340B Drug Pricing Program Database
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DSH310019N St. Joseph’s University Medical Center (Active)
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Main Details
Name
St. Joseph’s University Medical Center
Subdivision Name
St. Joseph's Wayne Hospital / Operating Room
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH310019N
Medicare Provider Number
310019
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/12/2016
Participating Start Date
4/1/2016
Participating Approval Date
3/9/2016
Last Recertification Date
8/26/2024
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
224 Hamburg Turnpike
Wayne, NJ 07470
Billing Address
St. Joseph's Hospital and Medical Center
703 Main Street
Paterson, NJ 07503
Comments
Medicaid Billing
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