State of New Jersey
Consolidated Debarment Search Results

Your search generated 2335 matches.

NOTE: These search results first display individuals without a firm name followed by firms, with and without individuals named, alphabetically. Be sure to review the full list of matches. Results may also include one or more listings for a single individual and/or associated firms.

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This data was last updated on 9/16/2014.

Firm and/or Individual Category/Reason Action/By Effective Expiration
ABARCA, CHERYL R., L.P.N.
528 3RD STREET
NEWARK, NJ 07107
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/20/05
ABDELGANI, AMIR
ALLENWOOD USP
WHITE DEER, PA 17887
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

11/26/01 Permanent
ABDELGANI, FADIL
TERRE HAUTE USP
TERRE HAUTE, IN 47808
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

11/26/01 Permanent
ABDELHAMID, MANAL, R.P.
7100 BOULEVARD EAST, 11G
GUTTENBERG, NJ 07093
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

03/15/01 Permanent
ABDOLLAHI, MITRA DMD
646 N. SARATOGA DRIVE
MOORESTOWN, NJ 08057-3834
Medical
Other
Disqualification

054
Medical Assistance (Medicaid)

11/05/07 02/04/16
ABERBACH, STEVEN, RP
23 STONEGATE DRIVE
WATCHUNG, NJ 07069-5470
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

12/19/03
ABOOD, ABDOL MAJID S.
64 BEVAN STREET
JERSEY CITY, NJ 07306
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

05/07/97
ABOUELHODA, AHMED RPH
33-17 60TH ST. APT. 1
WOODSIDE, NY 11377
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/20/05
ABRAHAMSEN, SVEND, DPM
101 CHESTNUT RIDGE ROAD
SADDLE RIVER, NJ 07458
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

04/20/94 Permanent
ABRAMS, IRVING, R.PH
5 LORGENE WAY
MORGANVILLE, NJ 07551
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

04/27/00
ABUSEF, ELSAYED, K.
814 74TH STREET
NORTH BERGEN, NJ
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

05/20/99 Permanent
ACOSTA PEDRO
5815 43RD AVENUE
QUEENS, NY 11377
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

05/02/08
ACOSTA, PEDRO E.
5815 43RD AVENUE 1ST FL
WOODSIDE, NY 11377-
Medical
Criminal Offense
Disqualification

054
0018

09/16/11
ACOSTA, PEDRO
5815 43RD AVENUE
QUEENS, NY 11377
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

04/13/08
ACQUAIRE, FLORENCE
EMCF PO BOX 08809
CLINTON, NJ 08809
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

04/20/06
ACQUAITE, FLORENCE
EMCF PO BOX 08809
CLINTON, NJ 08809
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

04/20/06
ACQUAYE, EDWARD
10 BERWICK CIRCLE
NORTH BRUNSWICK, NJ 08902
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

04/19/07
ACQUILANTE, JOHN C., R.P.
27 ROCKLEDGE PLACE
CEDAR GROVE, NJ 07009
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)

09/23/83 Permanent
ACZON, FERDINAND B. MD
204 SUMMIT ROAD
MOUNT LAUREL, NJ 08054
Medical
Criminal Offense
Disqualification

054
0018

09/20/11
ADAIR, LISA, LPN
206 LAKEHURST AVE., APT.B
NATIONAL PARK, NJ 08063
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/19/02
ADAMS, JAIME, L., CHHA
911 W. HAND AVE
CAPE MAY CT. HS, NJ 08210
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/19/03
ADAMSHICK, WILLIAM R.P.
2516 HURRY ROAD.
FORKED RIVER, NJ 08731
Medical
Other
Suspension

054
Medical Assistance (Medicaid)

07/14/05 03/21/12
ADDISON, LECLERC MD
1482 SW 150TH TERRACE
SUNRISE, FL 33326
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

07/20/07
ADELMAN, NEIL, M.D.
3023 PERRYTON PARKWAY
PAMPA, TX 79065
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

12/01/98 Permanent
ADIKA, YITZHAK
76 ALPINE DRIVE
CLOSTER, NJ 07624
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

07/21/14 07/20/17
ADISSON- MARTINEAU, LUNIC
14 WALTER PLACE #1
IRVINGTON, NJ 07111
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

03/14/08
AGARAWAL, SHASHI K. MD
FCI SCHUYLKILL, POBOX 759
MINERSVILLE, PA 17954
Medical
Criminal Offense
Debarment

054
0018

02/28/14
AGARWAL, SHASHI, K. MD
198 CENTRAL AVENUE 1ST FL
EAST ORANGE, NJ 07018
Medical
Criminal Offense
Suspension

054
0018

02/22/12
AGRAWAL, PANKAJ MD
3 E MEADOWBROOK CIRCLE
SICKLERVILLE, NJ 08081-1669
Medical
Other
Disqualification

054
0018

03/11/06
AGRESTA, RUDOLPH, MD
P.O. BOX 7450
TRENTON, NJ 08628
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

02/19/04
AGUIAR, SANDRA
605 KNICKERBOCKER ROAD
TENAFLY, NJ 07670
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

06/18/09
AGUILAR, RUBEN, R.PH.
16 GOLDENROD DRIVE
BELLE MEAD, NJ 08502
Medical
Criminal Offense
Suspension

054
0018

07/20/10
AHMAD, ABADULLAH
280 LUIS MARIN BLVD #15
JERSEY CITY, NJ 07302
Medical
Other
Suspension

054
0018

02/19/09 Permanent
AHMAD, FAROOK
300 EAST HALSEY ROAD
PARSIPPANY, NJ 07054
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

11/08/94
AHMED, AMIR E.
7-11 TONNELLE AVE - 2MN
JERSEY CITY, NJ 07306
Medical
Criminal Offense
Suspension

054
Medical Assistance (Medicaid)

05/30/97 Permanent
AHMED, KHALID H.
P. O. BOX 930
NEW YORK, NY 10013
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

03/26/94 Permanent
AHMED, MOHAMED G.
5 WESTOVER TERRACE
WEST ORANGE, NJ 07052
Medical
Other
Disqualification

054
0018

08/20/10
AIRD, EILEEN, B.
295 GRANDVIEW CIRCLE
RIDGEWOOD , NJ 07450
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

04/20/03
AKHTAR, NADEEM R.PH
15 GRISTMILL LANE
UPPER SADDLE RI, NJ 07458
Medical
Criminal Offense
Disqualification

054
0018

09/20/12
AKHTAR, NADEEM
15 GRIST MILL LANE
UPPER SADDLE RI, NJ 07458
Medical
Criminal Offense
Debarment

054
0018

01/20/12
AKINBILE, MORUFU O.
419 E. MOOREHAVEN DRIVE
CARSON, CA 90746-1150
Medical
Other
Disqualification

054
0018

08/20/10
AL SALIHI, FAROUK, MD
1810 KENNEDY BLVD
JERSEY CITY, NJ 07305
Medical
Other
Suspension

054
0018

05/01/11
AL-GHRAOUI, FADI, M.D.
P.O. BOX 23429
FORT LAUDERDALE, FL 33307-3429
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

11/18/04 Permanent
ALBERS, HENRY J., EMT
3 QUEEN STREET
PARSIPPANY, NJ 07054
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

01/09/96 Permanent
ALBERT, ELIZABETH S.
20 WILSON AVENUE
EAST HANOVER, NJ 07936
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

03/26/13 03/25/16
ALBERT, JOHN
66 CHEROKEE ST.
ROCKAWAY, NJ 07866
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

03/26/13 03/25/16
ALBERT, JOSEPH
28 EMANUEL ST
EAST HANOVER, NJ 07936
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

03/26/13 03/25/16
ALCAIDE, KELLY, L.P.N.
716 RIVER ROAD
SOMMERVILLE, NJ 08844-4048
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

02/20/02
ALEXANDER, EDWARD J. MD
8001 CASTOR AVE STE 326
PHILADELPHIA, PA 19152-2701
Medical
Criminal Offense
Debarment

054
0018

08/08/00 Permanent
ALEXANDER, JULIE B., R.N.
1525 DOGWOOD DRIVE
CHERRY HILL, NJ 08003
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/19/05
ALEXANDER, MARVIN
52 S. JEFFERSON ST.
ORANGE, NJ 07050
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

12/04/13 12/03/16
ALFONSO, NORM, BUS. MGR.
144 SUMMIT AVENUE
ENGLEWOOD, NJ 07631
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/19/97
ALI, MOHAMED T.
64 BEVAN STREET
JERSEY CITY, NJ 07306
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

05/31/94 Permanent
ALI, SAQIB
MDC BROOKLYN, PO BOX 3290
BROOKLYN, NY 11232
Medical
Criminal Offense
Debarment

054
0018

05/20/12
ALI, TARK
566 BLOOMFIELD AVENUE
BLOOMFIELD, NJ 07306
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

05/10/99 Permanent
ALLEN, KENNYETTA G
148 CORNERSTONE PLACE
WHITEHALL, NJ 18052-4163
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

03/14/08
ALLEN-BROGAN, MELANIE A.
135 WILD OAKS COURT
LITTLE EGG HARB, NJ 08701
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

03/05/08
ALPERIN, MARTIN, M.D.
28 RIVERSIDE AVENUE
RED BANK, NJ 07701
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

06/19/00 Permanent
ALPTER, PERRY, DDS
560 NEWARK AVENUE
ELIZABETH, NJ 07208
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/02/95
ALSTON, SHERRELLE
NORTH 52ND STREET
PHILADELPHIA, PA 19139
Medical
Criminal Offense
Debarment

Human Services
Medical Assistance (Medicaid)

10/09/07
ALVIS, SANDRA, C.H.H.A.
1421 HOLLINSHED AVENUE
PENNSAUKEN, NJ 08110
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/19/05
ALY, AHMED F.
1030 LIBERTY AVENUE
UNION, NJ 07083
Medical
Other
Suspension

054
Medical Assistance (Medicaid)

08/17/07
AMABILE, JOHN C., OD
HIGHWAY #35 & 3RD AVENUE
OCEAN, NJ 07712
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

06/30/02 Permanent
AMATO, NICOLA D.C.
3 MULLIGAN DRIVE
FLANDERS, NJ 07836
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/20/05
AMATO, STEVEN P. DC
30151 FISH ROCK ROAD
YORKVILLE, CA 95494
Medical
Criminal Offense
Disqualification

054
0018

10/20/09
AMATO, VANESSA, A., RN
65 LOCUST AVENUE
N. ARLINGTON, NJ 07031-5512
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/19/03
AMBROSE, DEAN, A., D.O.
119 NORTH CETNTRE STREET
MERCHANTVILLE, NJ 08109-2520
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

02/01/02
AMESON, VICTORIA, RN
42 HOLLY STREET
CRANFORD, NJ 07016
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/19/03
AMPOFO, TWUMASI
12 MARSHALL STREET #7W
IRVINGTON, NJ 07111
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

03/30/09
AMPOFO, TWUMASI
MARSHALL STREET
IRVINGTON, NJ 07111
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

02/01/08
ANAND, SUBINA DMD
17 GROVERS MILL ROAD
PLAINSBORO, NJ 08536
Medical
Criminal Offense
Disqualification

054
0018

04/17/12
ANAND, SUBINA
17 GROVERS MILL ROAD
PLAINSBORO, NJ 08536
Medical
Criminal Offense
Disqualification

054
0018

12/20/12
ANDERSON, DAVID, RN
519 HOBART AVE.
TRENTON, NJ 08629
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/20/03
ANDERSON, JOHN, P., MD
362 S. LAUREL STREET
WAYNEBORO, VA 22980
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

01/20/99
ANDUJAR, EDWARD,MD
516 E. WOOD STREET
VINELAND, NJ 07410
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

01/20/06
ANGELES, KATHERINE, MD
191 ROUTE 37 WEST
TOMS RIVER, NJ 08755
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

06/23/95 Permanent
ANGELO, JOSEPH
34 STONEHEDGE ROAD
LINCROFT, NJ 07738
Medical
Criminal Offense
Disqualification

054
Medical Assistance (Medicaid)

04/27/93 Permanent
ANODIDE, PAUL A. DDS
23 BLUE DEVIL LANE
TRENTON, NJ 08619
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

02/03/06
ANTONAS, GEORGE
114 BRACE ROAD
CHERRY HILL, NJ 08034
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

07/24/14 07/23/17
ANTONE, JULIE
366 CAMBRIDGE DRIVE
RAMSEY, NJ 07446
Medical
Criminal Offense
Debarment

054
0018

02/20/13
ARDEHALI, MOHAMMED, M.D.
193 ELWOOD AVENUE
NEWARK, NJ 07104
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

02/20/01
ARGUETA, ED., NURSE ASST.
604 N. BAYVIEW AVENUE
SEASIDE PARK, NJ 08752
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

09/13/99
ARGUETA, EDWARD A.
604 N. BAYVIEW AVENUE
SEASIDE PARK, NJ 08752
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

04/08/99
ARIF MOHAMMED
147-14 14TH AVENUE
WHITESTONE, NY 11375
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

12/01/98 Permanent
ARNESON, VICTORIA, RN
42 HOLLY STREET
CRANFORD, NJ 07016
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/19/03
AROWOSAYE, EMILY - FX
24 CUNNINGHAM DRIVE
WEST ORANGE, NJ 07052
Medical
Criminal Offense
Debarment

054
0018

05/20/12
AROWOSAYE, EMILY, RN
24 CUNNINGHAM DRIVE
WEST ORANGE , NJ 07052
Medical
Criminal Offense
Disqualification

054
0018

07/31/10
AROWOSAYE, ISAAC
24 CUNNINGHAM DRIVE
WEST ORANGE, NJ 07052-2236
Professional
Other
Debarment

054
Medical Assistance (Medicaid)

03/30/10
AROWSAYE, ISAAC
24 CUNNINGHAM DRIVE
WEST ORANGE, NJ 07052
Medical
Criminal Offense
Debarment

054
0018

07/04/14
ASHISH, THOMAS
6 SPRUCE MEADOWS DRIVE
MONROE, NJ 08831
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

07/29/14 07/28/17
ASHOKAN, ANNAMALAL, MD
7 ROCKLEDGE DRIVE
SUFFERN, NY 10901
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

05/01/04
ASKANAZI, JEFFREY
2322 OLDE FARM LANE
HUDSON, OH 44236
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

07/19/99 Permanent
ASTON, ALEXIS L.
15 PRIMROSE LANE, APT. 3
DELRAN, NJ 08075
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

06/18/09
ATIENZA, CESAR P. MD
56 COLD INDIAN SPRING RD
OCEAN, NJ 07712
Medical
Criminal Offense
Disqualification

054
Medical Assistance (Medicaid)

08/06/91 Permanent
AZAM, CHOWDHURY, F. MD
38 ORIOLE DRIVE
HACKETTSTOWN, NJ 07840
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

02/01/99 Permanent
AZIZ-DURRANI, MUMILIKAT
328 SIP AVENUE
JERSEY CITY, NJ 07306-6525
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/19/02
AZU, PHILIP N., R.P.
1094 CLINTON AVENUE
IRVINGTON, NJ 07111
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

04/19/01 Permanent
BABARIA, ASHOKKUMAR R. MD
208 QUAKERBRIDGE COURT
MOORESTOWN, NJ 08057
Medical
Criminal Offense
Suspension

054
0018

01/10/12
BACSENKO,JENNIFER
103 STATE STREET
LINWOOD, NJ 08221
Medical
Other
Suspension

054
0018

01/20/11
BADAWY, BADAYT MD
2738 KENNEDY BLVD 1ST FL
JERSEY CITY, NJ 07306
Medical
Criminal Offense
Suspension

054
0018

03/25/13
BAER, MICHAEL, L., DC
BAYSIDE STATE PRISON
LLESBURG, NJ 08327
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

09/20/04
BAEZ, ANNA, V., DDS
911 VILLAGE DRIVE
SOMERSET, NJ 08873
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

03/20/02
BAHNSON, WILLIAM F, MD
28 HIGH STREET
TREENFIELD, MA 01301
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)

09/02/88 Permanent
BAIRD, DAVID, B., MD
4107 MERCHANT SQ. PLACE
LANSDALE, PA 19446
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/20/04
BAJWA, LATIF AHMAD
P.O. BOX 633
LANGHORNE, PA 19047
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

02/09/09
BAKER, SCOTT, CNA
215 BURLINGTON RD. SOUTH
BRIDGETON, NJ 08302
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

05/24/02
BALCUNAS, GERARDIS, OWNER
458 LIVINGSTON DRIVE
EAST WINDSOR, NJ 08520
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

06/24/11 06/23/14
BALLERAS, ALFREDO B. RPH
1 VISTA DRIVE
MOUNT OLIVE, NJ 07836
Medical
Other
Disqualification

054
0018

09/14/10 09/13/13
BAMBAD, BABAK
2 SOUTH GATE ROAD APT 736
GREAT NECK, NY 11023
Medical
Criminal Offense
Disqualification

054
0018

07/26/11
BAMDAD, BABAK
333 RIVER STREET
HOBOKEN, NJ 07030
Medical
Criminal Offense
Debarment

054
0018

06/01/10
BAMGBOYE, PATRICK DDS
358 MEISEL AVENUE
SPRINGFIELD, NJ 07081
Medical
Other
Debarment

054
0018

11/07/12
BANGOURA, ALPHA
200 EXECUTIE DRIVE
WEST ORANGE, NJ 07050
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

03/22/06
BANNON, JOSEPH, PRESIDENT
250 GORGE ROAD
CLIFFSIDE PARK, NJ 07010
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

11/25/11 11/24/14
BARAHONA, RONY
549 SUMMIT AVENUE
MAPLEWOOD, NJ 07040
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

03/26/13 03/25/16
BARAN-DICRISCIO, L., LPN
309 IRIS ROAD
CHERRY HILL, NJ 08620
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

03/20/02
BARASCH, MILTON, R.PH
12 IVY WAY
ABERDEEN, NJ 07747
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

08/03/00 Permanent
BARATTI, CARMEN, D.O.
150 KIRKBRIDGE ROAD
VOORHEES, NJ 08043-1815
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/04/97
BARBA, FIDELIS, M.D.
2 POWDER HILL
SADDLE RIVER, NJ
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

10/11/00 Permanent
BARBER, HINSON, CONNIE
7011 SHADOW RUN
SAN ANTONIO, TX 78250-1738
Medical
Criminal Offense
Suspension

054
0018

04/20/11
BARBERS-WEBER, JENNIFER
8 ELKRIDGE PARKWAY
MANALAPAN, NJ 07726
Medical
Criminal Offense
Suspension

054
Medical Assistance (Medicaid)

11/05/09
BARDEN, BRENDA
19 INTERVALE ROAD
SALEM, MA 01970
Medical
Criminal Offense
Disqualification

054
0018

12/20/12
BARDO, MANUEL
11756 SW 14TH TERRACE
MIAMI, FL
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/19/04
BARGE, NICHOLAS
716 NAUTILUS STREET
FORKED RIVER, NJ 08731
Medical
Other
Debarment

054
0018

03/16/11 10/29/17
BARI, ABDUL
264 PROSPECT STREET
NUTLEY, NJ 07110
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/19/09
BARIEXCA, CARLA LPN
107 DAYTON STREET
TRENTON, NJ 08610
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/20/06
BARNA, ARLENE, RN
205 KRAFT AVE.
OAKLYN, NJ 08107
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/19/03
BARNEY, WILLIAM
73 HAMPTON GATE DRIVE
SICKLERVILLE, NJ 08061
Vendor
Criminal Offense
Suspension

Treasury
Treasury Purchase Bureau

08/27/01
BARNWELL, LATANYA
1048 PENNINGTON ROAD
EWING, NJ 08618-2630
Medical
Criminal Offense
Debarment

054
Medical Assistance (Medicaid)

09/17/09 09/17/14
BARON, MICHAEL B., M.D.
SE 1256 BISHOP BLVD. STE1
PULMAN, WA 99163
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

09/11/00 Permanent
BARTLOW, BRIAN
551 PARKWOOD AVENUE
TOMS RIVER, NJ 08753
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/17/03
BASBUS, VICTOR M.,MD
33 5TH AVENUE APT 1B
NEW YORK, NY 10003-4338
Medical
Other
Debarment

054
0018

02/06/09 Permanent
BASSO, NICHOLAS V., MD
7665 MAPLE AVENUE
PENNSAUKEN, NJ 08109
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

02/01/00 Permanent
BASTOS, DAVID
10 PLEASANT PLACE
KEARNY, NJ 07032
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

08/05/13 08/04/16
BATEMAN, PAMELA LPN
91 CHESTNUT STREET
SALEM, NJ 08079
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/21/08
BATES, NANCY M, D.O.
38 PALSA AVENUE
ELMWOOD PARK, NJ 07407
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

04/03/01 Permanent
BAXTER, LOUIS E. MD
2 MANCHESTER COURT
COLUMBUS, NJ 08022
Medical
Industry Law Violation
Disqualification

054
Medical Assistance (Medicaid)

04/02/13
BEALS, PAUL V. MD
4120 WESTFIELD AVENUE
PENNSAUKEN, NJ 08110
Medical
Other
Suspension

054
0018

06/24/14
BECK, ALLAN G., M.D.
1833 ARROWHEAD DRIVE
WATERFORD, NJ 08089
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

02/20/01
BECKETT, DONALD D.P.M.
10144 DEERCLIFF DRIVE
TAMPA, FL 33647
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

11/04/05
BECKETT, WESLEY, J.
110 OAK AVENUE
MALAGA, NJ 08328
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

01/06/14 01/05/17
BECKFORD, AUDREY L, D.O.
566 NORTH MAPLE AVENUE
EAST ORANGE, NJ 07017
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

01/20/02
BEHRMAN, EDWARD, D.O.
520 HAMBURG TURNPIKE
WAYNE, NJ 07470
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

12/01/98 Permanent
BEIRNE, MARY F, MD
75 ABE VORHEES AVENUE
MANASQUAN, NJ 08736
Medical
Other
Disqualification

054
Medical Assistance (Medicaid)

07/19/01 05/16/11
BELKOFF, MEYER
29 ELMORA AVENUE
ELIZABETH, NJ 07202
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

07/17/98 Permanent
BELL, KIMBERLY, R.N.
2030 HIGHWAY 35 N. UNIT K
ORTLEY BEACH, NJ 08735
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/20/01
BELLAMY, BERNICE
149-50-8845
LUMBERTON, NJ 08060
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

10/20/04 Permanent
BELLAMY, HARVEY, OWNER -H&B TRANSP
CRAF PO BOX 7450
TRENTON, NJ , NJ 08625
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

10/20/04 Permanent
BELLO, REY N., MD
444 60TH STREET
WEST NEW YORK, NJ 07093
Medical
Other
Suspension

054
0018

01/31/11
BENKO, ALICIA #60674-050
FCI DANBURY RT 37
DANBURY, CT 06811
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

09/18/09
BENNETT-WILLIAMSON, KATHL
75 WALT WHITMAN WAY
TRENTON, NJ 08690
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

08/27/01 Permanent
BERGER, SHELDON H., M.D.
1032 ROUTE 34
MATAWAN, NJ 07747
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

09/30/00 Permanent
BERKELHAMMER, EDWARD, MD
230 W. JERSEY ST.
ELIZABETH, NJ 07202
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

08/30/90 Permanent
BERMAN, LARRY R. DDS
308 RARITAN AVENUE
HIGHLAND PARK, NJ 08904
Medical
Criminal Offense
Disqualification

054
0018

12/20/12
BERMAN, LARRY R., DDS
308 RARITAN DRIVE
HIGHLAND PARK, NJ 08904
Medical
Criminal Offense
Disqualification

054
0018

08/24/10
BERRY, BRADLEY D, MD
PO BOX 2008
GRUNDY, VA 24614
Medical
Industry Law Violation
Disqualification

Law and Public Safety
Consumer Affairs Board of Medical Examiners

06/13/91 Permanent
BEST, ALEXANDER C.
P.O. BOX 7000
FORT DIX, NJ 08640
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/20/05
BETHEA, ALFREDA, LPN
1234 PROSPECT STREET
TRENTON, NJ 08638
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/20/02
BETHEA, JOSEPH, PRESIDENT
349 JHNSON AVENUE
LAWRENCEVILLE, NJ 08648
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

08/19/11 08/18/14
BEUKAS, STEPHEN
27 ROUTE 34 NORTH
COLTS NECK, NJ 07722
Medical
Criminal Offense
Debarment

054
0018

03/30/14
BEZOZA, HOWARD,M., MD
PO BOX 372
SADDLE RIVER, NJ 07458-0372
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/20/03
BHATTI, HAMID
80 MILTON AVENUE, #1522
RAHWAY, NJ 07065
Medical
Criminal Offense
Disqualification

054
0018

09/20/12
BIANCHINI, EUGENE, PRESIDENT
434 RUSSELL AVENUE
WYCOFF, NJ 07481
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

08/29/11 08/28/14
BILENKIN, ELANA, MANAGER
242 COMUNITY CIRCLE
OLD BRIDGE, NJ 08857
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

04/15/98 Permanent
BISHARA, GIRGIS
859 BRIGHTON PL.
OCEAN CITY, NJ 08226
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
BITTNER, MELISSA C.
436 RIVER DRIVE
WESTVILLE, NJ 08093
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

01/19/05 Permanent
BLAU, SEYMOUR, H. MD
36 COLLEGE DRIVE
JERSEY CITY, NJ 07305
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

11/20/03
BLAZAK, ROBERT, PRESIDENT
1700 BEACON STREET
TOMS RIVER, NJ 08757
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

12/29/11 12/28/14
BLOT, EDWARD, M.D.
274 NORTH CENTER STREET
ORANGE, NJ 07050
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

07/05/00 Permanent
BLUM, NOEL
74 TWIN RIVERS DRIVE
EAST WINDSOR, NJ 08561
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
BMA MEDICAL LABORATORY
59-07 71ST AVENUE
RIDGEWOOD, NJ 11385
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/20/03
BOADU, JACOB
EUCLID TERRACE
PARSIPPANY, NJ 07054
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/20/07
BOCRA, WILLIAM, PRESIDENT
ONE NORTH RHODA STREET
MONROE TWP, NJ 08831
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

02/07/12 02/06/15
BODINE, DENISE RN
66 YORK STREET APT. 12
LAMBERTVILLE, NJ 08530-2022
Medical
Other
Disqualification

054
0018

05/25/11
BOGUSLAVSKIY, VADIM
1903 MADALINE DRIVE
AVENEL, NJ 07001
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

03/25/02 Permanent
BOHUSLAWSKY, NINA, RN
P.O. BOX 4004
CLINTON, NJ 08809
Medical
Other
Disqualification

054
0018

02/20/10
BOND CLIFTON MD
418 JAMESTOWN COURT
MT LAUREL, NJ 08054
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
BONDAR, SOFIYA DDS
2815 COYLE ST. APT 210
BROOKLYN, NY 11235
Medical
Other
Disqualification

054
0018

11/18/11
BONETT, OLGA, COUNSELOR
5105 N. PARK DRIVE
PENNSAUKEN, NJ 08109
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

04/29/03
BONNELL, STEPHANIE, RN
165 DEY GROVE RD
MONROE, NJ 08831
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

02/20/02
BOODRAM, VERONA
134 EVERGREEN PLACE 8TH
EAST ORANGE, NJ 07018
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

03/22/06
BOONE, LESLIE, RN
122 SUMMIT AVENUE
TRENTON, NJ 08628
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/20/02
BOOS, GEORGE, PRESIDENT
551 STANTON AVENUE
FRANKLINVILLE, NJ 08322
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

11/25/11 11/24/14
BORCHARDT, KAREN, RN
4145 MILL CREEK DRIVE
N. CHARLESTON, SC 29420
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/17/20
BORGES, JOHN MANUEL
550 BUCKINGHAM DRIVE
PISCATAWAY, NJ 08854
Medical
Other
Disqualification

054
0018

08/20/10
BORNHOLDT, HAE, SUK
P. O. BOX 1288
MCAFEE, NJ
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/19/02
BORNSTEIN, KATHLEEN, LPN
136 73RD STREET
NORTH BERGEN, NJ 07047
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

02/19/04
BOROWEC, LAWRENCE W. MD
202 STATESBURG AVENUE
NEWFIELD, NJ 08344
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

11/18/97
BORRELLI, HENRY
49 PROSPECT STREET
LITTLE FALLS, NJ 07424
Medical
Criminal Offense
Debarment

054
0018

04/06/10
BOTTENBLEY, CECIL J.
16 FIRESIDE CT.
WILLINGBORO, NJ 08046
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
BOUCHE, JASON
6641 E. MEADOWLARK LANE
PARADISE VALLEY, AZ 85253
Medical
Criminal Offense
Disqualification

054
0018

05/20/12
BOULOS-PLUDOWSKI, GEORGEA
493 RINGWOOD AVENUE
PHILLIPSBURG, NJ 08865-4820
Medical
Other
Suspension

054
0018

05/19/05 03/11/13
BOWICK, JUDY, C., CHHA
1503 BOND STREET
ASBURY PARK, NJ 07712
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/20/02
BOYD, DARRYL
PO BOX 38, FCI
FORT DIX, NJ 08640
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

07/18/02
BRABHAM, THEODORE J.
14 HAZARD STREET
ELIZABETH, NJ 07208
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

12/20/01 Permanent
BRACCIA, VITO, PRESIDENT
184 FAIRWAY ROAD
AMBLER, PA 19002
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

07/27/12 07/26/15
BRADLEY, EARL B. MD
1181 PADDOCK ROAD
SMYRNA, DE 19977
Medical
Criminal Offense
Disqualification

054
0018

10/20/12
BRANDT, DOUGLAS A.
5 HOWARD STREET
VERONA, NJ 07044-1411
Medical
Criminal Offense
Disqualification

054
0018

02/20/11
BRANDT, HERBERT L., R.PH.
6 DEVONSHIRE DRIVE
RANDOLPH, NJ 07689
Medical
Criminal Offense
Disqualification

054
0018

02/20/11
BRANDT, JEFFREY M.
24 CRESTVIEW LANE
MOUNT ARLINGTON, NJ 07856
Medical
Criminal Offense
Disqualification

054
0018

11/17/11
BRAUNSTEIN, MOSES
2404 BRONX PARKWAY
BRONX, NY 10458
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
BRAVER, ALEXANDER, MD
127 CROAK AVENUE
STATEN ISLAND, NY 10314
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

07/20/07
BREEN, NICHOLAS, DMD
7731 RUDDEROW AVENUE
PENNSAUKEN, NJ 08109
Medical
Other
Disqualification

054
Medical Assistance (Medicaid)

08/18/95 09/27/13
BREEN, NICHOLAS, DMD
7731 RUDDEROW AVENUE
PENNSAUKEN, NJ 08109
Medical
Other
Disqualification

054
Medical Assistance (Medicaid)

05/14/96 09/27/13
BRICK, ROGER
31-33 WEST 11TH STREET
NEW YORK, NY 10026
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

12/15/06
BRINT, SAMUEL, DO
515 BROADWAY
CAMDEN, NJ 08103
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

12/15/87 Permanent
BRISTOL, KENNETH
PO BOX 931
FLAGSTAFF, AZ 06002
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/19/06
BRIZER, DAVID A. MD
255 W 85TH ST. APT. 5B
NEW YORK, NY 10024
Medical
Other
Disqualification

054
0018

06/30/14
BROADNAX, DEITRICH
347 BELLEVILLE AV, #B8
BLOOMFIELD, NJ 07003
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

11/25/98 Permanent
BROOKHIM, ROBEN, DDS
444 MORRIS AVENUE
ELIZABETH, NJ 07208
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/20/00
BROOKS, MAUREEN, R., RN
110 THIRD AVENUE
BELMAR, NJ 07719
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

10/09/03
BROOKS, OSCAR, JR.
27 E VILLAGE OF STONEY RD
MAPLE SHAE, NJ 08052
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

04/17/95 Permanent
BROWN, ALEXANDRIA N., R.N.
803 DAWN LANE
WILLIAMSTOWN, NJ 08094
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/19/05
BROWN, ROGER H., D.D.S.
601 ROUTE 206, UNIT 30
BELLE MEAD, NJ 08844-1522
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

05/27/05
BRUNELLE, ELIZABETH
5902 EAST 2ND STREET
TUCSON, AZ 85711
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/19/06
BRYANT, GERALD
4984 LAKE ROAD
NEWFIELD, NJ 08344
Vendor
Criminal Offense
Debarment

066
Criminal Justice

09/13/13 09/12/18
BUCKLER, BERT L, PRESIDENT
182 WYCOFF WAY WEST
EAST BRUNSWICK, NJ 08816
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

01/03/13 01/02/16
BUCKLEY, MARIANNE, RN
83 IRVING COURT
TRENTON, NJ 08610
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/20/01
BULGER, PATRICE, RN
117 MILL CREEK ROAD
BAYVILLE, NJ 08721
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

07/15/02
BUNCH, LATTIA, LPN
212 S. 27TH STREET
CAMDEN, NJ 08105-2106
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

02/20/02
BUONO, DONNA, RN
61 S. LOCUST AVE
MARLTON, NJ 08053
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/19/03
BURKARD, JUDITH, LPN
320 7TH AVENUE APT 16
ASBURY PARK, NJ 07712
Medical
Other
Disqualification

054
0018

11/23/09 11/23/10
BURKE, WILLIAM
PO BOX 670
NEW VERNON, NJ 07976
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

11/20/06
BURKES, JEFFREY
176 LAKEWOOD AVENUE
HO-HO-KUS, NJ 07423
Medical
Criminal Offense
Disqualification

054
0018

02/19/09
BURKETT, EILEEN
1407 VIRGINIA COURT
MARLTON, NJ 08053
Medical
Criminal Offense
Suspension

054
0018

04/20/11
BURNS, MARGARET, RN
2429 WESTFIELD AVENUE
SCOTCH PLAINS, NJ 07076
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/19/03
BUROWEC, LAWRENCE W., MD
202 STOTESBURY AVENUE
NEWFIELD, NJ 08344
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

12/01/98 Permanent
BUSHEY, WALTER F., JR., OWNER
36 BAYBERRY DRIVE
HOLMDEL, NJ 07733
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

07/20/11 07/19/14
BUTTERHOF, TRACY, F., RN
501 S. BERLIN AVE.
EGG HARBOR CITY, NJ 08215
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

04/20/03
C & P BUILDING ENTERPRISES
224 61ST STREET
WEST NEW YORK, NJ 07093
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

08/18/11 08/17/14
CABALERIO, YODALIO JR.
3700 KENNEDY BLVD.
UNION CITY, NJ 07087
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

04/18/86 Permanent
CABALLERO, ERNESTO, OWNER
83 WALNUT STREET, APT. 46
TOMS RIVER, NJ 08753
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

06/14/11 06/13/14
CABATIC, VIRGINIA C. R.N.
14 SPARROW ROAD
RANDOLPH, NJ 07869
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/19/05
CABRERA, BRETON RAMON
486 ZAMBORY STREET, APT.
PERTH AMBOY, NJ 08861
Medical
Criminal Offense
Debarment

054
0018

09/19/11
CACERES, MARIO
328 MARKET STREET
CAMDEN, NJ 08102
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/20/98
CACI FRANCIS R D D S
248 SOUTH SUMMIT AVENUE
HACKENSACK, NJ 07601
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
CACOILO, MARIA, OFF. MGR.
1150 AMBOY AVENUE
EDISON, NJ 08837
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

04/29/03
CAI, PING DMD
22 SAGE STREET
HOLMDEL, NJ 07733
Medical
Criminal Offense
Disqualification

054
0018

09/10/12
CALDERON, TANISHA, CHHA
108 N. 16TH
EAST ORANGE, NJ 11572
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

03/20/02
CALVELO, ARSENIO, C. RN
13515 SCENIC GLADE DR.
HOUSTON , TX 77059
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/19/03
CAMP, SUZANNE, RN
P.O. BOX 423
PORT ELIZABETH, NJ 08348
Medical
Other
Suspension

054
0018

10/21/10
CAMPANELLA, ANDRE, V. PRESIDENT
948 SINCLAIR AVE
STATEN ISLAND, NY 10309
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

02/07/13 02/06/16
CANALES,DELOVI, JR.
11 ALBERT STREET
TOMS RIVER, NJ 08953
Medical
Other
Debarment

054
0018

04/30/10 04/30/13
CANDIDA, AGUIRRE-MEDRANO
40 FERRY STREET
NEWARK, NJ 07105
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

07/12/99 Permanent
CANE, LAMONT - NURSES AID
P.O. BOX 90431
CAMDEN, NJ 08012
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

08/18/97
CAPACIO, RICHARD
99 ANNAPOLIS DRIVE
SICKLERVILLE, NJ 08081
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

12/20/06
CAPILLI, MICHAEL A, DC
427 HOYT STREET
LONG BRANCH, NJ 07740
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/09/01
CAPOBIANCO, LEO, J., DO
7 CASTLE COURT
RANDOLPH, NJ 07860
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

09/05/02
CAPPIELLO, RAFAEL, M.D.
2704 BRIENZA WAY
LAS VEGAS, NV 89117
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

08/19/99 Permanent
CAPRIOLA, EDWARD
313 S. FRANK ROGERS
HARRISON, NJ 07029
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

12/20/06
CARAGINE, PAUL J., MD
1 SAWMILL ROAD
KINNELON, NJ 07504
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

07/18/01 Permanent
CARBE, VINCENT, PRESIDENT
38 SHORE DRIVE
LONG BRANCH, NJ 07740
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

06/24/11 06/23/14
CARCHIA, ETTORE D.C.
994 SANDY CIRCLE
MANAHAWKIN, NJ 08050
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

02/20/06
CARDENAS, PRESENTACION E.
274 BATH AVE., #22
LONG BRANCH, NJ 07740
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/20/01
CARDILLO, JOHN
162 GARFIELD STEET
BERKELEY HEIGHT, NJ 07922
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/04/05
CARDILLO, JOHN
162 GARFIELD STREET
BERKELEY HEIGHT, NJ 07922
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

05/20/06
CARDILLO, RICHARD, C., MD
2893 BIRCH ROAD
SUAMICO, WI 54173
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

03/27/02
CARDOSA, LUCIO
FCI FORT DIX
FORT DIX, NJ 08640
Medical
Criminal Offense
Disqualification

054
0018

02/03/14
CARDOSO, LUCIO MD
253 LAFAYETTE STREET
NEWARK, NJ 07105
Medical
Criminal Offense
Suspension

054
0018

02/22/12
CAREY, SEAN
21 EDGEWOOD ROAD
RINGWOOD, NJ 07456
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

10/05/11 10/04/14
CARIDEO, IDA, M.D.
7 MALKE DRIVE
WAYSIDE, NJ 07712
Medical
Criminal Offense
Disqualification

054
Medical Assistance (Medicaid)

06/07/99 08/01/12
CARINO, JOVY
37 JAMES STREET
BLOOMFIELD, NJ 07003
Medical
Other
Suspension

054
0018

05/29/09
CARLSON, LILLIAN MAE
275 HIGH STREET APT. Q334
GLASSBORO, NJ 08028
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

06/18/09
CARMONA, ALICE Y.
78 DAWN STREET
VINELAND, NJ 08302
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

10/23/00 Permanent
CARR, JOEL R. DO
8 JASMINE ROAD
LUMBERTON, NJ 08048
Medical
Other
Suspension

054
0018

03/02/11
CARR, PATRICIA
P.O. BOX 91
BROWNS MILLS, NJ 08015
Medical
Other
Disqualification

054
Medical Assistance (Medicaid)

07/19/01
CARROLL, KIMBERLY, J.
18 LEE AVENUE
HADDONFIELD, NJ 08033
Medical
Other
Disqualification

054
0018

08/18/11
CARTER, DARRICKA C.
2505 ST. REGIS DRIVE
RICHMOND, VA 23236
Medical
Other
Disqualification

054
0018

07/20/10
CARUSO, EDMUND M., MD
2275 KENNEDY BLVD.
JERSEY CITY, NJ 07304
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

11/10/94 Permanent
CASAS, JOSE, MD
215 PASSAIC AVENUE
PASSAIC, NJ 07055
Medical
Other
Debarment

054
Medical Assistance (Medicaid)

05/24/99 Permanent
CASAVINA PHILIP
244 KNOX AVENUE
CLIFFSIDE PARK, NJ 07650
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
CASCIO, DANIEL, RN
17 SEGUR STREET
DOVER, NJ 07801-3440
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/20/02
CASTANEDA, JOSE APN
1925 PACIFIC AVENUE
ATLANTIC CITY, NJ 08401
Medical
Criminal Offense
Suspension

054
0018

02/22/12
CASTANON, ROBERTO
555 GEO DRIVE
PHILLIPSBURG, PA 16866
Medical
Criminal Offense
Disqualification

054
0018

09/16/11
CASTELLANO, DOLORES, OWNER PASSAIC FAMILY MEDICAL
4300 SW 57TH STREET
MIAMI, FL 33155
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/17/04 Permanent
CASTELLI, ANGELO
48 E. CENTRAL BLVD.
PALISADES PARK, NJ 07650
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

07/21/14 07/20/17
CASTILLO, HECTOR
1000 MADISON AVENUE
PATERSON, NJ 07501
Medical
Criminal Offense
Debarment

054
0018

02/19/12 02/19/16
CASTILLO, STEVEN A. DDS
P.O. BOX 16421
JERSEY CITY, NJ 07306
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

05/05/97 Permanent
CATANZARO, DANIEL, D.C.
28 ETOWAH RIDGE DRIVE, SW
CARTERSVILLE, GA 30120
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

12/20/05
CATANZRO, VINCENT F, MD
560 MAIN STREET
ALLENHURST, NJ 07711
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
CAVALLARO, TRACY
1038 OLD YORK ROAD
RARITAN, NJ 08869
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

07/18/13 07/17/16
CAVALLI DEAN
762 BROADWAY
CAMDEN, NJ 08103
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
CAVE, SANDY
109 BOBWHITE ROAD
ROYAL PALM BEAC, FL 33411
Medical
Criminal Offense
Disqualification

054
0018

05/20/12
CECE, ANGELO, DDS
566 NYE AVENUE
IRVINGTON, NJ 07111
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

01/19/96 Permanent
CEDENO, HUMBERTO, RP
601 ELIZABETH AVENUE
ELIZABETH, NJ 07206
Medical
Criminal Offense
Disqualification

054
Medical Assistance (Medicaid)

05/03/84 Permanent
CENTRELLI, MARC DC
176 ALPINE TRAIL
SPARTA, NJ 07871
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/21/08
CERELLI NICK, MEMBER
1640 NIXON DR., STE. 285
MOORESTOWN, NJ
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

02/06/13 02/05/16
CHA, DONG S., M.D.
608 S. BROAD STREET
WOODBURY, NJ 08096
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

12/01/98 Permanent
CHACK, JOEL
5 GWEN COURT
CHERRY HILL, NJ 08003
Medical
Other
Disqualification

054
0018

08/13/11 01/06/12
CHALMERS, SHAWN
337 CROWN STREET
BROOKLYN, NY 11211
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

11/21/13 11/20/16
CHAM, WILLIAM C., M.D.
11 HICKORY DRIVE
CHESTER TWP, NJ 07930
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/29/97
CHAMBERS, CAROL, CHHA
1022 STUYVESANT AVENUE
IRVINGTON, NJ 07111
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

01/20/04
CHAMPION, MARY MARGARET R.N. & C.H.H.A.
91 MOUNT AIRY AVE., SOUTH
EGG HARBOR, NJ 08234
Medical
Other
Suspension

054
Medical Assistance (Medicaid)

06/20/05 06/11/13
CHANDLER, BRYAN, K.
10 ELLINGTON STREET #1
EAST ORANGE, NJ 07017
Medical
Criminal Offense
Disqualification

054
0018

08/28/08
CHAPLAN, ABRAHAM
384 NORTH WOODLAND ST
ENGLEWOOD, NJ 07631
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
CHARLES, ERIC
396 CHERRY LANE
MENDHAM, NJ 07945
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

04/22/14 04/21/17
CHEN, KUEN, M.D.
244 BROADWAY
NEWARK, NJ 07104
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/07/99
CHEN, TAN, M.D.
12 LORRAINE DRIVE
PINE BROOK, NJ 07058
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

11/05/99 Permanent
CHIAPETTA, THERESA
8 STEINHARDT AVENUE
OLD BRIDGE, NJ 08857-3419
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

09/15/08
CHIAPPETTA, THERESA
8 STEINHARDT AVENUE
OLD BRIDGE, NJ 08857-3419
Medical
Criminal Offense
Disqualification

054
Medical Assistance (Medicaid)

11/12/09
CHILLEMI, SALVATORE
29 BERKSHIRE DRIVE
SEWELL, NJ 08080-3102
Medical
Criminal Offense
Disqualification

