2 associated locations — data as of October 5, 2026
Disproportionate share hospital · Staten Island, NY
Medical Arts Pavilion - Allergy - Clinic
Filed under STATEN ISLAND UNIVERSITY HOSPITAL, which files the Medicare cost report for this system.
Taking partNoTermination date filedOctober 1, 2026Last certifiedAugust 11, 2025
- 0Registered locations
- 2Associated locations
- 3Contract pharmacies
- 0With no end date
- October 1, 2022In 340B since
Finances, as filed
This record is a location registered under STATEN ISLAND UNIVERSITY HOSPITAL, which files the Medicare cost report. The finances are on that record.
Community benefit, as filed
This record is a location registered under STATEN ISLAND UNIVERSITY HOSPITAL. Community benefit is on that record.
Executive and director compensation, as filed
This record is a location registered under STATEN ISLAND UNIVERSITY HOSPITAL. Executive and director compensation is on that record.
Changes recorded
| Date first shown | Field | Was | Now |
|---|---|---|---|
| October 1, 2026 | Participating | TRUE | FALSE |
| September 9, 2026 | Termination reason | not filed | Site closure |
| September 9, 2026 | Termination date | not filed | 2026-10-01 |
Register detail and identifiers
Participation, as filed
- Participating
- FALSE
- Participation start date
- October 1, 2022
- Termination date
- October 1, 2026
- Termination reason
- Site closure
- Certification date
- August 11, 2025
- Record last edited
- October 1, 2026
Identifiers
- 340B ID
- DSH330160AT
- Entity type as filed
- DSH
- CMS certification number
- 330160
- NPI
- 1144714171 (NY), 1407877137 (NY,OH)
- Rural
- No
242 Mason Avenue, Staten Island NY 10305
Associated locations
| Medical Arts Pavilion - Allergy - Clinic | 242 Mason Avenue | Staten Island NY 10305 |
| SAFECOR Health | 317 Boston Street | Woburn MA 01801 |
Pharmacy contracts
No end date filed0
No arrangement with no end date filed matches that.
An end date is filed3
An end date still in the future is a termination already filed, not one that has happened. Both are printed here as the file carries them.
| LONG ISLAND JEWISH MEDICAL CENTER AT HOM | GREAT NECK, NY | January 1, 2024 | March 31, 2026 |
| TRUE NORTH HEALTH PHARMACY, INC | LAKE SUCCESS, NY | January 1, 2024 | October 1, 2026 |
| TRUE NORTH HEALTH PHARMACY, INC. | GREAT NECK, NY | January 1, 2024 | October 1, 2026 |
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.
Get an email when a record in this system changes
One email a day naming what moved on STATEN ISLAND UNIVERSITY 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.