized official is Samuel Deleon .
The authorized official title is Vp Medical Affairs/cmo and has the following contact phone number (718) 589-2440.

The enumeration date for this NPI number is 4/7/2011 and was last updated on 4/7/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1331885MEDICARE OSCAR/CERTIFICATIONNEW YORK
202994952MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.