054
0018

06/10/11
CHIRUMAMILLA, RAMABU, RP
212 E PITTSBURGH AVENUE
WILDWOOD CREST, NJ 08260
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

03/11/85 Permanent
CHIZHOV, ELLA
200 WINSTON DRIVE #C1104
CLIFFSIDE PARK, NJ 07010
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/21/08
CHIZHOV, SERGEY
200 WINSTON DRIVE
CLIFFSIDE PARK, NJ 07010
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

09/20/07
CHLOROS, STACY
323 GILL LANE
ISELIN, NJ 08830
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/18/06
CHRISTENSEN, CYNTHIA, RN
20 SKYLINE DRIVE
HAZLET, NJ 07730
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/18/01
CHRISTJOHN, COLLEEN M.
CORSON ROAD
SOUTH SEAVILLE, NJ 08246
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

08/11/07 Permanent
CHRISTMAS, ARTHUR
66 NORTH 11TH STREET
NEWARK, NJ 07107
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

06/16/06 Permanent
CHUDRY, RAZA
RD #5 FEDERAL PRISON
LEWISBURG, PA 17837
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/19/02
CHUKWUANI, ROSETTA
3 LISZKA LANE
SAYREVILLE, NJ 08872
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

02/28/09
CHUNMAUNG, PRASERT, MD
401 DEVONSHIRE PL
FRANKLIN LAKES, NJ 07417
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)

06/14/93 Permanent
CHUPREVICH, EILEEN, D. RN
8 STANTON PLACE
BUTLER, NJ 07405-1039
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

01/20/03
CHWEDCZUK, ALBERT
1984 WHITESVILLE ROAD
TOMS RIVER, NJ 08755
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

07/09/14 07/08/17
CICCONE, GREGORY
5 WATERS EDGE DR.
LITTLE EGG HARB, NJ 08087
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/15/05
CICERO, BARBARA, R.N.
91 LINCOLN AVENUE
SOMERVILLE, NJ 08876
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/20/01
CICERO, RALPH
245 BALDWIN STREET
SUCCASUNNA, NJ 07876
Medical
Criminal Offense
Debarment

054
0018

03/06/14
CITAK, ANDZEJ
556 HUMBULT STREET
BROOKLYN, NY 11222
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

08/04/14 08/03/17
CLACKLEY, MACK O, L.P.N.
PO BOX 150
DELMONT, NJ 08314
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/20/01
CLAPPER, STEPHANIE
169 NAUTILUS
MANAHAWKIN, NJ 08050-2453
Medical
Criminal Offense
Disqualification

054
Medical Assistance (Medicaid)

02/26/10
CLARK, JAMES
380 MOUNTAIN ROAD #12
UNION CITY, NJ 07087
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/27/07
CLARK, KEVIN
537 TRINITY PLACE
WESTFIELD, NJ 07090
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

10/05/09
CLARK, NORMAN L, MD
5 TARA DRIVE
PARSIPPANY, NJ 07054
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

03/02/99
CLARK, RAYONNE
844 CENTRE STREET
TRENTON, NJ 08611
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/20/03
CLARK, RAYONNE
844 CENTRE STREET
TRENTON, NJ 08611
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

08/13/03
CLEMMENTS, RALPH W. MD
7304 CENROSE CIRCLE
WESTWOOD, NJ 07675
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

09/12/08
COBB, WILLIAM
2 WEST RIVER STYX
HOPATCONG, NJ 07843
Medical
Other
Debarment

054
0018

03/16/11 03/16/15
COHEN, BARRY E.
6326 NW 80TH TERRACE
POMPANO BEACH, FL 33067
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

03/20/06
COHEN, JUDAH L., M.D.
1000 GALLOPING HILL RD.
UNION, NJ 07083
Medical
Other
Disqualification

054
Medical Assistance (Medicaid)

04/24/98 Permanent
COHEN, ROBERT, G., RN
51 KRISTEN COURT
MATAWAN, NJ 07747
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

03/24/03
COHEN, WENDY E., MD
151 N. DEAN STREET
ENGLEWOOD, NJ 07631
Medical
Other
Suspension

054
0018

05/10/12
COLADONATO, JOSEPH P., M.D.
9760 EVERGREEN AVENUE
SEAFORD, DE 19973
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

02/03/06
COLLIER, BERT D., MD
4933 N. WILDWOOD AVENUE
MILWAUKEE, WI 53217
Medical
Other
Debarment

054
Medical Assistance (Medicaid)

05/29/01 09/20/13
COLON, KAREN L., L.P.N.
1020 MCGUIRE DRIVE
TOMS RIVER, NJ 08753
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/20/05
COLON-TORRES, FRANCIS M
437 STUYVESANT AVENUE
IRVINGTON, NJ 07111
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

11/07/08
COMESANAS, MARIO, M.D.
COLUMBIA TPK.
FLORHAM PARK, NJ 07932
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

08/10/07 Permanent
COMRIE, SHIRLEY, M., CHHA
7 DUFFELD DRIVE
TRENTON, NJ 08628
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/18/02
CONNERS, LAURA, LPN
11 FENWAY ROAD
HAMILTON, NJ 08620
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

03/20/02
CONOVER, WILLIAM, S., LPN
225 RUTLAND AVE.
MT. HOLLY, NJ 08060
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/20/04
CONRAD, MICHAEL LPN
16 ELDRIDGE AVENUE
TRENTON, NJ 08648
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

07/20/09
CONSTINO, JOHN, JR
404 SURF AVENUE
WILDWOOD, NJ 08260
Medical
Other
Debarment

054
0018

08/18/11 Permanent
CONTEH, AMARA S. MD
3 OLD TAPPAN ROAD
OLD TAPPAN, NJ 07675
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/20/07
CONTRERAS, MICHAEL
77 LITTLETON RD
MORRIS PLAINS, NJ 07950
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

04/12/13 04/11/16
COPLIN, GEORGE J
528 EAST JERSEY ST
ELIZABETH, NJ 07206
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
CORNELY, MICHAEL P. DC
6650 BROWINING ROAD
MERCHANTVILLE, NJ 08109
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

12/01/98 Permanent
CORSON KENNETH E MD
5 SOUTH MYRTLE ST
VINELAND, NJ 08360
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
COSTA, LAWRENCE J.
441 PENN AVE.
FORKED RIVER, NJ 12345
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
COSTA, PAULA, PRESIDENT
33 E. KUPSCH STREET
SAYREVILLE, NJ 07032
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

01/19/12 01/18/15
COSTIGAN, KEVIN
132 FRANKLIN AVE, APT. 2
LONG BRANCH, NJ 07740
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

03/21/00
COSTINO, JOHN
404 SURF AVENUE
WILDWOOD, NJ 08260
Medical
Other
Disqualification

054
0018

08/18/11
COTTRELL, LISA L.
290 ROUTE 9 NORTH APT C5
WARETOWN, NJ 08758
Medical
Other
Disqualification

054
0018

09/30/10
COUGHLIN, CATHERINE K
P.O. BOX 22
LIMESTONE, PA 16234-0022
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

09/18/09
COVERDALE, JULIE ANN, RN
909 CINNAMINSON AVE.
PALMYRA, NJ 08065
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

04/20/03
COVILLE, FREDERICK A, MD
51-37 HAVEN AVENUE
OCEAN CITY, NJ 08226
Medical
Other
Disqualification

054
Medical Assistance (Medicaid)

10/26/98 08/16/12
COVILLE, FREDERICK A.
230 N. MAPLE AVENUE
MARLTON, NJ 08050
Medical
Other
Debarment

054
Medical Assistance (Medicaid)

04/17/97 08/16/12
COVONE, DOMINICK, DME OWN
FORT DIX F.C.I. BOX 38
FORT DIX, NJ 08640
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

10/18/01 Permanent
CRAIN, GREGORY
60 HAWKINS ROAD
TABERNACLE, NJ 08088
Vendor
Criminal Offense
Suspension

Treasury
Treasury Purchase Bureau

08/27/01
CRAPANZANO SR., PETER
46 VILLAGE COURT
HAZLET, NJ 07730
Medical
Other
Suspension

054
0018

04/26/11
CRAWFORD, KENNETH CNA
199A FIDDLER ELBOW ROAD
PHILLIPSBURG, NJ 08865
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/20/06
CRAWFORD, KENNETH
B-8 ABBINGTON DRIVE
PHILLIPSBURG, NJ 08865--9515
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

04/06/06
CRAY, JASON E., COTT. AID
WARREN COUNTY JAIL
BELVIDERE, NJ 07823
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

08/21/00 Permanent
CREWS, VERN, DIRECTOR
844 N. MAIN STREET
AKRON, OH 44310
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

04/05/13 04/04/16
CRIBEIRO, ROLANDO, PRESIDENT
12 SADDLE RANCH LANE
HILLSDALE, NJ 07642
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

08/18/11 08/17/14
CRIDER, STEVEN
507 PRESSLER STREET
AUSTIN, TX 78703
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

05/11/14 05/10/17
CRISSIEN, CINDY
78 FORNELIOUS AVENUE
CLIFTON, NJ 07013
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

01/18/07
CRISSON, CINDY
78 FOENELIUS AVENUE
CLIFTON, NJ 07013
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

01/18/07
CRITCHFIELD, CYNTHIA D., R.PH.
PIN OAK COURT
SHAMONG, NJ 08088
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

04/20/08
CROCKER, KENNETH W. JR.
15 VIOLA AVENUE
LEONARDO, NJ 07737
Medical
Criminal Offense
Debarment

Human Services
Medical Assistance (Medicaid)

07/17/09 07/17/14
CRON, EVA
31 CHERRY STREET
WARWICK, NY 10990
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/27/07
CROWDER, CLAXTON L. M.D.
115 ASHBY COURT
MOUNT LAUREL, NJ 08054
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

01/13/06
CRUZ, MARIA, C.
128-65 MCCARTHY CIRCLE
PHILADELPHIA, PA 19154
Medical
Criminal Offense
Debarment

Human Services
Medical Assistance (Medicaid)

12/05/03
CSAKVARY, JOSEPH
163 BREAKNECK ROAD
HIGHLAND LAKES, NJ 07422
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

11/04/13 11/03/16
CUI, XIN
119 S. ADELAIDE LANE
HIGHLAND PARK, NJ 08904
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

04/24/08
CULLEN, CHARLES
PO BOX 861
TRENTON, NJ 08625
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

01/18/07
CULLEN, K
100 MARSHALL AVENUE
TUCKERTON, NJ 08087-2524
Medical
Criminal Offense
Suspension

054
Medical Assistance (Medicaid)

01/19/10
CUNNINGHAM, MICHAEL, D.
P.O. BOX 505
GLEN SPEY, NY 12737
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/19/02
CUPO, DAWN, L.P.N.
129 ADELPHIA ROAD
FARMINGDALE, NJ 07727
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/20/01
CUPOLO, STACY J.
897 INVERNESS CT. APT. A
LAKEWOOD, NJ 08701
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/20/05
CURETON, WILLIE T
61 CHELSEA AVENUE
NEWARK, NJ 07106
Medical
Other
Disqualification

054
0018

05/27/11
CURETON, WLLIE T.
5 UNAMI LANE
SCOTCH PLAINS, NJ 07076
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

02/23/09 Permanent
CURRY, CHARLES M., M.D.
816 BURNT MILLS ROAD
OLDWICK, NJ 08858
Medical
Other
Disqualification

054
Medical Assistance (Medicaid)

12/01/98 Permanent
CZYZYK, LISA M. RN
12 VILLAGE COURT APT A
TRENTON, NJ 08690
Medical
Other
Suspension

054
0018

09/13/13
D'ALLEGRO, FRANK, R.P.
32 SUMMIT AVENIE
CEDAR GROVE, NJ 07009
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
D'ANTIGNAC, CHARLOTTE
3 CHURCHILL DOWNS
W. LONG BRANCH, NJ 07764-1329
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

03/10/00
D'ASCOLI, BARTHOLOMEW, MD
PO BOX 1869
MONTAGUE, NJ 07827
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

08/18/00 Permanent
D'ORIA, LAWRENCE, RP
6 BROOK PLAZA
JACKSON, NJ 08527
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

02/07/84 Permanent
D'OTTAVIO, PAOLA RPH
504 WILLOW OAK DRIVE
MAYS LANDING, NJ 08330-1670
Medical
Criminal Offense
Disqualification

054
0018

09/20/11
D'OTTAVIO, PAOLA
WILLOW OAKS DR.
MAYS LANDING, NJ 08330
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/04/07 Permanent
DAFTARY, REKHA B. MD
81 B EAST MAIN STREET
MENDHAM, NJ 07943
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

02/29/08
DAHHAN, MOHAMED Z., M.D.
WINDING WAY
WEST PATERSON, NJ 07424
Medical
Other
Suspension

054
Medical Assistance (Medicaid)

11/20/08 04/03/14
DAILY, GALE, HOME HEA.AID
14 SUDBERRY LANE
WILLINGBORO, NJ 08046
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/19/01
DALEY, ROBERTA, L.P.N.
36 HOLLY DRIVE
PARLIN, NJ 08859
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/20/01
DALTON, ERIN
14 VICTORIAN WAY
WEST DEPTFORD, NJ 08090
Medical
Criminal Offense
Debarment

054
0018

02/20/13
DALY, JAMES J. EMT
504 EAST FRANKLIN AVENUE
EDGEWATER PARK, NJ 08010
Medical
Criminal Offense
Disqualification

054
0018

08/07/13
DAMMERS, SEAN
255 SANTIAGO AVE
RUTHERFORD, NJ 07070
Medical
Criminal Offense
Debarment

054
0018

09/02/12 09/02/17
DANIEL, ALAN L., PHD, DO
415 KEIM BOULEVARD
BURLINGTON, NJ 08016
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/20/99
DANIEL, ALAN, L., CSW
202 SPRING GARDEN RD
ANCORA, NJ 08037
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/20/02
DANIEL, ALAN, PH.D. DO
3 HARRISON PARK LANE
BURLINGTON, NJ 08016
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

10/18/02 Permanent
DANIEL, THERESA D.
3 HARRISON PARK LANE
BURLINGTON, NJ 08016
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

03/17/00
DANIELS, BERLYN E.
WHITE HORSE AVENUE
TRENTON, NJ 08610
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

10/13/08
DANIELS, CLIFTON
37 HUGHES STREET
MAPLEWOOD, NJ 07040-3303
Medical
Criminal Offense
Debarment

Human Services
Medical Assistance (Medicaid)

07/17/09 07/17/14
DARBY, MARK
SBI305830E, EJSP
RAHWAY, NJ 07065
Medical
Criminal Offense
Debarment

054
0018

01/01/10
DARBY, MARK
1245 ADEE AVENUE APT 4C
BRONX, NY 10469
Medical
Criminal Offense
Debarment

054
0018

11/18/10
DASS, SUMAN K., M.D.
4 BALDWIN AVENUE
JERSEY CITY, NJ 07304
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/04/00
DAVID, RICHARD
819 EDGEWOOD AVENUE
TRENTON, NJ 08618
Medical
Criminal Offense
Debarment

054
Medical Assistance (Medicaid)

09/17/09
DAVIS JAMES DANIEL
145 JUNIPER ST
BROWNS MILLS, NJ 08015
Medical
Criminal Offense
Disqualification

054
Medical Assistance (Medicaid)

10/04/88 Permanent
DAVIS JAMES S
41 B TROY DRIVE
SPRINGFIELD, NJ 07081
Medical
Criminal Offense
Disqualification

054
Medical Assistance (Medicaid)

09/04/86 09/04/94
DAVIS MATHILDA MD
230 W JERSEY ST
ELIZABETH, NJ 07202
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
DAVIS, ANTHONY
363 NORTHFIELD AVE
LIVINGSTON, NJ 07039
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

10/29/13 10/28/16
DAVIS, ANTOINETTE
43 VERNON COURT
SICKLERVILLE, NJ 08081
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

04/23/07
DAVIS, CHARLES M.
381 BALA AVENUE
BALA CYNWYD, PA 19004
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

03/31/08
DAVIS, COREY
25 JAMES STREET
LAKEWOOD, NJ 08701
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

03/12/06
DAVIS, KARIN, B., RN
141 EAST BENNETT AVE.
WILDWOOD, NJ 08260
Medical
Other
Suspension

054
Medical Assistance (Medicaid)

10/20/02 04/14/14
DAVIS, KENNETH
2 MELBA DRIVE
NEWTON, NJ 07860
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

10/29/13 10/28/16
DAVIS, MARK, S., DPM
5 MONTANA DRIVE
COLTS NECK, NJ 07722
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

04/09/04
DAVIT, SAMUEL, M.D.
100 WINSTON DRIVE #B
CLIFSIDE PARK, NJ 07010
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

04/20/03
DAWOUD, MONIR A
7 COLTSFOOT GLEN
SADDLE RIVER, NJ 07458
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

11/13/08
DAWOUD, MONIR A. MD
7 COLTSFOOT GLEN
SADDLE RIVER, NJ 07458-2701
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

09/04/07
DEAQUINO, ANTHONY
11 STONE RIDGE LANE
HO-HO-KUS, NJ 07423
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

12/19/02
DEEMI, SAMUEL
665 MARTIN LUTHER KING BL
NEWARK, NJ 07102
Medical
Criminal Offense
Disqualification

054
0018

10/27/10 10/27/18
DEFEO, DELORES A, CNM
RR #6 BOX 280-D
PLEASANTVILLE, NJ 08232
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)

04/26/96 Permanent
DEGUZMAN, DAISY MD
111 MULBERRY STREET
NEWARK, NJ 07102
Medical
Criminal Offense
Disqualification

054
0018

02/20/14
DELANCEY,WAYNE K.
1020 HIDEAWAY COURT
VINELAND, NJ 08361
Medical
Criminal Offense
Disqualification

054
0018

09/16/11
DELIA, MICHELLE
545 W. HILL ROAD
GLEN GARDNER, NJ 08826-3293
Medical
Criminal Offense
Disqualification

054
0018

04/07/10
DELL'AQUILA, PATRICK
55 BROOKVIEW DRIVE
WOODCLIFF LAKE, NJ 07677
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

02/25/14 02/24/17
DELLAPENNA, LINDA, CNA
52 VAN NESS DRIVE
BRICK, NJ 08723
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

11/13/03
DELLAQUILLA, PATRICK
55 BROOKVIEW DR.
WOODCLIFF LAKE, NJ 07677
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

02/25/14 02/24/17
DEMARCO, CHARLENE C
P. O. BOX 898801
OKLAHOMA CITY, OK 73189
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/20/08
DEMARINO STEVEN
3 WESTWIND COURT
SADDLE BROOK, NJ 07463
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

11/04/13 11/03/16
DEMARINO, ERWIN
204 WYCKOFF AVENUE
WALDWICK, NJ 07463
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

11/04/13 11/03/16
DEMASSI, MICHAEL A.
1917 WATERS EDGE DRIVE
TOMS RIVER, NJ 08753-2673
Medical
Other
Disqualification

054
0018

12/20/13
DEMOSS, KATHLEEN, M., D.C
14 N. MAIN STREET
FLEMINGTON, NJ 08822
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/19/01
DENUCCI, NICHOLAS
51 BARN OWL
HACKETTSTOWN, NJ 07840
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

07/24/02
DEORIO, ANNA G., RN
COLUMBIA AVENUE
NORTH BERGEN, NJ 07047
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/18/07
DESAI, BAKUL MD
15 MOUNTAIN RIDGE DRIVE
LIVINGSTON, NJ 07039
Medical
Other
Disqualification

054
0018

09/20/12
DESAI, BAKUL, MD
15 MOUNTAIN RIDGE DRIVE
LIVINGSTON, NJ 07039-3408
Medical
Criminal Offense
Suspension

054
0018

03/08/10
DESANTIS, ANTHONY, RPH
105 FRANKLIN STREET
BELLEVILLE, NJ 07109
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

02/24/03
DEVARIS, HELENA D. DDS
35-08 MORLOT AVENUE 1X
FAIR LAWN, NJ 07410-4022
Medical
Other
Suspension

054
0018

05/21/13
DEVARSO, ANGELA
FCI DANBURY, RTE 37
DANBURY, CT 06811
Medical
Criminal Offense
Debarment

054
0018

05/20/12
DEVERA, MONICA, T.
118 BEACON STREET
DUMONT, NJ 07628
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/20/02
DI SPALTRO, FRANKLIN L., M.D.
MELROSE LANE
GREEN VILLAGE, NJ 07935
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/18/07
DIAS-PELLOT, NORMA
500 BERKELY DRIVE
BROWNS MILLS, NJ 08015
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

03/24/00 Permanent
DIAZ, PEDRO P.
80 SKYTOP ROAD
NEWTON, NJ 07860
Medical
Criminal Offense
Disqualification

054
0018

05/20/11
DIAZ-PELLOT, NORMA
258 UNIVERSITY AVE
PEMBERTON, NJ 08068
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

07/19/01 Permanent
DICARLO, ANTHONY
35 GALT OCEAN DR
FT LAUDERDALE, FA 33308
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
DICKERSON, DENISE M.
126 HILLCREST AVE, 2A
BLACKWOOD, NJ 08012
Medical
Other
Disqualification

054
0018

09/22/10
DICUBELLIS, MICHELE
4030 ANDERSON AVE, SE
ALBURQUERQUE, NM 87108
Medical
Antitrust/Anti-Kickback Acts
Disqualification

054
0018

06/23/11 Permanent
DIETERLE, KAREN, M., RN
51 STURBRIDGE DRIVE
SICKLERVILLE, NJ 08081
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/19/04
DIETRICH, LISA B., M.D.
DOGWOOD TRAIL
RANDOLPH, NJ 07869
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

11/20/08
DILLARD, LATICIA
4208 NORTH DRIVE
ATLANTIC CITY, NJ 08401
Medical
Criminal Offense
Debarment

054
0018

08/24/13
DIMEGLIO, FRANCO S., PRES.
21 EDGEWOOD ROAD
RINGWOOD, NJ 07416
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

10/05/11 10/04/14
DINENBERG, LEE
2816 CORONANDO WAY
VERO BEACH, FL 32960
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

07/22/13 07/21/16
DINKEL, ARTHUR R., LCSW
2 FREEMAN LANE
DENVILLE, NJ 07834
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

04/19/01 Permanent
DIPIERRO, CHARLES G., PRESIDENT
404 SPOTSWOOD GRAVEL HILL
MONROE TWP, NJ 08831
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

11/25/11 11/24/14
DIPIERRO, KEVIN J., V-PRES.
402 SPOTSWOOD GRAVEL HILL
MONROE TWP., NJ 08831
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

11/25/11 11/24/14
DIRENZO, ALFRED M.
167 GROVE STREET
LODI, NJ 07644
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

02/21/95 Permanent
DIXON, SHANNON
501 IRVING STREET
CLEMNTON, NJ 08021
Medical
Other
Debarment

054
0018

03/18/10 03/18/13
DJAVID SMAIL F
160 EAST 89TH STREE
NEW YORK CITY, NY 10028
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
DOBIECKA, DOROTHY
556 HUMBULT STREET
BROOKLYN, NY 11222
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

08/04/14 08/03/17
DOBRE, FLORAN
526 SHERIDAN AVE.
ROSELLE, NJ 07203
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

12/02/13 12/01/16
DOBROWOLSKI, DONALD, DDS4
45 BRICK BLVD. S-108
BRICK, NJ 08723
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

12/29/95 Permanent
DOBRZANSKI, TED
138 STONEHENGE DR.
TOMS RIVER, NJ 08753
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

02/25/14 02/24/17
DOLINER, PAUL
401 US HIGHWAY 22
N PLAINFIELD, NJ 07060
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

09/15/80 Permanent
DOMINGUES,JOHN
402 MARKET STREET
NEWARK, NJ 07105
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

05/28/14 05/27/17
DOMINIC, ANTHONY J. MD
216 2ND AVENUE
UPPER MANASQUAN, NJ 08736
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

01/20/02
DONALDSON, DENISE
2650 SPRUCE DRIVE
LAKEHURST, NJ 08733
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

12/29/95 Permanent
DONALDSON, DENISE, CNA
33 3RD AVENUE
TOMS RIVER, NJ 08757-5027
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

07/09/03
DONNARUMMA, CHRISTINE
164 STARBOARD STREET
FORKED RIVER, NJ 08731
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

05/26/00 Permanent
DONOFRIO, DOUGLAS
1 SPRING LAKE DRIVE
FAR HILLS, NJ 07931
Medical
Other
Disqualification

054
0018

01/04/12
DOOLEY, CHRISTOPHER J. MD
10 DEER RUN
FREEHOLD, NJ 07728
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

02/09/09
DORVIL, FAUBERT
651 S. PALM STREET, #201
LITTLE ROCK, AR 72205
Medical
Other
Disqualification

054
0018

07/04/14
DOSHI, PRIYAKANT, M.D.
11 WARFIELD STREET
MONTCLAIR, NJ 08625
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

12/02/97 Permanent
DOTOLI, FRANKLIN
460 FRANKLIN AVE
NUTLEY, NJ 07110
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
DOYLE, GINA, PRESIDENT
716 WHITE HORSE PIKE
HAMMONTON, NJ 08037
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

04/05/12 04/04/15
DOYLE, JUDITH
71 WILDFLOWER LANE
MORRISTOWN, NJ 07960
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

10/20/04
DRIVAS, GUSTAVE MD
LORETTO FCI
LORETTO, PA 15940
Medical
Criminal Offense
Disqualification

054
0018

05/11/14
DRIVAS, GUSTAVE
FCI LORETTO, P.O. BOX1000
LORETTO, PA 15940
Medical
Criminal Offense
Disqualification

054
0018

06/14/14
DUBE, RICHARD
111 COACH HOUSE SQUARE
POOLER, GA 31322
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

03/26/13 03/25/16
DUBOVY, CARL, M.D.
11 PIPPINS WAY
MORRISTOWN, NJ 07960
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

12/01/98 Permanent
DUFFIELD, CAMI, R., R.N.
119 GRAF AVENUE
LAWRENCEVILLE, NJ 08648
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

12/20/00
DUGUE, IRMA
314 BROADWAY
ELIZABETH, NJ 07206
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/14/07
DULL, JOHN W., DDS
399 HOOVER AVENUE
BLOOMFIELD, NJ 07003
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

12/01/98 Permanent
DURFEE, JANET, RN
103 WOODLAKE DRIVE
MARLTON, NJ 08053
Medical
Other
Suspension

054
Medical Assistance (Medicaid)

07/20/04
DURNIEN, EDWARD
215 CREEK ROAD
KEANSBURG, NJ 07734
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

01/06/06
DURST, LAWRENCE R.PH
FCI FORT DIX, PO BOX 38
FORT DIX, NJ 08640
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/19/01
EASTMAN, DONALD, OWNER
292 CHURCH STREET
ABERDEEN, NJ 07747
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

09/15/12 09/16/15
EATOUGH, PHILIP
5 SYCAMORE LANE
RUMSON, NJ 07748-2510
Medical
Criminal Offense
Disqualification

054
Medical Assistance (Medicaid)

02/26/10
EDMILAO, CANUNITA
645 NEWARK AVE.
JERSEY CITY, NJ 07305
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

04/09/04
EGENBERG, ITIS
153 AVENUE "B"
BAYONNE, NJ 07002
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
EGLOFF, MARY ANN R.N.
1100 KELLY LANE
FRMINGDALE, NJ 07727
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/19/05
EIB, KEVIN G.
29 MONMOUTH ROAD
MONROE, NJ 08831
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

04/03/14 04/02/17
EIDMAN, STEVEN, DDS
73 E. LINCOLN AVE.
ENGLEWOOD, NJ 07631
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

01/19/03
EKSTEROWICZ, DEBORAH, LPN
283 S. BLACKHORSE PIKE
MOUNT EPHRAM, NJ 08059
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/18/02
ELAMIR, MAGDY MD
550 SUMMIT AVENUE
JERSEY CITY, NJ 07306-2707
Medical
Other
Debarment

054
0018

11/05/10
ELBASHIR, IMAD
P.O. BOX 7450
TRENTON, NJ 08628
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/17/20
ELCHAGEA, ISMAIL
470 CHAMBERLAIN AVE
PATERSON, NJ 07522
Medical
Other
Debarment

054
Medical Assistance (Medicaid)

07/01/00
ELHAG ABUBAKER O
10 HILL STREET APT. 9W
NEWARK, NJ 07102
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

11/23/07
ELIA, HARRY R., D.C.
136 BROADWAY
WOODCLIFF, NJ 07675
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

12/01/98 Permanent
ELIA-RAGGIO, LORI, LPN
4001 BURRYPORT WAY
MOUNT LAUREL, NJ 08054
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

03/18/04
ELLIS, FREDERICK, PRESIDENT
2 ISLAND POND ROAD
DERRY, NH 03038
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

08/27/12 08/26/15
ELLIS, KENT R., M.D.
1005 N. WASHINGTON AVE
GREEN BROOK, NJ 08812
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

06/15/01 Permanent
ELLISON, RAEFORD, L.AC.
8 N. SACRAMENTO AVENUE
VENTNOR, NJ 08406
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

04/18/02
EMERSON, BARBARA, L., RN
45 HAWTHORNE ST.
BROWNS MILLS, NJ 08015
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/20/04
ENEMOU, KENNETH RP
111 MULBERRY STREET #C
NEWARK, NJ 07102
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

03/30/99 Permanent
ENGRISSEI, PATRICIA LEISE, R.N.
700 GROVE STREET
HADDONFIELD, NJ 08033
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/18/05
ENOGWE, FELIX, R.PH.
51 CLIFTON AVE., C-401
NEWARK, NJ 07104
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

05/24/99 Permanent
ENOGWE,FELIX
25 CLIFTON AVENUE
NEWARK, NJ 07104-8754
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

02/24/06
ERNST, DAVID J., DDS
5 BRUNSWICK WOOD DRIVE
E. BRUNSWICK, NJ 08816
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

03/31/95 Permanent
ESSER, ARISTIDE HENRI MD
337 N. MAIN STREET STE 2
NEW CITY, NY 10956
Medical
Criminal Offense
Suspension

054
0018

10/20/13
ESTAMBUL, BERNARDO
605 W.141 STREET APT 51
NEW YORK, NY 10031-6905
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

01/31/08
ESTERMAN, SIDNEY, DPM
185 CENTRAL AVE, STE. 412
EAST ORANGE, NJ
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

08/31/01 Permanent
ESTRADA, HECTOR
432 52ND ST., APT. 2
WEST NEW YORK, NJ 07093
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

05/31/13 05/30/16
ETIENNE, FERNANDE
1205 MORRIS STREET #2L
ROSELLE, NJ 07203
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

03/20/06
EUN SUNG, KYUNG
428 RUSSELL AVENUE
EDGEWATER, NJ 07020
Medical
Criminal Offense
Debarment

054
0018

09/20/12
EVANS, ROLAND, A., DC
263 NORTH 3RD AVE.
MANVILLE, NJ 08835-1313
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

09/03/03
EZEONYIM, CHARLES I., RPH
2153 TYLER STREET
UNION, NJ 07083-5269
Medical
Other
Debarment

054
Medical Assistance (Medicaid)

01/16/09 01/06/12
FABULIAN, PETER, D.O.
26 WEST MAIN STREET
STRASBURG, PA 17579
Medical
Other
Disqualification

054
0018

02/20/13
FAENZA, MATTHEW, RP
64 COVENTRY WAY
RINGWOOD, NJ 07456-2747
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

01/20/04
FAKONDO, VICTOR
180 HANSON AVE
PISCATAWAY, NJ 08854
Medical
Criminal Offense
Disqualification

054
0018

08/18/11
FALOWO, YETUNDE
301 MAPLE AVE., APT266
N. PLAINFIELD, NJ 07060
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

01/06/06
FARRIS, JOEL, C.H.H.A.
212 UNION AVENUE
NEPTUNE, NJ 07753
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/20/01
FARRO, ANDREW
87 CASTLE RIDGE DRIVE
EAST HANOVER, NJ 07936
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/12/08
FASWALA, MUNIR H. M.D.
506 LAGOON BLVD.
BRIGANTINE, NJ 08203
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/26/05
FASWALA, MUNIR H., MD
506 LOGOON BLVD.
BRIGANTINE, NJ 08203-1222
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

09/15/08
FATATO, VIRGINIA, A., DC
8 N. WHITEHORSE PIKE
HAMMONTON, NJ 08009
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

05/05/03
FAVORITO, TAMATHA, OWNER
170 SPOTTED OAK DRIVE
FREEHOLD, NJ 07728
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

05/16/11 05/15/14
FEE ANN, CATHERINE
7353 CLUBHOUSE CIRCLE
EGG HARBOR CITY, NJ 08215
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/19/06
FEINBERG, IRA
411 CHELSEA STREET
PARAMUS, NJ 07652
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
FEINMAN, BRIAN
418 WALNUT STREET
NEWARK, NJ 07105
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

12/20/06 Permanent
FEIT, FREDERIC
2 TWIN LAKES DRIVE
MANALAPAN, NJ 07726-8680
Medical
Criminal Offense
Debarment

054
Medical Assistance (Medicaid)

07/13/09
FEIT, FREDERICK
30 JACKSON ST.
FREEHOLD, NJ 07728-2474
Medical
Criminal Offense
Debarment

Human Services
Medical Assistance (Medicaid)

07/17/09 07/17/14
FELDMAN, BRUCE, J.
807 NORTHWINDS DRIVE
BRYN MAWR, PA 19010
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

03/18/04
FELDNER, EDWARD S.
50 E MAIN STREET
LITTLE FALLS, NJ 07424
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

11/16/99 Permanent
FELIX-CLAUDIO, TANIA
4615 N. FRONT STREET
PHILADELPHIA, PA 19140
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

04/23/14 04/22/17
FELSENBERG, SANFORD
517 SO ORANGE AVENUE
NEWARK, NJ 07103
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
FERNANDEZ, LUIS, D.P.M.
293 MONROE STREET
PASSAIC, NJ 07055
Medical
Criminal Offense
Suspension

054
Medical Assistance (Medicaid)

03/26/97 Permanent
FERRANDINO, LUIGI, M.D.
8 EAST RAMAPO AVENUE
MAHWAH, NJ 07430
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
FERRARI, FRANCIS M.
482 KEARNEY AVENUE
KEARNY, NJ 07032
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

02/16/95 Permanent
FERREIRA, MARIA, PRESIDENT
96 CLIFFORD STREET
NEWARK, NJ 07108
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

01/10/11 01/07/14
FERREIRA, NUNO, PRESIDENT
295 BALTURSOL WAY
SPRINGFIELD, NJ 07081
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

05/08/12 05/07/15
FERRELL, NOEL, OWNER
50 POINT STREET
HAINESPORT, NJ 08036
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

08/29/11 08/28/14
FERRELL, THOMAS W., V-PRESIDENT
905 CHURCH STREET
ROYERSFORD, PA 19468
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

06/24/11 06/23/14
FERRINGO, MICHAEL J.
616 GLEN COURT
TURNERSVILLE, NJ 08012
Medical
Other
Disqualification

054
0018

06/20/12
FERRO, MICHAEL F.
89 JEANNE COURT
STAMFORD, CT 06905
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

08/09/13 08/08/16
FERSTANGIG, RUSSELL A, MD
179 MAPLE AVE.
RIDGEWOOD, NJ 07450
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

12/07/87 Permanent
FILLIPONE, DENNIS R, MD.
147 STANTON ROAD
FLEMINGTON, NJ 08822
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

11/21/98 Permanent
FINDER, RICHARD, D.C.
810 ABBOTT BLVD.
FORT LEE, NJ 07024
Medical
Criminal Offense
Debarment

Human Services
Medical Assistance (Medicaid)

05/01/04
FINE, EDWARD
271 MOORE LANE
HADDONFIELD, NJ 08033
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

09/28/83 Permanent
FINE-TRANS MEDICAL TRANS.
2824 KENNEDY BLVD. #465
JERSEY CITY, NJ 07306
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)

06/14/94 Permanent
FINESMITH, ROSS, M.D.
PARKVIEW AVENUE
BASKING RIDGE, NJ 07920
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

08/10/07 Permanent
FINK, DAVID, PHD
139 HIGHLAND AVENUE
METUCHEN, NJ 08840
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/20/03
FINKEL, MARINA
75 STONEGATE DRIVE
STATEN ISLAND, NY 10304
Medical
Criminal Offense
Disqualification

054
0018

10/03/13
FIORE, THEODORE
9 SILVER COURT
EAST HANOVER, NJ 07936
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

04/03/14 04/02/17
FISCHBERG, JUAN C., MD
354 RUSSELL AVENUE
EDGEWATER, NJ 07020-3133
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/19/08
FISCHMAN, HAROLD
56 BOWDOIN ST
MAPLEWOOD, NJ 07040
Medical
Industry Law Violation
Disqualification

Law and Public Safety
Consumer Affairs Board of Medical Examiners

06/01/93 Permanent
FISH, MICHAEL
1500 PINE PARK AVENUE
LAKEWOOD, NJ 08701
Medical
Other
Debarment

054
Medical Assistance (Medicaid)

04/20/07 07/17/13
FISHER, DARRYL
55 SHELBOURNE STREET
BURLINGTON, NJ 08016
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

03/06/06
FLEISCHER, MARK H. M.D.
P.O. BOX 600, FCI
OTISVILLE, NY 10963
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

04/20/05
FLEISCHMAN, EDWARD, D.O.
3804 CHURCH ROAD
MOUNT HOLLY, NJ 08054
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

08/25/98
FLEMING, KEVIN M. MD
710 STATION AVENUE 2 FLR
HADDON HEIGHTS, NJ 08035
Medical
Contingent Fees
Suspension

054
0018

11/20/10
FLEURANTIN, RUBEN J.
SCOTLAND ROAD
SO. ORANGE, NJ 07079
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

03/20/08
FLEURY, DIANE, RN
552 PENNY STREET
FRANKLINVILLE, NJ 08322
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/20/01
FLORES, MARIE MIRAVITE RN
258 DEEP BROOK COURT
PISCATAWAY, NJ 08854
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

09/20/04
FLOUNDERS, JOSEPH P.
106 W. MIAMI AVE.
VILLAS, NJ 08251
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/20/05
FLOWERS, HERMAN J., JR.
143 V URSINUS COURT
PEMBERTON, NJ 08075
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

12/10/97 Permanent
FLOWERS, HERMAN T.
143 V URSINUS COURT
PEMBERTON, NJ 08075
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

03/16/99
FLOYD, JAMES
1733 BLAKE BOTTOM ROAD NW
HUNTSVILLE, AL 35806-1259
Medical
Criminal Offense
Disqualification

054
Medical Assistance (Medicaid)

02/26/10
FOLK, THOMASA A.
463 IRVINGTON AVENUE
ELIZABETH, NJ 07201
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

03/19/06
FOLKERTS, ANNAMARIA M, MD
32 OAK PLACE
HAWTHORNE, NJ 07506
Medical
Industry Law Violation
Disqualification

Law and Public Safety
Consumer Affairs Board of Medical Examiners

12/08/93 Permanent
FONTANELLA, DANIEL, DC
27 MOUNTAINWOOD COURT
TOTOWA, NJ 07512
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

11/20/03
FONTANEZ, MODESTO
1838 2ND AVENUE
NEW YORK, NY 10128
Medical
Other
Disqualification

054
0018

10/07/11
FORBES, AASE RN
882 DEWEY STREET
UNION, NJ 07083
Medical
Other
Disqualification

054
Medical Assistance (Medicaid)

04/20/09
FORDE, DLACY, SHIVONNE
57 CHESTNUT STREET C4
EAST ORANGE, NJ 07018-3062
Medical
Other
Disqualification

054
0018

03/08/10 03/08/15
FORTE, GARY
44 SUMMIT AVENUE
BERLIN, NJ 08009
Vendor
Criminal Offense
Suspension

Treasury
Treasury Purchase Bureau

08/27/01
FORTI, PAUL J., PH.D.
6 SILVER SPRING COURT
EAST HANOVER, NJ 07936
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

07/19/01 Permanent
FRAENKEL, DAVID M, DDS
BERGEN MALL DENTAL OFFICE
PARAMUS, NJ 07652
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)

11/04/91 Permanent
FRANCO, DAISY
URB JARDIN DE S. ANNA
COAMO, NJ 00769
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

08/10/07 Permanent
FRANCO, FABRICIO
1406 LEXINGTON PLACE
ELIZABETH, NJ 07208
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

06/10/13 06/09/16
FRARE, ROBERT DDS
15 PROMENADE PLACE
VOORHEES, NJ 08043
Medical
Other
Disqualification

054
0018

08/29/14 Permanent
FRARE, ROBERT DDS
15 PROMENADE PLACE
VOORHEES, NJ 08043
Medical
Other
Disqualification

054
0018

08/29/14
FRASCA, CLIFFORD, C.
637 WESTON DRIVE
TOMS RIVER, NJ 08755
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

04/08/99 Permanent
FRASCA, RACHEL
326 COLES MILL ROAD
WILLIAMSTOWN, NJ 08094
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

01/07/14 01/06/17
FRASCA, SCOTT
326 COLES MILL ROAD
WILLIAMSTOWN, NJ 08094
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

01/07/14 01/06/17
FRASER, KEITH
6 WEDGEWOOD DRIVE, UNIT7
VERONA, NJ 07044
Medical
Criminal Offense
Disqualification

054
0018

01/10/11
FRASER, SHAWN E.
P.O. BOX 7000
FORT DIX, NJ 08640
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/20/05
FREDERICK, KIMBERLY M
78 BOUNDARY AVENUE
HANOVER, PA 17331-3907
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

09/12/08
FREE, JOSEPH
149 GARFIELD AVENUE
STATEN ISLAND, NY 10305
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

03/06/13 03/05/16
FREE, KEVIN R., M.D.
14 PATTEN TERRACE
CEDAR GROVE, NJ 07009-1920
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

07/14/98 Permanent
FRICK, JAMES, NURSES AID
1626 ABBOT AVENUE
TOMS RIVER, NJ 08753
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

05/05/04
FRIEDMAN, AMIR
390 N. BROADWAY, STE 1000
PENNSVILLE, NJ 08070
Medical
Other
Debarment

054
0018

08/01/14
FRIEDMAN, SHERRY, RN
12 HOPI TRAIL
OAK RIDGE, NJ 07348
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/19/03
FRIEND, CHARLES, LPN
2336 CORBETT RD
PENNSAUKEN, NJ 08109
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/19/03
FRIMPONG, KOFI
ESSEX ROAD
MAPLEWOOD, NJ 07040
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

12/20/07
FRISCH, FREDERICK
7 SOUTH DUDLEY AVE.
VENTOR, NJ 08406
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
FRISINA, LORI A.
235GRAND AVENUE
RUTHERFORD, NJ 07070
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

06/27/13 06/26/16
FRITTS, LARRY F., R.N.
5 AUTUMN RIDGE LANE
PHILLIPSBURG, NJ 08865
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/20/05
FROHWIRTH, DANIEL H, MD
MEADOW RD P O BOX 274
WHITEHOUSE, NJ 08888
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

04/18/92 Permanent
FROMER, CARL H., M.D.
1000 CLOVER ROAD, APT. 7R
STATEN ISLAND, NY 10314
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

06/20/00 Permanent
FROMM, JOSEPH MICHAEL
28301 ATLANTIC AVE.#110 S
ATLANTIC CITY, NJ 12345
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
GABER, ROBERT A. DMD
100 VAIL ROAD
PARSIPPANY, NJ 07054
Medical
Criminal Offense
Disqualification

054
Medical Assistance (Medicaid)

12/19/88 Permanent
GABRIEL, NWALA, RPH
34 SCHOOL STREET
PISCATAWAY, NJ 08854-5931
Medical
Other
Disqualification

054
0018

02/23/10
GADHOK, RAJINDER S., CLD
120 CIRCEL AVE., BOX 121
BERKELY HGHTS, NJ 07922
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

08/12/97 Permanent
GAINES, TONI
4650 COLES MILL ROAD R-3
WILLIAMSTOWN, NJ 08094
Medical
Criminal Offense
Disqualification

054
0018

08/03/06 08/03/14
GALCIK, DIANE, L.P.N.
34 MAHAN STREET
TENAFLY, NJ 07670
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/20/01
GALIN, MILES A., M.D.
EAST END AVENUE
NEW YORK, NY 10128-7763
Medical
Criminal Offense
Debarment

Human Services
Medical Assistance (Medicaid)

09/19/08
GALINSKY, RONALD C., ED.D
34 DUNHILL DRIVE
VOORHEES, NJ 08043
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

