State of New Jersey
Consolidated Debarment Search Results

Your search generated 2097 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 11/18/2009.

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
ABBITELLO, DOMINIC, OWNER
PO BOX 2091
LINDEN, NJ 07036
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

10/16/08 10/16/11
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

Human Services
Medical Assistance (Medicaid)

11/05/20
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
ABUELHAWA, IMAD S., PRESIDENT
223 CANTERBURY AVENUE
NORTH ARLINGTON, NJ 07031
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

10/16/08 10/16/11
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
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
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.
411 HEMLOCK DR.
LANOKA HARBOR, NJ 08734
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/14/05
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
ADISSON- MARTINEAU, LUNIC
14 WALTER PLACE #1
IRVINGTON, NJ 07111
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

03/14/08
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
AHMAD, AYESHA, PRES & INDIV.
2467 EIGHTH AVE., OFF. #1
NEW YORK, NY 10027
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

06/12/07 06/12/10
AHMAD, FAROOK
300 EAST HALSEY ROAD
PARSIPPANY, NJ 07054
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

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

Human Services
Medical Assistance (Medicaid)

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

Human Services
Medical Assistance (Medicaid)

03/26/94 Permanent
AIRD, EILEEN, B.
295 GRANDVIEW CIRCLE
RIDGEWOOD , NJ 07450
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

04/20/03
AL SALIHI, FAROUK, MD
1810 JFK BLVD APT A 4
JERSEY CITY, NJ 07305-2107
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

04/16/08 04/16/10
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
ALBANESE, JAMES, PRESIDENT
171 VETERANS DRIVE
NORTHVALE, NJ 07647
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

12/28/07 12/28/10
ALBERS, HENRY J., EMT
3 QUEEN STREET
PARSIPPANY, NJ 07054
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

01/09/96 Permanent
ALCAIDE, KELLY, L.P.N.
716 RIVER ROAD
SOMMERVILLE, NJ 08844-4048
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

02/20/02
ALEXANDER, JULIE B., R.N.
1525 DOGWOOD DRIVE
CHERRY HILL, NJ 08003
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/19/05
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, 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
ALMEDIA, CARLOS A. OSTEOPATH
3 TEANECK COURT
TIMONIUM, MD 21093
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/20/05
ALMEDIA, JUSCIANO, PRESIDENT
53 HILLSIDE AVENUE
HILLSIDE, NJ 07205
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

02/14/08 02/14/11
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.
LIBERTY AVENUE
UNION, NJ 07083
Medical
Other
Suspension

Human Services
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, 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
ANAYOOR, ABDUL HAMEED R.PH.
9 STARLIGHT ROAD
HOWELL, NJ 07731-2212
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

06/03/05
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

Human Services
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
ANTENUCCI, MARIO, OWNER & INDIV.
507 ASHLAND RIDGE ROAD
HOCKESSIN, DE 19707
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

06/12/07 06/12/10
ARCIERO, RONALD, PRESIDENT
219 N. SECOND STREET
MILLVILLE, NJ 08332
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

07/02/09 07/02/12
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
ARROYO, ZOE, VICE-PRES.
3674 RIDGEWAY ROAD
MANCHESTER, NJ 08759
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

10/25/06 10/25/09
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

Human Services
Medical Assistance (Medicaid)


Permanent
AYALA, WINDA, PRES & INDIV.
732 LEHIGH AVENUE
UNION, NJ 07083
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

06/27/07 06/27/10
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
BADILLO, RUBIN, OWNER
321 ROUTE 94 S
WARWICK, NY 10990
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

03/18/09 03/18/12
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
BANGOURA, ALPHA
200 EXECUTIE DRIVE
WEST ORANGE, NJ 07050
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

03/22/06
BAPTISH, JOHN D, PRES.
55 GREEN PARK ROAD
ROCKAWAY, NJ 07866
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

05/01/02
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
BARBAGALLO, SEBASTIAN, OWNER
54 GEORGE RUSSELL WAY
CLIFTON, NJ 07013
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

05/28/09 05/28/12
BARDO, MANUEL
11756 SW 14TH TERRACE
MIAMI, FL
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/19/04
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
BARLOW, DAVID, PRESIDENT
14 CLEVELAND AVENUE
BLACKWOOD, NJ 08012
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

