340B Drug Pricing Program Database
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DSH330214FT NYU Langone Hospitals (Approved)
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Main Details
Name
NYU Langone Hospitals
Subdivision Name
NYU Langone Hospital - Suffolk - Perioperative Services - Perioperative Services
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH330214FT
Medicare Provider Number
330214
Outpatient Facility Provider Number
Additional Details
Current Program Status
Approved
Registration Date
4/9/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/15/2025
Last Recertification Date
Contacts
Authorizing Official
NYU Langone Health
JOSEPH LHOTA, Chief Financial Officer
(646) 634-3670
Primary Contact
NYU Langone Health
Kristopher DaCosta, Director of 340B and Pharmacy Business & Analytics
(646) 754-9356
Addresses
Street Address
101 Hospital RD
Patchogue, NY 11772
Billing Address
NYU Langone Hospitals
P.O. Box 427
Elmsford, NY 10523
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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