12/01/98 Permanent
GALL, WILLIAM J D.O.
22 STONEGATE COURT
BLACKWOOD, NJ 08012
Medical
Other
Disqualification

054
Medical Assistance (Medicaid)

07/20/09 Permanent
GALLAGHER, BRENDA JO RN/L
14B WISHING WELL ROAD
HAMBURG, NJ 07419
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

04/19/01
GALLAGHER, JOANNE M., D.C.
108 BENJAMIN AVENUE
CONYNGHAM, PA 18219
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/20/05
GALLAGHER, PATRICIA A.
111 QUAKER ROAD
MICKLETON, NJ 08056
Medical
Criminal Offense
Disqualification

054
0018

08/20/14
GALLAGHER, STEPHEN, OWNER
221 COOLIDGE ST, STE. 11
LINDEN, NJ 07036
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

07/30/12 07/29/15
GALLAGHER, WALTER B. JR. R.N.
132 TULIP LANE
SUMMIT, NJ 07901
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/20/05
GALLE, JAMES, R.PH.
105 ELM AVENUE
HACKENSACK, NJ 07644
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

09/16/03
GALLETTA GEORGE W.
3001 E. CHESTNUT AVE A1
VINELAND, NJ 08361
Medical
Criminal Offense
Disqualification

054
0018

02/19/09
GALLETTA, ERNEST
FCI FAIRTON P.O. BOX 420
FAIRTON, NJ 08320
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

02/19/09
GANDHI, HIREN PHARMA. CO. EMPLOYEE
120 ROLLING BROOK DRIVE
EDISON, NJ 08820
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/20/05
GANNON, MATTHEW J., PRES.
16 ABBOTT AVE
OCEAN GROVE, NJ 07756
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

02/01/12 01/29/15
GANTI, SASHI, M.D.
2035 HAMBURG PIKE
WAYNE, NJ 07410
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

08/20/97 Permanent
GARCEN, GINA, D.C.
57 GREEN STREET
WOODBRIDGE, NJ 07095
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

03/24/00 Permanent
GARCIA, CESAR
64 GRANDVIEW AVENUE
NO. PLAINFIELD, NJ 07060
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

05/01/14 04/30/17
GARCIA, DIANE LCSW
6612 TERRA DOLCE AVE NW
A;BUQUERQUE, NM 87114
Medical
Other
Disqualification

054
0018

01/18/12
GARDINER, MICHAEL, A., DC
2066 MILBURN AVENUE
MAPLEWOOD, NJ 07040
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

02/03/03
GARIPALLI, LAXMIPATHI MD
11 COLTS GAIT LANE
COLTS NECK, NJ 07722
Medical
Other
Disqualification

054
0018

09/20/12
GARIPALLI, LAXMIPATHI
COLTS GAIT LANE
COLTS NECK, NJ 07722-1468
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

04/21/08
GARRITANO, RALPH E, MD
281 GROVE ST
ORADELL, NJ 07649
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
GARZA, JOHN
768 CHAMBERS STREET
TRENTON, NJ 08611
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

04/28/14 04/27/17
GEFFEN,_STEVEN
50 SKYLARK COURT
MARLBORO, NJ 07746
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

08/15/00 Permanent
GENARD, WILLIAM C., PRESIDENT
230 8TH AVENUE
COLLEGEVILLE, PA 19426
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

06/24/11 06/23/14
GENNINGER, LEWIS E, MD
95 SOUTH MAIN ST
PHILLIPSBURG, NJ 08865
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)

01/10/88 Permanent
GENSHEIMER, MAUREEN, LPN
1409 EDGEMERE ROAD
WALL, NJ 07719
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/19/02
GEORGE, JOBY
395 MYRTLE STREET
CLIFFWOOD, NJ 07721
Medical
Criminal Offense
Debarment

054
0018

07/18/11
GERARDO, LETICIA M., M.D.
317 MT. PROSPECT AVE.
NEWARK, NJ 07104
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

05/30/97 Permanent
GIANETTI, JOSEPH P., JR., DC
LINDEMAN AVENUE
CLOSTER, NJ 07624
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/18/08
GIANNATTASIO, JOHN
89 JEANNE COURT
STAMFORD, CT 06905
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

08/09/13 08/08/16
GIANNOTTO, ANTHONY, MD
31 PALM STREET
NEWARK, NJ 07106
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)

11/24/88 Permanent
GIARRETTA MARY SUEANNE RP
9 KINGWOOD AVE
FRENCHTOWN, NJ 08825
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
GIBBONS SHAWN S
40 DOVER STREET
NEWARK, NJ 07106-1607
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

11/24/07
GIBBONS, WAYNE L., M.D.
2 EAST RIVER DRIVE
WILLINGBORO, NJ 08046
Medical
Criminal Offense
Debarment

Human Services
Medical Assistance (Medicaid)

01/12/01 Permanent
GIBBS MARY E PHARM. TECH.
157 ANDREW STREET
HAMILTON, NJ 08610
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

02/14/02
GIBBS, ARLENE, C.N.A
35 CIVIC SQUARE, #23
IRVINGTON, NJ 07111
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

01/28/06
GIBBS, ARLENE, CNA
18 BELLEVILLE CT APT C
BELLEVILLE, NJ 07109
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

05/20/07
GIBNEY, EDWARD D
10 CEDAR LAKE
DENVILLE, NJ 07834
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
GIBSON, MARY E., L.V.N.
376 MADISON AVENUE
RAHWAY, NJ 07065
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

07/18/01 Permanent
GILL, ALYSON, RN
115 BRADLEY COURT
LAUREL SPRINGS, NJ 08021
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/19/03
GILL, JEFFREY J., DPM
1168 BEACON AVENUE
MANAHAWKIN, NJ 08050
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

09/13/99 Permanent
GILLARD, MARY, RN
321 SUNSET AVE., APT.2H
ASBURY PARK, NJ 07712
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

04/20/03
GILMORE, BRUCE STEWART, M.D.
FRANKLIN DRIVE
ARDMORE, OK 73401--0804
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/18/08
GITKIN, SAMUEL
1288 15TH STREET
FORT LEE, NJ 07024
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

04/18/02
GLASER, VICTORIA, M., RN
1612 THIRD STREET
RENSSELAER, NY 12144
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/18/02
GLASS, MICHAEL R.
1345 SLATERVILLE ROAD
ITHACA, NJ 14850
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

01/18/07
GLASS, MICHAEL
1345 SLETERVILLE ROAD
ITHACA, NJ 14850
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

01/18/07
GLASS, MICHEAL
1345 SLATERVILLE ROAD
ITHACA, NJ 14850
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

01/18/07
GLEASON, WALTER
252 LILLBRIDGE APTS.
CLEMENTON, NJ
Vendor
Criminal Offense
Suspension

Treasury
Treasury Purchase Bureau

08/27/01
GOLDBERG, ARTHUR
PO BOX 239
AVERNE, NY 11692
Vendor
Criminal Offense
Suspension

Treasury
Treasury Purchase Bureau

09/07/00
GOLDBERG, JESSE G. AKA BLACKFORD, JOSHUA
316 SEATON AVENUE
ROSELLE PARK, NJ 07204
Vendor
Industry Law Violation
Suspension

Treasury
Treasury Purchase Bureau

10/12/04
GOLDSTEIN, JACK
695A MAIN STREET
LUMBERTON, NJ 08048
Medical
Other
Debarment

054
0018

08/28/14
GOLEV, DIMO
7 ROSELAND AVENUE
TOTOWA, NJ 07512
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

06/10/14 06/09/17
GOLIN, MARK, W., MD
172 FRANKLIN AVE., SUITE4
RIDGEWOOD, NJ 07450-3229
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

03/20/03
GOMES, ANTONIO, JR.
41 HAMILTON AVE
KEARNY, NJ 07032
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

08/09/13 08/08/16
GOMOLINSKI, NANCY
23 FORSHEE CIRCLE
MONTVALE, NJ 07645
Medical
Criminal Offense
Disqualification

054
0018

05/07/14
GONSHERY, DENISE C.
900 MCELWEE ROAD
MOORESTOWN, NJ 08057
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

02/20/05
GONZALEZ, EFRAIN
256 GROVE STREET
NORTH PLAINFIEL, NJ 07060
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

03/06/12 03/05/15
GONZALEZ, FELICIA E.
1203 GREEN VIEW WAY
TOMS RIVER, NJ 08753
Medical
Criminal Offense
Debarment

054
0018

09/19/11 06/17/13
GONZOPH, BARBARA, LPN
208 WAYNE TERRACE
COLLINGWOOD, NJ 08108
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/19/04
GOOBERMAN, LANCE, MD
1 SOUTH CENTRE STREET
MERCHANTVILLE, NJ 08109
Medical
Other
Suspension

054
Medical Assistance (Medicaid)

02/24/04 07/23/12
GOODEY, KATHLEEN
333 WHITTIER AVENUE
DUNELLEN, NJ 08812
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

05/23/97
GOODIN, RICHARD, C., MD
RIVERVIEW CORRECTIONAL
OGDENSBURG, NY 13669
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

08/19/04
GOODWIN, BARBARA, G., RN
1201 NORTH CHARLOTTE ST.
DICKSON, TN 37055
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

12/19/02
GORDON, BARBARA X-RAY TEC
133 MORTON AVENUE
S. PLAINFIELD, NJ 07080
Medical
Criminal Offense
Disqualification

054
Medical Assistance (Medicaid)

04/05/01 Permanent
GORDON, CRAIG W. MD
8 SHERWOOD CIRCLE
LINDEN, NJ 07036
Medical
Criminal Offense
Disqualification

054
Medical Assistance (Medicaid)

03/18/93 Permanent
GORDON, CRAIG W., MD
164 RIVEREDGE DRIVE #164
CHATHAM, NJ 07928
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

09/04/07
GORDON, HOWARD, MD
222 BROADWAY
NEWARK, NJ 07104
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
GOTAY, ALEXANDER
SSCF, P.O. BOX 150
DELMONT, NJ 08314
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

02/24/08
GRABOWSKI, ZBIGNIEW
35 JERSEY STREET
EAST RUTHERFORD, NJ 07073
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

05/15/13 05/14/16
GRANGER, MAI
15 PEPPERMINT LANE
WILLINGBORO, NJ 08046
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

09/29/99 Permanent
GRASSER, JENNIFER, B., RN
232 CLUB DRIVE
WALL, NJ 07719-9450
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/20/02
GRAUEHOLZ, JOHN, E., MD
P.O. BOX 2172
LESBURG, NJ 22075
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/19/02
GRAUERHOLZ, JOHN, E., MD
P.O. BOX 2172
LEESBURG, NJ 22075
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/19/02
GRAY, KEVIN
129 CHANCELLOR AVE
NEWARK, NJ 07112
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
GRAZIANO, NATALE, M.D.
470 BROOKSIDE LANE
SOMERVILLE, NJ 08876
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

12/01/98 Permanent
GREEN, JOHN N. MD
61 MAIN STREET
WEST ORANGE, NJ 07102
Medical
Criminal Offense
Suspension

054
0018

02/22/12 06/21/12
GREEN, JOYCE D., CHHA
PO BOX 145
WOODBINE , NJ 08270
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/20/03
GREEN, ROBERT
22 OLD SHORT HILLS ROAD
LIVINGSTON, NJ 07039
Medical
Industry Law Violation
Disqualification

054
Medical Assistance (Medicaid)

09/02/92 Permanent
GREENBERG, EDMUND, R.PH
270 HIGHLAND ROAD
S. ORANGE, NJ 07079
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

02/07/00 Permanent
GREENE, LIZA, RN
57 N. RIVER DRIVE
PENNSVILLE, NJ 08070
Vendor
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/19/03
GREENFARB, IRVING D.O.
160 LITTLETON ROAD
MORRIS PLAINS, NJ 07950
Medical
Industry Law Violation
Disqualification

054
Medical Assistance (Medicaid)

12/19/88 Permanent
GREENFIELD, RONALD W.
227 CLUB DRIVE
WALL, NJ 07719
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/19/01
GREENLEAF, JANICE, L.P.N.
110 EAST JUNIPER AVENUE
NORTH WILDWOOD, NJ 08260
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/20/05
GREENSPAN, WILLIAM
GILL LANE
ISELIN, NJ 08830
Vendor
Criminal Offense
Suspension

Treasury
Treasury Purchase Bureau

09/27/00
GRIGIONI, DENNIS J, PRESIDENT
110 HAVERFORD COURT
MOORESTOWN, NJ 08057
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

05/16/11 05/15/14
GRIMES, BRIDGET
293 LINCOLN STREET
PHILLIPSBURGH, NJ 08865
Medical
Criminal Offense
Debarment

054
0018

10/29/12 10/29/20
GRIZE, JEFFERY
3477 S. BLACKHORSE PIKE
WILLIAMSTOWN, NJ 08094
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

05/28/14 05/27/17
GROSSETT, KENNETH W II
SOUTH DUPONT ROAD
CARNEYSPOINT, NJ 08069
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

03/20/08
GUDE, ROBERT
9 WYCOFF TERRACE
FAIRLAWN, NJ 07410
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

02/06/13 02/05/16
GUENSCH, LISA M. RN
85 MORNING GLORY ROAD
WARREN, NJ 07059
Medical
Other
Disqualification

054
Medical Assistance (Medicaid)

05/20/09
GUERRERO, RAUL, CNA
110 JEROME AVENUE
SOUTH BOUND BRO, NJ
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

01/20/04
GUERRIERO, LUANN M., D.C.
C/O 21 KILMER DR, STE 2A
MORGANVILLE, NJ 07751
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/24/97
GUICE, AZIE VICE PRESIDENT
725 ELIZABETH AVENUE
NEWARK, NJ 07112
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

09/05/05
GUICE, JASON, C., SR.
725 ELIZABETH AVE.
NEWARK, NJ 07112
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/15/04
GUILBERT, RICARDO, LPN
SOUTHERN STATE CORREC FAC
DELMONT, NJ 08314
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

11/21/95 Permanent
GUILIANO, GINA, RN
1 KINDERKAMACK ROAD
WOODCLIFF LAKE, NJ 07677-8018
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

12/18/03
GUPTA, NAVEEN, RP
1700 OAK TREE ROAD
EDISON, NJ 08820
Medical
Other
Debarment

054
Medical Assistance (Medicaid)

03/04/99 Permanent
GUPTA, RASHMI J.
10913 CORY LAKE DRIVE
TAMPA, FL 33647
Medical
Criminal Offense
Debarment

054
0018

07/03/13
GUPTA, RASHMI
203 HASSE AVENUE
PARAMUS, NJ 07652
Medical
Criminal Offense
Debarment

054
0018

07/30/12
GUREVICH, NATALIA M.D.
31-23 CRESCENT ST. APT2C
ASTORIA, NY 11106
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/20/05
GUSSMAN, MICHAEL, DPM
141 GREENBROOK DRIVE
MARLTON, NJ 08053
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/20/01
GUSTAFSON, JOHN
39 CHARLES STREET
MONTGOMERY, NY
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

04/10/13 04/09/16
GUYTON, KATHLEN
228 SANFORD STREET
EAST ORANGE, NJ 07018
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

08/20/02
HABIB, IMAD
1529 39TH STREET 1ST FL
NORTH BERGEN, NJ 07047
Medical
Criminal Offense
Disqualification

054
0018

09/30/11
HAINES, E KEITH, MD
1210 BRACE ROAD
CHERRY HILL, NJ 08034
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)

10/15/91 Permanent
HAINES, RAMONA, L., RN
103 MEADOWVIEW CIRCLE
MARLTON, NJ 08053
Medical
Other
Suspension

054
Medical Assistance (Medicaid)

08/19/04
HAINES, ROBBIE A., RN
WHITE POND COURT
ABSECON, NJ 08205
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/18/07
HALAS, JOHN, PRES. ALLUVI
144 WHITEHALL DRIVE
VOORHEES, NJ 08043
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/20/02
HALL, AFRIKA M.
BRIARWOOD DRIVE
TOBYHANNA, PA 18466
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

10/02/07
HALL, ANNA M., RN
44 LAKE TRAIL EAST
WAYNE, NJ 07470
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/18/01
HALL, KIMBERLY D
UNAMI LANE
SCOTCH PLAINS, NJ 07076
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

02/23/09 Permanent
HALL, KIMBERLY
5 UNAMI LANE
SCOTCH PLAINS, NJ 07076
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

01/23/09 Permanent
HAMAD, ALIHIBER K.
100 RESERVOIR AVENUE
JERSEY CITY, NJ 07307
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

12/01/98 Permanent
HAMBERG, IVAN, O.D.
49 W. CHELTEN AVENUE
PHILADEPHIA, PA 19144
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

08/27/01 Permanent
HAMM, CARRIE, RN
1134 N. STILES STREET
LINDEN, NJ 07036
Medical
Other
Debarment

054
0018

02/23/10 02/23/13
HAMM, CARRIE, RN
1134 N STILES STREET
LINDEN, NJ 07036
Medical
Other
Suspension

054
Medical Assistance (Medicaid)

09/19/03 02/25/13
HAMPTON, GLYNDA, CNA
571 MONTGOMERY STREET
JERSEY CITY, NJ 07302
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

03/29/02 Permanent
HAND, EVELYN
789 WHEATLAND COURT
CAMDEN, NJ 08104
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

01/27/06
HANDERHAN, LEE J., RN
909 ABINGTON ROAD
CHERRY HILL, NJ 08034-3901
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

05/20/07
HANSCOM, CRYSTAL
1407 BROMLEY ESTATES
PINE HILL, NJ 08021
Medical
Criminal Offense
Disqualification

054
0018

08/08/11
HARLOW, ALBERT J.
515 SUMMIT LANE
RIEGELSVILLE, PA 18077
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

04/22/13 04/21/16
HARPER, JENNIFER, RN
131 HEMLOCK COURT
WOODBURY, NJ 08096
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/19/03
HARRELL, PAMELA, L., RN
1150 REDROCK CANYON RD
KATY, TX 77450
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/20/02
HARRIGAN, DAVID, D.C.
161 W. WHITE HORSE PIKE
ABSECON, NJ 08201
Medical
Other
Disqualification

054
Medical Assistance (Medicaid)

12/29/95
HARRIS, JOHNNIE
2 LAKE BLVD
EWING, NJ 08638
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

04/22/06 Permanent
HARRIS, PAUL
GB-46 PO BOX 26010
BEAUMONT, TX 77720
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

11/20/06
HARRIS-POOLE, IRENE, PTA
708G LUCAS LANE
VOORHEES, NJ 08043
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

08/20/03
HASSAN, SALAH A.
105 TONNELLE AVENUE
JERSEY CITY, NJ 07305
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

05/31/01 Permanent
HEGGS, PAMELA B.
P.O. BOX 4004
CLINTON, NJ 08809
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

10/18/07
HEIGEL, GEORGE
350 MAIN STREET
KERSEY, PA 15846
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

05/30/13 05/29/16
HELLER, ELLIOT, C., MD
1150 AMBOY AVENUE
EDISON, NJ 08837
Medical
Criminal Offense
Disqualification

054
Medical Assistance (Medicaid)

04/29/03 06/25/14
HENRY, SARA
54 CARVER AVENUE
LINDENWOLD, NJ 08021
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

03/07/08
HERIBERTO SANTIAGO-JIMINEZ
396 WOODLAND AVENUE
SOUTH AMBOY, NJ 08879
Medical
Criminal Offense
Disqualification

054
0018

09/19/11
HERMAN, THERESA, RN
676 HARBOR ROAD
BRICK, NJ 08724
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/20/04
HERNANDEZ-MATOS, JENNIFER
1410 OAK TREE DRIVE (H)
NORTH BRUNSWICK, NJ 08902
Medical
Criminal Offense
Disqualification

054
0018

06/25/13
HERNANDO, GILDA, BILLING
669A CHAMBERS STREET
TRENTON, NJ 08611
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

11/08/02
HERSCHMAN, ZVI J. MD
346 WILSON STREET
WEST HEMPSTEAD, NY 11552
Medical
Criminal Offense
Disqualification

054
0018

04/20/13
HERSCHMAN, ZVI
1 OLD SHORT HILLS ROAD
LIVINGSTON, NJ 07039
Medical
Other
Debarment

054
0018

10/28/13
HESSEIN, AMGAD
483 SOUTH ORANGE AVENUE
SOUTH ORANGE, NJ 07079
Medical
Criminal Offense
Suspension

054
0018

01/26/12
HEYMACH, GEORGE, M.D.
801 W. 57TH TERRACE
KANSAS CITY, MO 64113
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

08/27/01 Permanent
HEYMAN, JACK, DO
124 E MT PLEASANT AVENUE
LIVINGSTON, NJ 07039
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

01/07/83 Permanent
HIGGINS, GARY, RN
548 WAYSIDE ROAD
NEPTUNE, NJ 07753
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/20/02
HIGGINS, MARTIN
706 BLOOMFIELD AVENUE
NUTLEY, NJ 07110
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/20/05
HILL, MARK, PRESIDENT
68 COUNTRYSIDE LOOP
ELKTON, MD 21921
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

11/02/11 11/01/14
HILLERY, KATHLEEN M.
219 CENTER STREET
TUCKERTON, NJ 08087
Medical
Criminal Offense
Disqualification

054
0018

10/15/10
HILT, JOE, PRESIDENT
79 MYRTLE AVENUE
MICKELTON, NJ 08056
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

08/23/12 08/22/15
HILTON, JAMES, R., JR. MD
28 BROCKTON COURT
BEACON FALLS, CT 06403
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

04/03/02
HIMMELWRIGHT, VICTOR
44 LONDONDERRY WAY
SUMMIT, NJ 07901
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
HO, SHING D., M.D.
6 JAMOR COURT
NESCONSET, NY 11767
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/19/00
HOFFMAN, MARTIN, L. MD
7 CAREFREE LANE
SUFFERN, NY 10901
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

03/29/02
HOFFSPIEGEL, PAUL
56 SULLLIVAN DRIVE
WEST ORANGE, NJ 07052
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

08/06/98
HOFSTETTER, DAVID, OWNER
114 COUNTY ROAD 513
PITTSTOWN, NJ 08867
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/14/00
HOLLEY, WILLIAM C., PRESIDENT
4 NORTH PENNBROOK DRIVE
MIDDLETOWN, DE 19709
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

07/20/11 07/19/14
HOMAN, WALTER W.
FORECASTLE AVENUE
BEACHWOOD, NJ 08722
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/21/08
HOPPE, GERALDO
BOX 483A RD 1
MONROEVILLE, NJ 08343
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
HORN MURRAY RD
287 GARFIELD AVE
HAWORTH, NJ 07641
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
HORWITZ, KENNETH, R., RP
8 MOHAWK PLACE
RANDOLPH, NJ 07869
Medical
Other
Debarment

054
Medical Assistance (Medicaid)

10/31/03 07/20/11
HOUTAN, FARAH
269 STEELMANVILLE ROAD
EGG HARBOR, NJ 08234
Medical
Criminal Offense
Debarment

054
0018

05/01/12
HOUTAN, FARHAR(FARAH)
269 STEELMANVILLE ROAD
EGG HARBOR TOWN, NJ 08234-7801
Medical
Criminal Offense
Suspension

054
Medical Assistance (Medicaid)

10/27/09
HOWARD, REGINA R. NURSE AID
104 E. 8TH STREET
LAKEWOOD, NJ 08701
Medical
Criminal Offense
Disqualification

054
0018

10/30/13
HOWARD, ROBIN A., RN
196 KING AVENUE
TRENTON, NJ 08638
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

07/19/01 Permanent
HOWELL, CLIFTON
15 COLONY DRIVE WEST
WEST ORANGE, NJ 07052
Medical
Criminal Offense
Debarment

054
0018

10/18/12
HOWELL, CLIFTON
15 COLONY DRIVE WEST
WEST ORANGE, NJ 07052
Medical
Criminal Offense
Disqualification

054
0018

08/19/11
HRABARCHUK, EUGENE M.D.
925 CLIFTON AVENUE
CLIFTON, NJ 07013
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

12/01/98 Permanent
HSIA, VINCENT RPH
SCHUYLKILL FCI
MINERSVILLE, PA 17954
Medical
Criminal Offense
Disqualification

054
0018

05/01/14
HU, HSUN TUAN
154 HOMESTEAD PLACE
BOGOTA, NJ 07603
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

05/10/99 Permanent
HUDSON, CAVIN
126 WINDING RIDGE ROAD
DOVER, DE 19904
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

06/12/13 06/11/16
HUDSON, FITZGERALD
P.O. BOX 1000
MILAN, MI 48160
Medical
Criminal Offense
Debarment

054
0018

06/12/14
HUNDA, RAFAEL, M.D.
472 RIVER STREET
PATERSON, NJ 07524
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

09/21/01 Permanent
HUNTER, CHRISTOPHER, LPN-
430 BARTINE STREET
SOMERVILLE, NJ 08876
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/20/02
HUNTER, FRANK L., NURSING HOME EMPLOYEE
6 HARTZ DRIVE
BRIDGETON, NJ 08302
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

02/20/05
HUNTER-CORREA, LOUISA, DDS
372 FOREST AVENUE
PARAMUS, NJ 07652
Medical
Other
Suspension

054
0018

10/22/10
HUSSAIN, IFIKHAR
9 VAN COURTLAND AVENUE
STATEN ISLAND, NY 10301
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

01/29/03 Permanent
HUSSAIN, ZAHID, MD
301 ROUTE 9 NORTH
FREEHOLD, NJ 07728
Medical
Other
Suspension

054
0018

09/30/11
HUSTON, JOHN A, JR DN2591
8 PRODUCTION WAY
AVENEL, NJ 07001
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/29/97
HYMAN, DEBORAH
6 HASTINGS LANE
FLEMINTON, NJ 08822
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/20/06
HYMAN, RONALD RPH
3845 DEMPSEY
HUNTINGTON VALL, PA 19006
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

01/19/05
IBRAHIM, GASIM
340 FIARMOUNT
JERSEY CITY, NJ 07306
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

12/11/96 Permanent
IGBINADUWA, NEWTON R.PH.
116-35 139TH STREET
JAMAICA, NY 11436
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/19/05
IGNACCOLO, EMANUEL E
688 WYCHOFF AVENUE
MAHWAH, NJ 07430
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
IKEH, CHIDI, ETHELBER
P.O. BOX 26030
BEAUMONT, TX 77720
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

03/09/08
ILEM, PRISCILLA G, MD
782 ALPS ROAD
WAYNE, NJ 07470-3920
Medical
Criminal Offense
Disqualification

054
0018

10/27/13
ILEWSKI, TOMASZ, PRESIDENT
803 CHARLES STREET
SOUTH AMBOY, NJ 08879
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

07/20/11 07/19/14
ILLINGWORTH, DONNA L.P.N.
1505 CLAIRE ROAD
FORKED RIVER, NJ 08731
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/19/05
INNES, GEORGE MICHAEL JR. GALE & DANCKS, LLC
1736 EAST GENESEE ST.
FAYETTEVILLE, NY 13066
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/20/05
INSABELLA, HARRY, DDS
591 SOMERSET ST.
SOMERSET, NJ 08873
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

07/01/97 Permanent
IQBAL, MOHAMMED S., M.D.
LINWOOD AVENUE
RIDGEWOOD, NJ 07450-3534
Medical
Criminal Offense
Debarment

Human Services
Medical Assistance (Medicaid)

09/12/08
IRVING, EDWARD, J., RNA
202 SEYMOUR AVENUE
NEWARK, NJ 07108
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

04/20/04
IRVING, EDWARD, J., RNA
202 SEYMOUR AVE.
NEWARK, NJ 07108-1747
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

04/20/04
ISACCSON STEVEN
1959 BIRCHWOOD PARK DRIVE
CHERRY HILL, NJ 08034
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
ISLAMBEKOV, ALLANUR
11 ARBORETUM DRIVE
JACKSON, NJ 08527
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

05/12/14 05/11/17
ISMAIL, MOHAMED, RP
4 GRAHAM COURT
PARSIPPANY, NJ 07054
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

12/18/03
IVANSHENKO, ALEXANDER
31 GOLDSMITH DRIVE
HOLMDEL, NJ 07333
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/25/99
JACKSON, GEORGE D. PHD
367 FAIRVIEW AVE.
ORANGE, NJ 07050
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
JACOBS, ROSS M.
15 MAST DRIVE
BARNEGAT, NJ 08005
Vendor
Industry Law Violation
Suspension

Treasury
Treasury Purchase Bureau

10/12/04
JACOBSON, CRAIG, D.C.
1219 LIBERTY AVENUE
HILLSIDE, NJ 07205
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

03/24/00 Permanent
JACOBSON, DEBRA
661 RT. 9
BAYVILLE, NJ 08721
Medical
Criminal Offense
Disqualification

054
0018

01/25/11 01/25/13
JACOBSON, JAY P., D.C.
25 DEER PATH
HOLMDELL, NJ 07733
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

04/12/96 Permanent
JACQUES, ARNOLD, J. MD
31 BRIDGEWATER COURT
JACKSON, NJ 08527-4030
Medical
Other
Disqualification

054
0018

07/30/11
JAFARI MARYAM MD
176 BLOOMFIELD AVENUE
NEWARK, NJ 07104
Medical
Criminal Offense
Suspension

054
0018

02/22/12
JAKUBCZAK, ARTHUR F, D.C.
465 RATHBURN PLACE
PERTH AMBOY, NJ 08861
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

01/18/01
JAMES, GLORIA M. R.N.
18 LINDEN COURT
JERSEY CITY, NJ 07305
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/20/05
JAMISON, ROBERT W., D.O.
79 PARTRIDGE LANE
CHERRY HIL, NJ 08003
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

09/11/00 Permanent
JANKULOSKI, MARIA
4 QUARTZ LANE
PATERSON, NJ 07501
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

06/10/14 06/09/17
JANVIER-PIERRE, MARY
6400 BRIDGEPORT LANE
LAKE WORTH, FL 33463
Medical
Criminal Offense
Debarment

054
0018

05/20/12
JARMON, ROBERT, G., MD
8 BRIGHTON AVENUE
SPRING LAKE, NJ 07762
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

05/09/02
JASCALEVICH, MARIO E
10 PRISCILLA LANE
ENGLEWOOD CLIFF, NJ 07632
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
JASZCZULT, JOAN E., D.O.
50 NEWARK AVENUE, APT 309
BELLEVILLE, NJ 07109
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

02/03/06
JAVID, MOHAMMAD
E. JERSEY STATE PRISON
RAHWAY, NJ 07065
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/20/00
JAYARAM, AJIT MD
215 SOUTH BURLINGTON RD
BRIDGETON, NJ 08302
Medical
Criminal Offense
Disqualification

054
0018

04/04/14
JAYARAM, AJIT MD
215 SOUTH BURLINGTON ROAD
BRIDGETON, NJ 08302
Medical
Criminal Offense
Disqualification

054
0018

08/20/13
JEAN-BAPTISTE, DEMESVAR, A
775 MOUNTAIN BLVD STE 1
WATCHUNG, NJ 07069
Medical
Other
Suspension

054
0018

09/19/11
JECK, CHARLES, N., DO
1 CHICKORY PLACE
NEWTOWN, PA 18940
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

07/05/02
JEFFRIES, MARC
2 MILLER LANE
WHITEHOUSE STAT, NJ 08889
Medical
Criminal Offense
Disqualification

054
0018

03/13/14
JEMINI, DAVID
PO BOX 280, HWY. 698
FAIRTON, NJ 08320
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/18/02
JEMINI, JACK
PO BOX 600
ELGIN, FL 32542
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/18/02
JENNIFER KIM, RP
1117 INWOOD TERRACE
FORT LEE, NJ 07024-1623
Medical
Other
Debarment

054
Medical Assistance (Medicaid)

10/23/03
JIBEAU, GUY
40 ENTERPRISE AVENUE
TRENTON, NJ 08638
Vendor
Failure to Perform
Debarment

082
Treasury Purchase Bureau

04/10/13 Permanent
JIMENEZ, JOSE, COUNSELOR
EXTENSION VILLA RITA P.R.
SAN SEBASTIAN, NJ 00685
Medical
Other
Suspension

054
Medical Assistance (Medicaid)

12/08/03 12/08/11
JIMS TRANSPORTATION
49 WESTERN PARKWAY
IRVINGTON, NJ 07111
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

04/11/06
JINGH, SAGGOO, M.D.
485 S. DOBSON RD, STE 202
CHANDLER, AZ 85224
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

11/20/95
JOACHIM, LEONARD, M.D.
26 LAKE DRIVE
MOUNTAIN LAKES, NJ 07046
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

12/05/97 Permanent
JODELKA, ERIK R.PH
391 BEECROFT PLACE
OAKHURST, NJ 07755
Medical
Other
Debarment

054
0018

08/20/06 02/23/11
JOHNSON, BRENDA, C., LPN
232 OAK STREET
WILLIAMSTOWN, NJ 08094
Medical
Other
Suspension

054
Medical Assistance (Medicaid)

01/19/03
JOHNSON, CAROLE
390 SENECA ROAD
ST. MARYS, PA 14857
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

05/30/13 05/29/16
JOHNSON, DENISE M. R.N.
12 SIOUX TRAIL
DENVILLE, NJ 07834
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

04/20/05
JOHNSON, DUWANA L.
213 MARTIN LUTHER KING DR
LAKEWOOD, NJ 08701
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/14/05
JOHNSON, HENRY (OWER)
1258 N. EAST AVENUE
VINELAND, NJ 08360
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

01/25/13 01/24/16
JOHNSON, JULIE ANN
1145 MANTUA PIKE
MANTUA, NJ 08051
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/19/01
JOHNSON, ROBERT
1608 4TH AVE.
ASBURY PARK, NJ 07712
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

01/06/06
JOHNSTON, KELLIE
1697 SYLVAN DRIVE
BLUE BELL, PA 19422
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/19/06
JONES, CYNTHIA, R., RN
1089 HAWSER AVENUE
MANAHAWKIN, NJ 08050
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/20/02
JONES, DAVID, L.P.N.
97 LINCOLN PARK
NEWARK, NJ 07102
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

03/20/03
JONES, MICHELLE
446 PROSPECT STREET-B16
LAKEWOOD, NJ 08701
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/30/05
JONES-PRICE, ANTIONETTE
PO BOX 1006
WENDELL, NC 27591
Medical
Criminal Offense
Disqualification

054
Medical Assistance (Medicaid)

06/01/00 Permanent
JOO, EUI D, MD
29 TIP TOP WAY
BERKELEY HGHTS, NJ 07922
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)

10/14/85 Permanent
JOSE, DELIA V.
185 S.EUCLID ST, SUITE111
PASADENA, CA 91101
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

04/22/97
JOSHI, JAYENDRA
95-05 37TH AVE., APT.1-A
JACKSON HGHTS., NY 11373
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

06/04/97 Permanent
JOSS, ETHAN E.
111 9TH AVENUE
HADDON HEIGHTS, NJ 08035
Construction
Criminal Offense
Debarment

Treasury
Treasury Property Management and Construction

06/29/07 Permanent
JUISTON, PEGGY
17 MYRTLE AENUE
IRVINGTON, NJ 07111
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/05/00 Permanent
JUNGER,SYLVAIN S.,MD
270 PENNINGTON AVENUE
PASSAIC, NJ 07055-4805
Medical
Criminal Offense
Disqualification

054
0018

04/20/11 04/20/16
JUODENKO, ANDREW
949 SPRING VIEW DRIVE
SOUTH HAMPTON, PA 19114
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

10/25/12 10/24/15
JUPITER, RONALD
119 EYLAND AVENUE
SUCCASUNNA, NJ 07876
Medical
Criminal Offense
Disqualification

054
0018

05/05/14
JURGENSON, THEODORE W
438 BROADWAY
LONG BRANCH, NJ 07746
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
JYAMFI ,CHARLES
71 OLD SHORT HILLS ROAD
WEST ORANGE, NJ 07052
Medical
Contingent Fees
Suspension

Human Services
Medical Assistance (Medicaid)

03/22/06
KACHMAR, DAVID, PRESIDENT
11 BLUE RIDGE AVENUE
GREEN BROOK, NJ 08812
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

11/18/11 11/17/14
KAHONU, ANNE N.
315 MILL ST.
S. PLAINFIELD, NJ 07080
Medical
Criminal Offense
Debarment

054
0018

01/19/13
KALFUS, DENIS H., DPM
1015 EAST GLEN AVE.
WASHINGTOWN TWP, NJ 07606
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/19/03
KALLEN, HERBERT
274 RIVER ROAD
ST JAMES ISLAND, NY 11780
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
KAMARA, HELEN, H., CHHA
P.O. BOX 509
PALMYRA, NJ 08065
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/20/02
KANIA, RAMESHCHA MD
310 CENTRAL AVE SUITE 10
EAST ORANGE, NJ 07018
Medical
Criminal Offense
Suspension

054
0018

02/22/12
KANIA, RAMESHCHAN MD
310 CENTRAL AVE STE. 106
EAST ORANGE, NJ 07018
Medical
Criminal Offense
Disqualification

054
0018

01/20/14
KANKAM, MARTIN
13 G READING RD.
EDISON, NJ 07083
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

07/30/05
KANZ JOHN T
136 HILLCREST AVENUE
HILLTOP, NJ 07542
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
KAPLAN, DONALD
701 PALMER AVENUE
ALLENHURST, NJ 07711-1328
Medical
Criminal Offense
Suspension

054
Medical Assistance (Medicaid)

03/25/10
KAPLAN, HARMON B. DDS
1251 PATERSON PLANK RD.
SEACACUS, NJ 12345
Medical
Criminal Offense
Disqualification

054
Medical Assistance (Medicaid)

08/26/88 Permanent
KARES FRANCES FRITZ R.PH.
615 SUMMIT ROAD
UNION, NJ 07083
Medical
Criminal Offense
Disqualification

054
Medical Assistance (Medicaid)

02/16/83 02/16/91
KARFUNKEL, DAVID M.
100 HOWARD AVENUE
PASSAIC, NJ 07055-4438
Medical
Other
Disqualification

054
Medical Assistance (Medicaid)

04/02/08 10/25/13
KARGE, FREDRICK
PO BOX 190
AVENEL, NJ 07001
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

01/28/07
KARNER, ANNA, EMT
17 MAPLE AVENUE
PINE BROOK, NJ 07058-9773
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

07/23/02
KARSHENBOYM, ALEXANDER
90 WEST HILL ROAD
WOODCLIFF LAKE, NJ 07677
Medical
Criminal Offense
Debarment

Human Services
Medical Assistance (Medicaid)

09/20/07
KAUFMAN, SHOSHANA
349 JESTER COURT
OLD BRIDGE, NJ 08857
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

07/15/09
KAUL, RICHARD
292 ATLANTIC STREET
HACKENSACK, NJ 07601
Medical
Other
Debarment

054
0018

08/01/14
KAVROS, STEVEN J, DPM
12 HERITAGE COURT
CHERRY HILL, NJ 08034
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
KEE, TERRAYA C.
CLINTON STREET
CAMDEN, NJ 08105
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

11/30/07 Permanent
KEELEN, SUSAN, RN
272 OLD YORK ROAD
FLEMINGTON, NJ 08822
Medical
Other
Suspension

054
Medical Assistance (Medicaid)

06/20/01 01/27/12
KELLER, MIKE
233 LEXINGTON AVENUE
DUMONT, NJ 07628
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

03/06/13 03/05/16
KELLOGG, WILLIAM T., M.D.
47 MAPLE STREET, STE. 204
SUMMIT, NJ 07901
Medical
Other
Disqualification

054
Medical Assistance (Medicaid)

01/09/96 02/28/14
KELLY, MICHELLE, CNA
963 PARK AVENUE
PLAINFIELD, NJ 07060
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

03/24/02
KELLY-UPPER, DENISE
2200 ATLANTIS AVENUE
MAYS LANDING, NJ 08330
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

12/01/98 Permanent
KEMENY, GEORGE
THIRD STREET
ELIZABETH, NJ 07206
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)

11/22/77 Permanent
KENNETH DILUIGI, RN
RAVENSWOOD WAY
SEWELL, NJ 08080
Medical
Criminal Offense
Debarment

054
0018

12/17/08
KESHISHIAN, PAUL, DO
625 COBH ROAD
RIVER VALE, NJ 07675
Medical
Other
Debarment

054
Medical Assistance (Medicaid)

04/22/99 03/15/00
KHAJAVI, ABDOLALI, M.D.
HIGHWAY 94 & OSBOW LANE
FRANKLIN, NJ 07416
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

08/20/99 Permanent
KHAN, ASIF ALI
909A BROAD STREET
NEWARK, NJ 07102
Medical
Criminal Offense
Suspension

054
Medical Assistance (Medicaid)

06/05/96 Permanent
KHAN, AZAM HAYAT
107 CHARLESTON AVENUE
STATEN ISLAND, NY 10309-1655
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

07/07/08
KHAN, AZAM
687 FRELINGHUTSEN AVENUE
NEWARK, NJ 07114
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

10/21/99 Permanent
KHAN, MUNIR
238 GRAND ST. APT. 1
JERSEY CITY, NJ 07302
Medical
Criminal Offense
Debarment

054
0018

08/20/09 Permanent
KHAN, SALEEM, M.
336 2ND ST. APT.1
JERSEY CITY, NJ 07302
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/20/03
KHAN, TAUQIR (TAQUIR)
P.O. BOX 420
FAIRTON, NJ 08320
Medical
Criminal Offense
Suspension

054
0018

08/19/10 Permanent
KHANDWALA, NITIN, R.PH
225 MILLBURN AVENUE
MILLBURN, NJ 07041
Medical
Other
Disqualification

054
Medical Assistance (Medicaid)

10/21/99 11/29/12
KHANNA, YASH K. MD
825 BLOOMFIELD AVE ST L1
VERONA, NJ 07044
Medical
Criminal Offense
Suspension

054
0018

02/22/12
KHARKOVER, ALEKSANDR
FCI FORT DIX PO BOX 2000
FORT DIX, NJ 08640
Medical
Criminal Offense
Disqualification

054
0018

11/20/13
KHURANA, NERENORA
32 ROLLING HILLS LANE
HARRISON, NJ 10528
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
KIBALLO, MARIAN, B., RN
4 OJIBWA COURT
WARETOWN, NJ 08758
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

12/18/03
KILLEN, DAWN
804 COTSWOLD ROAD
SOMERDALE, NJ 08083
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/20/06
KIM, DO YOUN, M.D.
2302 BAY HEAD DRIVE
PARLIN, NJ 08859
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

07/13/99 Permanent
KIM, DO YOUN, M.D.
545 KEARNY AVENUE
KEARNY, NJ 07032
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/30/98
KIM, KI KUK
685 BERGEN BLVD.
RIDGEFIELD, NJ 07657
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

06/10/14 06/09/17
KIMBLE, SABRINA
341 OSBOURNE TERRACE, 2C
NEWARK, NJ 07106
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

02/23/09
KIMMEL, STEVEN
420 DELAWARE ST.
MINNEAPOLIS, MN 55455
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

04/01/02
KINDER, EDWARD P.
5180 LA TERRA AVE.
PAHRUMP, NV 89061-7051
Medical
Criminal Offense
Debarment

Human Services
Medical Assistance (Medicaid)

07/17/09 07/17/14
KING, DEBORAH, L.P.N.
9 RADFORD PLACE
WILLINGBORO, NJ 08046
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

10/18/01 Permanent
KING, JOHN ANDERSON
11310 S. ORANGE BLOSSOM T
ORLANDO, NJ 23837
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

03/20/07
KING, WILLIAM
LEWISBURG USP, BOX 1000
LEWISBURG, PA 17837
Medical
Other
Disqualification

054
0018

08/20/10
KIRWIN, SHANNON
114 NORTHMONT AVENUE
MOUNT EPHRAIM, NJ 08059
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

01/18/07
KISSAM, JEFFREY
1506 RUSTIC DRIVE
OCEAN TOWNSHIP, NJ 07712
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

11/28/92 Permanent
KLAUMENZER, JANE, RN
8 TENNESSEE AVENUE
LONG BEACH TWP., NJ 08008
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

04/20/03
KOGAN, VADIM, RN
56 NORMANDY DRIVE
PRINCETON JUNCT, NJ 08550-3275
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

12/18/03
KOLLMER, LANCE W., MD
101 OLD SHORT HILLS ROAD
WEST ORANGE, NJ 07052
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

07/18/01 Permanent
KONTOS, DIMITRIOS D., MD
463 TENAFLY ROAD
ENGLEWOOD, NJ 07631
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

02/20/00
KOPLITZ, MARSHALL
256 NORWOOD AVENUE
DEAL, NJ 07723
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

