340B Drug Pricing Program Database


CH021771A METROPOLITAN FAMILY HEALTH NETWORK INC. (Active) - information as of 6/27/2025 12:31:12 AM

Main Details
METROPOLITAN FAMILY HEALTH NETWORK INC.
METROPOLITAN -WEST NEW YORK SITE
HRSA-Funded Health Center
BPS-H80-001532
CH021771A
H80CS07588


Additional Details
Active
11/6/2006
4/1/2004
11/6/2006
2/19/2025

Contacts

Metropolitan Family Health Network
Joan Dublin, CEO
(201) 478-5802

Metropolitan Family Health Network Inc.
Scott Carey, COO
(201) 478-5829

Addresses

5300 Bergenline Ave
West New York, NJ 07093-5616

METROPOLITAN FAMILY HEALTH NETWORK - ADMINISTRATIVE OFFICE
935 GARFIELD AVENUE
JERSEY CITY, NJ 07304


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Grantee Sites
  • Grantee Sites Contract Pharmacies
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

Yes
StateMedicaid NumberNPI Number
NJ01079641417967456
Shipping Addresses

Metropolitan Family Health Network, Inc.
Healthcare Pharmacy
935 Garfield Ave.
Jersey City, NJ 07304
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CH0217710ActiveBPS-H80-003788METROPOLITAN FAMILY HEALTH NETWORK INC.METROPOLITAN FAMILY HEALTH NETWORK935 Garfield Ave Jersey CityNJ
CH021771AActiveBPS-H80-001532METROPOLITAN FAMILY HEALTH NETWORK INC.METROPOLITAN -WEST NEW YORK SITE5300 Bergenline Ave West New YorkNJ
CH021771BTerminatedBPS-H80-002334METROPOLITAN FAMILY HEALTH NETWORK INC.Metropolitan Family Health Network, Inc. at Bergen Avenue.935 Garfield Ave. Jersey CityNJ
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CH0217710DUANE READE52 RIVER DRIVE S
JERSEY CITYNJ0731001/18/2012  
CH0217710DUANE READE1 PATH PLAZA JOURNAL SQUARE
JERSEY CITYNJ0730601/01/2016  
CH0217710DUANE READE PHCY. DEPT.110 NEWARK AVENUE
JERSEY CITYNJ0730201/18/2012  
CH0217710GARFIELD HEALTHCARE PHARMACYSUMMIT PHARMACY GROUP LLC 935 GARFIELD AVE
JERSEY CITYNJ07304-070510/01/2016  
CH0217710HEALTH CARE PHARMACY935 GARFIELD AVE
JERSEY CITYNJ0730401/27/2005 04/20/2016
CH021771AHEALTH CARE PHARMACY935 GARFIELD AVE
JERSEY CITYNJ0730404/01/2004  
CH0217710MEDLY PHARMACY40 W MAIN ST
SOMERVILLENJ0887610/01/2019  
CH0217710MEDLY PHARMACYMEDLY JERSEY CITY INC 152 NEWARK AVE
JERSEY CITYNJ0730207/01/2022  
CH0217710RELIANT CARE SOLUTIONS8 NESHAMINY INTERPLEX DR STE 102
FEASTERVILLE TREVOSEPA1905301/01/2021  
CH0217710WALGREEN EASTERN CO INCDBA: WALGREENS # 05463 699 BROADWAY
BAYONNENJ0700201/18/2012  
CH0217710WALGREEN EASTERN CO., INC.DBA: WALGREENS # 03197 2395 KENNEDY BLVD.
JERSEY CITYNJ0730401/18/2012  
CH0217710WALGREEN EASTERN CO., INC.DBA: WALGREENS # 06253 1561 JOHN F KENNEDY BLVD
JERSEY CITYNJ07305-172101/18/2012  
CH0217710WALGREEN EASTERN CO., INC.DBA: WALGREENS # 05343 6012 KENNEDY BLVD WEST
WEST NEW YORKNJ0709301/18/2012  
CH0217710WALGREEN EASTERN CO., INC.DBA: WALGREENS # 06162 508 MARTIN LUTHER KING
EAST ORANGENJ07018-220701/18/2012  
CH0217710WALGREEN EASTERN CO., INC.DBA: WALGREENS # 05333 3333 PARK AVE
UNION CITYNJ0708701/18/2012  
CH0217710WALGREEN EASTERN CO., INC.DBA: WALGREENS #13725 101 WASHINGTON ST.
HOBOKENNJ07030-463401/18/2012 11/07/2023
CH0217710WALGREEN EASTERN CO., INC.DBA: WALGREENS #12442 3508 KENNEDY BLVD.
UNION CITYNJ0708710/01/2013  
CH0217710WALGREEN EASTERN CO., INC.DBA: WALGREENS #15368 1080 BROADWAY
BAYONNENJ0700201/01/2022  
CH0217710WALGREEN EASTERN CO., INC.WALGREENS #18372 5706 BERGENLINE AVE
WEST NEW YORKNJ0709301/01/2022  
CH0217710WALGREEN EASTERN CO., INC.WALGREENS #19517 337 CENTRAL AVE
JERSEY CITYNJ0730701/01/2022  
CH0217710WALGREENS MAIL SERVICE, INC.8350 S RIVER PARKWAY
TEMPEAZ8528410/01/2013  
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification2/6/2024 9:02:16 AM2/19/2025 1:16:21 PM2/19/2025 1:16 PM
DetailsLast Recertification DateUpdateRecertification2/6/2023 1:50:38 PM2/6/2024 9:02:16 AM2/6/2024 9:02 AM
