Hospitals & Ambulatory Surgery Centers Where Medicaid Will Not Pay for Breast Cancer Surgery

Effective: April 1, 2014

County Name Facility ID Operating Certificate
Allegany Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp 39 0228000H
Bronx Montefiore Medical Center - Montefiore Westchester Square 1185 7000006H
Chautauqua TLC Health Network Lake Shore Hospital 114 0427000H
Chenango Chenango Memorial Hospital Inc 128 0824000H
Delaware O'Connor Hospital 165 1254700C
Dutchess Northern Dutchess Hospital 192 1327000H
Erie Buffalo General Medical Center 207 1401014H
Erie Kenmore Mercy Hospital 267 1404000H
Erie Bertrand Chaffee Hospital 280 1427000H
Erie Sisters of Charity Hospital - St Joseph Campus 292 1401013H
Franklin Adirondack Medical Center-Saranac Lake Site 324 1623001H
Fulton Nathan Littauer Hospital 330 1701000H
Genesee United Memorial Medical Center North Street Campus 339 1801000H
Jefferson Carthage Area Hospital Inc 379 2238001H
Kings New York Community Hospital of Brooklyn, Inc 1293 7001008H
Kings Interfaith Medical Center 1309 7001046H
Kings Kingsbrook Jewish Medical Center 1315 7001033H
Kings Beth Israel Medical Center/Beth Israel Brooklyn 1324 7002002H
Kings Brook Plaza Ambulatory Surgical Center Inc 4136 7001263R
Kings All City Family Healthcare Center, Inc. 6637 7001285R
Livingston Nicholas H Noyes Memorial Hospital 393 2527000H
Madison Community Memorial Hospital Inc 401 2625000H
Monroe Unity Linden Oaks Surgery Center 6678 2701242R
Nassau Franklin Hospital 518 2910000H
Nassau LIJ Center for Advanced Medicine 6976 7003004H
Nassau Pro Health Ambulatory Surgery Center, Inc 7647 2963201R
New York NYU Hospital for Joint Diseases 1446 7002053H
New York NY Eye and Ear Infirmary 1460 7002026H
New York New York Presbyterian Hospital - Allen Hospital 3975 7002054H
New York Gramercy Surgery Center, Inc 6908 7002183R
New York Lenox Hill Hospital Extension Clinic at MEETH 8560 7002017H
Niagara Eastern Niagara Hospital - Lockport Division 565 3101000H
Niagara Niagara Falls Memorial Medical Center 574 3102000H
Niagara Degraff Memorial Hospital 581 1401014H
Niagara Eastern Niagara Hospital - Newfane Division 585 3101000H
Oneida St Elizabeth Medical Center 598 3202002H
Onondaga Camillus Surgery Center 6266 3350200R
Ontario Clifton Springs Hospital and Clinic 676 3421000H
Ontario Finger Lakes Surgery Center 6812 3402000H
Orange St Anthony Community Hospital 704 3529000H
Orange Bon Secours Community Hospital 708 3535001H
Orange Hudson Valley Ambulatory Surgery, LLC 6949 3501204R
Orange Horton Medical Pavilion 7735 3523000H
Orange Crystal Run Ambulatory Surgery Center of Middletown 9119 3501205R
Orleans Medina Memorial Hospital 718 3622000H
Otsego Bassett Healthcare Oneonta Specialty Services 6013 3824000H
Putnam Putnam Hospital Center 752 3950000H
Queens Hillside Diagnostic and Treatment Center, LLC 6186 7003262R
Saint Lawrence Gouverneur Hospital 812 4423701C
Schuyler Schuyler Hospital 858 4823700C
Steuben St James Mercy Hospital 870 5002001H
Steuben Ira Davenport Memorial Hospital Inc 873 5022000H
Suffolk Eastern Long Island Hospital 891 5127000H
Suffolk St Charles Hospital 896 5149001H
Suffolk Southside Hospital 924 5154000H
Suffolk Peconic Bay Medical Center 938 5155000H
Suffolk Melville Surgery Center 4068 5153209R
Tompkins Convenient Care Center 4333 5401001H
Ulster Kingston Ambulatory Surgical Center, LLC 3827 5501210R
Westchester Montefiore Mount Vernon Hospital 1061 5903001H
Westchester St Joseph's Medical Center 1098 5907002H
Westchester Westchester Medical Center 1139 5957001H
Westchester The Ambulatory Surgery Center of Westchester 6329 5946202R
Westchester White Plains Ambulatory Surgery Center 6483 5902213R
Westchester The Rye ASC 9150 5908200R
Wyoming Wyoming County Community Hospital 1153 6027000H