12/10/99
KORNAK, PAUL H., M.D.
ELKTON FCI, BOX 10
LISBON, OH 44432
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

04/19/07
KOSICKY, JOZEF
15 PARKWOOD DR., APT. L
S. AMBOY, NJ 08879
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

04/01/13 03/31/16
KOSLOV, GLEB M., DC
388 RAMAPO VALLEY ROAD
OAKLAND, NJ 07436
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

12/01/98 Permanent
KOUHOUPT, ZACHARY
5923 PEACH STREET
MAYS LANDING, NJ 08330
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

01/06/14 01/05/17
KOUSOULIDES, LOUISE
34 TOPANEMUS LANE APT. 14
FREEHOLD, NJ 07728
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

04/20/09
KOVAR, GRACE M. R.N.
929 CHELSEA DRIVE
BRICKTOWN, NJ 08724
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/19/05
KOZIUPA, HELENE, A., LPN
64 WESLEYAN DRIVE
TRENTON, NJ 08690
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/20/02
KRAEMER, LINDA MARIE L.P.N
436 SAINT ANDREW PLACE
MANALAPAN, NJ 07726
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

03/03/06
KRAEMER, LINDA
194 GENESIS DRIVE
BLANDON, PA 19510
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/19/06
KRAMER, LARRY, S., RP
650 PALISADES AVE
ENGLEWOOD CLIFF, NJ 07632
Medical
Criminal Offense
Disqualification

054
Medical Assistance (Medicaid)

01/10/03
KREISMAN, MARCIA, BILLING CLERK
8800 BOULEVARD EAST AP6J
NORTH BERGEN, NJ 07047
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

12/20/04 Permanent
KROHN, IVAN T., MD
33 NORTHLAND DRIVE
VINELAND, NJ 08360-4107
Medical
Criminal Offense
Disqualification

054
0018

04/20/11
KROHN, IVAN
33 NORTHWOOD DRIVE
VINELAND, NJ 08360
Medical
Criminal Offense
Debarment

054
0018

05/20/12
KUBACKI, JOSEPH
PO BOX 3949
PENSACOLA , FL 32516
Medical
Criminal Offense
Debarment

054
0018

05/20/13
KUBLIN, ANNE, M.D.
182 WHALEPOND ROAD
EATONTOWN, NJ 07724
Medical
Criminal Offense
Suspension

054
Medical Assistance (Medicaid)

03/19/04
KUKASH, ABBY
6648 WEXFORD AVENUE
RICHMOND, VA 23255
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

12/01/98 Permanent
KUMAR, ANIL, LABORATORY OWNER
184 OLD BEEKMAN ROAD
MONMOUTH JUNCT., NJ 08852
Medical
Other
Disqualification

054
Medical Assistance (Medicaid)

01/14/05 Permanent
KUMAR, SAROJ LABRATORY EMPLOYEE
184 OLD BEEKMAN ROAD
MONMOUTH JUNCT., NJ 08852
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

01/14/05 Permanent
KURBAN, HAKAN
41 SIDNEY AVENUE
RUTHERFORD, NJ 07070
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/22/99 Permanent
KURIAN, LISSYAMMA, RN
1253 COLLIDGE AVENUE
UNION, NJ 07083-3720
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/20/02
KURLANDER-ZAKARIA, TRACI
20 ROCK ROYAL ROAD
TRENTON, NJ 08620-1652
Medical
Criminal Offense
Disqualification

054
Medical Assistance (Medicaid)

02/26/10
KURTZ, JOEL P. D.M.D.
9 WESTGATE ROAD
LIVINGSTON, NJ 07039
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/19/05
LABRUNA, VINCENT, DDS
227 EAST 19TH STREET
NEW YORK, NY 10003
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

07/22/02
LABRUNA, VINCENT A
EAST 19TH STREET
NEW YORK, NY 10003-2602
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/19/02
LACEY, JOAN R., R.N.
479 INNES ROAD
WOODRIDGE, NJ 07075
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/19/00
LACRICCHIO RICHARD C
150 ROUTE 150
DENVILLE, NJ 07834
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
LAFON, MICHAEL, MD
107 E. MANTUA AVE.
WENONAH, NJ 08090
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

03/28/04
LAFTON, MICHAEL, MD
107 E. MANTUA AVE.
WENONAH, NJ 08090
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

03/28/04
LAGRADA, WILLIAM
1300 MAIN STREET, STE2D
CLIFTON, NJ 07011
Medical
Criminal Offense
Suspension

054
0018

02/15/12
LAGUERRE, JEAN EDWARD
1 62ND STREET APT 4C
W. NEW YORK, NJ 07093-4075
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

08/16/07
LAGUERRE, JEAN EDWARD, RPH
1 62ND STREET APT 4C
WEST NEW YORK, NJ 07093
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

02/29/08
LAM, MICHAEL
1625 ANDERSON AVE
FORT LEE, NJ 07024
Medical
Criminal Offense
Debarment

054
0018

03/06/14
LAMBRIOLA, VINCENT P, DDS
143 LITTLE FALLS
CEDAR GROVE, NJ 07009
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

02/20/01 Permanent
LAMPARELLI NICHOLAS
149 SUMMIT AVENUE
ISLAND HEIGHTS, NJ 08732
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
LAMPROU, EMANUEL
509 N. BROAD ST.
WOODBURY, NJ 08096
Medical
Criminal Offense
Debarment

054
0018

12/18/12 12/18/15
LANCE-LANNIGAN, JUDITH
12 PROSPECT HILL
FLEMINGTON, NJ 08822
Medical
Criminal Offense
Disqualification

054
0018

07/23/10 07/23/18
LANDOU, LISSA, S., DC
17B 16TH AVENUE
ELMWOOD PARK, NJ 07407
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

04/18/02
LANDOW, LISSA, S., DC
17B 16TH AVENUE
ELMWOOD PARK, NJ 07407-2903
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

04/18/02
LANE EDWIN C
BEACHWOOD BOULEVARD AND
BEACHWOOD, NJ 08722
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
LANG, ANTHONY
151 SOUTH DURAND PLACE
IRVINGTON, NJ 07111-1807
Medical
Criminal Offense
Disqualification

054
Medical Assistance (Medicaid)

10/19/09 10/19/14
LANG, BRIAN E., L.P.N. CITY TEAM INDUSTRIES
634 SPROUL STREET
CHESTER, PA 19013
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

03/20/06
LANG, DEBRA, CHHA
124 VAN BUSKIRK ROAD
TEANECK, NJ 07666
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/20/02
LANGLIEB, MARTIN S., DDS
0-94 MIDLAND AVENUE
FAIRLAWN, NJ 07410
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

08/25/99 Permanent
LANZA, PETER, VICE PRESIDENT
18 WILLETTA DRIVE
JACKSON, NJ 08507
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

06/14/11 06/13/14
LAPORTE, EDYNE RN/LPN
1107 FURTH ROAD
VALLEY STREAM, NY 11581-2531
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/27/07
LASHKEVICH, JOHN P.
9 CHARLES LANE
CHERRY HILL, NJ 08003
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/08/98
LASTRA, ABRAHAM
500 HIGHLAND AVENUE
NEWARK, NJ 07102
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

04/15/99 Permanent
LASTRA, ABRAHAM
1808 BERGENLINE AVENUE
UNION CITY, NJ 07087
Medical
Other
Suspension

054
0018

12/20/10
LATAWIEC, ANDREA, RN
1681 RARITAN ROAD
CLARK, NJ 07066
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/20/02
LAVELLE, BARBARA, RN
550 LINCOLN AVE.
RIDGEFIELD, NJ 07657
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

12/18/03
LAZOW, SOLOMON M, MD
199 MAIN ST
MATAWAN, NJ 07747
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
LEAKAVER RANDALL F MD
900 W MAIN ST
FREEHOLD, NJ 07728
Medical
Poor Performance
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
LEATHERDALE, LAURA, CHHA
4 MEETINGHOUSE ROAD
WRIGHTSTOWN, NJ 08562
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/19/03
LEE, AUGUSTINE
P.O. BOX 329002
BROOKLYN, NJ 11232
Medical
Criminal Offense
Debarment

054
0018

10/29/13
LEE, AUGUSTINE
905 STUYVESANT AVENUE
TRENTON, NJ 08618
Medical
Criminal Offense
Suspension

054
0018

12/22/11
LEE, BRIAN, LPN
1722 COPE STREET
CAMDEN, NJ 08104-3522
Medical
Other
Suspension

054
Medical Assistance (Medicaid)

10/20/02 08/09/13
LEE, S. SYLVIA
27 SUNSET PLACE
EMERSON, NJ 07630
Medical
Criminal Offense
Debarment

054
0018

08/26/13
LEE, SAMUEL, RP
34 PINAFORE LANE
WILLINGBORO, NJ
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

07/30/97 Permanent
LEE, STEVE Y, DDS
1219 MAIN AVENUE
CLIFTON, NJ 07111
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/19/01
LEIBER, CHARLES
5804 BOARDWALK
VENTOR, NJ 08406
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/22/07
LEIBMAN, JOSEPH B., M.D.
PO BOX 1005
PORT JERVIS, NY 12771
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

06/22/00 Permanent
LEMPERT, SELWYN
240 FOOD CENTER DRIVE
BRONX, NY 10474
Vendor
Criminal Offense
Suspension

Treasury
Treasury Purchase Bureau

09/07/00
LEON, JACK
1072 E. LANDIS AVENUE
VINEYARD, NJ 08360
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

06/29/98
LEONARD, BARRY A., M.D.
15 DARIEN DRIVE
CHERRY HILL, NJ 08003
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

02/13/96 Permanent
LEONARD, JUDITH R.PH.
70 LAUREL DRIVE
LITTLE SILVER, NJ 07739
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

02/20/05
LEPKO, ERVIN, MD
18 JANE DRIVE
ENGLEWOOD, NJ 07632
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/20/02
LERNER, ELIZABETH
GLEN RAY ROAD, BOX A
ALDERSON, WV 24910
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/20/08
LERNER, MARVIN H., M.D.
1321 WASHINGTON STREET
HOBOKEN, NJ 07030
Medical
Other
Disqualification

054
Medical Assistance (Medicaid)

03/05/02 Permanent
LESLIE, GLENN R.
10 FRANKLIN TURNPIKE
MAHWAH, NJ 07430
Medical
Antitrust/Anti-Kickback Acts
Suspension

054
0018

04/03/14
LEVELL, CRYSTAL, L.P.N.
143 N 12TH STREET
NEWARK, NJ 07107
Medical
Other
Suspension

054
Medical Assistance (Medicaid)

08/20/01 07/23/12
LEVIN, HARVEY M, MD
510 NORTH KINGS HIGHWAY
CHERRY HILL, NJ 08034
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
LEVINE, EDWARD, MD
7 GREEN HILL ROAD
COLTS NECK, NJ 07722
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

06/22/99 Permanent
LEVY, EDWARD DMD
108-34 67TH AVENUE
FOREST HILLS, NY 11375
Medical
Other
Debarment

054
0018

12/29/11
LEVY, RICHARD S. DPM
177 MAIN ST. SUITE 235
FORT LEE, NJ 07024
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

12/20/01
LEWANDOWSKI, KENNETH
100 ATLANTIC AVENUE
CAMDEN, NJ 0810, NJ
Medical
Other
Debarment

054
0018

08/28/14
LIBRIZZI, MICHELLE H, LPN
5 BELLIS CT.
RINGOES, NJ 08551
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

07/18/01 Permanent
LICKFIELD, KEVIN J, D.O.
524 JUSTICE DRIVE
MARLTON, NJ 08053
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

03/03/03
LIEBOWITZ, LEONARD J, MD
5 POE COURT
MORGANVILLE, NJ 07741
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

08/18/01 Permanent
LILLO, CHRISTOPHER T. DMD
191 HIGHWAY 37 WEST
TOMS RIVER, NJ 08755
Medical
Criminal Offense
Disqualification

054
0018

12/20/12
LIMIDO, GLEN CARL
1 EAST PLEASANT AVENUE
MAYWOOD, NJ 07607
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/19/06
LIMONGELLI, WILLIAM, DDS
679 SO ORANGE AVE
NEWARK, NJ 07106
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

10/30/86 Permanent
LINDER, NORBERT, MD
4711 BERGENLINE AVENUE
UNION CITY, NJ 07087
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

03/23/77 Permanent
LIPPIELLO, JENNIE A., DC
2920 RT. 23 SOUTH
NEWFOUNDLAND, NJ 07435
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

04/19/01
LIPSON, PHILIP A., D.O.
38 W. NORTON DRIVE
SOUTHHAMPTON, PA 18966-1118
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

10/19/05
LIVSHITS, BORIS
1935 83RD STREET APT. E6
BROOKLYN, NY 11214
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

08/01/09
LLANOS, LATOYA, CNA
433 W. QUINCE STREET
VINELAND, NJ 08360
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

03/29/02
LOBO, ANGEL, MD
398 STEWART AVENUE
GARDEN CITY, NY 11530
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/20/07
LOBO, ANGEL, R., MD
661 14TH AVENUE
PATERSON, NJ 07504-1807
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

06/11/02
LOBO, MERCY
22 HELEN PLACE
CLIFTON, NJ 07011
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

04/23/07
LOCK, ABRAHAM, J., M.D.
1801 AVENUE J.
BROOKLYN, NY 12230
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

02/25/01 Permanent
LOCURATOLO, LUIS R., M.D.
104-01 ROOSEVELT AVENUE
CORONA, NY 11368
Medical
Other
Suspension

054
Medical Assistance (Medicaid)

12/01/95 Permanent
LOGAN, JEANETTE, E., RN
12 ARAGON COURT
TRENTON, NJ 08628
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/20/04
LOLL-VAN SICKLE, RN
416 SALEM STREET
ELMER, NJ 08318
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

04/20/00
LOPES, FERNANDO
65-67 7TH AVE EAST
NEWARK, NJ 07104
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

10/17/13 10/16/16
LOPEZ, JOSE
24 WOODLAND ROAD
BLOOMFIELD, NJ 07003
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

11/20/06
LOPEZ-FALCONE, JUAN ANTON
8385 SW 43RD STREET
MIAMI, FL 33155
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

05/02/03
LOPRESTI, JACQUELINE A. DO
FPC ALDERSON
ALDERSON, WV 24910
Medical
Criminal Offense
Disqualification

054
0018

03/20/14
LOPRESTI, JACQUELINE A., D.O.
568 RIDGE ROAD
FAIR HAVEN, NJ 07704
Medical
Criminal Offense
Suspension

054
0018

12/20/11
LOUISSANT, PARACLET, MD
669 ELIZABETH AVENUE
NEWARK, NJ 07112
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

01/01/01 Permanent
LOVETT, BETTIE
212 SENACA TRAIL
BROWNS MILLS, NJ 08064
Medical
Criminal Offense
Debarment

054
0018

05/28/13
LOWREY RODNEY
88 3RD AVE
ATLANTIC HIGH, NJ 07716
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
LUCA, BONNIE J.
1016 WASHINGTON GARDEN AP
WASHINGTON, NJ 07882
Medical
Criminal Offense
Debarment

Human Services
Medical Assistance (Medicaid)

06/10/07 Permanent
LUCAS, KATINA RN
126 LAGUARDIA AVENUE
SATEN ISLAND, NJ 10314
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/19/06
LUCAS, MARK, OWNER
31 GLASSBORO ROAD
MONROEVILLE, NJ 08343
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

10/12/12 10/11/15
LUDDEN JAMES W.
23 SOCIETY HILL WAY
TINTON FALLS, NJ 07724-3802
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

06/08/07
LUEDERS, ROBERT
1008 RIDGE DRIVE
UNION, NJ 07083
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

05/22/13 05/21/16
LYONS, DANA, LPN
245 4TH AVENUE
ROEBLING, NJ 08554
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

02/20/02
LYVAN, KIM, DDS
199 CANAL STREET, #201
NEW YORK, NY 10013
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

11/27/00
MAAT, THOMAS, P., LPN
2311 4TH AVE.
TOMS RIVER, NJ 08753
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

03/18/04
MACH, PHILIP C MD
P.O. BOX 1000
LORETTO, PA 15940
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/09/08
MACH, PHILIP C., M.D.
30 DANIEL DRIVE
FRANKLIN PARK, NJ 08823-1340
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

10/07/08
MACKEY, WILLIAM, PRESIDENT
725 SE 23RD STREET
CAPE CORAL, FL 33904
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

06/14/11 06/13/14
MADDOX, PEARL V.
KINSLEY ROAD
PEMBERTON, NJ 08068
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

09/25/07
MADUR, MATUS, MANAGING MEMBER
75 HART STREET
SAYREVILLE, NJ 08872-1123
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

03/26/12 03/25/15
MAGDY, RAFLA
3 KULESSA COURT
EAST BRUNSWICK, NJ 08816
Medical
Criminal Offense
Debarment

054
0018

08/22/11
MAHAJAN, SHYAM S., M.D.
7624-A BRISLIN RD, R.D.#7
STROUDSBURG, PA 18360
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

12/01/98 Permanent
MAHMOOD, SHAHID
228 GRAND STREET
JERSEY CITY, NJ 07302
Medical
Criminal Offense
Debarment

054
Medical Assistance (Medicaid)

03/30/10
MAHMUD, ASIF, MD
2024 W. 13TH ST.
BROOKLYN, NY 11223
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

03/18/04
MAIGUE, LLEWELYN, RN
6 CRYSTAL AVENUE
W. ORANGE, NJ 07052
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

04/19/01
MAIK, MOHAMMAD S.
146 OLD COURTHOUSE ROAD
MANHASSETT, NY 11400
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

09/22/00
MAIORANO, JOHN, R.P.
123 EAST END AVENUE
ISLAND HEIGHTS, NJ 08732
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

04/18/02
MAJDI AKA KUKASH, MIKE
87-02 PENNSBURY PLACE
RICHMOND, VA 23255
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

12/01/98 Permanent
MAJURI, WILLIAM
14 OAK AVENUE
BERLIN, NJ 08009
Vendor
Criminal Offense
Suspension

Treasury
Treasury Purchase Bureau

08/27/01
MAKKER, RAM S., M. D.
52 SNAPDRAGON LANE
ROSLYN HEIGHTS, NY 11577
Medical
Other
Disqualification

054
0018

04/20/10
MALADY, SUSAN, RN
PO BOX 468
BLAIRSTOWN, NJ 07825
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/20/01
MALIK, MOHAMMAD, S.
146 OLD COURT HOUSE RD.
MANHASSETT, NY 11040
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/20/02
MALONE, THOMAS F.
16192 COASTAL HIGHWAY
LEWES, DE 19958
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

05/14/13 05/13/16
MANCILLA, MARIA
284 REDMOND STREET
NEW BRUNSWICK, NJ 08873
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/14/07
MANDERSCHEID, DAVID L., MEMBER
310 NORTH HIGH STREET
WEST CHESTER, PA 19380
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

11/18/11 11/17/14
MANGIONE, MICHELE, R.N.
35 LONGVIEW DRIVE
WALDWICK, NJ 07363
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/20/04 Permanent
MANIN LAWRENCE
611 BURLINGTON
MT HOLLY, NJ 08060
Medical
Industry Law Violation
Disqualification

054
Medical Assistance (Medicaid)

04/12/93 Permanent
MANKOFF BERNARD
GREEN GROVE ROAD
NEPTUNE, NJ 07753
Professional
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
MANNING, LUTHER
WEST SCOTT AVENUE
RAHWAY, NJ 07065-3528
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/20/08
MANNO, MICHAEL, DC
PO BOX 1000 CAMP
FORT DIX, NJ 08640
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/20/03
MANZE, PATRICK, MD
53 GARDNER AVENUE
CHATHAM, NJ 07928
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

02/20/05
MANZELLA, JOHN
680 BROADWAY AVENUE
PATERSON, NJ 07514
Medical
Criminal Offense
Debarment

054
0018

06/28/14
MANZI, JOHN J
6 TEMPLE ROAD APT 22 C
VINELAND, NJ 08360
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
MANZONI, JANET M
9 KILMER DRIVE
MANALAPAN, NJ 07726
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

05/20/09
MANZONI, JANET M., D.C.
52 TENNET ROAD
MORGANVILLE, NJ 07751
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

02/03/98
MARANO, BARBARA
163 HILLCREEK AVE
CRANFORD, NJ 07016
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

05/21/13 05/20/16
MARCELL JOSEPH A DDS
305 MAIN ST
RIDGEFIELD PARK, NJ 07660
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
MARCHAND, ANTHONY, MD
19 DEXTER DRIVE NORTH
BASKING RIDGE, NJ 07920
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/19/03
MARCOS, FRANCISCO RPH
777 CHARNWOOD DRIVE
WYCKOFF, NJ 07481
Medical
Criminal Offense
Disqualification

054
0018

09/20/11
MARCUS, ALAN L, D.C.
789 CLIFTON AVENUE
CLIFTON, NJ 07013
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

07/25/01 Permanent
MARKOFF, MORTON, DO
908 FRANCINE DRIVE
CHERRY HILL, NJ 08003
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

11/07/97
MARKOWSKI, TOMASZ
2026 HIMROD ROAD
RIDGEWOOD, NY 11385
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

04/19/12 04/18/15
MARQUEZ, MANUEL S., M.D.
11 DOWNING COURT
MT. LAUREL, NJ 08054-3118
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

12/05/97 Permanent
MARQUEZ, OLGA
2827 LINCOLN AVENUE
CAMDEN, NJ 08105
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

04/29/03
MARRAZZO-TALLIA, CHRISTAL
406 HARDING ROAD
FAIRHAVEN, NJ 07704
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/19/06
MARSHALL, HAROLD
1800 EVA STREET
AUSTIN, TX 78704
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

05/11/14 05/10/17
MARTIN, ANDRE
127 N. DERBY AVENUE
VENTNOR, NJ 08406
Medical
Criminal Offense
Debarment

Human Services
Medical Assistance (Medicaid)

05/24/99 Permanent
MARTIN, BENNIE, M.
476 CLIFTON AVENUE
CLIFTON, NJ 07011
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

05/15/03
MARTIN, ELLIOTT
5 HOLLIS ROAD
E. BRUNSWICK, NJ 08816
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
MARTIN, SUSAN C. R.N. L.P.N
3421 BRIGHTON STREET
PHILADELPHIA, PA 19149
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/20/05
MARTINEZ, ELIEZER
215 SOUTH BURLINGTON ROAD
BRIDGETON, NJ 08302
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

02/20/06
MARTINEZ, RENATO F., M.D.
199 BROAD ST., SUITE 1-A
BLOOMFIELD, NJ 07003
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/05/97
MARTINS, ANTONIO
215 PRINCETON ROAD
PARLIN, NJ 08859
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

01/14/13 01/13/16
MARTINS, MANUEL
15 CENTER STREET
SOUTH RIVER, NJ 08882
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

01/14/13 01/13/16
MARTINS, ROGERIO
46 GROVE STREET
SOUTH RIVER, NJ 08882
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

01/14/13 01/13/16
MARUCCI, DONATO, M.D.
14 FRANKLIN STREET
BELLEVILLE, NJ 07109
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

09/28/99 Permanent
MASCOLO, JOSEPHINE, RN
1814 KENNEDY BLVD.
UNION CITY, NJ 07087
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

04/07/04
MASI, JAMES
631 OCEAN AVENUE, APT.304
BRADLEY BEACH, NJ 07720
Medical
Other
Debarment

054
0018

02/20/13
MASI, JAMES
631 OCEAN AVENUE, APT.304
BRADLEY BEACH, NJ 07720
Medical
Other
Debarment

054
0018

02/20/13
MASON, JAMES I.
702 SUNSHINE LAKES DRIVE
VOORHEES, NJ 08043
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

02/23/00
MASON, SYDELLE
702 SUNSHINE LAKES DRIVE
VOORHEES, NJ 08043
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

02/23/00
MASOOD, MARUK
1 CHESTERFIELD DRIVE
WARREN, NJ 07059
Medical
Criminal Offense
Disqualification

054
0018

11/20/12
MASOOD, YOUSUF MD
P.O. BOX 8000
BRADFORD, PA 16701
Medical
Criminal Offense
Disqualification

054
0018

11/20/12
MASRI, NASSAR, M., DDS
360 GETTY AVENUE
PATERSON, NJ 07503
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/19/00
MASSARO, DONNA M.
205 RIVA DRIVE APT 24
HACKETTSTOWN, NJ 07840
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

11/20/08
MASTRANGELO, MARTHA
12 NORTH 28TH AVENUE
LONGPORT, NJ 08403
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
MASTRIA, ERNEST
213 9TH AVE
BELMAR, NJ 07719
Medical
Other
Disqualification

054
0018

08/18/11
MASTROKOSTAS, ANTHANASIOS
11 EQUINOX LANE
FREEHOLD, NJ 07728-8652
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

10/15/09
MATRISS, JOSEPH P.
HENRY STREET
HASBROUCK HTS., NJ 07604
Medical
Criminal Offense
Debarment

Human Services
Medical Assistance (Medicaid)

10/09/07
MATRISS, JOSEPH, P., DDS
337 HENRY STREET
HASBROUCK HEIGH, NJ 07604
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

09/18/03
MATURA, DENISE
1001 LINDEN AVENUE
BRICK, NJ 08723
Medical
Criminal Offense
Suspension

054
Medical Assistance (Medicaid)

10/26/99 07/20/12
MATURA, WILLIAM
PO BOX 7000
FORT DIX, NJ 08640
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

12/20/06
MATZ, RODNEY, S., M.D.
43 MACDONALD DRIVE
WAYNE, NJ 07470
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

12/29/95 Permanent
MAUGLE, BARBARA, DPM
800 HILLSIDE AVENUE
WESTFIELD, NJ 08901
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

01/10/01 Permanent
MAUIRI, SANDY L.P.N.
34 FRANKLIN PL.
TOTOWA, NJ 07512
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/20/05
MAUTONE, ANNA
88 STILLWELL RD.
HOLMDELL, NJ 07733
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

08/05/13 08/04/16
MAUTONE, DENISE
18A SOUTH BEARS ST.
HOLMDELL, NJ 07733
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

08/05/13 08/04/16
MAUTONE, LISA
25 ROBERTS ROAD
HOLMDELL, NJ 07733
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

08/05/13 08/04/16
MAXVITAT, KATHLEEN E.
200 W. MERCHANTS STREET
AUDUBON, NJ 08106
Medical
Other
Suspension

054
0018

04/20/11
MAYER, FREDRICK G., D.C.
610 WOODLAND AVENUE
AVON BY THE SEA, NJ 07717
Medical
Other
Disqualification

054
Medical Assistance (Medicaid)

08/20/00 09/21/11
MAZUR, BONNIE, DMD
210 E. SEAVIEW AVENUE
LINWOO, NJ 08221-2140
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

01/27/98
MAZZA, CARMELO (CARMINE), PRESIDENT
955 S. SPRINGFIELD DRIVE
SPRINGFIELD, NJ 07081
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

06/14/11 06/13/14
MC ELROY, DONALD J, DDS
14 RESEVOIR AVENUE
DOVER, NJ 07801
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

02/20/83 Permanent
MCCABE, VALERIE A., LPN
830 CHESTNUT STREET
KEARNY, NJ 07032
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/20/04 Permanent
MCCALL, ELDORA
OLD CRANBURY ROAD
CRANBURY, NJ 08512
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/20/07
MCCASKILL, JACQUELINE
34 36 12TH AVENUE
PATERSON, NJ 07524
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

10/15/04
MCCOLGAN, PETER M.D.
35 OLD WOLFE RAOD
BUDD LAKE, NJ 07828
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

05/13/99 Permanent
MCCOLGAN, PETER, DMD
RR 1, PO BOX 29
TANNERSVILLE, PA 18372
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/19/01
MCDERMOTT, EVELYN
613 15TH AVENUE
BELLMAR, NJ 07719
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

07/10/14 07/09/17
MCDONALD HASWELL, EVER
52 ELM STREET
MONTCLAIR, NJ 07042
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

04/18/02
MCDONALD, JOSEPH, M.D.
2052 MORRIS AVENUE
UNION, NJ 07083
Medical
Other
Debarment

054
Medical Assistance (Medicaid)

09/21/99 Permanent
MCDONALD, KEITH
2220 MEADOW LANE, APT.D26
SECAUCUS, NJ 07094-4337
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

02/20/01 Permanent
MCDONALD, RHONDA
962 GROVE STREET
IRVINGTON, NJ 07111
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

01/18/07
MCGEE, ELIZABETH, RN
51 VAN DUYNE AVE
WAYNE, NJ 07470
Medical
Other
Suspension

054
Medical Assistance (Medicaid)

02/20/02
MCGEE, GEORGE, PRESIDENT
99 HILLSIDE TERRACE
PARSIPPANY, NJ 07054
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

02/07/13 02/06/16
MCGINNIS GEORGE J
119 ADELINE ST
TRENTON, NJ 08611
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
MCGLOSTER, CARL L., DDS
90 TIFFANY BOULEVARD
NEWARK, NJ 07104
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

05/20/07
MCGRATH, HELEN J., R.N.
6 BLAIR RD.
KEDALL PARK, NJ 08824
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/20/05
MCINTYRE, JOHN, G., DDS
1301 PENN AVENUE
WYOMISSING, PA 19610
Medical
Other
Debarment

054
Medical Assistance (Medicaid)

06/22/02 12/02/11
MCKEAN, J.D., JR, M.D.
2601 MEADOW VIEW ROAD
EDMOND, OK 73013
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

05/15/00 Permanent
MCLAUGHLIN, KELLY M., L.P.N.
SANDYBROOK ROAD
MANALAPAN, NJ 07726
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/20/08
MCLEAN, EDWARD, DME EMP.
506 MONTICELLO COURT
MARLTON, NJ 08053
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/18/02
MCNUTLEY, GEORGE, PRESIDENT
125 EAST BROADWAY
LONG BEACH, NY 11561
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

11/25/11 11/24/14
MCPHERSON, LEEANNE, RPH
269 HAMPTON STREET
BRIDGETON, NJ 08302
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

03/07/08
MCRAE, CHANEL C.N.A.
448 RAILROAD BLVD.
RICHLAND, NJ 08350
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

02/23/06
MEDHAT, MICHAIL, DDS
848 BERGEN AVENUE
JERSEY CITY, NJ 07306
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

04/29/98
MEDVEDIK, YELENA
2 HICKORY HILLS COURT
HOLMDEL, NJ 07733
Medical
Criminal Offense
Disqualification

054
0018

10/03/13
MEISHER, VLAD A
15-07-PLAZA ROAD APT. A
FAIRLAWN, NJ 07410-6504
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

08/01/09
MEISHER, VLAD A., M.D.
HILLSIDE TERR.
FAIR LAWN, NJ 07410
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

08/10/07 Permanent
MELENDEZ, JUANITA
NORTH 35TH STREET
CAMDEN, NJ 08105
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

04/29/03
MELKER, NEIL L., DDS
219 VALLEY ROAD
PRINCETON, NJ 08540
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

01/23/09
MELTZER, SCOTT M. DENTIST
70 WELLESLEY WAY
FREEHOLD, NJ 07728
Medical
Other
Disqualification

054
0018

04/17/14
MELYNYK, ARTEM, MEMBER
8653 GLENLOCH ST. #2
PHILADELPHIA, PA 19136
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

11/16/12 11/15/15
MEMBER, BERNARD, J., MD
12335 S. ANNA DRIVE
ROCKVILLE, MD 23146
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/20/04
MENA, DANIEL
1002 TAUNTON AVE
WEST BERLIN, NJ 08091
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

11/16/12 11/15/15
MENDEZ, EDELFONSO
SMITH AVENUE
NORTH BERGEN, NJ 07047
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

03/20/08
MENSAH-NARH, STEVEN, R.PH.
WEDGEWOOD DRIVE
NORTHBRUNSWICK, NJ 08902
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

02/20/07
MEO, JOHN
149 BOWNE ROAD
WAYSIDE, NJ 07712
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

05/27/09
MESSICK, PAULA
105 SUMMIT AVENUE
EWING, NJ 08628
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

06/18/09
MEYER, GLORIA
KINGS HIGHWAY
MIDDLETOWN, NJ 07748
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
MEYER, JOSEPH
KINGS HIGHWAY
MIDDLETOWN, NJ 07748
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
MIKHAIL, PETER, R.PH.
48 FALLON AVE.
ELMONT, NY 11003
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

11/18/04 Permanent
MIKSIS, MARY E., RN
126 WINSTEAD DRIVE
WESTAMPTON, NJ 08060
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

02/17/04
MILANCE, HADZIC
164 MERLINE AVENUE
WOODLAND PARK, NJ 07424
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

04/03/14 04/02/17
MILLER, DEBBIE, DO
94 EAST WATER ST
TOMS RIVER, NJ 08753
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

04/26/02
MILLER, DEIDRE
20 PERENNIAL LANE
WILLINGBORO, NJ 08046
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

07/19/01 Permanent
MILLER, DEIRE, T.
92 RITTENHOUSE DRIVE
WILLINGBORO, NJ 08046
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

03/29/00 Permanent
MILLER, JANDRENE, M.D.
50 UNION AVE., SUITE 401
IRVINGTON, NJ 07111
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

02/25/98
MILLER, RANDALL DO
1015 VAN HOUTEN AVE
CLIFTON, NJ 07013
Medical
Wage & Hour Violation
Disqualification

054
Medical Assistance (Medicaid)

01/01/01 Permanent
MILLER, ROY C
703 WEST SHORE TRAIL
LAKE MOHAWK, NJ 07871
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
MILLER, SANDRENE A., M.D.
202 ELMWYND DRIVE
ORANGE, NJ 07050
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/22/99
MILMAN, BORIS
655 AMBOY AVENUE
WOODBRIDGE, NJ 07095
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

09/11/01 Permanent
MILORADOVICH, VADIM MD
58 MERCER AVENUE
HARTSDALE, NY 10530
Medical
Criminal Offense
Disqualification

054
0018

11/20/13
MINNOW, MARY
9 WINDINGWOOD DRIVE
SAYERVILLE, NJ 08872
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

07/25/01 Permanent
MIRABILE, ANTHONY
314-415 S. SEVENTH ST.
ELIZABETH, NJ 07202
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

07/03/13 07/02/16
MIRAGLIA, ROBERT
254 VOSE AVENUE
SOUTH ORANGE, NJ 07079
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/09/02
MIRASSOL, ISIDRO, PRESIDENT
20 CHERRY HILL LN. APT D
OLD BRIDGE, NJ 08857-4737
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

02/28/12 02/27/15
MIRILASHVILI, MOSHE B, MD
PO BOX 350146
BROOKLYN, NY 11235
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

11/17/99 Permanent
MISHOE, KEITH
341 SEATON AVENUE
ROSELLE PARK, NJ 07204
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

11/21/13 11/20/16
MISHRA ARUNA, M.D.
63 WEST BROADWAY
SALEM, NJ 08079-2608
Medical
Other
Disqualification

054
Medical Assistance (Medicaid)

02/04/97 Permanent
MISHRA, ARUNA, M.D.
317B AUBURN ROAD
PILESGROVE, NJ 08098
Medical
Other
Debarment

054
Medical Assistance (Medicaid)

01/03/00 Permanent
MITSUI, MASAO, M.D.
9 BRIARWOOD ROAD
JERSEY CITY, NJ 07305
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

12/20/01
MOCKOVIAK, PATRICIA, LPN
5 BEECH STREET
EDISON, NJ 08817
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

02/19/04
MOHAMED, HASHIM H.
P. O. BOX 8332
JERSEY CITY, NJ 07308
Medical
Criminal Offense
Disqualification

054
Medical Assistance (Medicaid)

04/12/94 Permanent
MOHAMMAD, OMAR R.PH
15 GRISTMILL LANE
UPPER SADDLE RI, NJ 07458
Medical
Criminal Offense
Disqualification

054
0018

09/20/12
MOHAMMAD, OMAR, R.PH.
15 GRIST MILL LANE
UPPER SADDLE RI, NJ 07458
Medical
Criminal Offense
Disqualification

054
0018

01/20/12
MONICA, JULIANNE, H., DC
509 ESSEX AVENUE
SPRING LAKE, NJ 07762
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

02/20/02
MONSUL, ROBERT W., MD
301 NORTH MAIN STREET
MANVILLE, NJ 08835
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)

05/10/90 Permanent
MONTGOMERY, FRANK
42 BRYANT ROAD
WARETOWN, NJ 08758
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

07/10/14 07/09/17
MOONEY, MARY MELISSA
777 CHERRY TREE ROAD
ASTON, PA 19014
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

04/23/07
MOORE, JANE A., R.N.
235 KINGS ROAD
MADISON, NJ 07940
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/19/05
MOORE, JONATHAN R., M.D.
19 N. PEARL STREET
BRIDGETON, NJ 08302
Medical
Other
Disqualification

054
Medical Assistance (Medicaid)

08/19/97 Permanent
MOORE, LILLIE, R.
353 S. CENTER ST., APT 19
ORANGE, NJ 07050
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/20/02
MOORE, LYNDA A.
10719 JUREL CT. W. APT B
LAKEVILLE, MN 55044
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

01/19/05
MOORJANI, KAMAL, R.PH.
217 VAN BUREN STREET
LYNDHURST, NJ 07071-1312
Medical
Criminal Offense
Disqualification

054
0018

06/01/10
MORALES, ARLENE
254 NORTH 7TH STREET
NEWARK, NJ 07107
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/19/02
MORALES, CHRISTINO
PO BOX 26883
PHILADELPHIA, PA 19134
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

07/02/03
MORALES, FERNANDO, NURSE ASSISTANT
346 S. MAIN STREET
PHILLIPSBURG, NJ 08865
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

12/21/04
MORALES, OSVALDO
78 W. 180TH STREET 2ND F
BRONX, NY 10453-3237
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

04/13/08
MORALES, OSVALDO, SR.
78 W. 180TH STREET
BRONX, NY 10453
Medical
Criminal Offense
Disqualification

054
0018

09/16/11
MORALIS, ROBLEDO
3001 RTE. 130, APT. 8D
DELRAN, NJ 08075
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

04/01/13 03/31/16
MORELAND CHARLOTTE
121 A PROSPECT VILLAGE
TRENTON, NJ 08618
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

04/29/08
MORELAND, CHARLOTTE
121 PROPECT VILLAGE, APTA
TRENTON, NJ 08618
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/20/08
MORELLI, TIMOTHY J. R.PH.
801 BUTLER PIKE
MERCER, PA 16137
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/19/05
MORELOS, LISA A., RN
162 SHENANDOAH BLVD.
TOMS RIVER, NJ 08753-2941
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/19/03
MORENO, BARTOLO, COUNSELO
2221 38TH STREET
PENNSAUKEN, NJ 08110
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

04/29/03
MORGANSTEIN, HENRY, MD
774 CARTERET COURT
MT. LAUREL, NJ 08054
Medical
Criminal Offense
Disqualification

054
0018

11/23/10
MORGANSTEIN, HIRAM, N. OD
5618 BERGENLINE AVENUE
WEST NEW YORK, NY 07093
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

02/22/01 Permanent
MORIARTY, JACK
312 GRANDE RIVER BLVD.
TOMS RIVER, NJ 08755
Medical
Other
Suspension

054
Medical Assistance (Medicaid)

04/08/99 Permanent
MORIZZO, SANDRA (MEMBER)
311 HOLYOKE
BEACH HAVEN, NJ 08008
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

12/20/12 12/19/15
MORRIS, JOHN
70 TUCKERTON ROAD
MEDFORD, NJ 08055
Vendor
Criminal Offense
Suspension

Treasury
Treasury Purchase Bureau

08/27/01
MORRISON, JAMES C
RADIO RD AT EAST BOAT
TUCKERTON, NJ 07087
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
MORRISON, TIMOTHY
2745 SR668N
JUNCTION CITY, OH 43748
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

07/29/14 07/28/17
MORRISSEY, WILLIAM
59 LYNWOOD RD.
CEDAR GROVE, NJ 070009
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

07/03/13 07/02/16
MORTON, MARION
2321 SPRUILL AVE, APT 917
NORTH CHARLESTO, SC 29405
Medical
Criminal Offense
Debarment

054
0018

02/06/12
MOSKOWITZ, MYRON
705 RIDGE DRIVE
UNION, NJ 07083
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

11/20/06
MOSS, ALBERT H. M.D.
28 BARTLE ROAD
SOMERSET, NJ 08873
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/19/05
MOSS, ROBERT H. DPM
244 NORTH MAIN STREET
MULLICA HILL, NJ 08062
Medical
Criminal Offense
Disqualification

054
0018

02/20/13
MOSS, ROBERT
244 N. MAIN STREET
MULLICA HILL, NJ 08062
Medical
Other
Debarment

054
0018

11/02/11
MOSSAVI, AHMAD
7 MALKE DRIVE
OCEAN, NJ 07712
Medical
Other
Debarment

054
0018

02/23/12
MOULDER, DARIA
2715 BAYSHORE ROAD
VILLAS, NJ 08251
Medical
Other
Disqualification

054
0018

04/20/10
MOWERY, SHAWN F.
1A MAPLE LEAF DRIVE
HOLMDEL, NJ 07723
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

03/12/13 03/11/16
MOZAK, RAYMOND G.
1423 TERESA DRIVE
FORT LETT, NJ 07024
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

09/04/13 09/03/16
MOZULAY, MARK J. MD
512 TOWNSHIP LANE
BLUE BELL, PA 19422
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

12/01/98
MUHAMMAD, ABDUL, B. M.D.
284 BROADWAY
NEWARK, NJ 07104
Medical
Other
Disqualification

054
Medical Assistance (Medicaid)

11/18/04 Permanent
MUHAMMED, ABDUL, B.
284 BROADWAY
NEWARK, NJ 07104
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

11/08/04 Permanent
MUID, JANNAH RASHEEDAH AMATUL
VOSE AVENUE
ORANGE, NJ 07050-1061
Medical
Criminal Offense
Disqualification

054
0018

01/19/10 01/19/15
MUID, JANNAH
671 LINCOLN AVE
ORANGE, NJ 07050
Medical
Criminal Offense
Disqualification

054
0018

11/18/10
MUKHTAR, JUNAID
114 BALDWIN AVENUE
JERSEY CITY, NJ 07306
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

06/05/97
MULLANGI, KUMAR R., M.D.
SOUTH BROADWAY STREET
BURLINGTON, IA 52601
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/20/08
MULLER, RAYMOND E., JR. PRES.
75 WEST 3RD AVE.
PINE HILL, NJ 08021
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

02/07/12 02/06/15
MULLIGAN, RACHEL M.
241 HAWAII DRIVE
BRICK, NJ 08723-7114
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

04/11/08
MUNGEN, JONETTA V., HHA
34 VERMONT AVENUE
NEWARK, NJ 07106
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/20/01
MUNOZ, JULIO ANTHONY
4 NORMAL AVENUE
UPPER MONTCLAIR, NJ 07043
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

10/26/06
MUNSIF, ANAND
127 E. NORTHFIELD ROAD
LIVINGSTON, NJ 07039
Medical
Other
Debarment

054
0018

11/07/11
MUNZEL, GREGORY, THOMAS
140 WAPPOO CREEK DRIVE
CHARLESTON, SC 29412
Medical
Criminal Offense
Debarment

054
0018

04/22/12
MURATORE, JR., FRANK J.
1828 HERBERT BOULEVARD
WILLIAMSTOWN, NJ 08094
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

10/10/12 10/09/15
MURRY, TOMMY
2697 RAVEN ROAD
CINNAMINSON, NJ 08077
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

10/20/02
MUSCARRA GERALD C
525 WASHINGTON AVENUE
HOBOKEN, NJ 07030
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
MUZZIO JR., WILLIAM
597 LYMAN AVENUE
WOODBRIDGE, NJ 07095
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

01/15/13 01/14/16
MYERS, HOWARD M.D.
103 FAIRWAY TERRACE
MOUNT LAUREL, NJ 08054-2321
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

12/01/98 Permanent
MYNDIUK, JAROSLAW, MD
96 TUXEDO PARKWAY
NEWARK, NJ 07106
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)

02/27/88 Permanent
MYSZKA, KENNETH C., PRESIDENT
7095 SHAFFER DRIVE
DOWNS, IL 61736
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

02/28/12 02/27/15
NAIBONE, PHILLIP, C., RN
24 RUNNING BROOK ROAD
TRENTON, NJ 08638
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/17/04
NAIMOLI, DANIELLE
824 HOLIDAY COURT
TOMS RIVER, NJ
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/30/05
NAPENAS, VICTOR T
14 SPRUCE LANE
PISCATAWAY, NJ 08854
Medical
Criminal Offense
Disqualification

