2 associated locations — data as of October 5, 2026
Disproportionate share hospital · SUFFERN, NY
Good Samaritan Hospital Ambulatory Surgery Center At Suffern Medical Pavilion
Filed under GOOD SAMARITAN HOSPITAL, which files the Medicare cost report for this system.
Taking partNoTermination date filedOctober 1, 2026Last certifiedAugust 18, 2025
- 0Registered locations
- 2Associated locations
- 0Contract pharmacies
- 0With no end date
- July 1, 2014In 340B since
Across GOOD SAMARITAN HOSPITAL, 54 contract pharmacies are on file. This location is filed at 257 LAFAYETTE AVENUE, First Floor, SUFFERN NY 10901.
Finances, as filed
This record is a location registered under GOOD SAMARITAN HOSPITAL, which files the Medicare cost report. The finances are on that record.
Community benefit, as filed
This record is a location registered under GOOD SAMARITAN HOSPITAL. Community benefit is on that record.
Executive and director compensation, as filed
This record is a location registered under GOOD SAMARITAN HOSPITAL. Executive and director compensation is on that record.
Get an email when a record in this system changes
One email a day naming what moved on GOOD SAMARITAN HOSPITAL and every record registered under it: the field, the value before, the value after, and the date of the file that first showed it.
On October 1, 2026, Participating changed from TRUE to FALSE. That is one line of the daily email.
Changes recorded
| Date first shown | Field | Was | Now |
|---|---|---|---|
| October 1, 2026 | Participating | TRUE | FALSE |
Register detail and identifiers
Participation, as filed
- Participating
- FALSE
- Participation start date
- July 1, 2014
- Termination date
- October 1, 2026
- Termination reason
- Other
- Certification date
- August 18, 2025
- Record last edited
- October 1, 2026
Identifiers
- 340B ID
- DSH330158C
- Entity type as filed
- DSH
- CMS certification number
- 330158
- NPI
- 1346213469 (FL,NJ,NY,PA)
- Rural
- No
257 LAFAYETTE AVENUE, First Floor, SUFFERN NY 10901
Associated locations
| Good Samaritan Hospital | 255 Lafayette Avenue | Suffern NY 10901 |
| Good Samaritan Hospital Ambulatory Surgery Center At Suffern Medical Pavilion | 257 LAFAYETTE AVENUE, First Floor | SUFFERN NY 10901 |
How this page is built
- What is counted
- One row per registration in the register. This page is the row for this 340B ID; a figure that reads across a record and its locations counts the rows the register lists under this record as well.
- As of
- October 5, 2026 — the date of the register file this record was last listed in.
- Contract-pharmacy arrangements
- Each arrangement the register files between a covered entity and a pharmacy counts once. An arrangement counts among those with no end date where the register prints no termination date for it, and among the rest where it prints one.
Every figure on this page comes from HRSA 340B OPAIS Covered Entity Daily Report.
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261005_121310.xlsx, stamped by its publisher October 5, 2026. This record has been read here since September 6, 2026.
How this page was built: the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261005_121310.xlsx, read October 5, 2026.