340B Drug Pricing Program Database


DSH330056C THE BROOKLYN HOSPITAL CENTER (Active) - information as of 4/29/2025 11:45:36 PM

Main Details
THE BROOKLYN HOSPITAL CENTER
MYRTLE AVENUE DIALYSIS
Disproportionate Share Hospital
No
DSH330056C
330056


Additional Details
Active
9/5/2008
9/5/2008
9/5/2008
8/29/2024

Contacts

The Brooklyn Hospital Center
Donald P. Minarcik, VP Revenue Enhancement
(718) 488-3775

The Brooklyn Hospital Center
Kathleen Minlionica, Director of Pharmacy, Per diem
(718) 250-8220

Addresses

218 Myrtle Avenue
STE A
BROOKLYN, NY 11201-3942

The Brooklyn Hospital Center
121 DeKalb Avenue
Brooklyn, NY 11201


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Parent/Child
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

Yes
StateMedicaid NumberNPI Number
NY002436141326072158
Shipping Addresses

The Brooklyn Hospital Center
121 DeKalb Avenue
Brooklyn, NY 11201
Parent/Child
340B IDHierarchyEntity TypeNameSub NameAddressCityState340B Status
DSH330056AChildDSHTHE BROOKLYN HOSPITAL CENTERPATH CENTER, ADULTS & PEDIATRICS (OPD-1)161 ASHLAND PLACEBROOKLYNNYActive
DSH330056BChildDSHTHE BROOKLYN HOSPITAL CENTERPATH CENTER, ADULTS & PEDIATRICS2244 CHURCH AVENUEBROOKLYNNYTerminated
DSH330056CChildDSHTHE BROOKLYN HOSPITAL CENTERMYRTLE AVENUE DIALYSIS218 Myrtle AvenueBROOKLYNNYActive
DSH330056DChildDSHTHE BROOKLYN HOSPITAL CENTERCLINIC OPD-1 DENTAL155 ASHLAND PLACEBROOKLYNNYActive
DSH330056EChildDSHTHE BROOKLYN HOSPITAL CENTERCLINIC OPD-II ADULT AMBULATORY CARE CENTER121 DEKALB AVENUEBROOKLYNNYActive
DSH330056FChildDSHTHE BROOKLYN HOSPITAL CENTERCLINIC OPD-III WOMEN'S HEALTH CENTER523 FULTON AVENUEBROOKLYNNYActive
DSH330056GChildDSHTHE BROOKLYN HOSPITAL CENTERCHILDREN'S HEALTH CENTER121 DEKALB AVENUEBROOKLYNNYActive
DSH330056HChildDSHTHE BROOKLYN HOSPITAL CENTER61ST STREET FAMILY HEALTH CENTER771 61ST STREETBROOKLYNNYTerminated
DSH330056JChildDSHTHE BROOKLYN HOSPITAL CENTERPEDIATRIC HEMATOLOGY/ONCOLOGY OUTPATIENT SERVICES121 DEKALB AVENUEBROOKLYNNYActive
DSH330056KChildDSHTHE BROOKLYN HOSPITAL CENTERADULT HEMATOLOGY/ONCOLOGY OUTPATIENT SERVICES86 Fleet PlaceBROOKLYNNYActive
DSH330056LChildDSHTHE BROOKLYN HOSPITAL CENTERLaProvidencia Family Health Center1280 DeKalb AvenueBrooklynNYActive
DSH330056MChildDSHTHE BROOKLYN HOSPITAL CENTERWilliamsburg Family Health Center99 Division AvenueBrooklynNYActive
DSH330056NChildDSHTHE BROOKLYN HOSPITAL CENTERManhattan Avenue Health Center960 Manhattan AvenueBrooklynNYTerminated
DSH330056PChildDSHTHE BROOKLYN HOSPITAL CENTERFamily Medicine Center523 Fulton AvenueBrooklynNYActive
DSH330056QChildDSHTHE BROOKLYN HOSPITAL CENTERChurch Avenue Family Health Center / Primary Care2244 Church AvenueBrooklynNYTerminated
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification8/22/2023 2:28:17 PM8/29/2024 10:17:39 AM8/29/2024 10:17 AM
DetailsLast Recertification DateUpdateRecertification8/30/2022 12:38:14 PM8/22/2023 2:28:17 PM8/22/2023 2:28 PM
DetailsLast Recertification DateUpdateRecertification9/2/2021 3:40:05 PM8/30/2022 12:38:14 PM8/30/2022 12:38 PM
DetailsLast Recertification DateUpdateRecertification9/2/2020 4:36:49 PM9/2/2021 3:40:05 PM9/2/2021 3:40 PM
AddressesMain AddressUpdateChange Request 19 ROCKWELL PLACE 2ND FLOOR BROOKLYN, NY 11217 218 Myrtle Avenue STE A BROOKLYN, NY 11201-39425/3/2021 11:06 AM
DetailsEntity SubnameUpdateChange RequestROCKWELL DIALYSISMYRTLE AVENUE DIALYSIS5/3/2021 11:06 AM
ContactsPrimary ContactUpdateProfile Change RequestMinlionica, Kathleen Director of Pharmacy The Brooklyn Hospital Center 7182508255Minlionica, Kathleen Director of Pharmacy, Per diem The Brooklyn Hospital Center 718250822010/14/2020 4:18 PM
AddressesBilling AddressInsertChange Request The Brooklyn Hospital Center 121 DeKalb Avenue Brooklyn, NY 1120110/13/2020 9:35 AM