05/29/08 05/29/11
BARNA, ARLENE, RN
205 KRAFT AVE.
OAKLYN, NJ 08107
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/19/03
BARNES FRANCIS X
277 A D A PLACE
SO PLAINFIELD, NJ 07080
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
BARNEY, WILLIAM
73 HAMPTON GATE DRIVE
SICKLERVILLE, NJ 08061
Vendor
Criminal Offense
Suspension

Treasury
Treasury Purchase Bureau

08/27/01
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
BASSO, NICHOLAS V., MD
7665 MAPLE AVENUE
PENNSAUKEN, NJ 08109
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

02/01/00 Permanent
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
BATTISTA, JOSEPH P., PRES
144 CROSS ST., STE. 3
LAKEWOOD, NJ 08701
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

01/26/09 01/26/12
BAXTER, LOUISE E.
450 WILBUR HENRY DRIVE
FLORENCE, NJ 08518
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
BEAVER, THOMAS, PARTNER
26 STANTON STREET
CLARK, NJ 07065
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

11/19/07 11/19/10
BECK, ALLAN G., M.D.
1833 ARROWHEAD DRIVE
WATERFORD, NJ 08089
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

02/20/01
BECKER, ART, PRESIDENT
504 5TH AVENUE
BELLMAWR, NJ 08031
Construction
Wage & Hour Violation
Debarment

Health & Senior Services
Workplace Standards

07/17/08 07/17/11
BECKETT, DONALD D.P.M.
10144 DEERCLIFF DRIVE
TAMPA, FL 33647
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

11/04/05
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
PO BOX 627
ISLAND HEIGHTS, NJ 08732
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

07/19/01 Permanent
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
BENANTI, CIRO, PARTNER
14 HAWTHORNE DRIVE
SUCCASUNNA, NJ 07876
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

10/19/09 10/19/12
BENANTI, SALVATORE, PARTNER
3-30 SADDLE RIVER ROAD
FAIR LAWN, NJ 07410
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

10/19/09 10/19/12
BENIGNO, JOE, OWNER
40 MOUNTAINVIEW TERRACE
HILLSDALE, NJ 07642
Construction
Wage & Hour Violation
Debarment

Health & Senior Services
Workplace Standards

02/14/08 02/14/11
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
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
BETHEL, LAQUINNA
106 SANFORD ST.
EAST ORANGE, NJ 07018-1903
Medical
Criminal Offense
Debarment

Human Services
Medical Assistance (Medicaid)

01/14/09 01/14/14
BEZOZA, HOWARD,M., MD
PO BOX 372
SADDLE RIVER, NJ 07458-0372
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/20/03
BIEDRAWA, LUBOMIR, PRES.
9602 4TH AVE., APT. 4K
BROOKLYN, NY 11209
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

01/26/09 01/26/12
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
BLANCO, YOLANCO, OWNER & INDIV.
61 FORD AVENUE
WHARTON, NJ 07885
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

04/23/07 04/23/10
BLAU, SEYMOUR, H. MD
36 COLLEGE DRIVE
JERSEY CITY, NJ 07305
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

11/20/03
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
BOGUSLAVSKIY, VADIM
1903 MADALINE DRIVE
AVENEL, NJ 07001
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

03/25/02 Permanent
BOKER, MICHAEL, PRESIDENT
266 REAR NORWOOD AVENUE
W. LONG BRANCH, NJ 07764
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

09/28/09 09/28/12
BOND CLIFTON MD
418 JAMESTOWN COURT
MT LAUREL, NJ 08054
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
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
BORCHARDT, KAREN, RN
4145 MILL CREEK DRIVE
N. CHARLESTON, SC 29420
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/17/20
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
BOSTIC, SCOTT, OWNER
1263 GREELEY AVENUE
IVYLAND, PA 19874
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

07/02/09 07/02/12
BOTTENBLEY, CECIL J.
16 FIRESIDE CT.
WILLINGBORO, NJ 08046
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
BOULOS-PLUDOWSKI, GEORGEANN R.PH
493 RINGWOOD AVENUE
PHILLIPSBURG, NJ 08865-4820
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/19/05
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
BOZIC, MIRKO, PRESIDENT
185 6TH AVENUE
PATERSON, NJ 07544
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

07/02/09 07/02/12
BRABHAM, THEODORE J.
14 HAZARD STREET
ELIZABETH, NJ 07208
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

12/20/01 Permanent
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
1200 LITTLE GLOUCESTER RD
CLEMENTON, NJ 08021
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

05/14/96 Permanent
BREEN, NICHOLAS, DMD
3156 ROUTE 88 EAST
POINT PLEASANT, NJ 08742
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