054
0018

11/17/11
NAPENAS, VICTOR
14 SPRUCE LANE
PISCATAWAY, NJ 08854
Medical
Criminal Offense
Disqualification

054
0018

05/20/12
NASH, LEONARD
TALL OAKS CT.
FRANKLIN LAKES, NJ 07417
Vendor
Criminal Offense
Suspension

Treasury
Treasury Purchase Bureau

09/27/00
NATALE, JOSEPH
216 NORTH AVENUE E STE2
CRANFORD, NJ 07016
Medical
Criminal Offense
Suspension

054
0018

01/24/14
NATOVICH, BORIS
996 PINE TERRACE
FRANKLIN LAKES, NJ 07417
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

09/18/03
NATOVICH, LEV
996 PINE TERRACE
FRANKLIN LAKES, NJ 07417
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

09/18/03
NAVAZIO, DAVID`
1368 BRENTWOOD ROAD
YARDLEY, PA 19067
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/07/00
NAYLOR, KIM, M.
1504 TAMIAMI ROAD
FORKED ROAD, NJ 08731
Medical
Criminal Offense
Debarment

054
0018

09/19/11
NEALS, SHERRY, C.H.H.A.
63 DALES AVE, APT. 1124
JERSEY CITY, NJ 07306
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/20/01
NELSON, SIDNEY, MD
4517 BERGENLINE AVENUE
UNION CITY, NJ 07087
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

09/13/99 Permanent
NESSMAN, LAWRENCE, D.O.
143 GREENRALE AVENUE
WAYNE, NJ 07470-2978
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

06/24/97 Permanent
NEWMAN, ALEXANDER
372 N. WOODLAND STREET
ENGLEWOOD, NJ 07631
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

03/10/99 Permanent
NEWMAN, MICHAEL J. DMD
192 GABRIEL TERRACE
SOUTH AMBOY, NJ 08879
Medical
Other
Disqualification

054
Medical Assistance (Medicaid)

07/18/01 Permanent
NEWMARK, MALINDA R.N.
38 STONY HILL ROAD,APT101
MONROE TOWNSHIP, NJ 08831
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/19/05
NEWSOME, DORITA, D.D.S.
163 CHAPEL STREET
ORANGE, NJ 07050
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

01/23/09
NIAZ, ASIM
P.O. BOX 420
FAIRTON, NJ 08320
Medical
Criminal Offense
Suspension

054
0018

08/19/10
NICHOLSON, BEVERLY C.N.A.
139 HOLLYWOOD AVENUE
EAST ORANGE, NJ 07108
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

01/13/06
NIELSON,STEVEN,C., DPM
845 DAWN AVENUE
EPHRATA, PA 17522
Medical
Other
Suspension

054
0018

03/23/09
NIGALAN, MANUEL
8 MIMI COURT
NORTHFIELD, NJ 08225
Medical
Criminal Offense
Disqualification

054
0018

10/14/10
NINOS, DIANE E.
569 E. 33RD STREET
PATERSON, NJ 07613-1119
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

03/28/01 Permanent
NISIVOCCIA, CHARLES
260 MAIN STREET
LITTLE FALLS, NJ 07424
Medical
Other
Suspension

054
Medical Assistance (Medicaid)

08/20/06
NOE, ALATORE
30 EUCLID AVENUE
MEDFORD, NJ 11753
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

06/07/13 06/06/16
NONZIATO, CHARLES G, DO
247 CENTER STREET
TRENTON, NJ 08611
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)

11/13/91 Permanent
NOOR, FARID A, MD
350 A DELANCEY PLACE
MOUNT LAUREL, NJ 08054
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

08/19/08
NOOR, FARID, A., MD
5 GITHERS LANE
MEDFORD , NJ 08055-9574
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

04/12/04
NTSHONA, NOKUZOLA S., MD
113-15 34TH AVE, #4B
CORONA, NY 11368
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

01/12/00 Permanent
NURIK
APT 9C PARKVIEW & MADISON
LAWRENCE HARBOR, NJ 08879
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
NUSSBAUM, ABRAHAM, M.D.
91 MONTGOMERY STREET
RHINEBECK, NY 12572
Medical
Other
Suspension

054
Medical Assistance (Medicaid)

01/15/01 11/12/13
NWANKWO, FESTUS
306 ARDSDALE PLACE
UNION, NJ 07083
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

02/18/99 Permanent
O

,

Criminal Offense




O REILLY, RAYMOND B
188 ALEXANDRIA DR APTS
HACKETTSTOWN, NJ 07840
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
O'BRIEN, MICHAEL, PRESIDENT
323 MILL STREET
SOUTH PLAINFIEL, NJ 07080
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

10/05/11 10/04/14
O'CALLAGHAN, TERESE, RN
5122
ORCHARD WAY, NJ 08109
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/20/02
O'CONNELL TOM, OWNER
499 GRACE HILL ROAD
MONROE, NJ 08831
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

02/11/13 02/10/16
O'DONNELL, KATHERINE
141 MAIN STREET
METUCHEN, NJ 08840
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

09/30/05
O'NEILL-RYAN, LISA ANN
415 LYNDALE STREET
PHILLIPSBURG, NJ 08865
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

08/17/08
O'SHEA, BRIAN
1041 GLASSBORO RD. D-2
WILLIAMSTOWN, NJ 08094
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

07/09/14 07/08/17
OBIORAH, INNO
658 RUTGERS PLACE
PARAMUS, NJ 07652
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

05/16/14 05/15/17
OBIORAH, UJU, A.
259 WEST FOREST AVENUE
ENGLEWOOD, NJ 07631
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

05/16/14 05/15/17
OCANSEY, DONNA
7 WISINA COURT
MEDFORD, NJ 08055
Medical
Criminal Offense
Debarment

054
0018

04/22/12
ODEH, MOHD, OWNER OFFICER
234 BATHGATE AVE.
FRANKLIN, NJ 08873
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

01/19/12 01/18/15
ODOMS, TIFFANY E.
926 TILGHMAN STREET
CHESTER, PA 19013
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

11/18/08
OGUNTUASE, EBENEZER
10 DOCKSIDE DRIVE
EGG HARBOR, NJ 08234
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

06/20/09
OHANA, EREZY
60 MILLER ROAD
MONTGOMERY, NY 12549
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

08/06/14 08/05/17
OJO, RICHARD, O.
346 FIELDCREST AVENUE
NEW EGYPT, NJ 08533
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

02/24/09
OKANTAH, MARGARET
1854B MANOR DRIVE
UNION, NJ 07083
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

07/30/05
OLEJNIOK, ROMAN, PRESIDENT
1882 PUTNAM AVENUE
RIDGEWOOD, NY 11385
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

03/26/12 03/25/15
OLIVEIRA, MARIO JR.
170 EAST KINNEY STREET
NEWARK, NJ 07105-1156
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

04/28/05
OLIVER, JAMES, DDS
167 MAIN STREET
METUCHEN, NJ 08840
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

08/13/99 Permanent
OLIVERA, PABLO, R., DPM
C/O 2 CEDAR STREET
NEWARK, NJ 07102
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/20/01
OLIVERA, SMIRNA, LPN
33 REMSEN AVENUE
NEW BRUNSWICK, NJ 08901
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/20/02
OLIVERAS, LUIS
644 EAST 2ND STREET
PLAINFIELD, NJ 07060
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

04/23/14 04/22/17
OMAR, MUGAHID
7-11 TONNELE AVENUE
JERSEY CITY, NJ 07306
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

03/14/98 Permanent
ONYEKAHA, EBERE, R.P.
13 HIGHLAND AVENUE
MAPLEWOOD, NJ 07040
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

12/01/98 Permanent
ONYENSO, CHIKEZIE
552 MAIN STREET
CHATHAM, NJ 07928
Medical
Criminal Offense
Suspension

054
0018

02/15/12
OREM, SUSAN
140 VALERIE DRIVE #488
MANVILLE, NJ 08835
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/20/06
ORT, CHARLES C., II, PHYS ASST.
P.O. BOX 481
HACKETTSTOWN, NJ 07840-0481
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

11/18/04 Permanent
ORT, CHARLES, II
P.O. BOX 481
HACKTTSTOWN, NJ 07840-0481
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

11/18/04 Permanent
ORTEGA, VICTOR, DME SALES
GUAYNBO- PO BOX 2147
SAN JUAN, PR, NJ 00922
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/18/02
ORTELL, CARL, R.P.
221 TINDERBOX LANE
MARLTON, NJ 08053
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

12/05/83 Permanent
OSEI, CALVIN RPH
2 SYSLO COURT
SAYREVILLE, NJ 08872
Medical
Criminal Offense
Disqualification

054
0018

09/04/12
OSEI, PASCAL
9 SOUTH GROSSER PLACE
SOMERSET, NJ 08873-2883
Medical
Criminal Offense
Debarment

Human Services
Medical Assistance (Medicaid)

07/17/09 07/17/14
OSMANOFF, GARY, D.D.S.
NETTER COURT
MARLBORO, NJ 07746-2055
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/23/08
OSMANOFF, GARY. DDS
317 MARINE AVENUE
BROOKLYN, NY 11209
Medical
Criminal Offense
Suspension

054
0018

12/17/08
OSTROSKIE, JOAN, LPN
424 FLORENCE STREET
NEW MILFORD, NJ 07646
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

01/19/03
OSTWALD, ALICE
11 RAILROAD LANE
WHITEHORSE , NJ 08889
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/20/06
OSUJI, PAUL
FCI FORT DIX PO BOX 2000
FORT DIX, NJ 08640
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/20/09
OTTENSTEIN, ALAN M.D.
173 MOUNT EYRE RD.
WASHINGTON CROS, PA 18977
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/19/05
OTTENSTEIN, ALAN, MD
3100 PRINCETON PIKE
LAWRENCEVILLE, NJ 08648
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

03/01/09
OXMAN, REED S, MD
226 W. RITTENHOUSE SQUARE
PHILADELPHIA, PA 19103
Medical
Other
Suspension

054
0018

03/16/12
OYENUSI, ADEBOWALE
90 WASHINGTON STREET
EAST ORANGE, NJ 07017
Medical
Criminal Offense
Debarment

054
Medical Assistance (Medicaid)

10/14/00 Permanent
PACHECO, MICHAEL
84 LAFAYETTE AVE.
PASSAIC, NJ 07055
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

07/18/03
PADUANO, FRANCIS P. JR.
2020 BALMORAL AVE.
UNION, NJ 12345
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
PADVA-GERMAN, ANNA
446 DUBLIN PLAZA
SECAUCUS, NJ 07094-2202
Medical
Criminal Offense
Debarment

054
Medical Assistance (Medicaid)

12/14/09 12/14/14
PAGANO, NICOLE RN
531 PARKWAY AVENUE
TRENTON, NJ 08618
Medical
Other
Disqualification

054
Medical Assistance (Medicaid)

05/20/09
PAMIKIMUKKALA, VIJAY RPH.
3 PENROSE COURT
EDISON, NJ 08820
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/13/99
PANCELLI, JOHN M., MD
WEST JERSEY HOSPITAL
CAMDEN, NJ 08104
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

12/01/98 Permanent
PANGANIBAN, ARMANDO
CYPRESS RD.
TOMS RIVER, NJ 08753
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

08/11/07 Permanent
PANICHELLA, ANTHONY G.
739 S. WHITE HORSE PIKE,
AUDUBON, NJ 08106
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/20/06
PANITCH, EDWIN
8 POINT OF WOODS DR
NORTH BRUNSWICK, NJ 08902
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
PANJWANI, HARRY K., M.D.
EAST 42 FAIRVIEW TERRACE
PARAMUS, NJ 07652
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

05/24/99 Permanent
PAPADAKIS, ANDREAS
33 EASTWOOD BLVD.
MANALAPAN, NJ 07726
Medical
Criminal Offense
Debarment

054
0018

05/29/14 05/27/17
PAPANDREA, JANICE, PRESIDENT
1065 JOHNSON DRIVE
WATCHUNG, NJ 07060
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

04/19/12 04/18/15
PAPPALARDO, PETER S, MD
4 SOUTH AIRMONT RD
SUFFERN, NY 10901
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
PARASHOS, LINDA, RN
514 9TH AVENUE
LINDENWOLD, NJ 08021
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/20/01
PARIDA, SAROJ K.
USP LEWIS-P.O. BOX 1000
LEWISBURG, PA 17837
Medical
Criminal Offense
Disqualification

054
0018

08/20/13
PARIKH, BIPIN MD
224 LAFAYETTE STREET
WILLISTON PARK, NY 11596
Medical
Other
Suspension

054
0018

11/20/10
PARIKH, BIPIN, J. MD
224 SOUTH LAFAYETTE STREE
WILLISTON PARK, NY 11596
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/09/08
PARIKH, MANUPRASAD, RP
209 STOKES FARM ROAD
FRANKLIN LAKES, NJ 07417
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/20/04
PARVEZ, DARA
214 COMMONS WAY, BLDNG B
TOMS RIVER, NJ 08755
Medical
Other
Debarment

054
0018

10/12/11
PATEL, ARUNA S., M.D.
725 NORTH BROAD STREET
ELIZABETH, NJ 07208
Medical
Criminal Offense
Disqualification

054
Medical Assistance (Medicaid)

06/26/08
PATEL, ASHOKKUMA R.
YARDLEY STREET
EDISON, NJ 08820
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

08/10/07 Permanent
PATEL, BHARAT R.PH.
140 RIVERSIDE BLVD.
NEW YORK, NY 10069
Medical
Criminal Offense
Disqualification

054
0018

04/20/14
PATEL, CHIRAG
16 SNEIDER ROAD
WARREN, NJ 07059
Medical
Criminal Offense
Suspension

054
0018

04/02/12
PATEL, DINESH R. MD
835 CLINTON AVENUE
NEWARK, NJ 07108
Medical
Criminal Offense
Disqualification

054
0018

02/20/14
PATEL, DINESH
3 BRIGHTON COURT
LIVINGSTON, NJ
Medical
Criminal Offense
Suspension

054
0018

03/17/12 10/10/15
PATEL, MAHESH
828 HIGHLAND AVENUE
PARAMUS, NJ 07652
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

06/26/13 06/25/16
PATEL, MEHMOOD
201 MIDDLETON ROAD
LAFAYETTE, NJ 70503-3388
Medical
Criminal Offense
Disqualification

054
Medical Assistance (Medicaid)

02/26/10
PATEL, PARESH R. MD
295 MAIN STREET
METUCHEN, NJ 08840
Medical
Criminal Offense
Disqualification

054
0018

05/22/14
PATEL, PRAVIN, K., RN
904 #35 IVY RIDGE RD
SYRACUSE, NY 13210
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

12/19/02
PATEL, RAMBEN D., LPN
505 WEST MINISTER BLVD.
PARLIN, NJ 08859
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/20/00
PATEL, RAMESH, SHANKER,B.
PO BOX 5564
OLD BRIDGE, NJ 08857
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/20/01
PATEL, SANJAY I.
63 HEATHERDELL ROAD
ARDSLEY, NY 10502
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

04/20/06
PATEL, VITTHAI I., R.PH
ST. GEORGE AVE, APT. 141
AVENEL, NJ 07001
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/20/04 Permanent
PATIN, YURY MD
45 BEVERLY ROAD
SUMMIT, NJ 07901-1620
Medical
Criminal Offense
Disqualification

054
Medical Assistance (Medicaid)

02/26/09
PATTERSON, JR., ARTHUR
8 FELLOWSWOOD WAY
HOLMDEL, NJ 07733
Medical
Criminal Offense
Debarment

054
0018

07/18/14
PATTI, JAMES, OWNER
2700 HAMILTON BLVD. #169
S. PLAINFIELD, NJ 07080
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

01/14/13 01/13/16
PAUL, DAVID, M., M.D.
434 RAHWAY AVENUE
WOODBRIDGE, NJ 07095-3305
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

03/22/02
PEART, HAROLD G.
415 KEIM BOULEVARD
BURLINGTON, NJ 08016
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/20/99
PEART, HAROLD
3 HARRISON PARK LANE
BURLINGTON, NJ 08016
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

03/17/00
PELLEGRINO, TAMMY, RN
2423 SHADY LANE APT P
ATCO, NJ 08004
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

02/20/03
PELLICANO, PAUL J., M.D.
120 MILLBURN AVE. STE M1
MILLBURN, NJ 07041
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

12/01/98 Permanent
PENA, CARMEN F., DDS
800 76TH ST., 2ND FLOOR
NORTH BERGEN, NJ 07047
Medical
Other
Suspension

054
Medical Assistance (Medicaid)

09/20/00 Permanent
PENALES, AMANDO D.
BAYSIDE PRISON PO BOX F-1
LEESBURG, NJ 08327
Medical
Criminal Offense
Disqualification

054
0018

05/09/14
PENALVER, FAITH R.N.
4 MAPLE COURT
ROOSEVELT, NJ 08555
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/19/05
PENFIELD, JOHN
25 POCONO ROAD
DENVILLE, NJ 07834
Medical
Criminal Offense
Debarment

054
0018

03/06/14
PENICO, PETER, MD
300 MAIN STREET
MILLVILLE, NJ 08332
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

08/24/78 Permanent
PERDEK, BRONISLAW, OWNER/OFFICER
112 RIVER DRIVE
GARFIELD, NJ 07026
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

08/29/11 08/28/14
PERDEK, DARIUS, OWNER/OFFICER
21 UNION ST., #2
LODI, NJ 07644
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

08/29/11 08/28/14
PEREZ, JORGE MD
213 14TH STREET
PALISADES PARK, NJ 07650
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

03/18/04
PERLMAN, BERNARD, M.D.
42 OAKMONT ROAD
YARMOUTH PORT, MA 02675
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

01/03/00 Permanent
PERRIN, DOUGLAS, M., CHHA
1801 LAURAL ROAD
LINDERWOLD, NJ 08021
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/20/02
PESCIOTTA, BARBARA, ANN
992 VAUGHN AVENUE
TOMS RIVER, NJ 08753
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

05/18/06
PESCIOTTA, ROY, THOMAS
992 VAUGHN AVENUE
TOMS RIVER, NJ 08753
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

05/18/06
PETERSON, PETHINA, CHHA
289 MLK DRIVE
JERSEY CITY, NJ 07305
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/20/04
PETIT, MADELINE
228 70TH STREET 2ND FL.
GUTTENBERG, NJ 07093-3408
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

07/07/08
PETRUCELLI, SALVATORE, MD
201 LYONS AVENUE
NEWARK, NJ 07112
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

02/02/00 Permanent
PETTERSON, LINDA, A., RN
700 PARK BLVD.
CHERRY HILL, NJ 08002
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/20/02
PFLUGER, FRANK
118 MINERVA AVENUE
ALBION, NJ 08009
Vendor
Criminal Offense
Suspension

Treasury
Treasury Purchase Bureau

08/27/01
PHARES, ALYSSA, RN
21 WOODLAND WAY
DAYTON, NJ 08810
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/19/02
PHILLIPS, RONALD, D.O.
718 HAVEN PLACE
LINDEN, NJ 07026
Medical
Other
Debarment

054
Medical Assistance (Medicaid)

01/08/99 Permanent
PHIPPS, ERNEST, JR., MD
130 FORD ROAD
HOWELL, NJ 07731
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/20/04
PIACENTILE, JOSEPH, M.D.
578 BIG OAK ROAD
YARDLEY, PA 19067
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

12/17/95 Permanent
PIAZZA, GARY G., D.O.
7 CARRIAGE PLACE
EDISON, NJ 08820
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

10/20/98 Permanent
PICARIELLO, JOSEPH
1202 FOX CHASE LANE
WHIPPANY, NJ 08981
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/09/00 Permanent
PICKNEY, BRANSON, OWNER
408 W. 129TH ST., APT. 7
NEW YORK, NY 10027
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

01/14/13 01/13/16
PIERSON, GEORGE T, DO
5 RAINBOW TRAIL
SPARTA, NJ 07871
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)

04/02/88 Permanent
PINEDA, FRANCISCA
151 TRAILS END
NEW CITY, NY 10956
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/18/01
PINHO, FERNANDO, F.
66 6TH AVENUE
LONG BRANCH, NJ 07740
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

07/30/12 07/29/15
PINKERTON, MARION, LPN
410 THOMAS AVENUE
RIVERTON, NJ 08077
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/19/03
PIROVOLAS, NICHOLAS, RPH
30 DWIGHT DRIVE
WEST DEAL, NJ 07712-3655
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

09/16/00
PIROVOLOS, NICHOLAS, RP
30 DWIGHT DRIVE
OCEAN, NJ 07712
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/20/02
PISANI, LOUIS, R.P.
2 E. FRANKLIN COURT
GARDEN CITY, NY 11530
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/19/00
PIUCK, CHARLOTTE, L, MD
593 RAMAPO VALLEY ROAD
OAKLAND, NJ 07436
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

10/25/01 Permanent
PIZZARELLI, ANGELA D.
1111 BOND STREET
ASBURY PARK, NJ 07712
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

07/18/01 Permanent
PLINIO, STEVEN, D.C.
655 AMBOY AVENUE
WOODBRIDGE, NJ 07095
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

09/30/99 Permanent
PLOTNIK, PETER J., M.D.
276 COLERIDGE STREET
BROOKLYN, NY 11235
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

05/23/00 Permanent
PLOTTS, LISA, R.N.
111 BEECHWOOD AVENUE
OAKLYN, NJ 08107
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/18/01
PLUCINSKI, PATRICIA LPN
201 HAEGELE PLACE
MOUNT ROYAL, NJ 08061
Medical
Other
Suspension

054
0018

12/20/09 Permanent
POET, ALBERT, M.D.
EAST BAY AVENUE
MANAHAWKIN, NJ 08050
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

08/10/07 Permanent
POGGIOLI, STEPHAN
431 ACADEMY TERRACE
LINDEN, NJ 07036
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/18/04
POH-EIKOM, VICKI
BILLINGS AV., APT. 619A
PAULSBORO, NJ 08062
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

12/29/99 Permanent
POLANSKY IRVING RP
260 MAIN ST
KEANSBURG, NJ 07734
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
POLISHUK, ANDRE A., D.O.
649 PULHAM COURT #A
MANCHESTER, NJ 08759-7019
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

03/08/08
POLLACK, EARL T. DMD
171 N. LANSDOWNE AVE.
LANSDOWNE, PA 19050
Medical
Criminal Offense
Disqualification

054
Medical Assistance (Medicaid)

11/07/86 Permanent
POLLACK, RICHARD JOSEPH
P. O. BOX 11401
YARDVILLE, NJ 08628
Medical
Criminal Offense
Disqualification

054
Medical Assistance (Medicaid)

09/30/82 09/30/87
POLLEN, PHILIP
245 ROUTE 9
MORGANVILLE, NJ 07751
Medical
Other
Debarment

054
0018

10/28/13
POPPE, GLEN, PRESIDENT
795 SUSQUEHANNA AVE.
FRANKLIN LAKES, NJ 07417
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

07/25/13 07/24/16
PORTNOY, BARRY
1300 INDUSTRIAL BLVD #5
SOUTHAMPTON, PA 18966
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

01/30/12 01/29/15
POSNER, ROBERT S. DDS
53 WESTFIELD AVENUE
CLARK, NJ 07066
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

06/23/99 Permanent
POTACCO, PHILIP, D.C.
54 CHURCH STREET
SOUTH ORANGE, NJ 07079
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

02/20/03
POTTER, DIANE LPN
215 FAIRFIELD LANE
KING WILLIAM , VA 23086
Medical
Other
Suspension

054
0018

05/20/09
POTTER, DIANE
215 FAIRFIELD LANE
KING WILLIAM, VA 23086
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

05/20/09
POWLETT, NORMAN, OWNER
133 MILL STREET, 2R
MT. HOLLY, NJ 08060
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

12/29/11 12/28/14
PRAVETZ, MICHAEL, M.D.
531 GATES STREET
PHILADELPHIA, PA 19128
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

03/05/01 Permanent
PRENSKY, JOSHUA
2810 HIGH ST.
BERGEN, NJ 07410
Medical
Criminal Offense
Disqualification

054
0018

05/29/13
PRENSKY, JOSHUA
28-10 HIGH STREET
FAIRLAWN, NJ 07410
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

07/17/09
PRESILLA, ALEJANDRO, MD
15 FULTON STREET
WEEHAWKEN, NJ 07086
Medical
Other
Debarment

054
0018

04/30/10 04/30/13
PRESS, STUART M
1525 E. PUTNAM AVE #206
OLD GREENWICH, CT 06870
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

08/01/09
PRESS, STUART M. MD
1525 EPUTNAM AVE APT 206
OLD GREENWICH, CT 06870
Medical
Other
Suspension

054
0018

08/01/09 Permanent
PRICE, JAZMINE
744 SOUTH ST., UNIT 65
PHILADELPHIA, PA 19147
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

08/05/13 08/04/16
PRINTZ, BRUCE, I., DO
400 GILL LANE
ISELIN, NJ 08830-3001
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

06/06/04
PRITCHARD, JOSEPH
69 TALLWOOD DRIVE
MEDFORD, NJ
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

05/09/02
PROSKUROVSKY, BORIS
218 HALSEY STREET
NEWARK, NJ 07102
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/25/98
PROVOST, LAURIE
10 BALTIMORE BLVD
SEA GIRT, NJ 08750
Medical
Criminal Offense
Suspension

054
0018

01/24/14
PRYAKANT, DOSHI, M.D.
11 WARFIELD STREET
MONTCLAIR, NJ 08625
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

12/02/97 Permanent
PRZADOWSKA-KOKINDA, ELIZABETH M., R.N.
1106 PARKSIDE AVENUE
TRENTON, NJ 08618
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

04/20/05
PUCCI, BRIAN M. RPH
14 RAND RD.
PINE BROOK, NJ 07058
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/20/05
PUENTES, ELENA
374B HAMILTON STREET
SOMERSET, NJ 08873
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/14/07
PUGLIESE, GIROLAMO, MD
103 MAIN STREET
KEYPORT, NJ 07735
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

02/22/99
PULVIRENTI, FRANCESCA M.
212 8TH STREET
SURF CITY, NJ 08008
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/29/05
QAYYUM. ABDUL, R.P.
960 COUNTRY CLUB DRIVE
TEANECK, NJ 07666
Medical
Other
Suspension

054
Medical Assistance (Medicaid)

04/27/00 Permanent
QUIJADA, CARLOS
106 SPRING VALLEY AVE, #1
HACKENSACK, NJ 07601
Medical
Criminal Offense
Disqualification

054
0018

12/20/12
QUINN, JOHN, C.
437 HARRISTOWN ROAD
GLEN ROCK, NJ 07452
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/20/06
QUINONES, ANGEL, DRIVER
48 GRAND STREET
GARFIELD, NJ 07026
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

09/11/01 Permanent
QURESHI, SHAMS
1084 MAIN AVENUE
CLIFTON, NJ 07011
Medical
Criminal Offense
Debarment

054
0018

01/27/12
RAAB, TERRI, A., LPN
3 MILL ROAD
JAMESBURG, NJ 08831
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

01/20/04
RAC, EDWARD P.
109 BERNARD DRIVE
MANAHAWKIN, NJ 08050
Professional
Industry Law Violation
Disqualification

Treasury
Treasury Purchase Bureau

10/12/04
RADOWITZ, MARK A DC
76 CHICHESTER ROAD
MONROE TOWNSHIP, NJ 08831-2650
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

09/04/07
RAHMAN, RONALD
20 SUSSEX AVENUE
VOORHEES, NJ 08043
Medical
Criminal Offense
Disqualification

054
0018

05/29/13
RAIA, JOSEPH
56 GRAFTON AVENUE
NEWARK, NJ 07104
Medical
Other
Debarment

054
0018

07/28/14
RAINFORD, JOHN, CHAIRMAN
239 CLIFTWOOD ROAD
OAKHURST, NJ 07755
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

02/01/12 01/29/15
RAJA, ABDUL, H.
53 FULHAN LANE
HOLBROOK, NY 00741
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

01/29/03 Permanent
RAMACHANDRA, NANDAVAR
741 ROUTE 18 S.
EAST BRUNSWICK, NJ 08816
Medical
Other
Debarment

054
0018

04/18/14
RAMANADHAM, ARUNA, R., MD
9 MOUNTAINVIEW DRIVE
LIVINGSTON, NJ 07039
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

01/12/00 Permanent
RAMAS, EDWIN L.
789 MITCHEL AVE.
UNION, NJ 07083
Medical
Criminal Offense
Debarment

Human Services
Medical Assistance (Medicaid)

07/17/09 07/17/14
RAMOS, REYNALDO
52 ABINGTON CT.
MAYS LANDING, NJ 08330
Medical
Criminal Offense
Debarment

054
0018

08/12/13
RAMOS, ROLANDO
85 SHERMAN AVENUE
TEANECK, NJ 07666-4120
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

02/20/04
RAMPERSAD, LAKSHMINARINE
11 APPLETREE LANE
LANDING, NJ 07850
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

12/20/00
RAND, DOV (2)
840 STONEWALL CT G
FRANKLIN LANES, NJ 07417
Medical
Criminal Offense
Debarment

054
0018

05/07/14
RAND, DOV
667 EAGLE ROCK AVENUE
WEST ORANGE, NJ 07052
Medical
Criminal Offense
Debarment

054
0018

09/03/13
RAND, DOV
667 EAGLE ROCK AVENUE
WEST ORANGE, NJ 07052
Medical
Criminal Offense
Suspension

054
0018

02/15/12
RAND, ELIAS
1401 OCEAN AVENUE
BROOKLYN, NY 11230
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
RASNER STEVEN
1055 NORTH PEARL ST
BRIDGETON, NJ 08401
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
RASOULINEJAD, Z. T., DDS
P.O. BOX1217
ALPINE, NJ
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/20/03
RATCHFORD, WILLIAM B. MD
PO BOX 2063
GLENVIEW, IL 60025
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

06/04/98
RAUH BRIGHAM, SUSAN, RN
4 BRECKENRIDGE DRIVE
SHAMONG, NJ 08088
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/20/01
RAVAL, KAWU
600 PAVONIA AVENUE
JERSEY CITY, NJ 07306
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

12/01/98
RAVIN, JOHN M., M.D.
9600 STERLING RIDGE AVE.
LAS VEGAS, NV 89129
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

02/19/04
RAY, DEBRA, RN
32 KAYWIN AVENUE
HAWTHORNE, NJ 07506
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

02/19/04
REA, MICHAEL, M.D.
444 MANSFIELD AVENUE
HADDONFIELD, NJ 08033
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

03/11/01 Permanent
REATH, ERIN R. RN
7705 SABRE DRIVE
KNOXVILLE, TN 37919
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/18/05
REAVES, LORI A.
FPC ALDERSON; GLEN RAY RD
ALDERSON, WV 24910
Medical
Criminal Offense
Disqualification

054
0018

03/07/14
REBA, GARY J., D.D.S.
TITUS LANE
PLAINSBORO, NJ 08536
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

12/20/07
REDNOR, GERALD B
101 KENSINGTON AVENUE
TRENTON, NJ 08618
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
REDONDO, ILEANA, M.D.
2421 ROSETTE STREET
FORT LEE, NJ 07024
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

04/23/02 Permanent
REED, DAVID, PRESIDENT
195 AIRPORT ROAD
SELINGSGROVE, PA 17870
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

01/14/13 01/13/16
REED, JUDY
233A MUHAMMAD ALI AVE
NEWARK, NJ 07108
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

12/15/05
REED, STEPHAN NILS, DC
4722 EAST DELL RD
PHOENIX, AZ 85026
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
REEVES, WILBURN C.
CREEK ROAD
BRICK, NJ 08724
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

08/10/07 Permanent
REGO, RAMON
6701 BERGENLINE AVENUE
WEST NEW YORK, NJ 07093
Medical
Criminal Offense
Debarment

054
0018

03/19/12
REHAN, ZAHEER, A.
280 HENDERSON STREET
JERSEY CITY, NJ 07302
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

05/10/99 Permanent
REID, PEACHES, CNA
11 RUTGERS STREET
IRVINGTON, NJ 07111
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

04/01/02
REINHARD, BARBARA
704 REED COURT
FLEMINGTON, NJ 08822
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

07/09/07
REITER, RAYMOND D.
405 MURRAY HILL PKWY#1023
E. RUTHERFORD, NJ 07073-2136
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

10/22/01 Permanent
REITER, RAYMOND D., M.D.
450 SADDLE BACK TRAIL
FRANKLIN LAKES, NJ 07417
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

10/22/01 Permanent
RENZI, CAROLINE M, DO
247 CENTER ST
TRENTON, NJ 08611
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)

12/04/91 Permanent
RICCIARDI, JUDE, CHHA
1452 45TH
NORTH BERGEN, NJ 07047
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/20/02
RICH, LEO
CEDAR LANE
TEANECK, NJ 07666
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
RICHARDS, AARON, COUNSLR.
23 WYCOFF STREET
DEAL, NJ 07723
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

02/20/01
RICHMAN, HOWARD P, DPM
502 N BLACK HORSE PIKE
WILLIAMSTOWN, NJ 08053
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

04/15/93 Permanent
RICHSTONE, GEOFFREY. MD
PO BOX 38, FCI
FORT DIX, NJ 08640
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/20/02
RILEY, BRIDGETT, PH TECH.
1801 EGG HARBOR ROAD
LINDENWALD, NJ 08021-1308
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

03/20/03
RIMERMAN, VALERY
43 DEMAREST AVENUE
CLOSTER, NJ 07624
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

12/20/06
RIOS, GUSTAVO, ERNESTO, MD
127 TWEED DRIVE
JACKSONVILLE, NC 28540-4591
Medical
Other
Debarment

054
0018

10/11/11
RIOS, JOSE, M.D.
930 PARK AVENUE
ELIZABETH, NJ 07208
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/22/98
RIOS, JOSE, M.D.
930 PARK AVENUE
ELIZABETH, NJ 07208
Medical
Other
Suspension

054
Medical Assistance (Medicaid)

06/22/98 Permanent
RIOS, JOSE, M.D.
175 SUMMER AVENUE
NEWARK, NJ 07104
Medical
Criminal Offense
Suspension

054
Medical Assistance (Medicaid)

05/14/98 Permanent
RIPPS, DANIEL, DDS
1330 CALHOUN STREET
TRENTON, NJ
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

12/01/95 Permanent
RIVERA, BASILIO, OWNER
169 MAPLE STREET
FAIRVIEW, NJ 07022
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

07/20/11 07/19/14
RIVERA, HECTOR, RICHARD
1 KEVIN ROAD
SCOTCH PLAINS, NJ 07076
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

01/09/12 01/08/15
RIVERA, JOSSELIN
251 MT. VERNON ST.
CAMDEN, NJ 08103
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

01/27/06
RIZVI, SAIYID, PH.D
100 CRAIG ROAD, SUITE 104
MANALAPAN, NJ 07726-8731
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

04/18/97
RIZZO, KENNETH R.PH.
110 WELLS FARM ROAD
GOSHEN, NY 10924
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/19/05
RIZZUTO, MARY F.
16 HOLLY DRIVE
TOMS RIVER, NJ 08753
Medical
Criminal Offense
Disqualification

054
0018

04/22/12
ROBALINO, JOFFRE
PO BOX 1000
CUMBERLAND, MD 21501
Medical
Criminal Offense
Disqualification

054
0018

05/28/13
ROBBINS GORDON J
447 UNION AVENUE
PATERSON, NJ 07522
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
ROBBINS, RICHARD, G., MD
551 MILLBURN ACE.
SHORT HILLS, NJ 07078
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

02/19/04
ROBINSON, KIM, OFF. ASST.
594 WALNUT STREET
ELIZABETH, NJ 07201
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

02/03/03
ROBINSON, VINCENT
62 MAPLE AVE.
IRVINGTON, NJ 07111
Medical
Criminal Offense
Debarment

Human Services
Medical Assistance (Medicaid)

03/13/09 03/13/14
ROCA, JOSE
469 9TH STREET
PALISADES PARK, NJ 07650
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

05/31/13 05/30/16
RODRIGUEZ RAMON R
100 MANHATTAN AVENUE
JERSEY CITY, NJ 07307
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
RODRIGUEZ, BEATRIZ
109 GREENBRIAR AVE BOX157
RICHLAND, NJ 08350
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/18/01
RODRIGUEZ, FERNANDO, MD
122 S. MONTFORT DRIVE
BELLE MEAD, NJ 08502
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

04/06/04
RODRIGUEZ, RONALD
7 EASTERN LANE
WILLINGBORO, NJ 08046
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

12/20/06 Permanent
ROGERS, JAMES G.
49 WESTERN PARKWAY
IRVINGTON, NJ 07111
Medical
Other
Suspension

054
Medical Assistance (Medicaid)

04/11/06 Permanent
ROHAUS, ROBERT, LAB. EMPL
301 LILAC COURT
BRIDGEWATER, NJ 08807
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

08/25/00
ROHE, PAUL
24 FAIRWAY DRIVE
GREEN BROOK, NJ 08812
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

11/20/06
ROLON, ORLANDO, JR.
1239 DUPONT STREET
CAMDEN, NJ 08105-3940
Medical
Criminal Offense
Disqualification

054
Medical Assistance (Medicaid)

11/12/09
ROMAN-CISSE, DENISE
9 SECOND AVE
NEWARK, NJ 07104
Medical
Criminal Offense
Debarment

054
0018

04/12/12
ROMANAZZI THOMAS
612 MYRTLE AVE
MANASQUAN, NJ 08786
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
ROMANOWSKI STEVEN
PO BOX 1011
UNION, NJ 07083
Medical
Poor Performance
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
ROMERO, IVAN
USP CANAAN P.O. BOX 300
WAYMART, PA 18472
Medical
Criminal Offense
Disqualification

054
0018

08/08/11
ROMILLO, JOSE
954 FISCHER BOULEVARD
TOMS RIVER, NJ 08753
Medical
Other
Disqualification

054
0018

08/16/11
RONAN, KATHLEEN, R.N.
17 HENRY STREET
SAYERVILLE, NJ 08872
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/18/01
ROQUE, JOSE RAMON, M.D.
317 60TH STREET
W. NEW YORK, NJ 07903
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

08/01/96 Permanent
ROSA, EDDIE 2
796 MT. PROSPECT AVENUE
NEWARK, NJ 07104
Medical
Criminal Offense
Disqualification

054
0018

09/17/13
ROSA, EDDIE
796 MT. PROSPECT AVE
NEWARK, NJ 07104
Medical
Criminal Offense
Suspension

054
0018

02/15/12
ROSANIA, NICHOLAS, G., DC
1 COBBLESTONE LANE
LONG VALLEY, NJ 07853
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/20/03
ROSEN, BURTON, DDS
1939 ROUTE 70 EAST
CHERRY HILL, NJ 08003
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

05/24/99 Permanent
ROSENFARB, ANDREW, ACUPUNCTURIST
332 SOUTH AVENUE EAST
WESTFIELD, NJ 07090
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

03/20/05
ROSENSWEET, MARTIN, DPM
FORT DIX FCI, PO 38
FORT DIX , NJ 08640
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

07/18/02
ROSERO, BENITO, M.D.
109 AMBLER ROAD
CHERRY HILL, NJ 08002
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

01/06/99
ROSERO, BENITO, M.D.
107 E. MANTUA AVENUE
WEHONAH, NJ 08090-1950
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

02/02/98
ROSS, BERNARD
30 E. PASSAIC STREET
MAYWOOD, NJ 07607
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

10/05/99 Permanent
ROSS, CLAYTON
18 SOUTH TERRACE
FISHKILL, NY 12524
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

12/02/13 12/01/16
ROSS, DOUGLAS AKA RICKY SHAW
123 N 19TH STREET
EAST ORANGE, NJ 07017
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

10/14/05
ROSS, JONATHAN, M.D.
11 TEAK COURT
CHERRY HILL, NJ 08003
Medical
Other
Disqualification

054
Medical Assistance (Medicaid)

06/19/00 Permanent
ROSS, JOSIE, B., RN
25 GRAND AVE.
HACKENSACK, NJ 07601
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/20/04
ROSSNICK, GERALD DDS
868 BROADWAY
BAYONNE, NJ 07002
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
ROTWEIN, PAUL, S., DDS
220 E. 63RD ST, APT. 8F
NEW YORK, NY 10021-7648
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

04/20/03
ROUGH, JAMES
12767 VAN HORNE ROAD
MEADVILLE, PA 16335
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

03/22/13 03/21/16
ROZO, GLADYS
374B HAMILTON STREET
SOMERSET, NJ 08873
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/14/07
ROZVAGA, NADEZHDA
155 ALEXAUKEN CREEK ROAD
LAMBERTVILLE, NJ 08530
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/20/09
RUANE, JOSEPH T., D.C.
314 WILLOW DRIVE
LITTLE SILVER, NJ 07739
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

01/08/97
RUBINSTEIN, CHARLES R.PH
45 LAUREL AVENUE
LINWOOD , NJ 08221
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/20/06
RUGGIERO, PAULA E., R.N.
29 PARKWAY DRIVE
WESTVILLE, NJ 08093
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/18/01
RUIZ, DANIEL (DANILE) OWNER
596 ELM STREET
KEARNY, NJ 07032
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

11/25/11 11/24/14
RUIZ, DORIS
909 WEST 7TH STREET
PLAINFIELD, NJ 07063
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/14/07
RULDAN, THOMAS, LPN
301 OHIO AVENUE
PHILLIPSBURG, NJ 08865
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/20/01
RUSH, DAVID A, NURSE AID
5755 PFEIFER CIRCLE
GERMANSVILLE, PA 18053
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

10/11/00 Permanent
RUSH, DAVID A.
5755 PFEIFER CIRCLE
GERMANSVILLE, NJ 18053
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

04/19/99 Permanent
RUSHING, GARY, DC
70 BROAD STREET, SUITE B
MATAWAN, NJ 07747-2534
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

01/20/02
RUSSAMANO, RAYMOND P., M.D.
BLOOMFIELD AVENUE
BLOOMFIELD, NJ 07003
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

11/30/07
RUSSELL, FERNESE, D., CNA
666 E. 26TH STREET
PATERSON, NJ 07504
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

03/24/02
RUSSELL, ROBERT J.
1645 B-BLACKWOOD CLEMENTN
BLACKWOOD, NJ 08012
Medical
Other
Disqualification

054
Medical Assistance (Medicaid)

10/02/95 Permanent
RUSSO, ANTHONY, OWNER
653 STATE ROUTE 52
WALDEN, NY 12586
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

06/14/11 06/13/14
RUSSO, GARY
3 PREMIER WAY
MANALAPAN, NJ 07726
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

08/14/13 08/13/16
RUSSOMANO, RAYMOND, M.D.
BLOOMFIELD AVENUE
BLOOMFIELD, NJ 07003
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

11/28/07
RUTA, EUGENIO DC
189 6TH AVENUE
LONG BRANCH, NJ 07740-7228
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/21/08
RYAN JAMES
267 SEACLIFF AVE
SEACLIFF, NY 11579
Medical
Criminal Offense
Disqualification

054
Medical Assistance (Medicaid)

04/01/96 04/01/04
RYAN, GERALDINE, R.N.
228 RIDGE AVENUE
LAKEWOOD, NJ 08701
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

02/20/02
RYAN, LISA ANNE
415 LYNDALE STREET
PHILLIPSBURG, NJ 08865
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/09/08
RYAN, MICHELE, K., L.P.N.
656 WHITE HORSE PIKE
HAMMONTON, NJ 08037
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

03/20/02
RYAN, THOMAS
D17-25 HUNTS POINT CORP
BRONX, NY 10474
Vendor
Criminal Offense
Suspension

082
Treasury Purchase Bureau

09/07/00 Permanent
RYMAL, CHRISTOPHER
1929 DARBY ROAD
HAVERTOWN, PA 19083
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

05/16/14 05/15/17
SAADY, JACK R. PH.
281 ROUND HILL DRIVE
FREEHOLD, NJ 07728
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

07/11/00 Permanent
SABA-KHALIL, ROSALY, MD
531 SUMMIT AVENUE
FRANKLIN LAKES, NJ 07417
Medical
Criminal Offense
Disqualification

054
Medical Assistance (Medicaid)

07/10/95 Permanent
SABATE, NEONITA, R.N.
PO BOX 4004
CLINTON, NJ 08809
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

08/27/01 Permanent
SABBAGHZADEH, ANDREW A.
108 BRANDON ROAD
EAST SYRACUSE, NY 13057
Medical
Criminal Offense
Suspension

054
0018

03/20/12
SACCA, COLLEEN, RN
310 GARFIELD AVENUE
PALMYRA, NJ 08065
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/20/04
SACHER, PHILIP
558 ANDERSON AVE
CLIFFSIDE PARK, NJ 07010
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

