340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH330214CY NYU Langone Hospitals (Terminated)
Print
Main Details
Name
NYU Langone Hospitals
Subdivision Name
Tisch Radiation Oncology
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH330214CY
Medicare Provider Number
330214
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/15/2016
Participating Start Date
7/1/2016
Participating Approval Date
5/3/2016
Last Recertification Date
9/8/2021
Termination Date
Termination Reason
10/1/2022
Outpatient facility moved within the 4 walls of the parent hospital
Contacts
Authorizing Official
NYU Langone Health
Daniel J Widawsky, Chief Financial Officer
(212) 263-3092
Primary Contact
NYU Langone Health
Kristopher DaCosta, Director of 340B and Pharmacy Business & Analytics
(646) 754-9356
Addresses
Street Address
550 1st Avenue
New York, NY 10016
Billing Address
NYU Langone Hospitals
550 First Avenue
New York, NY 10016
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
June 2025
June 2025
week
S
M
T
W
T
F
S
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
24
8
9
10
11
12
13
14
25
15
16
17
18
19
20
21
26
22
23
24
25
26
27
28
27
29
30
1
2
3
4
5
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session