08/18/95 Permanent
BRICK, ROGER
31-33 WEST 11TH STREET
NEW YORK, NY 10026
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

12/15/06
BRIGGS, RICHARD
26 CHAPIN RD, UNIT 1112
PINE BROOK, NJ 07058
Construction
Other
Suspension

Treasury
Treasury Property Management and Construction

10/16/09 04/15/11
BRIGGS, RICHARD
139 BARTLEY ROAD
LONG VALLEY, NJ 07853
Professional
Other
Suspension

997
0018

10/08/09 04/08/11
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
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 WILLIAM
358 11TH AVENUE
PATERSON, NJ 07514
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


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

Human Services
Medical Assistance (Medicaid)

05/19/05
BROWN, HARVEY J., V-PRES.
64 MORSE AVENUE
EAST ORANGE, NJ 07017
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

12/13/06 12/13/09
BROWN, ROBERT, OWNER
28 FAIRVIEW TERRACE
PARAMUS, NJ 07652
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

12/28/07 12/28/10
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
BUCKLEY, MARIANNE, RN
83 IRVING COURT
TRENTON, NJ 08610
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/20/01
BUDIS, DAVID, OWNER
10 FIRST STREET
MURRAY HILL, NJ 07974
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

09/08/08 09/08/11
BUDIS, JOE, PRESIDENT
10 FIRST STREET
MURRAY HILL, NJ 07974
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

08/31/09 08/31/12
BUESTAN, OMAR H., MEMBER & INDIV.
424 RIDGE STREET
NEWARK, NJ 07104
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

09/24/07 09/24/10
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
BURKE, WILLIAM
PO BOX 670
NEW VERNON, NJ 07976
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

11/20/06
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
BUTTERHOF, TRACY, F., RN
501 S. BERLIN AVE.
EGG HARBOR CITY, NJ 08215
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

04/20/03
CABALERIO, YODALIO JR.
3700 KENNEDY BLVD.
UNION CITY, NJ 07087
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

04/18/86 Permanent
CABATIC, VIRGINIA C. R.N.
14 SPARROW ROAD
RANDOLPH, NJ 07869
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/19/05
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
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
CAMPBELL, ALAN O. V-PRES & INDIV.
57 SLAPE AVENUE
SALEM, NJ 08079
Construction
Wage & Hour Violation
Debarment

Health & Senior Services
Workplace Standards

06/28/07 06/28/10
CAMPBELL, CAROL, V-PRES & INDIV.
57 SLAPE AVENUE
SALEM, NJ 08079
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

06/28/07 06/28/10
CANAZARO, JOSEPH W., PRESIDENT
719 HARVEST HILL DRIVE
CHALFONT, PA 18914
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

02/27/07 02/27/10
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
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
CARIDEO, IDA, M.D.
7 MALKE DRIVE
WAYSIDE, NJ 07712
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/07/99 Permanent
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, PATRICIA
PO BOX 1091
BROWNS MILLS, NJ 08015
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

07/19/01 Permanent
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

Human Services
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
CASSIDY, KEVIN P., OWNER
415 WES 16TH AVENUE
NORTH WILDWOOD, NJ 08260
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

07/17/08 07/17/11
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
CASTILLO, ABEL, OWNER
749 VAN BUREN AVENUE
ELIZABETH, NJ 07201
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

08/20/09 08/20/12
CASTILLO, ALDRINO, OWNER
749 VAN BUREN AVENUE
ELIZABETH, NJ 07201
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

08/20/09 08/20/12
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
CAVALLI DEAN
762 BROADWAY
CAMDEN, NJ 08103
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
CECE, ANGELO, DDS
566 NYE AVENUE
IRVINGTON, NJ 07111
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

01/19/96 Permanent
CELI, VICTOR A., MEMBER & INDIV.
357 CLIFTON AVENUE
NEWARK, NJ 07104
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

09/24/07 09/24/10
CENTI, GLENN, PRESIDENT
6 LEALAND ROAD
MORRIS PLAINS, NJ 07950
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

02/28/08 02/28/11
CENTRELLI, MARC DC
176 ALPINE TRAIL
SPARTA, NJ 07871
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/21/08
CERVANTES-MARTINEZ, FRANCISCO, OWNER
307 W. HURON ST, APT. 4
PONTIAC, MI 48341-1471
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