05/06/86 Permanent
SADARANGANI, BHAGWAN
240 LYNCREST ROAD
ENGLEWOOD CLIFF, NJ 07632
Medical
Criminal Offense
Disqualification

054
0018

02/28/11
SAEED MOHAMMED
1507 FINNEGANS LANE
NORTH BRUNSWICK, NJ 08902
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

11/16/98 Permanent
SALAAM, ABDUL J., M.D.
1153 SOUTH ORANGE AVE
NEWARK, NJ 07103
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

08/07/97 Permanent
SALARTASH, KHASHAYAR
112 POND LANE
LINWOOD, NJ 08221-1347
Medical
Criminal Offense
Suspension

054
Medical Assistance (Medicaid)

10/27/09 10/07/11
SALEMA, JOSEPH
101 EAST ELM STREET
WENONAH, NJ 08090
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

04/04/98 Permanent
SALITA, CONRAD C. M.D.
1 N. VALLEY AVENUE
VINELAND, NJ 08360
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

12/29/95 Permanent
SALKIND, SCOTT A., D.O.
611 KINGS CROFT
CHERRY HILL, NJ 08034
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/14/00
SALT & PEPPER INC.
24 BRANFORD PLACE
NEWARK, NJ 07102
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)

05/09/94 Permanent
SALUJA, DHANBIR
230 JEFFERSON STREET
NEWARK, NJ 07105
Medical
Other
Debarment

054
0018

08/24/13
SALVATORE THOMAS JR
201 HAMILTON AVE
TRENTON, NJ 08609
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
SAMAN, AIAD L.
47 CENTER PLACE
STATEN ISLAND, NY 10306-5711
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

03/25/09
SAMANIEGO, RICARDO, PRESIDENT
6701 KINDRED STREET
PHILADEPHIA, PA 19149
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

08/29/11 08/28/14
SAMUEL SOUFFRONT, DELORIS
P.O. BOX 4004
CLINTON, NJ 08809
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

05/02/08
SAN DIEGO, NARDO
4 HEATHER HILL LANE
SUFFERN, NY 10901
Medical
Other
Debarment

054
0018

10/08/13
SANCHEZ, MAURICE
243 PROSPECT AVENUE
NORTH ARLINGTON, NJ 07031
Medical
Criminal Offense
Disqualification

054
0018

01/01/11 04/30/12
SANDERLIN, KATHLEEN, R.N.
824 SANIKAN TRAIL
SOUTHAMPTON, NJ 08088
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/18/01
SANDERS, DENISE
4 DREXEL COURT
SAYERVILLE, NJ 08021
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

07/12/95 Permanent
SANDERS, MICHAEL
4 CHERRY ROAD
NEWTOWN, NJ 07860
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/19/06
SANDERSON, LYNN, L.P.N., R.N.
120 GATES MILL COURT
TRENTON, NJ 08690
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/20/05
SANGHERA, ANIL
105 PHEASANT FIELD LANE
MOORESTOWN, NJ 08057
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

05/20/09
SANICO, ELAINE D., DPM
122 BRIGHT ST., #1W
JERSEY CITY, NJ 07302
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

11/19/97
SANTA MARIA DONNA, L. RN
618 CINDER ROAD
EDISON, NJ 08820
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

07/18/01 Permanent
SANTAN, ALICIRIO JOSE
141 ROUTE 130 SOUTH
CINNAMINSON, NJ 08077
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

04/23/14 04/22/17
SANTANA, SONIA, CCHA
569 E. 33RD STREET
PATERSON, NJ 07613-1119
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

03/28/01 Permanent
SANTANIELLO, RICHARD, J.
5 BUGLE COURT
HOWELL, NJ 07731
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

03/20/02
SANTIAGO, RANALDO
GIBBSBORO RD.
LINDENWOLD, NJ 08021
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

08/10/07 Permanent
SANTIAGO, REYNALDO, M.D.
1502A MARCY PLACE
PHILADELPHIA, PA 19115
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

06/16/97 Permanent
SANTIAGO, RUTH, M., HHA
289 BROADWAY, APT. E
NEWARK, NJ 07104
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/19/01
SANTIAGO, VANESSA
35 AMHERST ROAD
SOUTH TOMS RIVE, NJ 08757
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

05/31/06
SANTOS, MICHAEL
988 JOHNSON PLACE
UNION, NJ 07083
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

11/27/13 11/26/16
SANTOS, PETER, PRESIDENT
35 ELMWOOD AVE., UNIT 2B
UNION, NJ 07083
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

08/27/13 08/26/16
SAPERSTEIN, ALAN
30 HIGHLAND RD-DIX HILLS
LONG ISLAND, NY 11746
Medical
Criminal Offense
Disqualification

054
Medical Assistance (Medicaid)

03/01/87 Permanent
SARAVIA, JERSON
223-10 113TH STREET
QUEENS VILLAGE, NY 11429
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

08/19/13 08/18/16
SAUL, STEPHEN L., DPM
76 W. JIMMIE LEEDS ROAD
ABSECON, NJ 08201
Medical
Other
Disqualification

054
Medical Assistance (Medicaid)

07/18/01 Permanent
SAYED, BAKHATY, ABDEL, MD
403 HARMON TOWERS
SECAUCUS, NJ 07094
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

04/26/95
SBARRA, SAMUEL
PARK AVENUE
NUTLEY, NJ 07110
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/20/08
SCARPITTA, JANET
92 PEABODY PLACE
NEWARK`, NJ 07104
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/15/01 Permanent
SCERBO, ERNEST J, MD
26 01 BROADWAY SUITE 103
FAIR LAWN, NJ 07410
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
SCHECHTER, MARVIN, OD
100 YORKTOWN DR
MT LAUREL, NJ 08054
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
SCHEIN HERBERT W
1027 HOOPER AVENUE
TOMS RIVER, NJ 08753
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
SCHEINER, DAVE E., DPM
910 BONAPARTE COURT
PHILADELPHIA, PA 19107
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/22/99
SCHENKEL, CATHERINE MICHELLE RN
87 IRVING AVENUE APT. 3
LIVINGSTON, NJ 07039
Medical
Criminal Offense
Suspension

054
0018

05/30/10
SCHENKEL, CATHERINE
87 IRVING AVENUE APT. 3
LIVINGSTON, NJ 07039
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

06/20/09
SCHIVAO, JOHN
6 JUSTA LANE
CHERRY HILL, NJ 08003
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

01/13/14 01/12/17
SCHLACHTER, ANDREA
42 WEST HOLLY STREET
CRANFORD, NJ 07016
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

11/20/06
SCHLISSERMAN HERMAN
300 48TH STREET
UNION CITY, NJ 07087
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
SCHMUCKER-KARPOW, C., M.D
50 MAPLE AVENUE
MORRISTOWN, NJ 07960
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

12/27/95 Permanent
SCHNEIDER, BRUCE J.
520 CLIFFORD AVENUE, E8
MATAWAN, NJ 07747
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/20/06
SCHOBERT, WILLIAM B III
25 WELLINGTON DRIVE, #D
LUMBERTON, NJ 08048
Medical
Other
Disqualification

054
Medical Assistance (Medicaid)

06/20/09 07/14/14
SCHRAGER, KENNETH, J., MD
FCI P.O. BOX 600
OTISVILLE, NY 10963
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/19/01
SCHROEDER, ANN, VICE PRESIDENT
106 SUMMER LEA COURT
NEW HOPE, PA 18938-2237
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

07/20/11 07/19/14
SCHROEDER, ROBERT FRANCIS, PRESIDENT
106 SUMMER LEA COURT
NEW HOPE, PA 18938-2237
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

07/20/11 07/19/14
SCHULTZ, STEVEN, MD
1495 EAST 92ND STREET, #2
BROOKLYN, NY 11236
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

06/09/99 Permanent
SCHUMN, OTTO
678 BURKE STREET
WESTWOOD, NJ 07670
Professional
Industry Law Violation
Disqualification

Law and Public Safety
Consumer Affairs Board of Architects

06/01/93 Permanent
SCHUTT CHARLES HARDEN
21 PARMLEY ROAD
TINCTON FALLS, NJ 07724
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
SCHWARTZ, EDWARD R., RPH
1021 HERALD STREET
REDLANDS, CA 92374
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

12/20/00
SCHWARTZ, EDWARD
720 HARMON COVE TOWERS
SECAUCUS, NJ 07094
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

01/17/01 Permanent
SCHWARTZ, GEORGE ROBERT
P.O. BOX 1806
SANTA FE, NM 87504-1806
Medical
Other
Suspension

054
Medical Assistance (Medicaid)

12/19/07
SCHWARTZ, MURRAY
5 AUTUMN COURT
CHERRY HILL, NJ 08003
Medical
Criminal Offense
Debarment

054
0018

12/05/13
SCHWARTZ, MURRAY
5 AUTUMN COURT
CHERRY HILL, NJ 08003
Medical
Other
Debarment

054
0018

01/23/13 01/23/18
SCHWARZ, DENISE, DPM
1729 PAMMEL PARK ROAD
WINTERSET, IOWA, NJ 50273-8315
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

02/20/02
SCIUBBA, ALFRED
3 CHADWICK DR.
VOORHEES, NJ 08043
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

10/22/13 10/21/16
SCOPELLITI, ALDO, R., DC
107 MONMOUTH ROAD
W. LONG BRANCH, NJ 07764
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/12/00
SCOTT, DEBRA
2751 S. OCEAN DRIVE
HOLLYWOOD, FL 33019
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/20/04
SCOTT, GLENN, R.N.
70 POLIFLY RD. APT. 105
HACKENSACK, NJ 07601
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/18/01
SCOTT, MELVIN
42 HIGHLAND TERRACE
IRVINGTON, NJ 07111
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/03/01
SCULLION, FRANCES RN
20 BREAKNECK ROAD
OAKLAND, NJ 07436
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

07/13/88 Permanent
SCURKO, RAYMOND E.
12 TOMAHAWK TRAIL
DENVILLE, NJ 07834
Vendor
Industry Law Violation
Suspension

Treasury
Treasury Purchase Bureau

10/12/04
SEHGAL, SHASHIBALA
630 FT. WASHINGTON AVENUE
NEW YORK, NY 10040
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

12/31/00
SELLITTI, PAT
870 LAMONT AVENUE
STATEN ISLAND, NY 10309
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

04/16/20 04/15/20
SEMPLE, IVRY
472 LAKESIDE AVE.
ORANGE, NJ 07050
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
SENAPE, SAVERIO, M.D.
215 WEST 92ND STREET 15A
NEW YORK, NY 10025
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

08/05/98 Permanent
SENATORE, SALVATORE
342 LINCOLN DRIVE
KENILWORTH, NJ 07033
Medical
Other
Disqualification

054
0018

08/19/10
SENDER, PAUL
30A WEST MAPLE AVENUE
MONSEY, NY 10952
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

11/20/06
SENQUIZ, LUZ, COUNSELOR
471 HIGHLAND AVE., APT.A
COLLINGSWOOD, NJ 08108
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

04/29/03
SENTILLES JEAN JMD
150 W 56TH ST NO 509
NEW YORK, NY 10019
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
SERENO, PATRICIA RN/LPN
18 SECRETARIAT STREET
HOWELL, NJ 07731
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/20/01
SESAY, CHERYL, LPN
12 AVA AVENUE
SOMERDALE, NJ 08083
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/20/02
SESSOMS, VALERIE
29 STRATFORD PLACE,APT 6J
NEWARK, NJ 07108
Medical
Criminal Offense
Disqualification

054
0018

09/20/12
SEUFERT, ANNA MARIE
5139 LAKE WORTH ROAD
GREEN ACRES, FL 33463-3350
Medical
Criminal Offense
Disqualification

054
0018

06/19/14
SEXTON, PAUL
462 10TH AVENUE
PATERSON, NJ 07510
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

07/10/14 07/09/17
SHACK, DANIEL R.PH.
2 GRACEHILL COURT, APT.
TITUSVILLE, NJ 08560
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/20/06
SHAH, JAYEN C, M.D.
MEADOWLANDS PARKWAY
SECAUCUS, NJ 07096
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

07/26/96 Permanent
SHARMA, YOGENDRA P.
17 VAHLSING WAY
ROBBINSVILLE, NJ 08691
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

02/28/00 Permanent
SHAROW, RALPH, DMD
PO BOX 1000- CAMP
FORT DIX, NJ 08640
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/20/03
SHEA, ANN M., R.N.
706-08 ZLOTKIN CIRCLE
FREEHOLD, NJ 07728
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/18/01
SHEELEY, SHAWN
130 SHEELEY ROAD
KERSEY, PA 15846
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

05/30/13 05/29/16
SHEIKH, IMTIAZ A., M.D.
1008 BRAINARD PLACE
BRIELLE, NJ 08730
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

12/01/98 Permanent
SHEIKH, MOHAMMAD
59-07 71ST AVENUE
RIDGEWOOD, NY 11385
Medical
Other
Debarment

054
Medical Assistance (Medicaid)

10/20/03
SHEIKH, NAFEESA
516 BLOOMFIELD AVE.
NUTLEY, NJ 07110
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

11/20/03
SHERANI, TAHIR, S.
215 N. WYOMING STREET
S. ORANGE, NJ 07079
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

02/07/00 Permanent
SHERMAN, HENRY M., MD
141 S. HARRISON STREET
EAST ORANGE, NJ 07018
Medical
Criminal Offense
Disqualification

054
Medical Assistance (Medicaid)

02/05/97 12/14/11
SHIPMAN, BRYAN LEE
1210 CHERSONESE ROUND
MOUNT PLEASANT, SC 29464
Medical
Criminal Offense
Disqualification

054
0018

03/20/12
SHKLOVER TOBIAS MD
2611 W. 2ND STREET
BROOKLYN, NY 11223
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/20/07
SHMIDMAN MIRIAM HOROWITZ
8215 ABINGTON ROAD
KEW GARDENS, NY 11478
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
SHROPE, CATHY, L.
175 COUNTY ROUTE 519 S.
BELVIDERE, NJ 07823
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

07/22/02
SHROUT, WILLIAM
PO BOX 280
FAIRTON, NJ 08320
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/20/01
SHUSTER, LARRY B. RPH
3136 GUILFORD STREET
PHILADELPHIA, PA 19152
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

03/09/08
SIAM, NABIL, A.
67 HIGHWAY 37, PO BOX 193
TOMS RIVER, NJ 08754
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

12/01/99 Permanent
SIBERT, SCOTT L
43 WOODLAND AVENUE
WOODBURY, NJ 08096
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)

11/15/85 Permanent
SIDDIQUE, NURULHASAN
4912 BERGENLINE AVENUE
WEST NEW YORK, NJ 07093
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

01/12/96 Permanent
SIDDIQUI, AFTAB A., M.D.
504 LIVINGSTON STREET
NORWOOD, NJ 07648
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/19/98
SIDDIQUI, SHAKIR, H.
619 SCHUYLER AVENUE
KEARNEY, NJ 07032
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

03/10/98
SIDDIQUI, SHOAIB H.
9 TOWER DRIVE
EAST HANOVER, NJ 07936
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/19/01
SIEGEL, JONATHAN B., DPM
4772 HIGHWAY 9 SOUTH
HOWELL, NJ 07731
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

09/11/00 Permanent
SIGLE, EDWARD
CRANBURY SOUTH RIVER ROAD
MONROE TWP., NJ 08831
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

05/29/07 Permanent
SILMAN, ALEXANDER, DDS
3 CLARK PLACE
MARLBORO, NJ 07746
Medical
Other
Suspension

054
0018

10/22/10
SILVA, SANDY, COUNSELOR
2208 HILLCREST AVENUE
PENNSAUKEN, NJ 08110
Medical
Criminal Offense
Suspension

054
Medical Assistance (Medicaid)

04/29/03
SILVERHARDT, STEPHEN, DDS
1436 MARSHALL LANE
MEADOWBROOK, PA 19046
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)

02/16/88 Permanent
SILVERMAN HAROLD
529 BROAD STREET
NEWARK, NJ 07102
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
SIMMONS, SHAMEKIA
RIDGE AVENUE
ASBURY PARK, NJ 07712
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/21/08
SIMONE, RENEE, CRIVELLO RPH
403 SCOTT COURT
UNION, NJ 07083
Medical
Other
Suspension

054
0018

10/22/10
SIMONETTI, DAVID, VICE PRESIDENT
8 HIGHTOR ROAD
NEW CITY, NY 10956
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

02/08/12 02/07/15
SIMONETTI, DOMENICO, PRESIDENT
6 HANFORD PLACE
TARRYTOWN, NJ 10591
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

02/08/12 02/07/15
SINGH MANJIT MD
12 HARRISON MOUNT LAKE RD
RINGWOOD, NJ 07456
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

11/24/07
SINGH, MANJIT, M.D.
21 LEHMAN STREET
MAHWAH, NJ 07430
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

02/24/98
SINGH, SURINDER, M.D.
288 SUMMIT AVENUE
JERSEY CITY, NJ 07306
Medical
Other
Disqualification

054
Medical Assistance (Medicaid)

07/23/07 Permanent
SINGLETON, RUSSELL
401 BROADWAY
CAMDEN, NJ 08103
Medical
Other
Disqualification

054
0018

08/09/14
SINVANY-NUBEL, AVIVA R.N. AND A.P.N.
683 DONALD DRIVE NORTH
BRIDGEWATER, NJ 08807
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/20/05
SIRIPURAPU, PADMA
201 LYONS AVENUE
NEWARK, NJ 07112
Medical
Criminal Offense
Suspension

054
0018

02/15/12
SIROTA, ALEKSANDR
P.O. BOX 2000
LEWISBURG, NJ 17837
Medical
Criminal Offense
Disqualification

054
0018

08/19/10
SISON, JOSEPH MD
41 BROWNSTON WAY STE 218
ENGLEWOOD, NJ 07631
Medical
Other
Suspension

054
0018

08/02/11
SIVAKANTHA, SIVAGNANALINGAM
P.O. BOX 5503
SOMERSET, NJ 08875
Medical
Other
Disqualification

054
0018

09/20/11
SKAGGS, MATTHEW A
2127 QUAETHEM DRIVE
CHESTERFIELD, MO 63005
Medical
Criminal Offense
Disqualification

054
0018

01/20/12
SKURATON, JEFFREY
WINGED FOOT DRIVE
LIVINGSTON, NJ 07039
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/19/08
SLAKIE, CHRISTINE, RN
103 EDGE LANE
WILLINGBORO, NJ 08046
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/19/03
SLATER, BARBARA A, L.P.N.
7 POINT ROAD
TOMS RIVER, NJ 08753
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/18/01
SLOAN, DEBRA
31 SCHAAF ROAD
BLOOMSBURY, NJ 08804
Medical
Criminal Offense
Debarment

054
0018

08/12/12
SLOTNICK, SINO
1556 RIVER ROAD
TEANECK, NJ 07666
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
SLOVER, SHAYLA
NORTH MAPLE AVE.
MARLTON, NJ 08053
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/04/07 Permanent
SMITH DWAYNE
12-14 ELM STREET APT 6
MONTCLAIR, NJ 07042-3385
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

09/23/07
SMITH WILLIAM
RT 1 35 WHITE TAIL ROAD
SAN MARCOS, TX 78666
Medical
Criminal Offense
Disqualification

054
Medical Assistance (Medicaid)


Permanent
SMITH, ALPHONSO, MD
421 WESTWOOD DRIVE #U
WOODBURY, NJ 08096
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/31/02
SMITH, GARY W.
584 ERIAL ROAD
SICKLERVILLE, NJ 08081
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

04/18/13 04/17/16
SMITH, LAURA, LPN
OLD FREEHOLD ROAD
TOMS RIVER, NJ 08753
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/18/07
SMITH, LISA L.
584 ERIAL ROAD
SICKLERVILLE, NJ 08081
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

04/18/13 04/17/16
SMITH, RUSELL III
33 ORCHARD AVENUE
PENNINGTON, NJ 08534
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

04/15/07
SMITH, RUSSELL P., III LPN
714 S. PENNSYLVANIA AVENU
MORRISVILLE, PA 19067-1214
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

06/22/07
SMITH, RUSSELL, III LPN
33 ORCHARD AVENUE
PENNINGTON, NJ 08534
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

04/19/07
SMOLER, JOSEPH M, MD
158 HAMILTON AVE
PASSAIC, NJ 07055
Medical
Poor Performance
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
SMUTEK, MICHELLE, M., LPN
2115 FLORENCE AVENUE
HAZLET, NJ 07735
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

10/20/02
SNELL, PHILIP
217 PAULISON AVENUE
PASSAIC, NJ 07055
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
SODANO, MICHAEL J.
708 FOREPEAK AVENUE
BEACHWOOD, NJ 08722
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

01/06/99
SODANO, MICHAEL
708 FOREPEAK AVE
BEACHWOOD, NJ 08722
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
SOHN, YOUNG
63 CARLOUGH ROAD
U. SADDLE RIVER, NJ 07458
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/20/00
SOKHA, BORIS
FCI FORT DIX
FORT DIX, NJ 08640
Medical
Other
Suspension

054
Medical Assistance (Medicaid)

05/20/09
SOLARZ, LAUREN
1133 THACKERY CIRCLE
VOORHEES, NJ 08043
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/19/99
SOLOMON, JENNIFER
142 BROAD STREET
NEWARK, NJ 07104
Medical
Criminal Offense
Disqualification

054
Medical Assistance (Medicaid)

06/25/02
SOMERSET WILLARD F RP
1123 BROAD ST
NEWARK, NJ 07114
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
SOMERSET, WILLARD, F.
1123 BROAD STREET
NEWARK, NJ 07114
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

01/01/88 Permanent
SONG KI I MD
62 COTTAGE STREET
JERSEY CITY, NJ 07306
Medical
Other
Suspension

054
0018

04/07/11 Permanent
SONG, YOUNG
37 DEANNA DRIVE
EAST HANOVER, NJ 07936
Medical
Criminal Offense
Disqualification

054
0018

07/19/10 07/19/15
SONZA, PATRICIO, A. MD
8 CONSTITUTION WAY
FLEMINGTON, NJ 08822
Medical
Other
Suspension

054
0018

11/20/10
SORBELLO, TANYA, J., LPN
460 NEW STREET EAST
GLASSBORO, NJ 08028
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

02/19/04
SORONGON, MARCELINO, MD
192 SURREY COURT
RAMSEY, NJ 07446
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/18/00
SOYFER, ALEXANDER
104 MAPLE HILL DRIVE
WOODBRIDGE, NJ 07095
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/20/01
SPAIN, ANTHONY, B., DMD
113 CRESCENT AVENUE
PLAINFIELD, NJ 07060
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

05/28/02
SPANO, ANTHONY
176 EVERGREEN STREET
HILLSDALE, NJ 07642
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

11/20/03
SPAVLIK, LAURIE, RDA
200 EAST GRANT AVENUE
SOMERDALE, NJ 08083
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

04/19/01
SPECTOR, IOSIF G., M.D.
54 INDIAN DRIVE
WOODCLIFF LAKE, NJ 07675
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/20/00
SPEDALIERE, CARMINE, MD
1601 KENNEDY BLVD.
NORTH BERGEN, NJ 07407
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

07/19/99 Permanent
SPLITTER, SAMUEL R. MD
1742 MARYLAND AVENUE
CAPE MAY, NJ 08204
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

05/04/98 Permanent
SPYRIDON-MARKER, KAREN
25 ELKINTON ROAD
ALLOWAY, NJ 08001
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

10/20/02
ST. PETER, LISA
P.O. BOX 2000
BRUCETON MILLS, WV 26525-2000
Medical
Criminal Offense
Debarment

Human Services
Medical Assistance (Medicaid)

11/17/08
STANCH, JAMES M
FCI P.O. BOX 350
BEAVER, WV 25813
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

11/20/08
STANCH, JAMES
160 S. LAKESHORE DRIVE
MANAHAWKIN, NJ 08050
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/03/06 Permanent
STANKO-STRACK, MARY ELIZABETH
1348 MILLENNIUM COURT
TOMS RIVER, NJ 08753
Medical
Other
Disqualification

054
0018

05/20/10
STANLEY, JAMES, R.
PO BOX 38, FCI
FORT DIX, NJ 08640
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

12/20/01
STANTON, FRANCIS, X., MD
1327 CAMINITO BATEA
LA JOLLA, CA 92037
Medical
Criminal Offense
Debarment

Human Services
Medical Assistance (Medicaid)

10/18/01
STARR, MARTIN, OWNER
247 RARITAN BLVD.
CLIFFWOOD BEACH, NJ 07735
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

02/28/12 02/27/15
STAVITSKI, MICHAEL, RPH
419 FAWNS RUN
MORGANVILLE, NJ 07751
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

07/12/02
STEEL BURTON B
1 ROUND HILL ROAD
WASHINGTONVILLE, NY 10992
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
STEFFEN, PAUL H.
4305 APPLE LANE
PAULSBORO, NJ 08066
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/20/01
STEFFENS, PAUL
1778 CALICO LANE
TOMS RIVER, NJ 08753
Medical
Criminal Offense
Debarment

Human Services
Medical Assistance (Medicaid)

04/23/03
STEIG, HENRY S., DPM
827 CHARNWOOD DRIVE
FRANKLIN LAKES, NJ 07417
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

10/19/99 Permanent
STEIN, MICHAEL P.
FMC LEXINGTON
LEXINGTON, KY 40512
Medical
Criminal Offense
Debarment

054
0018

08/20/12
STEIN, MICHAEL P., MD
400 RTE. 10 WEST
RANDOLPH, NJ 07869
Medical
Other
Disqualification

054
Medical Assistance (Medicaid)

10/05/99
STEINBRECHER, DEBRA
2302 WIMBLEDON WAY
BLACKWOOD, NJ 08012
Medical
Criminal Offense
Disqualification

054
Medical Assistance (Medicaid)

02/26/10
STEINMAN ARTHUR C DO
301 MADISON AVE
LAKEWOOD, NJ 08701
Medical
Industry Law Violation
Disqualification

054
Medical Assistance (Medicaid)

11/11/91 Permanent
STEPHENS, ALICIA
5322 RIVERSIDE STATION BL
SECAUCUS, NJ 07094
Medical
Other
Suspension

054
0018

11/20/10
STEPHENS, JEFFREY
411 JAROB COURT
POINT PLEASANT, NJ 08742
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

03/20/07
STEVENS, TRACY, M., RN
501 S. BERLIN AVE.
EGG HARBOR CITY, NJ 08215
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

04/20/03 Permanent
STIER, ERIC G., D.O.
891 OLENTANGY ROAD
FRANKLIN LAKES, NJ 07417
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

03/06/00 Permanent
STILLWAGON-AHLERS, DAWN
SUNSET LAKE ROAD
HARDWICK, NJ 07825
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/20/08
STILWELL, MELISSA, CHHA
419 CATHERINE STREET
SOMERVILLE, NJ 08876
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

02/19/04
STIMMEL-KEAY, LINDA
5 DRAYTON PLACE
WAYNE, NJ 07470
Medical
Criminal Offense
Debarment

054
0018

01/01/14
STOKES, RONALD, L., CHHA
124 6TH AVENUE
LONG BRANCH, NJ 07740
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/19/03 Permanent
STONE, MARY
132 CORBIN COURT
LAKEWOOD, NJ 08701
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/19/06
STOUDEN, ELENA, DDS
EAST 83RD ST.
NEW YORK, NY 10028
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/19/08
STOVEKEN, ANDREW
27-11 RAVENS CREST DRIVE
PLAINSBORO, NJ 08536
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

05/15/05
STRASSMAN, ALLAN
5 ROANOKE AVENUE
ROCKAWAY, NJ 07886
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

12/01/98 Permanent
STRASSMAN, WAYNE
2 NEW COUNTRY ROAD
SECAUCUS, NJ 07094
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

03/05/98 Permanent
STRINE, WALTER M. JR.
173 ROSE VALLEY RD.
MEDIA, PA 19063
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/11/01
STROGOV, EMILIA
COOPER ROAD
SCOTCH PLAINS, NJ 07076
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

03/24/95
STRUM MORTON W
1360 ARBORDALE ROAD
PHILADELPHIA, PA 19151
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
SULLIVAN, JOHN, M.
PO BOX 2000
LEWISBURG, PA 17837
Medical
Other
Disqualification

054
Medical Assistance (Medicaid)

07/30/98 Permanent
SUMAN, DASS K., M.D.
4 BALDWIN AVENUE
JERSEY CITY, NJ 07304
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

10/04/00 Permanent
SURECK, MORRIS M.
12 NORTH 4TH AVENUE
HIGHLAND PARK, NJ 08904
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
SUSSMAN, GERALD D.O.
6 EAST FIRST AVENUE
RUNNEMEDE, NJ 08708
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/20/98
SVERDLOV, GREGORY
269 SHEFFIELD ST.
MOUNTAINSIDE, NJ 07092
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

08/07/98 Permanent
SZARSZEWKI, MARK A., RPH
6 MARIGOLD CT.
EDISON, NJ 08820
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/20/05
SZTYBEL, ELVIRA
35 PEACHTREE ROAD
OAKHURST, NJ 07755
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

07/18/01 Permanent
TABOTABO, ARMANDO, M.D.
12 WQEST FRONT STREET
KEYPORT, NJ 07735-1210
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

04/12/01 Permanent
TADROS, AMIR
6 ALEXANDER COURT, APT 6N
JERSEY CITY , NJ 07305
Medical
Criminal Offense
Debarment

054
0018

12/20/12
TADROS, AMIR
6 ALEXANDER CT.
JERSEY CITY, NJ 07305
Medical
Criminal Offense
Disqualification

054
0018

06/30/10
TAPPER, FREDERIC, S, D.O.
39 BROOKSIDE DRIVE
WARREN, NJ 07059
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

08/21/00 Permanent
TARA, HAROLD H, MD
48 BROOKWOOD DR
WAYNE, NJ 07470
Medical
Industry Law Violation
Disqualification

054
Medical Assistance (Medicaid)

06/01/93 Permanent
TARANTO, SHERRY L, RDH
26 COOMES STREET
NORWICH, NY 13815
Medical
Other
Debarment

054
0018

12/02/12
TARASEVICH, LISA, LPN
206 LAKEHURST AVE., APT B
NATIONAL PARK, NJ 08063
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/19/02
TARKAS, SURBHI
8 CARLTON COURT
EAST BRUNSWICK, NJ 08816
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

06/23/04
TASCA, ANTHONY, J., RN
11 SAWGRASS COURT
BLACKWOOD, NJ 08012
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/20/03
TASSAGLOY, GEORGE
105 CEDAR AVE
WOODLYNNE, NJ 08107
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

02/19/13 02/18/16
TAUSCHEK, JENNIFER L.
154 MAPLE AVENUE
TUCKERTON, NJ 08087
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/20/05
TAUTHONG, LEK
91 GRAHAM STREET
JERSEY CITY, NJ 07307
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

12/18/13 12/17/16
TAYLOR, BARBARA J, AKA MONDELO AKA MARIA DOMINICO
KENTWOOD BLVD
BRICK, NJ 08724
Medical
Criminal Offense
Debarment

Human Services
Medical Assistance (Medicaid)

10/24/08
TAYLOR, TIANN
PO BOX 4004
CLINTON, NJ 08809
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

06/20/06
TELAND, FRANK
1030 N. KINGS HGHWY
CHERRY HILL, NJ 08034
Medical
Other
Debarment

054
0018

08/28/14
TELANG, FRANK W., M.D.
1030 W. KINGS HIGHWAY
CHERRY HILL, NJ 08034
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

12/05/97 Permanent
TELGHEDER, MARGARET, LAB
75 SPRING VALLEY RD
MONTVALE, NJ
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/20/02
TERCHIO GAETANO FRED
104 E PALISADE BLVD
PALISADE PARK, NJ 07650
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
TERPENNING, CLARENCE PHD
303 CARTER ROAD
PRINCETON, NJ 08540
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
TESTAM STEPHEN D.
6 NORTH HILL DRIVE
LYNNFIELD, MA 01840
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

05/28/14 05/27/17
THAMES, DOUGLAS, A., MD
218 WEST AVENUE
PITMAN, NJ 08071
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

03/20/01
THEUNE, CHRISTOPHER
5678 BERKSHIRE VALLEY RD.
OAK RIDGE, NJ 07438
Medical
Other
Debarment

054
0018

10/15/12 10/15/15
THOMAS, LISA M.
402 UNION AV, APT. #3
IRVINGTON, NJ
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

04/20/99 Permanent
THOMAS-MCNAIR, GLORIA
590 BELLVUE AVENUE
TRANTON, NJ 08618-4040
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

12/21/99
THOMPSON, ARTHUR V.
855 THORNHILL COURT
LAKEWOOD, NJ 08701
Medical
Criminal Offense
Suspension

054
Medical Assistance (Medicaid)

01/19/10
THOMPSON, DAPHNE, CNA
2247 HIGH STREET
ORANGE, NJ 07050
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

03/29/02
THOMPSON, DEBORAH, LPN
1006 COLLINGS AVE.
CAMDEN, NJ 08102
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/19/03
THOMPSON, KENNETH, H. EMT
408 SADDLE COURT
FLEMINGTON, NJ 08822
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

04/28/03
THOMPSON, LORNA, MD
20 OAK POINT DRIVE SO.
BAYVILLE, NY 11709
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/20/00
THOOMPALLY, SRINATH
18 LAFAYETTE CIRCLE
TOTOWA, NJ 07512
Medical
Criminal Offense
Debarment

054
0018

12/05/13
THOTTEMPUDI, VENKATA
13 VINCENT BEHAN BLVD
EDISON, NJ 08837
Medical
Criminal Offense
Disqualification

054
0018

04/12/12
THOTTEMPUDI, VENKATTA
13 VINCENT BEHAN BLVD
EDISON, NJ 08837
Medical
Criminal Offense
Disqualification

054
0018

09/09/13
TICE, LINDSEY L.P.N.
20 PARVINS MILL ROAD
BRIDGETON, NJ 08302
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/20/05
TIDD, MILES L.P.N., R.N.
26 CORAL TREE CT.
TRENTON, NJ 08648
Medical
Other
Suspension

054
Medical Assistance (Medicaid)

06/20/05 01/09/12
TISCORNIA, KIMBERLY, R.N.
18 TORNE MOUNTAIN ROAD
WEST MILFORD, NJ 07480
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/20/05
TOFANI, NANCY NURS. ADMIN
114 COUNTY ROAD 513
PITTSTOWN, NJ 08867
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/14/00
TOMASELLO, JOHN J., PRESIDENT
140 RYANS RUN
SICKLERVILLE, NJ 08081
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

06/27/12 06/26/15
TOMLIN, TERESA L, DPM
232 KRISTINE AVENUE
MANAHAWKIN, NJ 08050
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

03/05/08
TONG, DARLENE M. RPH
108 LOWER LANDSDOWN ROAD
ANNADALE, NJ 08801-3616
Medical
Criminal Offense
Suspension

054
Medical Assistance (Medicaid)

11/12/09
TORCHIA, LEONARD, MEMBER
5 LUCY COURT
POMPTON PLAINS, NJ 07444
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

01/09/12 01/08/15
TORCHIA, MARYJO, AKA LONISIN, MARYJP, PRES.
PO BOX 1033
WEST CALDWELL, NJ 07007
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

01/09/12 01/08/15
TORIBIO, ANTHONY, X-RAY T
11 BYRON DRIVE
LOPATCONG, NJ 08865
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/28/01
TORRES, FRANCES
437 STUYVESANT AVENUE APT
IRVINGTON, NJ 07111-2082
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

04/27/07
TORRES, JAIME, SALESMAN
14 STREET, U-25 VILLARICA
BAYAMO, PR 00959
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/07/00
TORRES, MANUEL G.
ST. 18 ATE, PRADERA
TOA BAJA, PR 00940
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/07/00
TOSCANO, SYLVIA
13 NORTHGATE WAY
TOMS RIVER, NJ 08753
Medical
Criminal Offense
Debarment

054
0018

08/12/13
TOTH, TEREZIA M., M.D.
9 N 2ND AVE.
HIGHLAND PARK, NJ 08904
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

03/06/06
TOUSSAINT, VALENTINA
240 WEST 104TH STREET
NEW YORK, NY 10025
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

02/08/06
TRAVERSO, JOSEPH L. M.D.
5 OLD SALEM ROAD
W. ORANGE, NJ 07052
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/20/05
TRAYNOR, PATRICK
2314 WOODLAND RD.
ABINGTON, PA 19001
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

12/05/03
TREGO-CAMPION, ANITA R.PH.
136 S. FELLOWSHIP ROAD
MAPLE SHADE, NJ 08052
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/20/05
TREMO, GREGORY
13276 WHIPPINGHAM PARKWAY
NEW CARROLTON, VA 23314
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

11/20/06
TRENTACOSTA, GREG S. D.C.
1565 RATZER RD.
WAYNE, NJ 07470
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/20/05
TRINIDAD, TITO, B., MD
P.O. BOX 1000 #10912-068
LEWISBURG, PA 17837
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

11/10/96
TRIVEDI, AMRITAL
20 CYPRESS ROAD
BURLINGTON, NJ 08016
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

05/02/78 Permanent
TROLLINGER, ROBERT J, MD
212 ROUTE 541 NORTH
MEDFORD, NJ 08055
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

10/10/01 Permanent
TSAI, DAVID, M.D.
12 NORTH 7TH AVENUE
MOUNT VERNON, NY 10550
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

06/23/00 Permanent
TUCHMAN, ALAN P.
WEST MAIN STREET
FREEHOLD, NJ 07728
Medical
Other
Suspension

054
Medical Assistance (Medicaid)

04/21/08 08/29/11
TUCKER BURT A
530 BRICK BLVD
BRICKTOWN, NJ 08723
Medical
Criminal Offense
Disqualification

054
Medical Assistance (Medicaid)

12/31/99 Permanent
TUCKER, KAREN, E., DPM
1 ERYNWOOD AVENUE
MARLTON, NJ 08053-1814
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/20/02
TUCKER, SUZANNE, RN
127 GAYWOOD AVENUE
COLONIA, NJ 07067
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/20/01
TUCKER-GALIMORE, BETHANY ANNE
1152 W. US HIGHWAY 54
CAMDENTON, MO 65020-6956
Medical
Criminal Offense
Disqualification

054
0018

09/20/11
TUMAS, MARY, DC
537 FISK AVENUE
BRIELLE, NJ 08730
Medical
Other
Disqualification

054
0018

07/28/14
TUNG, MING C., D.P.M.
MITCHELL AVENUE
EAST BRUNSWICK, NJ 08816
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/24/07
TYER, DOUGLAS D.
175 1ST STREET APT. 16L
NEWARK, NJ 07102
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

11/22/05
TYRELL, MARK, N., RPH
58 HAVERHILL AVE.
LITTLE FALLS, NJ 07424
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/19/04
UHLIG, CYNTHIA
204 WYOMING STREET
WESTFIELD, NJ 07090
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/20/06
VALLEJOS, ANA
943 NORTH BROAD STREET
ELIZABETH, NJ 07208
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/14/07
VANDYK, TRICIA
1412 ISABELLE COURT
BRICK, NJ 08724-7119
Medical
Criminal Offense
Debarment

054
Medical Assistance (Medicaid)

08/10/09 08/10/14
VARGAS, LUIS
291 JEFFERSON ST.
PATERSON, NJ 07522
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

03/17/14 03/16/17
VARSOS ARISTIDES G MD
28 47 37TH ST
ASTORIA, NY 11103
Medical
Industry Law Violation
Disqualification

054
Medical Assistance (Medicaid)

02/24/86 Permanent
VASOYA, PRAVIN #41549-050
METROPOLITAN DETENTION CN
BROOKLYN, NY 11232
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

08/01/09
VENANZI ENZO
107 NORTH BROAD STREET
WOODBURY, NJ 08096
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
VENKATRAM, PRABHAKAR, M.D
3305 VILLAGE DRIVE
AVANEL, NJ 07001
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

11/28/98 Permanent
VERCHIO, ROXANNE
820 BOWERS AVENUE
RUNNEMEDE, NJ 08078
Vendor
Criminal Offense
Suspension

Treasury
Treasury Purchase Bureau

08/27/01
VERDARO, DENNIS, D.C.
384 MAIN STREET
CHESTER, NJ 07930
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

12/01/98 Permanent
VERRONE, BILL, OWNER
57 WEINNEMANNS BLVD.
WAYNE, NJ 07470
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

02/16/12 02/15/15
VICENTI, CARMILLA, C., MD
40-15 QUAIL RIDGE RD.
PLAINSBORO, NJ 85364-0206
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

03/18/99
VILLAMOR, MANUEL, OWNER
9030 SW 29TH TERRACE
MIAMI, FL 33155
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

03/20/05
VILLONE, MARY
DUNMORE STREET
THROOP, PA 18512
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

05/04/05
VILSHTEYN, ROSTISLAV
50 PAMELA LANE
STATEN ISLAND, NY 10304
Medical
Criminal Offense
Disqualification

054
0018

10/31/12
VINCI, JUDITH RN
202 BRUNSWICK AVENUE
SPOTSWOOD, NJ 08884
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/19/03
VINING, DONNA, D.O.
33 1/2 PEMBROKE ROAD
DANBURY, CT 06811
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

07/05/01 Permanent
VISCOMI, DOMINIC A, DDS
926 DUCK POND ROAD
NEWTON, NJ 07860
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

05/31/01 Permanent
VISCONTI, PAUL A., D.O.
120 OLD COMMACK ROAD
KINGS PARK, NY 11754
Medical
Other
Debarment

054
Medical Assistance (Medicaid)

06/27/01 10/25/13
VITALE, JACK, R.PH
17 CORNELL PLACE
MANALAPAN, NJ 07726
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/02/00
VLASICH, SHEILA
7 GINKGO COURT
UPP. SADDLE RVR, NJ 07458
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

10/21/13 10/20/16
VOGEL III, FRANK
271 BELMONT PLACE
MAHWAH, NJ 07430
Medical
Other
Debarment

054
0018

08/28/14
VOGEL, BARRY M., M.D.
200 HIGHLAND AVENUE
GLEN RIDGE, NJ 07028
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

09/08/00 Permanent
VOROBYEV, LEONID, M.D.
PERRY STREET
MORGANVILLE, NJ 07751
Medical
Other
Suspension

054
Medical Assistance (Medicaid)

08/20/08 06/17/14
VUOLO, RICHARD, PRESIDENT
40 BALDWIN ROAD
PARSIPPANY, NJ 07054
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

06/24/11 06/23/14
WACTOR, DONNA, RN
71 FOREST STREET
MONTCLAIR, NJ 07042
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/19/03
WALDRON, JOHN F
920 CEDARBRIDGE ROAD
BRICKTOWN, NJ 08723
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/21/79 Permanent
WALKER, BARBARA, CHHA
120 ORATON PARKWAY
EAST ORANGE, NJ 07017
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

07/20/02
WALKER, RUSSELL
910 MORNING GLORY COURT
JACKSON, NJ 08527
Medical
Criminal Offense
Disqualification

054
0018

01/10/10
WALLER
131 37TH STREET
UNION CITY, NJ 07087
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
WALLIS, JODIE, R.N.
601 FAIRVIEW LANE
WILLINGBORO, NJ 08046
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/18/01
WALUK, IRENEUSZ
70 BORDENT'NCHESTER. RD.
CHESTERFIELD, NJ 08022
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

02/25/14 02/24/17
WASHINGTON, JOHN
2 TUERS PLACE
MONTCLAIR, NJ 07043
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

04/29/97
WASSEF, ADEL, A., M.D.
123 SOUTH MUN AVENUE
EAST ORANGE, NJ 07019
Medical
Other
Suspension

054
Medical Assistance (Medicaid)

02/18/98 Permanent
WATSON, MARC C., M.D.
912 POMPTON AVE #9B1
CEDAR GROVE, NJ 07009
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

04/01/01
WATSON, TRACEY L., L.P.N.
1 GRUMMAN AVE. APT. 4F
NEWARK, NJ 07112
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

01/23/06
WATZMAN, MARC HOWARD
P.O. BOX 1000
LORETTO, PA 15940-1000
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

08/30/07
WEAH, JEROME
P.O. BOX 190
AVENEL, NJ 07001
Medical
Criminal Offense
Disqualification

054
0018

01/14/11
WEBB, CURTIS, O., RN
110 CROSSHILL DR
BANGOR, PA 18013
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

12/19/02
WEBER, MARC
326 BROAD STREET
RED BANK, NJ 07701-2119
Medical
Criminal Offense
Suspension

054
Medical Assistance (Medicaid)

11/05/09 09/30/10
WEBER, MARGARET, LPN
2920 STATE RTE. 23
NEWFOUNDLAND, NJ 07435
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

