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ADOLESCENT HEALTH AND WELLNESS CENTER
NPI 1699072686
Clinic/Center - Federally Qualified Health Center (FQHC) in Bronx, NY

Active since February 28, 2011
960 SOUTHERN BLVD, BRONX, NY 10459(718) 589-2440(718) 991-4516 Get Directions Write a Review

NPPES record last updated: July 24, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Adolescent Health And Wellness Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADOLESCENT HEALTH AND WELLNESS CENTER (NPI 1699072686) is a healthcare organization registered as a federally qualified health center (fqhc) in Bronx, New York and active in the NPI registry since February 2011. The organization lists Samuel Deleon, Vp Medical Affairs/cmo, as its authorized official.

NPPES Registry Identity

NPI1699072686
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameURBAN HEALTH PLAN, INC
Location Address960 SOUTHERN BLVDBronx, NY 10459-3402
Mailing Address1065 Southern BlvdBronx, NY 10459-2417 · (718) 589-2440 · Fax (718) 991-4516
Phone(718) 589-2440
Fax(718) 991-4516
Organization SubpartYesParent: Adolescent Health And Wellness Center
Authorized OfficialSamuel DeleonVp Medical Affairs/cmo · (718) 589-2440
Enumeration DateFebruary 28, 2011
Last NPPES UpdateJuly 24, 2012
✔ NPI 1699072686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
960 SOUTHERN BLVD, Bronx, NY 10459
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Other Names 1

Doing Business AsAdolescent Health And Wellness Center

Other Identifiers 3

Other331015NY · Site Medicare Id #
Medicaid02994952NY
Medicare OSCAR/certification331885NY

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISSA JEAN MONTALVO PA-C
Physician Assistant
960 SOUTHERN BLVD
BRONX, NY 10459
Bronx County (718) 589-2440
CHITARA L. WAITERS LCSW
Social Worker (Clinical)
960 SOUTHERN BLVD
BRONX, NY 10459
Bronx County (347) 331-6572
NATASHA ROMAN
Social Worker
960 SOUTHERN BLVD
BRONX, NY 10459
Bronx County (718) 589-4755
CATHERINE VELUPILLAI
Pediatrics
960 SOUTHERN BLVD
BRONX, NY 10459
Bronx County (718) 589-4755
MISS KISALYN DAWN MICHAEL LCSW
Social Worker (Clinical)
960 SOUTHERN BLVD
BRONX, NY 10459
Bronx County (718) 589-2440
MS. ESTER ROSE WASSERMAN CPNP-PC
Nurse Practitioner (Pediatrics)
960 SOUTHERN BLVD
BRONX, NY 10459
Bronx County (718) 589-2440
MS. AMA B DEGRAFT-JOHNSON M.D.
Pediatrics (Adolescent Medicine)
960 SOUTHERN BLVD
BRONX, NY 10459
Bronx County (718) 589-2440
CHRISMARY A CEPEDA
Nutritionist (Nutrition, Education)
960 SOUTHERN BLVD
BRONX, NY 10459
Bronx County (718) 589-2440

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 1699072686. It was assigned to this organization in the NPPES registry on February 28, 2011. The provider is doing business as Adolescent Health And Wellness Center.

Where is Urban Health Plan, Inc located?

Urban Health Plan, Inc is located at 960 Southern Blvd, Bronx, NY 10459. 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.

When was this NPI record last updated?

The NPPES record for Urban Health Plan, Inc was last updated on July 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.