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

Effective: April 1, 2015

County Name Facility ID Operating Certificate
Allegany Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp 0039 0228000H
Bronx Montefiore Medical Center - Montefiore Westchester Square 1185 7000006H
Chautauqua TLC Health Network Lake Shore Hospital 0114 0427000H
Chenango Chenango Memorial Hospital Inc 0128 0824000H
Delaware O'Connor Hospital 0165 1254700C
Erie Bertrand Chaffee Hospital 0280 1427000H
Erie Buffalo General Medical Center 0207 1401014H
Erie Center for Ambulatory Surgery LLC 6253 1474201R
Erie Kenmore Mercy Hospital 0267 1404000H
Erie Mercy Hospital - Mercy Hospital Orchard Park Division 1723 1401008H
Franklin Adirondack Medical Center-Saranac Lake Site 0324 1623001H
Fulton Nathan Littauer Hospital 0330 1701000H
Genesee United Memorial Medical Center North Street Campus 0339 1801000H
Jefferson Carthage Area Hospital Inc 0379 2238001H
Kings All City Family Healthcare Center, Inc. 6637 7001285R
Kings Brook Plaza Ambulatory Surgical Center Inc 4136 7001263R
Kings Interfaith Medical Center 1309 7001046H
Kings New York Community Hospital of Brooklyn, Inc 1293 7001008H
Kings University Hospital of Brooklyn - SUNY Downstate at Bay Ridge 9175 7001037H
Livingston Nicholas H Noyes Memorial Hospital 0393 2527000H
Madison Community Memorial Hospital Inc 0401 2625000H
Monroe Unity Linden Oaks Surgery Center 6678 2701242R
Monroe Rochester Ambulatory Surgery Center 4291 2701241R
Nassau Franklin Hospital 0518 2910000H
Nassau LIJ Center for Advanced Medicine 6976 7003004H
Nassau Plainview Hospital 0552 2952005H
Nassau Pro Health Ambulatory Surgery Center, Inc 7647 2963201R
New York Lenox Hill Hospital Extension Clinic at MEETH 8560 7002017H
New York Manhattan Surgery Center 9490 7002199R
New York New York Eye and Ear Infirmary of Mount Sinai 1460 7002026H
New York New York Presbyterian Hospital - Allen Hospital 3975 7002054H
New York NYU Hospital for Joint Diseases 1446 7002053H
New York Phillips Ambulatory Care Center 5936 7002002H
Niagara Degraff Memorial Hospital 0581 1401014H
Niagara Eastern Niagara Hospital - Lockport Division 0565 3101000H
Niagara Eastern Niagara Hospital - Newfane Division 0585 3101000H
Niagara Niagara Falls Memorial Medical Center 0574 3102000H
Oneida St Elizabeth Medical Center 0598 3202002H
Onondaga Camillus Surgery Center 6266 3350200R
Ontario Finger Lakes Surgery Center 6812 3402000H
Ontario Clifton Springs Hospital and Clinic 0676 3421000H
Orange Bon Secours Community Hospital 0708 3535001H
Orange Crystal Run Ambulatory Surgery Center of Middletown 9119 3501205R
Orange Horton Medical Pavilion 7735 3523000H
Orange Hudson Valley Ambulatory Surgery, LLC 6949 3501204R
Orange St Anthony Community Hospital 0704 3529000H
Orleans Medina Memorial Hospital 0718 3622000H
Otsego Bassett Healthcare Oneonta Specialty Services 6013 3824000H
Queens Hillside Diagnostic and Treatment Center, LLC 6186 7003262R
Saint Lawrence Gouverneur Hospital 0812 4423701C
Schuyler Schuyler Hospital 0858 4823700C
Steuben Eastern Long Island Hospital 0891 5127000H
Steuben Ira Davenport Memorial Hospital Inc 0873 5022000H
Suffolk Melville Surgery Center 4068 5153209R
Suffolk Peconic Bay Medical Center 0938 5155000H
Suffolk Southside Hospital 0924 5154000H
Suffolk St Charles Hospital 0896 5149001H
Suffolk St James Mercy Hospital 0870 5002001H
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 The Ambulatory Surgery Center of Westchester 6329 5946202R
Westchester Westchester Medical Center 1139 5957001H
Westchester White Plains Ambulatory Surgery Center 6483 5902213R