12/18/03
WEIDER ABE
3301 FOSTER AVENUE
BROOKLYN, NY 11203
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

12/21/01
WEIGAND, DAVID, RN
310 VILLAGE DRIVE
SOMERSET, NJ 08873
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

03/20/01
WEIN, FRED R. PH.
111 TANGERINE DRIVE
MARLBORO, NJ 07746
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/19/05
WEINGARDEN, ROBERT F.
1 ROUTE 27, PARSONAGE RD
EDISON, NJ 08820
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/20/99
WEINSTEIN, LEONARD, MD
1 TRENT ROAD
MONROE TWP., NJ 08831
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/20/03
WEINSTEIN, MARTIN H.
601 2ND AVENUE
LONG BRANCH, NJ 07740
Medical
Criminal Offense
Disqualification

054
0018

06/19/08
WEISELBERG, ALAN
8900 S.W. 61ST STREET
MIAMI, FL 33156
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/05/00 Permanent
WEISS MURRY
80 SKY MEADOW
WHITE PLAINS, NY 10607
Professional
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
WELCH, SHIRLEY
SCENIC DRIVE
FREEHOLD, NJ 07728
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/20/07
WELLS, CHRISTOPHER W., R.PH.
WARRENS WAY
WANAQUE, NJ 07645
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

10/01/07
WERTHEIM, HOWARD, RPH
19 KNOB HILL ROAD
HACKETTSTOWN, NJ 07840
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

12/20/04
WERTHEIM, MARC DDS
80 E. JOSEPH STREET
MOONACHIE, NJ 07074
Medical
Criminal Offense
Disqualification

054
0018

01/20/13
WERTHEIM, MARC
24 MERCHANTS WAY P.O. BOX
COLTS NECK, NJ 07722
Medical
Criminal Offense
Debarment

Human Services
Medical Assistance (Medicaid)

08/25/09
WESHNAK, NADIA, RN/LPN
382 WOODLAKE MANOR DR.
LAKEWOOD, NJ 08701-3745
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/20/02
WESLEY, JOSEPH, W., MD
246 N FRANKLIN TPK
RAMSEY, NJ 07446
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

06/19/02
WESLEY, NUEDAH
10 ROANOKE COURT
WILLINGBORO, NJ 08046
Medical
Criminal Offense
Debarment

054
0018

05/28/13
WESTON, MARC, OD
16 BARNETT RD
LAWRENCEVILLE, NJ 08648
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
WHITE, PHAEDRA J., RN
1107 N SALINA ST. #2
SYRACUSE, NY 132082
Medical
Criminal Offense
Debarment

054
0018

11/20/08 Permanent
WHITE, WENDELL, CNA
106B CHAUCER ROAD
MOUNT LAUREL, NJ 08054
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

10/25/03
WHITEMAN, GERALD J, D.D.S.
RIVERGATE WAY
LONG BRANCH, NJ 07740-7800
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

01/05/07
WHITEMORE, SHARON T.
51 DOVER ST., 2ND FLOOR
NEWARK, NJ 07106
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

09/19/02 Permanent
WHITMORE, SHARON T.
51 DOVER STREET 2ND FLOOR
NEWARK, NJ 07106
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

08/15/05
WHITNEY, MARIS PHARMACIST AKA MARIS WERBIN
126 RIVER DRIVE
LAKE HIAWATHA, NJ 07034
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/20/06
WIKLINSKI, STEPHEN L, DC
C/O DEWOLF ROAD
OLD TAPPAN, NJ 07675
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/18/01
WILDER, SUSAN
101 LOOKOUT PASS
STORMVILLE, NY 12585
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

08/05/13 08/14/16
WILKINSON, PHYLLIS
8 WINDING RIDGE COURT
NEPTUNE, NJ 07753
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/20/06
WILLER, MAURICE M.D.
631 NYE AVENUE
IRVINGTON, NJ 07111
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

11/06/00 Permanent
WILLIAMS, AMY, C.N.A.
1126 COLLINS ROAD
CAMDEN, NJ 08104
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

07/15/04
WILLIAMS, ARNISSA
256 1/2 SOUTH 19TH STREET
NEWARK, , NJ 07103
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

03/25/06 Permanent
WILLIAMS, BEATRICE, CNA
37 VIVIAN COURT
HOWELL, NJ 07731
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

04/22/02
WILLIAMS, CRAIG
175 CROSS KEYS ROAD
BERLIN, NJ 08009
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

01/18/07
WILLIAMS, HELIEN
29 STRATFORD PLACE, APT2F
NEWARK, NJ 07104
Medical
Criminal Offense
Disqualification

054
0018

08/26/13
WILLIAMS, OTIS A., MD
293 CLASSON AV., APT. 2R
BROOKLYN, NY 11205
Medical
Other
Suspension

054
Medical Assistance (Medicaid)

02/02/99 Permanent
WILLIAMS, OTIS JR, M.D.
106 W. PALISADE AV STE201
ENGLEWOOD, NJ 07631
Medical
Other
Suspension

054
Medical Assistance (Medicaid)

07/27/98 Permanent
WILLIAMS, VINETTA, CNA
418 SASSAFRAS STREET
MILLVILLE, NJ 08360
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/20/06
WILLIAMS-KLENA, JOAN
103 KOMORN ST
NEWARK, NJ 07105
Medical
Criminal Offense
Disqualification

054
Medical Assistance (Medicaid)

06/17/87 Permanent
WILLIAMSON, HELEN
41 ATLANTIC AVENUE
MANAHAWKIN, NJ 08050
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

02/20/08
WILSHIRE, GILBERT, MD
1120 ROUTE 22 E
BRIDGEWATER, NJ 08807
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

12/03/99 Permanent
WILSON, EVELYN
209 W. HUDSON AVENUE
ENGLEWOOD, NJ 07631
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

08/15/07
WILSON, FRANKIE M. III
395 NORTH GROVE STREET
EAST ORANGE, NJ 07017
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

11/24/07
WILSON, TASHA
124 YORK ST., APT.64
SALEM, NJ 08079
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

01/06/06
WINTHER-GALIMORE, BETHANY ANNE
40 BROADWAY AVENUE
CAMDENTON, MO 65020-6816
Medical
Criminal Offense
Disqualification

054
0018

09/20/11
WISCH, GLENN R., DMD
6-05 SADDLE RIVER ROAD
FAIRLAWN, NJ 07410
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

04/29/96 Permanent
WITEK, JOSEPH T., JR M.D.
3625 AVENIDA MADEIRA
BRADENTON, FL 34210
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

10/17/00 Permanent
WITHINGTON, PAMELA, R.N.
5 CHERRYVILLE ROAD
FLEMINGTON, NJ 08822
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/20/05
WOLF, JEFFREY A., DPM
1100 CLIFTON AVENUE
CLIFTON, NJ 07103
Medical
Other
Disqualification

054
Medical Assistance (Medicaid)

10/14/97 Permanent
WOLFSON, STANLEY, MD
5 CLUBWAY LANE
HARTSDALE, NY 10530
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

04/19/01
WOLLMAN, ROBERT D.D.S.
461 CENTRAL AVENUE
JERSEY CITY, NJ 07307
Medical
Industry Law Violation
Disqualification

054
Medical Assistance (Medicaid)

11/06/87 Permanent
WOOD, FAYE, W., HHA
33 WHITE OAK DRIVE
PRINCETON, NJ 08540
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

09/25/02
WOODS, ROBERT (PRESIDENT)
6384 TOLLGATE ROAD
ZIONVILLE, PA 18092
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

01/15/13 01/14/16
WOODSON JUSTICE BASSEY
32 DAYTON STREET 1B
NEWARK, NJ 07114
Medical
Other
Disqualification

054
0018

09/13/13
WOODSON, BASSEY JUSTICE
32 DAYTON STREET APT. B1
NEWARK, NJ 07114
Medical
Criminal Offense
Disqualification

054
0018

08/01/13
WOZUNK, GEORGE
1029 E. PARK AVENUE
VINELAND, NJ 08360
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

03/10/00
WRIGHT, KIMBERLY, A., RN
27 GLENSIDE AVENUE
SUMMIT, NJ 07901-3331
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/20/02
WRIGHT, LYNN I.
84 PENN STREET
BRIDGETON, NJ 08090
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/17/08
WRIGHT, SALLY, A.
GLEN RAY ROAD BOX A
ALDERSON, WV 24910
Medical
Criminal Offense
Debarment

054
0018

09/19/11
WRIGHT, SHELLY L.
MURTLAND STREET
SPRINGDALE, PA 15144
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

09/23/07
WRIGHT, SHONEYEH
CLINTON AVENUE
IRVINGTON, NJ 07111
Medical
Criminal Offense
Debarment

Human Services
Medical Assistance (Medicaid)

10/05/07
WYLIE, JOHN, D., RP
7306 WOODVIEW WAY
MALVERN, PA 19355
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/20/04
YAEGER, CHARLES
BARKALOW AVENUE
FREEHOLD, NJ 07728
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/05/08
YAEGER, HOPE W., R.N.
1316 S. 10TH ST, APT. 2
ALLENTOWN, PA 18103
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/20/01
YALE, DONNA APPEL, LPN
49 ANGEL INN TRAILER CRT
FARMINGDALE, NJ 07727
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/20/00
YAW, GAYFORD
504 STEVENS ROAD
LANDING, NJ 07050
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/20/08
YAW, GAYFORD, A.
504 STEVENS ROAD
LANDING, NJ 07850-1206
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

09/24/08
YELCICK, JOHN MD
635 WILLOW GREEN
LITITZ, PA 17543-8369
Medical
Other
Debarment

054
0018

07/28/14
YOON, TOL-UNG, M.D.
9 MALAGA DRIVE
BRIDGETON, NJ 08302
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

12/01/98 Permanent
YOUNGER, ANTHONY
65 MAIDEN LANE
LITTLE FERRY , NJ 07643
Medical
Other
Debarment

054
0018

10/15/08
YUHASZ, ANTONENE, PRESIDENT
4 GRANT DRIVE
CREAM RIDGE, NJ 08514
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

02/19/13 02/18/16
YUHASZ, JAMES, VICE PRESIDENT
4 GRANT DRIVE
CREAM RIDGE, NJ 08514
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

02/19/13 02/18/16
YULE, ROBERT, C., RN
323 FLORENCE ROAD
MIDDLETOWN, NJ 07748
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/19/03
YUNATANOV, STEVE, DDS
83-83 118 TH STREET
KEW GARDENS, NY 11415
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/20/20
ZAMLOOT, PHILIP
150 PARK ROW
NEW YORK, NY 10007
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/20/05
ZAMPROGNO, MAGDA
65-67 7TH AVE EAST
NEWARK, NJ 07104
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

10/17/13 10/16/16
ZAWAHIR, MEEYAPILLAI
91 KNICKERBOCKER ROAD
TENAGLY, NJ 07670
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/20/06
ZELTSAR, LAZAR
2333 MORRIS AVENUE
UNION, NJ 07083
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/22/98
ZELTSER, RAISA, OFF. MGR.
6 PLEASANT VALLEY WAY
WEST ORANGE, NJ 07079
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

09/14/00
ZIELONKA, IWONA, V-PRES.
30 CAROLYN CT.
E. HANOVER, NJ 07936
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

08/10/12 08/09/15
ZIELONKA, MARIUSZ, PRESIDENT
30 CAROLYM CT.
E. HANOVER, NJ 07936
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

08/10/12 08/09/15
ZIHALA, TERESA, RN
148 MAIN STREET
SPOTSWOOD, NJ 08884
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/19/03
ZIMMERMAN, DANIEL J., MD
51 ROCKLEDGE ROAD
HAWTHORNE, NJ 07506
Medical
Other
Debarment

054
Medical Assistance (Medicaid)

12/07/99 09/05/12
ZIMMERMANN, CHRISTOPHER, PRESIDENT
2303 OWEN COURT
TOMS RIVER, NJ 08755
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

02/12/13 02/11/16
ZOHAK, KAREN
210 ORANGE AVENUE
CRANFORD, NJ 07016
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

05/16/14 05/15/17
ZUBERI, REHAN
144-09 LABURNUM AVENUE
FLSHING, NY 11355
Medical
Criminal Offense
Debarment

054
Medical Assistance (Medicaid)

02/18/99 11/17/11
ZUCKERMAN, DAVID H, DPM
1803 COUNTRY CLUB DRIVE
CHERRY HILL, NJ 08003
Medical
Other
Disqualification

054
0018

09/20/12
ZUCKERMAN, DAVID H., DPM
341 S. EVERGREEN AVENUE
WOODBURY, NJ 08096-2715
Medical
Other
Debarment

054
0018

01/15/12
2258 PHARMACY, INC.
2258 THIRD AVE.
NEW YORK, NY 10035
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/20/03
20802249400
4 S LOGGING & LUMBER CO.
130 SHEELEY ROAD EXT.
KERSEY, PA 15846
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

05/30/13 05/29/16
6522 VENTNOR AVE., INC.
6522 VENTNOR AVE.
VENTNOR, NJ 08406
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
A & B INVALID COACH
655 AMBOY AVENUE
WOODBRIDGE, NJ 07095

SOYFER, ALEX, PRESIDENT
655 AMBOY AVENUE
WOODBRIDGE, NJ 07095

Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

05/21/02 Permanent
03044196600
A & H CONTRACTING, INC.
33 EASTWOOD BLVD.
MANALAPAN, NJ 07726
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

05/28/14 05/27/17
A & H MEDICAL TRANSPORT.
P. O. BOX 8332
JERSEY CITY, NJ 07308

MOHAMED, HASHIM H.

,

Medical
Criminal Offense
Disqualification

054
Medical Assistance (Medicaid)

04/12/94 Permanent
27122292300
A & M REMODJELING
10017 JEANS STREET
PHILADELPHIA, PA 19116
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

11/16/12 11/15/15
A&B INVALID COACH, INC.
1903 MADALINE DRIVE
AVENEL, NJ 07001

BOGUSLAVSKIY, OWNER
1903 MADALINE DRIVE
AVENEL, NJ 07001

Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

12/20/01
22358053800
A.J. SKORA, INC.
1982 ROUTE 9
TOMS RIVER, NJ 08753
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

08/19/13 08/18/16
45532092200
AB CONTRACTING & DEVELOP. LLC
191 CENTRAL AVE, 2ND FL
NEWARK, NJ 07102
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

11/27/13 11/26/16
ABOODS MEDICAL LIVERY
64 BEVAN STREET
JERSEY CITY, NJ 07306
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

05/22/94 Permanent
20209853300
ABOVE THE REST GLASS, LLC
2345 ROUTE 9, UNIT 3
TOMS RIVER, NJ 08755
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

06/14/11 06/13/14
ABSOLUTE TRANS. & LIMO.
NORTHERN STATE PRISON
NEWARK, NJ 07114

RAZIQ, RAFIK
NORTHERN STATE PRISON
NEWARK, NJ 07115

Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

07/01/02 Permanent
26207717200
ACC CONSTRUCTION, LLC
2303 OWEN COURT
TOMS RIVER, NJ 08755
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

02/12/13 02/11/16
27024500400
ACC CONTRACTORS CORP.
105 11TH STREET
HOBOKEN, NJ 07030
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

05/22/13 05/21/16
ACOPIAN CORPORATION
P O BOX 638
EASTON, PA 18042

SKOPAL THOMAS
P O BOX 638
EASTON, PA 18042

Construction
Poor Performance
Disqualification

Transportation
NJ Turnpike Authority

06/01/93 Permanent
ADAMS BOOTERY
502 WASHINGTON STREET
HOBOKEN, NJ 07030

JANOF, ROY
502 WASHINGTON STREET
HOBOKEN, NJ 07030

Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

01/09/83 Permanent
ADVANCED OPTICAL CENTER
168 HAMILTON AVENUE
TRENTON, NJ 08609

SHARMA, YOGENDRA P.
17 VAHLSING WAY
ROBBINSVILLE, NJ 08691

Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

02/28/00 Permanent
26339993500
ADVANCED SPRAY TECHNOLOGY
6384 TOLLGATE ROAD
ZIONVILLE, PA 18092
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

01/15/13 01/14/16
27317119100
ALL COUNTY PIPELINE & SITE EXCAVATION, LLC
164 BALL AVENUE
PARSIPPANY, NJ 07054
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

04/22/14 04/21/17
ALLCARE INC
60-64 NORTH AVENUE
GARWOOD, NJ 07027

CHAIKEN, BARBARA
419 OTISCO DRIVE
WESTFIELD, NJ 07090

Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
ALLIED CLINICAL LAB, INC.
5199 S. GREEN STREET
SALT LAKE CITY, UT 84123
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

06/18/97 Permanent
ALLIED CLINICAL LAB., INC
863 MCCALLIE AVE.
CHATTANOOGA, TN
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

06/18/97 Permanent
27462352700
ALLIED CONSTRUCTION, LLC
110 KRESSON-GIBBSBORO RD.
VOORHEES TWP., NJ 08043
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

10/22/13 10/21/16
22326229000
ALLLURE GENERAL CONTRACTING, INC.
203 PATERSON AVENUE
WALLINGTON, NJ 07057
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

01/09/12 01/08/15
ALLSTATE AMBULANCE CORP
PO BOX 1011
UNION, NJ 07083
Medical
Poor Performance
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
22387229000
ALLURE GENERAL CONTRACTING, INC.
203 PATERSON AVENUE
WALLINGTON, NJ 07057
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

01/19/12 01/18/15
ALPERIN PEDIATRICS, PA
28 RIVERSIDE AVENUE
RED BANK, NJ 07701

ALPERIN, MARTIN, M.D.
28 RIVERSIDE AVENUE
RED BANK, NJ 07701

Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

06/19/00 Permanent
AMBU-COACH AMBULANCE CO
558 ANDERSON AVENUE
CLIFFSIDE PARK, NJ 07010

SATCHER WILLIAM PRESIDENT
558 ANDERSON AVENUE
CLIFFSIDE PARK, NJ 07010

Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
10596837000
AMC INDUSTRIES, LLC
PO BOX 760
HOLMDELL, NJ 07733
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

08/05/13 08/04/16
22383253000
AMERICAN AIR SYSTEMS GROUP
10 FRANKLIN AVENUE
EDISON, NJ 08837
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

10/02/12 10/01/15
AMERICAN MED. TECH. INC.
1072 MADISON AVENUE
LAKEWOOD, NJ 08701
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

04/14/99 Permanent
AMERICAN MEDICAL SVCS. PC
1 ALPHA AVENUE
VOORHEES, NJ 08043

BRIGHAM, STEVEN C.
1 ALPHA AVENUE
VOORHEES, NJ 08043

Medical
Criminal Offense
Disqualification

054
Medical Assistance (Medicaid)

06/03/97 Permanent
22306911800
AMERICAN WELDING SERVICES
1041 GLASSBORO RD. D-2
WILLIAMSTOWN, NJ 08094
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

07/09/14 07/08/17
26387991100
ANCHORAGE CONSTRUCTION CORP.
516 INDUSTRIAL LOOP ST.
STATEN ISLAND, NY 10309
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

02/07/13 02/06/16
13762701600
ANEW FENCE & RAILINGS
292 CHURCH STREET
ABERDEEN, NJ 07747
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

09/17/12 09/16/15
11347716000
ARTCO CONTRACTING & DEVELOPMENT
35 ELMWOOD AVE, UNIT 2B
UNION, NJ 07083
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

08/27/13 08/26/16
ARTHUR BOHRER, INC.
13796 RIVOLI DRIVE
W. PALM BEACH, FL 33410

BOHRER, ARTHUR
13796 RIVOLI DRIVE
W. PALM BEACH, FL 33410

Vendor
Criminal Offense
Suspension

Treasury
Treasury Purchase Bureau

09/17/00
ATA MEDICAL TRANSPORTATIO
125 HALF MILE RD, BOX 190
MIDDLETOWN, NJ 07748

IBRAHIM, ELHADI, PRESIDEN
125 HALF MILE RD, BOX 190
MIDDLETOWN, NJ 07748

Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

01/29/01 Permanent
AVON PHARMACY
300 MAIN STREET
AVON, NJ 07717
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

02/05/03
26145601200
B & B ATLANTIC, LLC
526 SHERIDAN AVE.
ROSELLE, NJ 07203
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

12/02/13 12/01/16
BARRETTI CARTING CORP.
466 BLOOMFIELD AVENUE
NEWARK, NJ 07107

BARRETTI, PHILIP, SR.
466 BLOOMFIELD AVENUE
NEWARK, NJ 07107

Vendor
Organized Crime Control Act
Suspension

Treasury
Treasury Purchase Bureau

01/09/96
BARTOB PHARMACY
1375 RIVER RD
EDGEWATER, NJ 07020

TOBACK, BARRY, RP
1375 RIVER RD.
EDGEWATER, NJ 07020

Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/19/03 Permanent
27115721000
BCA TRUCKING, LLC
PO BOX 5806
NEWARK, NJ 07105
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

08/05/13 08/04/16
BECHI CONTRACTING, LLC (EBA PAINTERS)
549 SUMMIT AVENUE
MAPLEWOOD, NJ 07040
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

03/26/13 03/25/16
22254814400
BECKETT ENTERPRISES, INC.
PO BOX 334
MALAGA, NJ 08328
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

01/06/14 01/05/17
BELMAR HOMETOWN PHARMACY
911 MAIN STREET
BELMAR, NJ 07719
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

02/05/03
12170056100
BETHEL PHARMACY
301 OSBORNE TERRACE
NEWARK, NJ 07112

SALAMI, ADEMOLA T.
HARVARD AVENUE
HILLSIDE, NJ 07205

Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

09/15/08
22290370100
BIG DADDY CONST T/A BROS. PAVING & EXCAV.
35 LOWER MATCHAPONIX ROAD
MONROE TWP., NJ 08831-1443
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

11/25/11 11/24/14
BIO-SCIENCE LAB., INC.
1000 WOODBRIDGE CTR ST140
WOODBRIDGE, NJ 07095
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

03/20/00 Permanent
BLOOMFIELD PHARMACY, INC.
154 BLOOMFIELD AVENUE
NEWARK, NJ 07104

NWANKWO, FESTUS, R.P.
154 BLOOMFIELD AVENUE
NEWARK, NJ 07104

Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

11/18/98 Permanent
20092933400
BLUE SKIES ELECTRIC, LLC
326 COLES MILL ROAD
WILLIAMSTOWN, NJ 08094
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

01/07/14 01/06/17
BP ENTERPRISES, INC.
408 WEST 129TH ST., APT.
NEW YORK, NY 10027
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

01/14/13 01/13/16
BRACEWORKS PROF ORTHODONT
288 HIGHWAY 35 SOUTH
EATONTOWN, NJ 07724
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/20/03
BROADWAY MEDICAL GROUP
227 BROADWAY
PATERSON, NJ 07501
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
BROOKMAN, HAVEY W., MD
301 OXFORD VALLEY ROAD
YARDLEY, PA 19067
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

04/13/95 Permanent
BROTHERS PHARMACY, INC.
687 FRELINGHUYSEN AVE
NEWARK, NJ 07114

KHAN, AZAM
687 FRELINGHUYSEN AVE
NEWARK, NJ 07114

Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

12/16/98
22339210300
BUCKLER ASSOCIATES, INC.
182 WYCOFF WAY WEST
EAST BRUNSWICK, NJ 08816
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

01/03/13 01/02/16
22358227900
C.O.D. INDUSTRIES, INC.
21 UNION STREET #2
LODI, NJ 07644
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

08/29/11 08/28/14
CALVIN'S FLOOR SERVICE AKA CALVIN'S CARPET SERVICE
126 WINDING RIDGE ROAD
DOVER, DE 19904
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

06/12/13 06/11/16
CARE-A-CAN WEST, INC.
5 ROANOKE AVENUE
ROCKAWAY, NJ 07866

STRASSMAN, ALLAN, V-P
5 ROANOKE AVENUE
ROCKAWAY, NJ 07866

Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

11/16/98
CARE-A-VAN WEST, INC.
454 PROSPECT AVE., #22
WEST ORANGE, NJ 07052

STRASSMAN, WAYNE, PRES.
454 PROSPECT AVE., #22
WEST ORANGE, NJ 07052

Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

03/05/98
CARE-A-VAN, INC.
120 S. 20TH STREET
IRVINGTON, NJ 07111

JONES, ANTOINETTE
120 S. 20TH STREET
IRVINGTON, NJ 07111

Medical
Criminal Offense
Suspension

054
Medical Assistance (Medicaid)

03/16/98 Permanent
CARE-A-VAN, INC.
120 SOUTH 20TH STREET
IRVINGTON, NJ 07111

STRASSMAN, CAROL, PRES.
120 S. 20 TH STREET
IRVINGTON, NJ 07111

Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

03/16/95
46270173000
CASIO DRYWALL CORPORATION
644 EAST 2ND STREET
PLAINFIELD, NJ 07060
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

04/23/14 04/22/17
CENTRAL DIAGNOSTICS LAB
256 SMITH STREET
PERTH AMBOY, NJ 08861
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
CENTRAL JERSEY MENTAL CTR
525 PARK AVENUE
PLAINFIELD, NJ 07067
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
27241599600
CENTURION COMPANIES, INC.
795 SUSQUEHANNA AVE.
FRANKLIN LAKES, NJ 07417

POPPE, GLEN P.
795 SUSQUEHANNA AVE
FRANKLIN LAKES, NJ 07417

Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

07/25/13 07/24/16
22355993100
CGT CONSTRUCTION
10 FRANKLIN ST.
EDISON, NJ 08837
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

02/11/13 02/10/16
26319235000
CHALMERS CONSTRUCTION, LLC
435 MINNISINK ROAD
TOTOWA, NJ 07512
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

11/21/13 11/20/16
CHUCKNARD HOLDINGS, INC.
676 PARK AVE., BLDG. 14B
EAST ORANGE, NJ 07017

OTI, CHUCK B.
676 PARK AVE., BLDG. 14B
EAST ORANGE, NJ 07017

Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

01/31/00 Permanent
CITADEL ENVIRONMENTAL CONSULTANTS
1 CENTER CIRCLE
WOODBRIDGE, NJ 07095
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

01/15/13 01/14/16
CITILAB CORPORATION
333 NORTH BROAD STREET
ELIZABETH, NJ 07028
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

12/01/98
CITILAB CORPORATION
333 NORTH BROAD STREET
ELIZABETH, NJ 07028

CHAUDHRY, YASMIN, OWNER
333 NORTH BROAD STREET
ELIZABETH, NJ 07028

Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/21/97
CITILAB CORPORATION
333 NORTH BROAD STREET
ELIZABETH, NJ 07028

TAFT,ARNOLD,PHD, LAB DIR.
333 NORTH BROAD STREET
ELIZABETH, NJ 07028

Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/21/97
26236284300
CITYLINE CONTRACTING, INC.
556 HUMBULT STREET
BROOKLYN, NY 11222
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

08/04/14 08/03/17
20495947500
CL MANAGEMENT
230 8TH AVENUE
COLLEGEVILLE, PA 19426
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

06/24/11 06/23/14
CLAYTON EMER. TRANS. CORP
13 EAST PINE ST. 13D
WESTVIEW, NJ 08093

DIGIORGIO, DAWN, OWNER
13 EAST PINE ST. 13D
WESTVIEW, NJ 08093

Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

02/19/04
CLIFTON FAMILY PHARMACY
1137 MAIN AVENUE
CLIFTON, NJ 07011

ALY, WAEL
1137 MAIN AVENUE
CLIFTON, NJ 07011

Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

05/30/00
CLIN-MED LABORATORIES INC
40 GALESI DRIVE
WAYNE, NJ 07470

PATEL, CHANDRAKANT, PRES.
40 GALESI DRIVE
WAYNE, NJ 07470

Medical
Criminal Offense
Suspension

054
Medical Assistance (Medicaid)

03/28/00 12/12/07
CLIN-PATH LABORATORY, INC
626 N. 38TH STREET
BELLEVILLE, IL 62223
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

06/04/97 Permanent
22326280000
COMMERCIAL FLOORING CENTER OF NJ
PO BOX 1033
WEST CALDWELL, NJ 07007
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

01/09/12 01/08/15
COMPACTION SYS. OF CONN.
1200 OAK POINT AVENUE
BRONX, NY 10474

VILLANI, BENNY
51 EAGLE RIM ROAD
UPPER SADDLE RV, NJ 07458

Vendor
Organized Crime Control Act
Suspension

Treasury
Treasury Purchase Bureau

12/26/96
COMPACTION SYSTEMS CORP.
1200 OAK POINT AVENUE
BRONX, NY 10474

VILLANI, BENNY
51 EAGLE RIM ROAD
UPPER SADDLE RI, NJ 07458

Vendor
Organized Crime Control Act
Suspension

Treasury
Treasury Purchase Bureau

12/26/96
COOPER ST PSYCHIATRIC GRP
301 COOPER STREET
CAMDEN, NJ 08102
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
22364135400
COPLEN MANAGEMENT, INC.
828 HIGHLAND AVENUE
PARAMUS, NJ 07652
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

06/26/13 06/25/16
27330838400
CRC GENERAL CONSTRUCTORS, INC.
137 1/2 WASHINGTON AVE
BELLEVILLE, NJ 07109
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

08/09/13 08/08/16
CRESCENT EXPRESS
24 BRANFORD PLACE
NEWARK, NJ 07102

ALY, ABUBAKR
24 BRANFORD PLACE
NEWARK, NJ 07102

Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

03/11/04
27375640300
CRIDER AMERICAS SOLAR, LLC
6063 FM 535 CEDAR CREEK
WILLIAMSON, TX 78612
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

05/11/14 05/10/17
27094117600
CSI GREEN, INC.
PO BOX 66
SCOTCH PLAINS, NJ 07076
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

01/09/12 01/08/15
CUSTOM SHOE SERVICE
218 HALSEY STREET
NEWARK, NJ 07102

PROSKUROVSKY, BORIS
218 HALSEY STREET
NEWARK, NJ 07102

Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

08/04/97 Permanent
D & B PARTNERS, LLC
89 JEANNE COURT
STAMFORD, CT 06905
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

08/09/13 08/08/16
28021285000
D'AMICO PHARMACY INC
91 OTTOWA RD SOUTH
MARLBORO, NJ 08817

D'AMICO, DENNIS, RP
91 OTTOWA RD SOUTH
MARLBORO, NJ 08817

Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

03/11/85 Permanent
26128257100
D. SIMONETTI, INC.
35 HAYES STREET
ELMSFORD, NY 10523
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

02/08/12 02/07/15
22353806300
DEAN DEVELOPMENT, INC.
ONE NORTH RHODA STREET
MONROE TWP, NJ 08831
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

02/07/12 02/06/15
DELPHI INVALID COACH
126 CORBIN AVENUE
JERSEY CITY, NJ 07306

ZAINELABDIN, AMID, OWNER
126 CORBIN AVENUE
JERSEY CITY, NJ 07306

Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

05/21/02
DEMREX INDUSTRIAL SERVICES, INC.
1300 INDUSTRIAL BLVD. #5
SOUTHAMPTON, PA 18966
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

01/30/12 01/29/15
22379727700
DESIGN CONTRACTING
349 JOHNSON AVENUE
LAWRENCEVILLE, NJ 08648
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

08/19/11 08/18/14
DESIGNER IMPRESSIONS
1002 TAUNTON AVENUE
WEST BERLIN, NJ 08091
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

11/16/12 11/15/15
DIAMOND STATE WALL SYSTEMS, LLC
1640 NIXON DR., STE. 285
MOORESTOWN, NJ 08057
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

02/06/13 02/05/16
DITA, INC.
500 ORANGE STREET
NEWARK, NJ 07104
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

02/18/98
20272396600
DIVISION TEN INSTALLATIONS, LLC
29 MONMOUTH RD
MONROE, NJ 08831
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

04/03/14 04/02/17
DMH TRUCKING, INC.
79 MYRTLE AVENUE
MICKELTON, NJ 08056
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

08/23/12 08/22/15
DONWAY MEDICAL TRANS. INC
5 ROANOKE AVENUE
ROCKAWAY, NJ 07866

FRIEDMAN, STRASSMAD, BARB
5 ROANOKE AVENUE
ROCKAWAY, NJ 07866

Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

12/01/98 Permanent
DOWNTOWN DENTAL CENTER PA
1 WEST BROADWAY
PATERSON, NJ 07505
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

02/20/01 Permanent
DRUG FAIR OF BAYONNE
449 AVENUE C
BAYONNE, NY 10312

GRAYSON, MURRAY A
163 HAMPTON GREEN
STATEN ISLAND, NJ 07002

Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
EAST BROADWAY MEDIC. ASSO
195 BROADWAY
PATERSON, NJ 07505

HAIDER, MOHAMMED M, OWNER
195 BROADWAY
PATERSON, NJ 07505

Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

12/07/99
EAST COMMERCIAL CONSTRUCTION
111 PROSPECT ST., APT. 4F
WESTFIELD, NJ 07090
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

07/30/12 07/29/15
27047129800
EASTERN AMERICAN RENOVATION CORP.
565 FAIRVIEW AVENUE
RIDGEWOOD, NJ 11385-1947
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

04/19/12 04/18/15
22329075300
EDIE TRUCKING, INC.
8 PRINCE WILLIAM ROAD
MORGANVILLE, NJ 07751
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

12/11/12 10/10/15
22260986300
EDWARD J. ALBERT & SON, INC.
20 WILSON AVENUE
EAST HANOVER, NJ 07936
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

03/26/13 03/25/16
45344020600
ELEVATOR MEDIC CORP.
55 BROOKVIEW DRIVE
WOODCLIFF LAKE, NJ 07677
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

02/25/14 02/24/17
46267127900
EMANUEL DRYWALL SERVICES, INC.
64 GRANDVIEW AVENUE
NO. PLAINFIELD, NJ 07060
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

05/01/14 04/30/17
EMPIRE STATE MED. SVC INC
1116 ANNE STREET
ELIZABETH, NJ 07201

ABDALLA, IZZELDIN, DIREC.
1116 ANNE STREET
ELIZABETH, NJ 07201

Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

11/10/99 Permanent
EMPIRE STATE MEDICAL SVCS
1116 ANNE STREET
ELIZABETH, NJ 07201

OMAR, HATEM
1116 ANNE STREET
ELIZABETH, NJ 07201

Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

11/10/99 Permanent
55087795500
ENVIROCARE ENTERPRISES, INC.
358 BROADWAY, STE. 202
NEWARK, NJ 07104
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

05/16/14 05/15/17
ERNESTO CABALLERO, T/A A.E.C. DRYWALL
83 WALNUT STREET, APT. 46
TOMS RIVER, NJ 08753
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

06/14/11 06/13/14
22230876200
ERWIN DEMARINO TRUCKING, INC.
204 WYCKOFF AVENUE
WALDWICK, NJ 07463
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

11/04/13 11/03/16
65122903900
ESTRADA & ROCA, LLC
468 9TH STREET
PALISADES PARK, NJ 07650
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

05/31/13 05/30/16
EURO CONSTRUCTION
70 BORDENT'NCHESTER. RD
CHESTERFIELD, NJ 08022
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

02/25/14 02/24/17
F&L MEDICAL TRANS., INC.
1473 RIDGEWAY STREET
UNION, NJ 07083

GILLER, LEONID
4 WOODFERN STREET
EDISON, NJ 08820

Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

08/27/99 Permanent
F&L MEDICAL TRANS., INC.
1473 RIDGEWAY STREET
UNION, NJ 07083

ZAK, FELIX
825 E. 9TH STREET
BROOKLYN, NY 11230

Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

01/09/01 Permanent
22330695400
FALCON RIDGE CONSTRUCTION CO., INC.
475 WATCHUNG AVE, STE. 8
WATCHUNG, NJ 07069
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

11/18/11 11/17/14
FAMILY CARE PHARMACY
51 CLIFTON AVE., C-401
NEWARK, NJ 07104

ENOGWE, FELIX, R.PH.
51 CLIGTON AVE., C-401
NEWARK, NJ 07104

Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

05/24/99 Permanent
FAMILY DIAGNOSTIC CENTER
428 N. 16TH STREET
KENILWORTH, NJ 07033

LOPEZ, JOHN J.
428 N 16TH STREET
KENILWORTH, NJ 07033

Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

12/11/01
FAMILY ENRICHMENT INSTIT.
415 KEIM BOULEVARD
BURLINGTON, NJ 08016
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/20/99
FAMILY ENRICHMENT INSTITU
415 KEIM BOULEVARD
BURLINGTON, NJ 08016

DANIEL ALAN, PRESIDENT
3 HARRISON PARK LANE
BURLINGTON, NJ 08016

Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

03/17/00
27072572800
FERRELL CONCRETE, LLC
203 CREEK CROSSING BLVD.
HAINESPORT, NJ 08036
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

08/29/11 08/28/14
FINLAY MEDICAL LABORATORY
4912 BERGENLINE AVENUE
WEST NEW YORK, NJ 07093
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

03/14/98 Permanent
FINNEGANS PLAZA PHARMACY
11507 FINNEGANS LANE
NEW BRUNSWICK, NJ 08902

SAEED MOHAMMED
1507 FINNEGANS LANE
NEW BRUNSWICK, NJ 08902

Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

11/16/98 Permanent
FIRESPIRIT INC.
6612 TERRA DOLCE AVE, NW
ALBUQUERQUE, NM 87114-1365
Medical
Antitrust/Anti-Kickback Acts
Disqualification

054
0018

06/23/11
FIVE BROS. SERV. CO., INC
264 BROADWAY
JERSEY CITY, NJ 07306

D'AMBROSIO, MICHAEL
264 BROADWAY
JERSEY CITY, NJ 07306

Vendor
Organized Crime Control Act
Suspension

Treasury
Treasury Purchase Bureau

01/09/96
46099090700
FIVE STAR QUALITY CONSTRUCTION
141 ROUTE 130 SOUTH
CINNAMINSON, NJ 08077
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

04/23/14 04/22/17
16117213300
FLO GO SYSTEMS, INC.
775 ENGLEWOOD AVE
BUFFALO, NY 14223
Vendor
Failure to Perform
Debarment

082
Treasury Purchase Bureau

09/17/10 09/17/15
FO HOME IMPROVEMENTS
323 MILL STREET
SOUTH PLAINFIEL, NJ 07080
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

10/05/11 10/04/14
27128695500
FORTRESS CONSTRUCTION CO INC.
66 6TH AVENUE
LONG BRANCH, NJ 07740
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

07/30/12 07/29/15
22295784400
FRANK J. MURATORE, JR., INC.
1828 HERBERT BOULEVARD
WILLIAMSTOWN, NJ 08894
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

10/10/12 10/09/15
02225320100
FRANK MONTGOMERY BUILDER
42 BRYANT ROAD
WARETOWN, NJ 08758
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

07/10/14 07/09/17
FRANKLIN MEDICAL ASSOC
14 FRANKLIN STREET
BELLEVILLE, NJ 07109
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

10/15/99 Permanent
G & G DRYWALL, INC.
256 GROVE STREET
NORTH PLAINFIEL, NJ 07060
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

03/06/12 03/05/15
20493985900
G.O. UNDERGROUND, LLC
16192 COASTAL HIGHWAY
LEWES, DE 19958
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

05/14/13 05/13/16
22320615100
G.W. SMITH CONSTRUCTION, INC.
584 ERIAL ROAD
SICKLERVILLE, NJ 08081
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

04/18/20 04/17/16
GALE FORCE TELECOMMUNICATIONS
211 JEWETT ROAD
UPPER NYACK, NY 10960
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

12/02/13 12/01/16
GARDEN DRUGS INCORPORATED
682 BERGEN AVENUE
JERSEY CITY, NJ 07306

AHMAD, NAEEM S
682 BERGEN AVENUE
JERSEY CITY, NJ 07306

Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

09/15/83 Permanent
GARZA CONTRACTING, LLC
768 CHAMBERS STREET
TRENTON, NJ 08619
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

04/28/14 04/27/17
GENE'S PHARMACY
640 PINE STREET
CAMDEN, NJ 08103

BANKS KENNETH
640 PINE STREET
CAMDEN, NJ 08103

Medical
Other
Debarment

054
Medical Assistance (Medicaid)

08/14/03
22353279300
GENERATIONS, INC.
10 FOSTER AVE.
GIBBSBORO, NJ 08026-1162
Vendor
Failure to Perform
Debarment

046
4210

07/15/10 07/14/15
45449963200
GEORGE'S CARPET
105 CEDAR AVE
WOODLYNNE, NJ 08107
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

02/19/13 02/18/16
GERI CARE CENTERS INC
31 MADISON AVENUE
MONTCLAIR, NJ 07042

AUSTIN, DONALD P
31 MADISON AVENUE
MONTCLAIR, NJ 07042

Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
GGE IMPACT CORP T/A MEDIC
242 COMMUNITY CIRCLE
OLD BRIDGE, NJ 08857

CHULAK, GENADY, PRESIDENT
242 COMMUNIT CIRCLE
OLD BRIDGE, NJ 08857

Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

04/15/96 Permanent
34200753300
GLB CONSTRUCTION
458 LIVINGSTON DRIVE
EAST WINDSOR, NJ 08520
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

06/24/11 06/23/14
GLOBAL MEDICAL SYSTEMS
193 LIVINGSTON AVENUE
NEW BRUNSWICK, NJ 08901

DYEVICH, KEVIN, PRESIDENT
193 LIVINGSTON AVENUE
NEW BRUNSWICK, NJ 08901

Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

08/21/96 Permanent
22184372600
GLOBO CONTRACTING CORP.
562 JERNEE MILL ROAD
SAYERVILLE, NJ 08872
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

01/14/13 01/13/16
GLV PARKE WARNER PHCY

,

PABBATHI, RAMMOHAN, OWNER
3 AMY COURT
HOWELL, NJ 07731-2873

Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

07/08/05
22306027000
GM MASONRY
99 HILLSIDE TERRACE
PARSIPPANY, NJ 07054
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

02/07/13 02/06/16
GOODWILL PHARMACY
2836 DEBRA WAY
UNION, NJ 07083

AZU, PHILIP N., R.P.
2836 DEBRA WAY
UNION, NJ 07083

Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

05/20/99 Permanent
22347104100
GRAB HEATING & AIR CONDITIONING, LLC
35 JERSEY STREET
EAST RUTHERFORD, NJ 07073
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

05/15/13 05/04/16
GREEN DIAMOND ROOFING & LIVE ROOF, LLC
3515 FRANKFORD AVE.
PHILADELPHIA, PA 19134
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

08/05/13 08/04/16
22379089100
GREEN GIANT LANDSCAPING, INC.
21 EDGEWOOD ROAD
RINGWOOD, NJ 07416
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

10/05/11 10/04/14
22326609600
GREEN OASIS MAINTENANCE, INC.
409 BENNETTS LANE
SOMERSET, NJ 08873
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

04/19/12 04/18/15
22362144200
GRS ARCHITECTURAL, INC.
200 MOUNTAIN AVENUE
MIDDLESEX, NJ 08846
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

08/14/13 08/13/16
GULF COAST POLYMER SERVICES, INC.
4984 LAKE ROAD
NEWFIELD, NJ 08318

BRYANT, DAVID V., SR.
107 MADISON ROAD
PITTSGROVE, NJ 08344

Vendor
Criminal Offense
Debarment

066
Criminal Justice

09/13/13 09/12/18
GUPTA PHARMACY
1700 OAK TREE ROAD
EDISON, NJ 08820

GUPTA, NAVEEN, RP
1700 OAK TREE ROAD
EDISON, NJ 08820

Medical
Other
Debarment

054
Medical Assistance (Medicaid)

03/04/99 Permanent
HANAN PHARMACY, INC.
47 NORWOOD AVENUE
CLIFTON, NJ 07011

SELIM, HANAN, R.PH
47 NORWOOD AVENUE
CLIFTON, NJ 07011

Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

05/30/00
23307844200
HARLOW CONTRACTING, INC.
4771 ROUTE 212, BOX 147
DURHAN, PA 18039
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

04/22/13 04/21/16
HASHIM'S MEDICAL LIVERY
P. O. BOX 930
NEW YORK, NY 10013
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

03/26/94 Permanent
HEALTH PHARMACY INC
3 POND RD
PARSIPPANY, NJ 07054
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
HEALTHCORE PHARMACY
289 GEORGE STREET
NEW BRUNSWICK, NJ 08901

OKOYE, GOODWIN S., RP OWN
289 GEORGE STREET
NEW BRUNSWICK, NJ 08901

Medical
Criminal Offense
Suspension

054
Medical Assistance (Medicaid)

01/12/01 Permanent
HEALTHCORE PHARMACY
289 GEORGE STREET
NEW BRUNSWICK, NJ 08901

OKOYE, PATRICK C., RP OWN
289 GEORGE STREET
NEW BRUNSWICK, NJ 08901

Medical
Criminal Offense
Suspension

054
Medical Assistance (Medicaid)

01/12/01 Permanent
22215785600
HISPANIC ASSOC\OCEAN CTY.
111 CLIFTON AVENUE
LAKEWOOD, NJ 08701
Vendor
Other
Disqualification