AddressesShipping AddressInsertChange Request The Brooklyn Hospital Center 121 DeKalb Avenue Brooklyn, NY 1120110/13/2020 9:35 AM
Medicaid BillingNPI: NumberInsertRecertification 13260721589/2/2020 4:36 PM
Medicaid BillingNPI: StateInsertRecertification NY9/2/2020 4:36 PM
Medicaid BillingNPI: NumberDeleteRecertification1326072158 ( ) 9/2/2020 4:36 PM
DetailsLast Recertification DateUpdateRecertification8/28/2019 4:25:14 PM9/2/2020 4:36:49 PM9/2/2020 4:36 PM
DetailsLast Recertification DateUpdateRecertification8/23/2018 4:03:58 PM8/28/2019 4:25:14 PM8/28/2019 4:25 PM
DetailsLast Recertification DateUpdateRecertification11/10/2017 10:12:47 AM8/23/2018 4:03:58 PM8/23/2018 4:03 PM
ContactsAuthorizing OfficialUpdateChange RequestSemenza, Patrick VP and Chief Financial Officer The Brooklyn Hospital Center 7184883715Minarcik, Donald P. VP Revenue Enhancement The Brooklyn Hospital Center 71848837751/3/2018 7:49 AM
DetailsLast Recertification DateUpdateRecertification8/23/2016 12:00:00 AM11/10/2017 10:12:47 AM11/10/2017 10:12 AM
ContactsAuthorizing OfficialUpdate Semenza, Patrick VP and Chief Financial Officer 7184883715Semenza, Patrick VP and Chief Financial Officer The Brooklyn Hospital Center 718488371510/20/2017 8:46 AM
ContactsPrimary ContactUpdate Minlionica, Kathleen Director of Pharmacy 7182508255Minlionica, Kathleen Director of Pharmacy The Brooklyn Hospital Center 718250825510/15/2017 10:14 AM
ContactsPrimary ContactUpdate SNELL, ELIZABETH DIRECTOR OF HOME CARE SERVICES, DIALYSIS SERVICES 7182602722Minlionica, Kathleen Director of Pharmacy 71825082558/2/2017 7:13 AM
ContactsAuthorizing OfficialInsert  Semenza, Patrick VP and Chief Financial Officer 71848837158/2/2017 7:13 AM
AddressesMain AddressInsert   19 ROCKWELL PLACE 2ND FLOOR BROOKLYN, NY 112177/25/2017 11:16 AM
DetailsLast Recertification DateUpdate 8/20/2015 12:00:00 AM8/23/2016 12:00:00 AM8/23/2016 4:24 PM
DetailsLast Recertification DateUpdate 8/11/2014 12:00:00 AM8/20/2015 12:00:00 AM8/20/2015 4:28 PM
DetailsLast Recertification DateUpdate 8/29/2013 9:41:13 AM8/11/2014 12:00:00 AM8/11/2014 10:11 AM
DetailsLast Recertification DateUpdate 7/1/2012 12:00:00 AM8/29/2013 9:41:13 AM8/29/2013 9:41 AM
Medicaid BillingMedicaid: Is PrimaryInsert  False5/30/2012 7:30 AM
Medicaid BillingMedicaid: NumberInsert  002436145/30/2012 7:30 AM
Medicaid BillingMedicaid: StateInsert  NY5/30/2012 7:30 AM
Medicaid BillingNPI: NumberInsert  13260721585/30/2012 7:30 AM
DetailsLast Recertification DateUpdate  7/1/2012 12:00:00 AM5/30/2012 7:30 AM
ContactsPrimary ContactInsert  SNELL, ELIZABETH DIRECTOR OF HOME CARE SERVICES, DIALYSIS SERVICES 71826027229/5/2008 4:06 PM
DetailsLast Recertification DateInsert   9/5/2008 3:28 PM
DetailsGrant NumberInsert   9/5/2008 3:28 PM
Details340B IDInsert  DSH330056C9/5/2008 3:28 PM
DetailsIs Authorizing Official EHB DataInsert   9/5/2008 3:28 PM
DatesLast Date That 340B Drugs PurchasedInsert   9/5/2008 3:28 PM
DetailsMedicare Provider NumberInsert  3300569/5/2008 3:28 PM
DetailsEntity NameInsert  THE BROOKLYN HOSPITAL CENTER9/5/2008 3:28 PM
DetailsProgram CodeInsert  DSH9/5/2008 3:28 PM
DetailsEntity SubnameInsert  ROCKWELL DIALYSIS9/5/2008 3:28 PM
DatesParticipating Approval DateInsert  9/5/2008 12:00:00 AM9/5/2008 3:28 PM
DetailsStateInsert  Active9/5/2008 3:28 PM
DatesRegistration DateInsert  9/5/2008 12:00:00 AM9/5/2008 3:28 PM
DatesSigned By DateInsert  9/2/2008 12:00:00 AM9/5/2008 3:28 PM
DatesStart DateInsert  9/5/2008 12:00:00 AM9/5/2008 3:28 PM
TerminationsTermination CommentsInsert   9/5/2008 3:28 PM
TerminationsTermination DateInsert   9/5/2008 3:28 PM
TerminationsTermination Effective DateInsert   9/5/2008 3:28 PM
TerminationsTermination ReasonInsert   9/5/2008 3:28 PM