340B Drug Pricing Program Database
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DSH310019 St. Joseph’s University Medical Center (Active)
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Main Details
Name
St. Joseph’s University Medical Center
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH310019
Medicare Provider Number
310019
Additional Details
Current Program Status
Active
Registration Date
5/28/2008
Participating Start Date
10/1/2002
Participating Approval Date
5/28/2008
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
St. Joseph's Health
Robert Joseph Nesselbush, Chief Financial Officer
(973) 754-2023
Primary Contact
St. Joseph’s University Medical Center
Alexander Lee, 340B Program Manager
(973) 754-4823
Addresses
Street Address
703 MAIN STREET
PATERSON, NJ 07503
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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03/02/11 ADDED SHIP TO ADDR.
03/02/2011
May 2025
May 2025
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