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HM07112 NEWARK BETH ISRAEL MEDICAL CENTER (Active)
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Main Details
Name
NEWARK BETH ISRAEL MEDICAL CENTER
Subdivision Name
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM07112
Grant Number
2 H30MC24048-11-00
Additional Details
Current Program Status
Active
Registration Date
7/1/2003
Participating Start Date
7/1/2003
Participating Approval Date
4/25/2011
Last Recertification Date
2/20/2025
Contacts
Authorizing Official
Newark Beth Israel Medical Center
Deborah Dente, V.P. Finance
(973) 926-6520
Primary Contact
RWJBarnabas Health
Bryan McCormick, Corporate Director 340B Program
(973) 322-4022
Addresses
Street Address
201 LYONS AVENUE
NEWARK, NJ 07112
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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May 2025
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