Health & Senior Services
4210

04/15/96 Permanent
51034722400
HOLLEY ENTERPRISES, INC.
105 VANDEVER AVENUE
WILMINGTON, DE 19802
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

07/20/11 07/19/14
HOME CARE SOLUTIONS LLC
16 COMMERCE DRIVE
CRANFORD, NJ 07016

NPI# 1528200474

,

Medical
Criminal Offense
Suspension

054
0018

01/24/14
HUDSON MEDICAL LIVERY
100 RESERVOIR AVENUE
JERSEY CITY, NJ 07307

HAMAD, ALHIBER K.
100 RESERVOIR AVENUE
JERSEY CITY, NJ 07307

Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

12/01/98 Permanent
I & I INVALID COACH, INC. D/B/A READY CARE CORPORA
85 CENTRAL AVENUE
CLIFTON, NJ 07015
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

02/19/04
I&I INVALID COACH, INC.
85 CENTRAL AVENUE
CLIFTON, NJ 07015

KHAIR, IMADELIN A, PARTNR
160 ALABAMA AVENUE
PATERSON, NJ 07505

Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

01/28/01
13403705800
I.K.E. ELECTRICAL CORP.
100 W. FOREST AVE., BLDG.
ENGLEWOOD, NJ 07631
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

07/21/14 07/20/17
90074372900
IBS, INC.
1929 DARBY ROAD
HAVERTOWN, PA 19083
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

05/16/14 05/15/17
26353730000
IDEAL ELEVATOR SERVICES
55 BROOKVIEW DRIVE
WOODCLIFF LAKE, NJ 07677
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

02/25/14 02/24/17
INDEPENDENCE MED. TRANS.
3 PARKWOOD DRIVE
SOUTH AMBOY, NJ 08879

MAXYMIV, NICOLAI, OWNER
3 PARKWOOD DRIVE
SOUTH AMBOY, NJ 08879

Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

07/10/03
INDEPENDENCE MEDICAL TRAN
3 PARKWOOD DRIVE
SOUTH AMBOY, NJ 08879

MAXYMIV, NICOLAI
3 PARKWOOD DRIVE
SOUTH AMBOY, NJ 08879

Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

07/10/03
INDEPENDENCE MEDICAL TRAN
3 PARKWOOD DRIVE
SOUTH AMBOY, NJ 08879

VASKO, OLGA, OWNER
3 PARKWOOD DRIVE
SOUTH AMBOY, NJ 08879

Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

07/10/03
INDUS. PRESCR. SVCS. INC.
60 SIP AVENUE
JERSEY CITY, NJ 07306

SCHWARTZ, EDWARD, R.P.
60 SIP AVENUE
JERSEY CITY, NJ 07306

Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

08/06/98 Permanent
22322335500
INDUSTRIAL CONCRETE CONSTRUCTION OF NJ
PO BOX 9349
LYNDHURST, NJ 07071
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

06/27/13 06/26/16
14189357000
INFINITY CONSTRUCTION & SON, LLC
870 LAMONT AVENUE
STATEN ISLAND, NY 10309
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

04/16/13 04/15/16
20541997400
INFINITY LANDSCAPING, INC.
551 STANTON AVENUE
FRANKLIN, NJ 08322
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

11/25/11 11/24/14
11380238400
INNOVATIVE ELECTRIC SERVICES
170 SPOTTED OAK DRIVE
FREEHOLD, NJ 07728
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

05/16/11 05/15/14
INTEGRATED PSYCHO. INSTIT
2 FREEMAN LANE
DENVILLE, NJ 07834

DINKEL, ARTHUR R., LCSW
2 FREEMAN LANE
DENVILLE, NJ 07834

Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

09/29/00 Permanent
INTERCONTINENTAL MEDICAL
195 BROADWAY
PATERSON, NJ 07505

GERMAN, MARIA, PRESIDENT
195 BROADWAY
PATERSON, NJ 07505

Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

05/24/02
11206976300
IRVING LIBERTOFF, INC.
4901 GLENWOOD ROAD
BROOKLYN, NY 11234

LIBERTOFF, STUART
4901 GLENWOOD ROAD
BROOKLYN, NY 11234

Vendor
Criminal Offense
Suspension

Treasury
Treasury Purchase Bureau

09/07/00
ITPL DIAGNOSTIC LAB, INC.
470 CHAMBERLAIN AVE
PATERSON, NJ 07252

ELCHAGEA, ISMAIL
470 CHAMBERLAIN AVE.
PATERSON, NJ 07522

Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

07/01/00 Permanent
J & S PHARMACY, INC.
214 SECOND STREET
ELIZABETH, NJ 07207
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/11/97
J&S PHARMACY, INC.
214 SECOND STREET
ELIZABETH, NJ 07207
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

12/01/98 Permanent
74317680800
JAMCON CONSTRUCTION, LLC
100 SPRINGDALE ROAD
CHERRY HILL, NJ 08003
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

01/13/14 01/12/17
20203953800
JAMES ROUGH BLEACHERS
12767 VAN HORNE ROAD
MEADVILLE, PA 16335
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

03/22/13 03/21/16
JAWA INVALID COACH
5 PARK STREET
ROSELAND, NJ 07068

DAHAB, YASIR
5 PARK STREET
ROSELAND, NJ 07068

Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

12/12/01 Permanent
JEROME DRUGS
7320 VENTOR AVENUE
VENTOR, NJ 08406

GILTMAN JEROME
7320 VENTOR AVENUE
VENTOR, NJ 08406

Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
JERSEY WALL CONCEPTS, LLC
24 WESTMINSTER BLVD, APTG
SOUTH AMBOY, NJ 08879
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

03/26/12 03/25/15
38378036900
JIC-ELCO INC.
2 ISLAND POND ROAD
DERRY, NH 03038
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

08/27/12 08/26/15
20891060800
JOHN GUSTAFSON EXCAVATING, INC.
216 UNION STREET
MONTGOMERY, NY 12549
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

04/10/13 04/09/16
JOHN PARIS CONSTRUCTION
549 SHERMAN AVENUE
BELFORD, NJ 07718
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

08/20/10 08/19/13
22388959500
JOHNSON'S CONSTRUCTION, INC.
1258 N. EAST AVENUE
VINELAND, NJ 08360
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

01/25/13 01/24/16
22219757000
JORO CONSTRUCTION, INC.
250 GORGE ROAD
CLIFFSIDE PARK, NJ 07010
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

11/25/11 11/24/14
22294069500
JOSEPH CSAKVARY, INC.
163 BREAKNECK ROAD
HIGHLAND LAKES, NJ 07463
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

11/04/13 11/03/16
JRL HEALTH ASSOC., LTD
479 INNES ROAD
WOODRIDGE, NJ 07075

LACEY, JOAN R., R.N.
479 INNES ROAD
WOODRIDGE, NJ 07075

Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/19/00
JRMICK, INC.
911 MAIN STREET
BELMAR, NJ 07719
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

01/16/05
K & K CONSTRUCTION, LLC
685 BERGEN BLVD.
RIDGEFIELD, NJ 07657
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

06/10/14 06/09/17
KADISHA, INC.
667 MT. PROSPECT AVENUE
NEWARK, NJ 07104
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/14/98
KEYSTONE CLINICAL LAB
2524 FORD ROAD
BRISTOL, PA 19007

BUTT, ATIQ, PRESIDENT
2524 FORD ROAD
BRISTOL, PA 19007

Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/15/01 Permanent
KINGS GLOUCESTER PHARM
716 MARKET ST
GLOUCESTER, NJ 08030
Medical
Poor Performance
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
L & Z TRANSPORTATION, INC
2333 MORRIS AVE, UNIT D3
UNION, NJ 07083

ZELTSER, LAZAR
2333 MORRIS AVE, UNIT D3
UNION, NJ 07083

Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/22/98
27210982000
L AND Y ROOFING, LLC
183 BELMONT AVENUE
HALEDON, NJ 07522
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

03/17/14 03/16/17
LA INVALID COACH
1995 JFK BLVD. NO. 14
JERSEY CITY, NJ 07305

MAHGOUBE, ADAM
1995 JFK BLVD. NO. 14
JERSEY CITY, NJ 07305

Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

06/17/02
LEON SCD UNLIMITED
1071 E. LANDIS AVENUE
VINELAND, NJ 08360

LEON, JACK OWNER/OPERATO
1071 E. LANDIS AVENUE
VINELAND, NJ 08360

Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

06/29/98
LEON SCD UNLIMITED
2991 E.CHESTNUT AV UN H80
VINELAND, NJ 08360

LEON, JACK
2991 E.CHESTNUT AV UN H80
VINELAND, NJ 08360

Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

02/22/00 Permanent
LIBERTY TESTING LAB. INC.
25 CHAPEL STREET
BROOKLYN, NY 11201

HUERTA, FRANK JR.
25 CHAPEL STREET
BROOKLYN, NY 11201

Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

01/10/97
LINCOLN PHARMACY/MEDICINE SHOP
941 LINCOLN AVENUE
GLEN ROCK, NJ 07452

SPIGNER, AKOSUA
941 LINCOLN AVENUE
GLEN ROCK , NJ 07452

Medical
Criminal Offense
Debarment

054
0018

05/15/14
LIVSHITZ PHARMACY INC
203 16TH AVENUE
NEWARK, NJ 07103
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
LIZBETH TRUCKING
596 ELM STREET
KEARNY, NJ 07032
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

11/25/11 11/24/14
11151419900
LOEB & MAYER, INC.
PO BOX 239
AVERNE, NY 11692

MAYER, BARRY
PO BOX 239
AVERNE, NY 11692

Vendor
Criminal Offense
Suspension

Treasury
Treasury Purchase Bureau

09/07/00
35218519500
LOW BID, INC.
125 EAST BROADWAY
LONG BEACH, NY 11561
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

11/25/11 11/24/14
LUCAS CONSTRUCTION SERVICES
31 GLASSBORO ROAD
MONROEVILLE, NJ 08343
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

10/12/12 10/11/15
M & M MEDICAL LIVERY
64 BEVAN STREET
JERSEY CITY, NJ 07306
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

05/31/94 Permanent
M&G LIVERY & TRANS., INC
6 PLEASANT VALLEY WAY
WEST ORANGE, NJ 07094

ZELTSER, RAISE, OFF. MGR.
6 PLEASANT VALLEY WAY
WEST ORANGE, NJ 07079

Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

09/14/00
55793090000
M&G LIVERY CO. INC.
6 PLEASANT VALLEY WAY
WEST ORANGE, NJ 08052
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/19/03
M&G TRANSPORTATION & LIVE
269 SHEFFIELD STREET
MOUNTAINSIDE, NJ 07092
Medical
Criminal Offense
Debarment

Human Services
Medical Assistance (Medicaid)

10/31/02
MAIO'S MEDICINE CHEST
345 UNION HILL ROAD
ENGLISHTOWN, NJ 07726

MAIORANO, JOHN
345 UNION HILL ROAD
ENGLISHTOWN, NJ 07726

Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

07/11/00 Permanent
MANAGEMENT CORP. OF AMERI
8900 S.W. 61ST STREET
MIAMI, FL 33156

WEISELBERG, ALAN
8900 S.W. 61ST STREET
MIAMI, FL 33156

Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/05/00 Permanent
MANCINI PHARMACY INC
SKEET & DIXONTOWN ROAD
MEDFORD, NJ 08055

MANCINI ANGELO D
SKEET & DIXONTOWN ROAD
MEDFORD, NJ 08055

Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
20443076200
MAR BUILDERS, INC.
165 BRUNSWICK STREET
NEWARK, NJ 07114
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

05/08/12 05/07/15
MARC-TED, INC.
4515 BERGENLINE AVENUE
UNION CITY, NJ 07807

KLAUSNER, MARC, RP
4515 BERGENLINE AVENUE
UNION CITY, NJ 07087

Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

12/29/99
15098769000
MARVIN ARDON PAINTING
52 S. JEFFERSON ST.
ORANGE, NJ 07050
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

12/04/13 12/03/16
MARVIN PECK'S PHARMACY
335 GEORGE STREET
NEW BRUNSWICK, NJ 08901

PECK, MARVIN, RP
335 GEORGE STREET
NEW BRUNSWICK, NJ 08901

Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
56228806900
MASON TECH, LLC
35 EIGHTH ST., STE. 7
PASSAIC, NJ 07055
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

08/10/12 08/09/15
22361631800
MATT'S PLUMBING & HEATING, INC.
168 W. SYLVANIA AVE
NEPTUNE, NJ 07753
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

02/01/10 02/29/15
MAZZACCOS PHARMACY INC
427 PROSPECT STREET
LONG BRANCH, NJ 07740
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
MEDICAL CLINICAL LABOR.
373 LIVINGSTON AVENUE
NEW BRUNSWICK, NJ 08901
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

07/29/99 Permanent
MEDICAL DYNAMICS
1248 STANWOOD STREET
PHILADELPHIA, PA 19100

MARTORANO, JOSEPH
1248 STANWOOD STREET
PHILADELPHIA, PA 19100

Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
MEDIPATH EXPRESS
666 PLAINSBORO ROAD
PLAINSBORO, NJ 08536
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

01/14/05
MEDISCOPE DIAG. LAB. INC.
1250 PARK AVENUE
PLAINFIELD, NJ 07060
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

11/16/98
MENDHAM PHARMACY
ROUTE 24
MENDHAM, NJ 07945

WOLFE, JOSEPH
ROUTE 24
MENDHAM, NJ 07945

Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
26198458400
MF SPEED CONSTRUCTION, LLC
65-67 7TH AVE. EAST
NEWARK, NJ 07104
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

10/17/13 10/16/16
06179666300
MG TOPFLIGHT
6 SPRUCE MEADOWS DRIVE
MONROE, NJ 08831
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

07/09/14 07/28/14
20804294100
MIDWEST CONSTRUCTION, INC.
1752 ROUTE 206
SOUTHAMPTON, NJ 08088
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

07/24/14 07/23/17
MILAROLA CORP INC
57 BROADWAY
NEWARK, NJ 07014
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
75297803200
MJM PAINTING, LLC
77 LITTLETON RD, BOX 226
MORRIS PLAINS, NJ 07950
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

04/12/13 04/11/16
MKM NURSING HOME SPEC.INC
1368 BRENTWOOD ROAD
YARDLEY, PA 19067

NAVAZIO, DAVID, OWNER
1368 BRENTWOOD ROAD
YARDLEY, PA 19067

Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/07/00
20165928800
MONMOUTH CONSTRUCTION, LLC
201 3RD AVENUE
BRADLEY BEACH, NJ 07720
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

03/12/13 03/11/16
MUGAHID MEDICAL SHUTTLE
711 TONNELLE AVE. - 2 MN
JERSEY CITY, NJ 07306

OMAR MUGAHID O.
7-11 TONNELLE AVE-2MN
JERSEY CITY, NJ 07306

Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

04/10/97 Permanent
22196497400
MYCOR SERVICES, INC.
15 JUST ROAD, BLDG. 1
FAIRFIELD, NJ 07004
Vendor
Failure to Perform
Debarment

Treasury
Treasury Purchase Bureau

09/04/09 09/04/14
NASSAU PHARMACY
80 NASSAU STREET
PRINCETON, NJ 08540
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
20344842900
NATIONAL ARCHITECTURAL PRODUCTS, INC.
1711 GINESI DRIVE, STE. 2
FREEHOLD, NJ 07728
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

02/19/13 02/18/16
NATIONAL SPINE MEDICAL CENTERS PLLC
2103 GOLDEN POND DRIVE
KINGWOOD, TX 77345-1644
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

04/20/05
90019287800
NATURAL VIEW LANDSCAPES, LLC
2536 RT. 50
MAYS LANDING, NJ 08330
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

01/06/14 01/05/17
22326289500
NEW CONCEPTS ELECTRIC CO.
140 CIRCLE DRIVE NORTH
PISCATAWAY, NJ 08854
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

07/20/11 07/19/14
NEW HEALTH CENTER PHARM
85 MONTICELLO AVENUE
JERSEY CITY, NJ 07306

AHMAD, NAEEM S
85 MONTICELLO AVENUE
JERSEY CITY, NJ 07306

Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

09/15/83 Permanent
NEW HOPES OF NJ, INC.
328 MARKET STREET
CAMDEN, NJ 08102

CACERES, MARIO, CO-OWNER
328 MARKET STREET
CAMDEN, NJ 08102

Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/05/00
NEW HOPES OF NJ, INC.
328 MARKET STREET
CAMDEN, NJ 08102

MORALES, CHRISTINO, PRES.
328 MARKET STREET
CAMDEN, NJ 08102

Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/05/00
NICK PENACHIO CO., INC.
240 FOOD CENTER DRIVE
BRONX, NY 10474

PENACHIO, NICHOLAS A.
240 FOOD CENTER DRIVE
BRONX, NY 10474

Vendor
Criminal Offense
Suspension

Treasury
Treasury Purchase Bureau

09/07/00
20179560300
NICOLA MATERNA & SONS, LLC
48 OLD JACKSONVILLE ROAD
TOWACO, NJ 07082
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

10/21/13 10/20/16
16175116000
NMP ELECTRO-MECHANICAL SVCS.
133 MILL STREET, 2R
MT. HOLLY, NJ 08060
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

12/29/11 12/28/14
NOE'S CONCRETE, INC.
30 EUCLID AVENUE
MEDFORD, NJ 11753
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

06/07/13 06/06/16
22334496600
NOREAST, INC.
410 NORTH AVENUE EAST
CRANFORD, NJ 07016
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

05/16/14 05/15/17
NORTHGATE COM. PHARMACY
156 COUNTRY FARM RD
MARLTON, NJ 08053
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
71098714400
OHANA METAL & IRON WORKS, INC.
60 MILLER ROAD
MONTGOMERY, NY 12549
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

08/06/14 08/05/17
OJAH CORPORATION
42-44 SUSSEX AVENUE
EAST ORANGE, NJ 07018
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

03/22/06 Permanent
OLD CITY REMODELING
1406 LEXINGTON PLACE
ELIZABETH, NJ 07208
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

06/10/13 06/09/16
OMARS PHARMACY, INC.
1137 MAIN AVENUE
CLIFTON, NJ 07011

ALY, WAEL
1137 MAIN AVENUE
CLIFTON, NJ 07011

Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

05/30/00
20572057700
OMEGA STAR, LLC
40 BALDWIN ROAD
PARSIPPANY, NJ 07054
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

06/24/11 06/23/14
ORANGE COMMUNITY MRI
345 HENRY STREET, STE102
ORANGE, NJ 07055
Medical
Criminal Offense
Suspension

054
0018

03/16/12
ORANGE DRUG & SURGICAL IN
270 HIGHLAND ROAD
S. ORANGE, NJ 07079

GREENBERG, EDMUND, R.PH
270 HIGHLAND ROAD
S. ORANGE, NJ 07079

Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

02/07/00 Permanent
ORIENT EXPRESS
177 SARGEANT AVE.
CLIFTON, NJ 07013

MALAMUD, YAFIM, PRES.
177 SARGEANT AVE.
CLIFTON , NJ 07013

Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

08/08/03
14201098000
PALMER CONSTRUCTION NJ, INC.
3322 WASHINGTON ROAD
PARLIN, NJ 08859
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

06/14/11 06/13/14
PARIVAN INVALID COACH
40 BROOKSIDE ROAD
EDISON, NJ 08817

TULSANIA, NITAN, OWNER
40 BROOKSIDE ROAD
EDISON, NJ 08817

Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

04/27/04
PARK AVENUE PHARMACY
278 PARK AVENUE
NEWARK, NJ 07107

NWANKO, RAPHAEL
278 PARK AVENUE
NEWARK, NJ 07107

Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

05/19/99 Permanent
PARK MEDICAL LABORATORY
298 CLAIRMONT AVENUE
MONTCLAIR, NJ 07042
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
PARKOFF & HAMMER P A
253 ROSEVILLE AVE
NEWARK, NJ 07107

PARKOFF MICHAEL A
68 MAPLEWOOD BLVD
SUFFERIN, NY 10901

Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
PARKSHORE HEALTH CARE FAC
1555 ROCKAWAY PARKWAY
BROOKLYN, NY 11024

FRIEDMAN, LAWRENCE A. OWNER
1688-90 54TH STREET
BROOKLYN, NY 11024

Medical
Criminal Offense
Disqualification

054
Medical Assistance (Medicaid)

06/16/02
36464359400
PASIAN CONSTRUCTION CO., INC.
10 COLUMBIA AVE, STE. B
KEARNY, NJ 07032
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

01/19/12 01/18/15
PATERSON COMMUNITY PHARM
47 NORWOOD AVENUE
CLIFTON, NJ 07011

SELIM, HANAN, R.PH
47 NORWOOD AVENUE
CLIFTON, NJ 07011

Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

05/30/00
22225902200
PATIENT COACH MED TRANSP
724 GROVE ST
IRVINGTON, NJ 07111

SEMPLE, IVRY
724 GROVE ST
IRVINGTON, NJ 07111

Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

12/24/85 Permanent
PATIENT COACH MED TRANSP
724 GROVE ST
IRVINGTON, NJ 07111

WILSON IAN
724 GROVE ST
IRVINGTON, NJ 07111

Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
46058248900
PATRIOT CARPENTRY, LLC
111 COACH HOUSE SQUARE
POOLER, GA 31322
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

03/26/13 03/25/16
42160287700
PATTI CONSTRUCTION, LLC
2700 HAMILTON BLVD.
S. PLAINFIELD, NJ 07080
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

01/14/13 01/13/16
15548010100
PAUL SEXTON
462 10TH AVENUE
PATERSON, NJ 07510
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

07/10/14 07/09/17
PHARMADYNE LABORATORY INC
481 EDWARD H ROSS DRIVE
ELMWOOD PARK, NJ 07407

BEDRICK, BERNARD A
300 EAST 5 6TH STREET
NEW YORK, NY 10022

Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
PHARMADYNE LABORATORY INC
481 EDWARD H ROSS DRIVE
ELMWOOD PARK, NJ 07407

PACHECO, ALVARO R
59 EDGEHILL COURT
WEST ORANGE, NJ 07052

Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
27242370200
PINNACLE CONSTR. & RENOVATION CORP.
1632 STEPHEN STREET
RIDGEWOOD, NJ 11385
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

03/26/12 03/25/15
22332132600
PITBULL ELECTRIC, INC.
415 COMMERCE LN, STE 2
WEST BERLIN, NJ 08091
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

06/27/12 06/26/15
90062493600
PL STONE & STUCCO
15 PARKWOOD DR., APT. L
S. AMBOY, NJ 08879
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

04/01/13 03/31/16
POINTE O' WOODS PHARMACY
999 US HIGHWAY ROUTE 9
HOWELL, NJ 07731
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

07/11/00 Permanent
75317116800
POPPE CONSTRUCTION, INC.
795 SUSQUEHANNA AVE
FRANKLIN LAKES, NJ 07417
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

10/05/11 10/04/14
22375699400
POPPE CONTRACTING, INC.
795 SUSQUEHANNA AVE
FRANKLIN LAKES, NJ 07417
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

10/05/11 10/04/14
PRECISE BUILDERS, LLC
402 MARKET STREET
NEWARK, NJ 07105
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

05/28/14 05/27/17
PRECISE MEDICAL LAB., INC
1265 PATERSON PLANK ROAD
SECAUCUS, NJ 07094
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

12/01/98 Permanent
PREMIER HEALTH SERVICES, INC. T/A VICTORY PHARMACY
1238 SPRINGFIELD AVENUE
IRVINGTON, NJ 07111
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

02/01/08
PROF AMBU-TRANS INC
39 NORMANDY PLACE
IRVINGTON, NJ 07111

DAVIS, JAMES S
1451 STANLEY TERRACE
HILLSIDE, NJ 07205

Medical
Criminal Offense
Disqualification

054
Medical Assistance (Medicaid)

09/04/86 09/04/94
PROF AMBU-TRANS INC
39 NORMANDY PLACE
IRVINGTON, NJ 07111

ROBINSON, WANDA
150 MELROSE AVE.
IRVINGTON, NJ 07111

Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

09/04/86 Permanent
26383402600
PYRAMID CONTRACTING CORP.
163 SARGEANT AVENUE
CLIFTON, NJ 07013
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

06/10/14 06/09/17
QUICK SCRIPT PHARMACY
90 WASHINGTON STREET
EAST ORANGE, NJ 07017
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

09/22/00
R & B MEDICAL TRANSPORTATION
844 JEROME AVENUE
HILLSIDE, NJ 07205-3108

BYERS, RAYMOND & FAYE-OWNERS

,

Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

10/14/05
R & M CORP.
156 COUNTRY FARM RD
MARLTON, NJ 08053
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
RADIATION ONCOLOGY GROUP
98 FORD ROAD, SUITE 3H
DENVILLE, NJ 07834

CHAM, WILLIAM C., M.D.
98 FORD ROAD, SUITE 3H
DENVILLE, NJ 07834

Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/29/97
02055988300
RANCO MECHANICAL, INC.
PO BOX 510
AUGUSTA, NJ 07860
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

10/29/13 10/28/16
RANCOCAS VALLEY ANESTHESI
700 U.S. 130 NORTH
CINNAMINSON, NJ 08077
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/20/03
22365976500
RAYMOND MAZAK PLUMBING & HEATING
1423 TERESA DRIVE
FORT LETT, NJ 07024
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

09/04/13 09/03/16
READY CARE CORPORATION
85 CENTRAL AVENUE
CLIFTON, NJ 07015

ELBASHIR, IMAD, MAHG, PTR
160 ALABAMA AVENUE
PATERSON, NJ 07505

Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

01/28/01
RECOVERY SYSTEMS INC.
476 CLIFTON AVE.
CLIFTON, NJ 07011
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

05/08/03
45127507300
REN CONSTRUCTION
1984 WHITESVILLE ROAD
TOMS RIVER, NJ 08755
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

07/09/14 07/08/17
RESTORATION PHARMACY
1385 STUYVESANT AVENUE
UNION, NJ 07083
Medical
Other
Debarment

054
Medical Assistance (Medicaid)

01/16/09 01/06/12
22316048800
RETAINING WALL SYSTEMS OF NJ, INC.
40 BALDWIN ROAD
PARSIPPANY, NJ 07054
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

06/24/11 06/23/14
RGN PHARMACY
ELIZABETH AVENUE
NEWARK, NJ 07108
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/17/07
RIBLES LOCKSMITH & HARDWARE
613 15TH AVENUE
BELLMAR, NJ 07719
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

07/10/14 07/09/17
RICARDO SAUCEDO SAMANIEGO DRYWALL
6701 KINDRED STREET
PHILADELPHIA, PA 19149
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

08/29/11 08/28/14
RITE SURGICAL COMPANY
228 KINGS HIGHWAY
BROOKLYN, NY 11223

SMOLIN, STEVE
228 KINGS HIGHWAY
BROOKLYN, NY 11223

Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

09/07/01 Permanent
83044340900
RITEWAY CONSTRUCTION INC.
20 CHERRY HILL LN APT. D
OLD BRIDGE, NJ 08857-4737
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

02/28/12 02/27/15
RIVERA CONSTRUCTION
169 MAPLE STREET
FAIRVIEW, NJ 07022
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

07/20/11 07/19/14
22245625900
RIVERTON POOL AND GARDEN CENTER
ROUTE 130
CINNAMINSON, NJ 08077
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

05/15/11 05/15/14
20203976100
RMJ DBA FIREHOUSE ELECTRICAL SERVICE
PO BOX 235
CLEMENTON, NJ 08021
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

02/07/12 02/07/15
ROBROS RECYCLING CORP.
266 BROADWAY
JERSEY CITY, NJ 07306

D'AMBROSIO, MICHAEL
266 BROADWAY
JERSEY CITY, NJ 07306

Vendor
Organized Crime Control Act
Suspension

Treasury
Treasury Purchase Bureau

01/09/96
22242634800
ROC-Z INDUSTRIES, INC.
1700 BEACON STREET
TOMS RIVER, NJ 08757
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

12/29/11 12/28/14
ROMEO PHARMACY
882 BROAD STREET
NEWARK, NJ 07114

MGBEME, FESTUS RP
882 BROAD STREET
NEWARK, NJ 07114

Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

03/08/01 Permanent
22330924700
ROOT-AWAY SEWER & DRAIN CLEANING, INC.
738 LIBERTY STREET
TRENTON, NJ 07022
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

07/20/11 07/19/14
RX 2000 PHARMACY, INC.
2125A KENNEDY BLVD
JERSEY CITY, NJ 07305
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

01/02/00 Permanent
S. BROTHERS PHARMACY, INC
687 FRELINGHUYSEN AVENUE
NEWARK, NJ 07114

KHAN, AZAM
687 FRELINGHUYSEN AVENUE
NEWARK, NJ 07114

Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

12/16/98
S. RESES APOTHOCARY
6522 VENTNOR AVE.
VENTNOR, NJ 08406
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
SAIRA SONIA INC
85 MONTICELLO AVENUE
JERSEY CITY, NJ 07036

AHMAD, NAEEM S
85 MONTICELLO AVENUE
JERSEY CITY, NJ 07306

Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

09/15/83 Permanent
22374020100
SAMCO CONSTRUCTION CO., LLC
413-415 S. SEVENTH ST.
ELIZABETH, NJ 07202
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

07/03/13 07/02/16
SANFORD PHARMACY
SPRUCE + CAROL STS
RAMSEY, NJ 07446
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
SANFORD'S PHARMACY INC
128 MAIN ST
MATAWAN, NJ 07747
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
SARAVIA CONCRETE PUMPING CORP.
223-10 113TH ST.
QUEENS VILLAGE, NY 11429
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

08/19/13 08/18/16
SAVON PHARMACY

,

TRASTER, LAWRENCE
19 BRAEMAR DRIVE
WAYNE, NJ 07470

Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

09/21/83 Permanent
SCHERING SALES CORPORATION
2000 GALLOPING HILL ROAD
KENILWORTH, NJ 07033
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/20/05 Permanent
SCHNORBUS PHARMACY
351 NORTH WARREN STREET
TRENTON, NJ 08618
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
SECAUCUS PHARMACY
113 FRONT STREET
SECAUCUS, NJ 07094

EDANIEWSKI EDWARD R
113 FRONT STREET
SECAUCUS, NJ 07094

Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
27258673000
SEMINOLE CONSTRUCTION, LLC
128 BARTLETT AVENUE
WEST CREEK, NJ 08092
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

12/20/12 12/19/15
20854242000
SHORELINE MARINE CONSTRUCTION, LLC
213 WEST EDGEWOOD AVE
LINWOOD, NJ 08221
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

06/04/13 06/03/16
SINGER-ANDREINI PHARMACY
5532 BERGENLINE AVENUE
WEST NEW YORK, NJ 07093
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/23/98
22237073700
SKYLINE TOWER SERVICES, INC
105 KEYSTONE DRIVE
TELFORD, PA 18969
Vendor
Failure to Perform
Debarment

082
Treasury Purchase Bureau

03/15/12 03/15/17
SOLOMON'S INVALID COACH
142 BROAD STREET
NEWARK, NJ 07104

SOLOMON, MARCUS, PRES.
142 BROAD STRET
NEWARK, NJ 07104

Medical
Criminal Offense
Disqualification

054
Medical Assistance (Medicaid)

06/25/02
SOUTHERN MED & SURGICAL
2230 S CROSKEY ST
PHILA, PA 19145
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
27047634100
SP-ONE, LLC
2816 CORONANDO WAY
VERO BEACH, FL 32960
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

07/22/13 07/21/16
SPECIALTY CLINICAL LAB.
299 ACADEMY STREET
JERSEY CITY, NJ 07306
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

12/01/98 Permanent
45408933300
SPMG CONSTRUCTION, INC.
3001 ROUTE 130, APT. 8D
DELRAN, NJ 08075
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

04/01/13 03/31/16
22192666500
STAR OIL COMPANY
134 RT. 73 SO & BEECH AVE
BERLIN, NJ 08009
Vendor
Criminal Offense
Suspension

Treasury
Treasury Purchase Bureau

08/27/01
22261416900
STARR CONTRACTING LLC
247 RARITAN BLVD.
CLIFFWOOD BEACH, NJ 07735
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

02/28/12 02/27/15
STATLINE AMBU.&MEDI-COACH
P. O. BOX 2100
WEST PATERSON, NJ 07424
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
STAVCO, INC.
300 MAIN STREET
AVON, NJ 07717
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

01/11/05
22337006100
STRUCTURAL SAFETY, INC.
716 WHITE HORSE PIKE
HAMMONTON, NJ 08037
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

04/05/12 04/04/15
SUN REHAB, INC.
BILLINGS AVE., APT. 619A
PAULSBORO, NJ 08062

OPOH-EIKOM, VICKI
BILLINGS AVE., APT. 619A
PAULSBORO, NJ 08062

Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

01/11/00 Permanent
SUNJETT ENTERPRISES, INC.
215 JACOBY ST., 1ST FLOOR
MAPLEWOOD, NJ

ENEMUO, JOHNNY
215 JACOBY ST., 1ST FLOOR
MAPLEWOOD, NJ 07040

Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

05/01/99 Permanent
SUNSET PHARMACY
SUNSET RD AT SUMMIT TURN
WILLINGBORO, NJ 08046

DEZENHALL, MERVIN
SUNSET RD AT SUMMIT TURN
WILLINGBORO, NJ 08046

Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
SURF PHARMACY
17 CORNELL PLACE
ENGLISHTOWN, NJ 07726

VITALE, JACK, OWNER
17 CORNELL PLACE
ENGLISHTOWN, NJ 07726

Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

06/22/99 Permanent
SUTEX MEDICAL TRANSPORT
814 74TH STREET
NORTH BERGEN, NJ 07047

ABUSEF, ELSAYED K.
814 74TH STREET
NORTH BERGEN, NJ 07047

Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

05/20/99 Permanent
T&N PHARMACEUTICAL CO.INC
90 WASHINGTON STREET
EAST ORANGE, NJ 07017
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

09/22/00
22309572200
T. FIORE DEMOLITION, INC.
457 WILSON AVENUE
NEWARK, NJ 07105
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

04/03/14 04/02/17
TARK TRANSPORTATION SVC.
566 BLOOMFIELD AVENUE
BLOOMFIELD, NJ 07306

ALI, TARK
566 BLOOMFIELD AVENUE
BLOOMFIELD, NJ 07306

Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

05/10/99 Permanent
TAU ASSOCIATES PLUMBING & MECHANICAL, LLC
91 GRAHAM STREET
JERSEY CITY, NJ 07307
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

12/18/13 12/17/16
56257979800
TEAM EQUIPMENT, LLC
26 EAST GARDEN PLACE
POMPTON PLAINS, NJ 07444
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

07/03/13 07/02/16
TELA STRETCH SYSTEMS, LLC
9 WYCOFF TERRACE
FAIR LAW, NJ 07410
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

02/06/13 02/05/16
TEMPT TRANSIT, INC.
238 MAIN STREET
HACKENSACK, NJ 07601

ALWALEED, ALAMEEN, PRES.
238 MAIN STREET
HACKENSACK, NJ 07601

Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/18/95
04315557000
TESTA CORPORATION
360 AUDUBON ROAD
WAKEFIELD, MA 01880
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

05/28/14 05/27/17
THA-KEY CARPENT, INC.
68 COUNTRYSIDE LOOP
ELKTON, MD 21921
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

11/02/11 11/01/14
22364262900
THE BOCA BAY GROUP
16 S. AVENUE WEST STE 267
CRANFORD, NJ 07016
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

05/21/13 05/20/16
47095985000
THE DRYWALL ORGANIZATION, INC.
23 EAST GLENWOOD DRIVE
BERGENFIELD, NJ 07621
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

08/19/11 08/18/14
THE EXCEL CENTER
104 WINDSOR COURT
PALM BEACH, FL 33480

MURRY, TOMMIE, JR.
2697 RAVEN ROAD
CINNAMINSON, NJ 08077

Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

05/25/99 Permanent
THE EXCEL CENTER, INC.
104 WINDSOR COURT
PALM BEACH, FL 33480

DEMARIA, WILLIAM, AGENT
104 WINDSOR COURT
PALM BEACH, FL 33480

Medical
Criminal Offense
Debarment

Human Services
Medical Assistance (Medicaid)

01/05/01
THE EXCEL CENTER, INC.
104 WINDSOR COURT
PALM BEACH, FL 33480

MURRY, TOMMIE, EX. DIR.
2697 RAVEN ROAD
CINNAMINSON, NJ 08077

Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

01/05/01 Permanent
THERESA PHARMACY
4611 BERGENLINE AVE
UNION CITY, NJ 07087

CABALERIO, THERESA
4611 BERGENLINE AVE.
UNION CITY, NJ 07087

Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
THIRO AND GRAYSON INC
449 AVENUE C
BAYONNE, NJ 07002

GRAYSON, MURRAY A
163 HAMPTON GREEN
STATEN ISLAND, NY 10312

Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
TJD CONSTRUCTION
138 STONEHENGE DR.
TOMS RIVER, NJ 08753
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

02/25/14 02/24/17
TMM CABLE, LLC
3268 LIMESTONE ROAD
COCHRANVILLE, PA 19330
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

11/18/11 11/17/14
TOBIN'S DRUG STORE
335 GEORGE STREET
NEW BRUNSWICK, NJ 08901

PECK, MARVIN, RP
335 GEORGE STREET
NEW BRUNSWICK, NJ 08901

Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
00010560190
TOUCH OF LIFE, LLC
CHELSEA AVENUE
NEWARK, NJ 07106
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

03/09/08
TOWNSHIP SANITATION, INC.
P.O. BOX 164
JAMESBURG, NJ 08831

TAMILY, H. & VIRZI, J.
P.O. BOX 164
JAMESBURG, NJ 08831

Vendor
Organized Crime Control Act
Suspension

Treasury
Treasury Purchase Bureau

01/09/96
20262487600
TRI-STATE CONCRETE CONSTRUCTION
623 MCCLELLAN STREET
LONG BRANCH, NJ 07740
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

06/24/11 06/23/14
27344809400
TRI-STATE INSULATORS, LLC
1038 OLD YORK ROAD
RARITAN, NJ 08869
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

07/18/13 07/17/16
20234344800
TRI-STATE METAL WORKS, INC.
130 RYERSON AVE STE 308
WAYNE, NJ 07470
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

08/29/11 08/28/14
TRINITY PHOENIX CORP
149 GARFIELD AVENUE
STATEN ISLAND, NY 10305
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

03/06/13 03/05/16
TRIPLE

,

Wage & Hour Violation




TRUE LINE WIRE GUIDANCE INSTALLATION INC
7095 SHAFFER DRIVE
DOWNS, IL 61736
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

02/28/12 02/27/15
14187484700
TURFSCAPES, LLC
3477 S. BLACKHORSE PIKE
WILLIAMSTOWN, NJ 08094
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

05/28/14 05/27/17
UBU SPORTS
3525 OLD DIXIE HIGHWAY
DALTON, GA 30721
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

08/04/14 08/03/17
UNION CITY DIAGNOSTIC LAB
2201 BERGENLINE AVENUE
UNION CITY, NJ 07007
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

06/10/01 Permanent
UNITED CLINICAL LAB.
63 FEDERAL STREET
METUCHEN, NJ 08840

JAVID, MOHAMMED A., MGR.
63 FEDERAL STREET
METUCHEN, NJ 08840

Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

04/11/96 Permanent
UNITED DENTAL CENTER
35 WALLINGTON AVE
WALLINGTON, NJ 07057
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

09/18/03
UNITED DIAGNOSTIC LAB INC
100 CRAIG ROAD, SUITE 104
MANALAPAN, NJ 07726-8731
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

04/18/97
UNITED METAL CONSTRUCTION, LLC
949 SPRING VIEW DRIVE
SOUTH HAMPTON, PA 18966
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

10/25/12 10/24/15
UNITED PHARMACY
1347 SPRINGFIELD AVENUE
IRVINGTON, NJ 07111
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

07/30/05
UNITY ENVIRONMENTAL CORP.
511 CANAL STREET
NEW YORK, NY 10013

PONTE, ANGELO, J.
511 CANAL STREET
NEW YORK, NY 10013

Vendor
Organized Crime Control Act
Suspension

Treasury
Treasury Purchase Bureau

01/09/96
UNIVERSAL FIRE FABRICATING AND SUPPLY
653 STATE ROUTE 52
WALDEN, NY 12586
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

06/14/11 06/13/14
UNIVERSAL MEDICAL LAB.
43 MOONACHIE ROAD
HACKENSACK, NJ 07601
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

05/10/99 Permanent
UNIVERSAL MEDICAL TRANSP.
845 BERGEN AVE. #190
JERSEY CITY, NJ 07306
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)

06/14/94 Permanent
UNIVERSITY PHARMACY
236-242 S. ORANGE AVENUE
NEWARKK, NJ 07103

ENEMUO, KENNETH, R.P.
236-242 S. ORANGE AVENUE
NEWARK, NJ 07103

Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

03/20/99 Permanent
US CLINICAL LAB., INC.
185 S. EUCLID ST, STE.111
PASADENA, CA 91101
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

04/22/97 Permanent
V. PONTE & SONS, INC.
111 PATERSON AVENUE
HOBOKEN, NJ 07030

PONTE, ANGELO J.
111 PATERSON AVENUE
HOBOKEN, NJ 07030

Vendor
Organized Crime Control Act
Suspension

Treasury
Treasury Purchase Bureau

01/09/96
V.C. LABORATORY, INC.
9 COURTLAND AVENUE
STATEN ISLAND, NY 10301
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

03/24/03 Permanent
VALUE-RITE PHARMACY, INC.
350 WEST MARKET STREET
NEWARK, NJ 07107
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

04/29/97
VENDETTI CLINICAL LAB INC
904 D OAK TREE ROAD
S. PLAINFIELD, NJ 07080
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

12/01/99 Permanent
45225621200
VERCON BUILDING & MAINTENANCE CORP.
11 ARBORETUM DRIVE
JACKSON, NJ 08527
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

05/12/14 05/11/17
22371206800
VERRONE FLOORING, LLC
57 WEINNEMANNS BLVD.
WAYNE, NJ 07470
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

02/16/12 02/15/15
46099090700
VICTOR CONSTRUCTION, INC.
4615 N. FRONT STREET
PHILADELPHIA, PA 19140
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

04/23/14 04/22/17
VICTORY PHARMACY
94 MARKET STREET
NEWARK, NJ 07102

AGYEMANG, KWADWO, RP
94 MARKET STREET
NEWARK, NJ 07102

Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

08/25/03
23280104600
VITO BRACCIA CONCRETE & BLDG. CONTRACTORS INC.
536 EASTON ROAD
HORSHAM, PA 19044
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

07/27/12 07/26/15
WALL PHARMACY
2510 BELMAR BLVD.
WALL, NJ 07719
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

02/05/03
46197956100
WALLMASTERS MODULAR, INC.
226 MUTUAL AVENUE
WINCHESTER, KY 40391
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

07/29/14 07/28/17
22254887000
WALTER H. POPPE, INC.
796 SUSQUEHANNA AVE
FRANKLIN LAKES, NJ 07417
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

10/05/11 10/04/14
22202204000
WATERTROL, INC.
PO BOX 163
CRANFORD, NJ 07016
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

04/19/12 04/18/15
WESTFIELD AVE PHARMACY
156 COUNTRY FARM RD
MARLTON, NJ 08053
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
WILDER DRYWALL
101 LOOKOUT PASS
STORMVILLE, NY 12582
Construction
Wage & Hour Violation
Debarment

062
Workplace Standards

08/05/13 08/04/16
WILLOWBROOK MED. TREAT CT
113 RTE. 46 W. WILLOW SQ.
WAYNE, NJ 07470

GULLA, FRANK T., MD
113 RTE. 46 W. WILLOW SQ.
WAYNE, NJ 07470

Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

12/07/99 Permanent
WINGROVE DRUGS, INC.
634 DR. MARTIN L. KING BV
NEWARK, NJ 07102
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/05/97
WINKY, INC.
2510 BELMAR BLVD.
WALL, NJ 07719
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

01/11/05
WOODY'S PALLETT, LLC
40 ENTERPRISE AVENUE
TRENTON, NJ 08638
Vendor
Failure to Perform
Debarment

082
Treasury Purchase Bureau

04/10/13 Permanent
WOUND HEALING ASSOCIATES
203 3111 ROUTE 38 #11
MT. LAUREL, NJ 08054
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

11/19/05
Y & S PHARMACY SERVICES
COUNTY LINE RD.
HUNTINGTON VALL, PA 19006
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

11/17/07


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