MONROE ACADEMY CAMPUS
NPI 1245651637
Clinic/Center - Federally Qualified Health Center (FQHC) in Bronx, NY
About Monroe Academy Campus NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MONROE ACADEMY CAMPUS (NPI 1245651637) is a healthcare organization registered as a federally qualified health center (fqhc) in Bronx, New York and active in the NPI registry since January 2014. The organization lists Paloma Hernandez, President And Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and revalidation status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Monroe Academy Campus is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Urban Health Plan, Inc.'s NPI number?
The NPI number for Urban Health Plan, Inc. is 1245651637. It was assigned to this organization in the NPPES registry on January 2, 2014. The provider is doing business as Monroe Academy Campus.
Where is Urban Health Plan, Inc. located?
Urban Health Plan, Inc. is located at 1300 Boynton Ave, Bronx, NY 10472. The listed phone number is (718) 589-2440.
What is Urban Health Plan, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Urban Health Plan, Inc. enrolled in Medicare?
Yes. Urban Health Plan, Inc. is registered in the Medicare PECOS enrollment system.
When is Urban Health Plan, Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (New York, Federally Qualified Health Center (FQHC)) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
When was this NPI record last updated?
The NPPES record for Urban Health Plan, Inc. was last updated on January 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Monroe Academy Campus · NPI 1245651637
Federally Qualified Health Center (FQHC) organization in Bronx, New York. Organization record, active in the CMS NPPES registry since January 2, 2014.
## Identity
- **NPI:** 1245651637 (Entity type: Organization)
- **Enumerated:** January 2, 2014
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Urban Health Plan, Inc.
- **Organization subpart:** No
- **Authorized official:** Paloma Hernandez, PRESIDENT AND CEO
## Practice location
- **Address:** 1300 BOYNTON AVE, Bronx, NY 10472-1511
- **Phone:** (718) 589-2440
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Part A, New York, Federally Qualified Health Center (FQHC)) · CMS Revalidation Due Date List, October 2026 release
## Record status
- **NPPES last updated:** January 2, 2014
- **Other identifiers:** Medicaid 02994952 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1245651637) · Data from the CMS NPPES public registry.