DetailsLast Recertification DateUpdateRecertification2/2/2022 10:37:41 AM2/6/2023 1:50:38 PM2/6/2023 1:50 PM
DetailsLast Recertification DateUpdateRecertification2/4/2021 12:25:34 PM2/2/2022 10:37:41 AM2/2/2022 10:37 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/4/2021 12:25 PM
Medicaid BillingMedicaid: NumberInsertRecertification 01079642/4/2021 12:25 PM
Medicaid BillingMedicaid: StateInsertRecertification NJ2/4/2021 12:25 PM
Medicaid BillingNPI: NumberInsertRecertification 14179674562/4/2021 12:25 PM
Medicaid BillingNPI: StateInsertRecertification NJ2/4/2021 12:25 PM
DetailsLast Recertification DateUpdateRecertification1/30/2020 10:18:54 AM2/4/2021 12:25:34 PM2/4/2021 12:25 PM
DetailsLast Recertification DateUpdateRecertification2/1/2019 10:15:24 AM1/30/2020 10:18:54 AM1/30/2020 10:18 AM
DetailsLast Recertification DateUpdateRecertification2/26/2018 12:02:52 PM2/1/2019 10:15:24 AM2/1/2019 10:15 AM
AddressesShipping AddressInsertRecertification Metropolitan Family Health Network, Inc. Healthcare Pharmacy 935 Garfield Ave. Jersey City, NJ 073042/26/2018 12:02 PM
DetailsLast Recertification DateUpdateRecertification1/27/2017 12:00:00 AM2/26/2018 12:02:52 PM2/26/2018 12:02 PM
ContactsAuthorizing OfficialUpdate Dublin, Joan CEO 2014785802Dublin, Joan CEO Metropolitan Family Health Network 20147858022/23/2018 11:21 AM
ContactsPrimary ContactUpdate Carey, Scott COO 2014785829Carey, Scott COO Metropolitan Family Health Network Inc. 20147858292/9/2018 5:10 PM
AddressesMain AddressInsert   5300 Bergenline Ave West New York, NJ 07093-56161/27/2017 10:41 AM
ContactsAuthorizing OfficialInsert  Dublin, Joan CEO 20147858021/27/2017 10:41 AM
ContactsPrimary ContactInsert  Carey, Scott COO 20147858291/27/2017 10:41 AM
DetailsLast Recertification DateUpdate 2/22/2016 12:00:00 AM1/27/2017 12:00:00 AM1/27/2017 10:41 AM
DetailsLast Recertification DateUpdate 1/28/2015 12:00:00 AM2/22/2016 12:00:00 AM2/22/2016 10:03 AM
DetailsLast Recertification DateUpdate 2/10/2014 12:00:00 AM1/28/2015 12:00:00 AM1/28/2015 9:41 AM
DetailsEntity NameUpdate METROPOLITAN FAMILY HEALTH NETWORKMETROPOLITAN FAMILY HEALTH NETWORK INC.3/31/2014 4:25 PM
DetailsEntity SubnameUpdate WEST NEW YORK FAMILY HEALTH CENTERMETROPOLITAN -WEST NEW YORK SITE3/31/2014 4:25 PM
DetailsLast Recertification DateUpdate 4/1/2013 12:00:00 AM2/10/2014 12:00:00 AM2/10/2014 10:44 AM
DetailsLast Recertification DateUpdate  4/1/2013 12:00:00 AM3/1/2013 12:03 PM
AddressesBilling AddressInsert  METROPOLITAN FAMILY HEALTH NETWORK - ADMINISTRATIVE OFFICE 935 GARFIELD AVENUE JERSEY CITY, NJ 0730411/17/2006 2:46 PM
DetailsLast Recertification DateInsert   11/17/2006 2:46 PM
DetailsGrant NumberInsert  H80CS0758811/17/2006 2:46 PM
Details340B IDInsert  CH021771A11/17/2006 2:46 PM
DetailsIs Authorizing Official EHB DataInsert   11/17/2006 2:46 PM
DatesLast Date That 340B Drugs PurchasedInsert   11/17/2006 2:46 PM
DetailsMedicare Provider NumberInsert   11/17/2006 2:46 PM
DetailsEntity NameInsert  METROPOLITAN FAMILY HEALTH NETWORK11/17/2006 2:46 PM
DetailsProgram CodeInsert  CH11/17/2006 2:46 PM
DetailsEntity SubnameInsert  WEST NEW YORK FAMILY HEALTH CENTER11/17/2006 2:46 PM
DatesParticipating Approval DateInsert  11/6/2006 12:00:00 AM11/17/2006 2:46 PM
DetailsStateInsert  Active11/17/2006 2:46 PM
DatesRegistration DateInsert  11/6/2006 12:00:00 AM11/17/2006 2:46 PM
DatesSigned By DateInsert   11/17/2006 2:46 PM
DatesStart DateInsert  4/1/2004 12:00:00 AM11/17/2006 2:46 PM
TerminationsTermination CommentsInsert   11/17/2006 2:46 PM
TerminationsTermination DateInsert   11/17/2006 2:46 PM
TerminationsTermination Effective DateInsert   11/17/2006 2:46 PM
TerminationsTermination ReasonInsert   11/17/2006 2:46 PM