03/23/09 03/23/12
CHA, DONG S., M.D.
608 S. BROAD STREET
WOODBURY, NJ 08096
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

12/01/98 Permanent
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

Human Services
Medical Assistance (Medicaid)

06/20/05
CHAPLAN, ABRAHAM
384 NORTH WOODLAND ST
ENGLEWOOD, NJ 07631
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
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
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
CHU, JONATHAN
5 FALCOLN TRAIL
WARREN, NJ 07059
Vendor
Organized Crime Control Act
Debarment

Treasury
Treasury Purchase Bureau

05/08/07 05/08/12
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
CICCARELLI, MICHAEL, PRES & INDIV.
11 VREELAND LANE
CEDAR GROVE, NJ 07009
Construction
Discrimination Law
Debarment

Health & Senior Services
Workplace Standards

06/27/07 06/27/10
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
CLACKLEY, MACK O, L.P.N.
PO BOX 150
DELMONT, NJ 08314
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/20/01
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
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

Human Services
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
COLADONATO, JOSEPH P., M.D.
9760 EVERGREEN AVENUE
SEAFORD, DE 19973
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

02/03/06
COLICCHIO, PASQUALE E., PRES & INDIV.
35 PAGE HILL ROAD
FAR HILLS, NJ 07931
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

04/23/07 04/23/10
COLLIER, BERT D., MD
4933 N. WILDWOOD AVENUE
MILWAUKEE, WI 53217
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

05/29/01 Permanent
COLLINS, THOMAS J., MEMBER
9129 FREEMONT AVENUE
MARGATE, NJ 08402
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

08/13/09 08/13/12
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
CONCEICAO, ANDRE, OWNER
1359 BROOKFALL AVENUE
UNION, NJ 07083
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

09/16/08 09/16/11
CONGLETON, MICHAEL, OWNER & INDIV.
3426 ROWE DRIVE
SUMMERTON, SC 29148
Medical
Discrimination Law
Debarment

Health & Senior Services
Workplace Standards

08/31/07 08/31/10
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
CONTEH, AMARA S. MD
3 OLD TAPPAN ROAD
OLD TAPPAN, NJ 07675
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/20/07
CONTERAS, IVAN, OWNER
705 RIDGE AVENUE
NEWARK, NJ 07104
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

04/17/09 04/17/12
CONTERAS, MARCELO, OWNER
705 RIDGE AVENUE
NEWARK, NJ 07104
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

04/17/09 04/17/12
CONTI, RONALD A., OWNER & INDIV.
23 CAPE COD DRIVE
BLACKWOOD, NJ
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

04/20/07 04/20/10
CONTRERAS, JOSE J., M.D.
286 FT. WASHINGTON AVENUE
NEW YORK, NY 10032
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

01/06/01
CONWAY, VIRGIL, PRES. & INDIV.
2346 SOUTH 7TH STREET
PHILADELPHIA, PA 19148
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

04/20/07 04/20/10
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, FRANK, OWNER
107 WASHINGTON AVE
WILMINGTON, DE 19810
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

10/05/07 10/05/10
COSTA, LAWRENCE J.
441 PENN AVE.
FORKED RIVER, NJ 12345
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
COSTIGAN, KEVIN
132 FRANKLIN AVE, APT. 2
LONG BRANCH, NJ 07740
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

03/21/00
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

Human Services
Medical Assistance (Medicaid)

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

Human Services
Medical Assistance (Medicaid)

04/17/97 Permanent
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
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
CREPEAU, RICHARD, OWNER
376 LAFAYETTE RD STE 103
SPARTA, NJ 07871
Construction
Wage & Hour Violation
Debarment

Health & Senior Services
Workplace Standards

11/19/07 11/19/10
CREWE, JAY, OWNER
PO BOX 515
BUCKEYSTOWN, MD 21717
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

07/28/08 07/28/11
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, CARLOS, PRESIDENT
499 MULBERRY STREET
NEWARK, NJ 07105
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

07/29/08 07/29/11
CRUZ, MARIA, C.
128-65 MCCARTHY CIRCLE
PHILADELPHIA, PA 19154
Medical
Criminal Offense
Debarment

Human Services
Medical Assistance (Medicaid)

12/05/03
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
CUNNINGHAM, MICHAEL, D.
P.O. BOX 505
GLEN SPEY, NY 12737
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/19/02
CUNNINGHAM, THOMAS, PRESIDENT
1692 ROUTE 88 WEST, SUITE
BRICK, NJ 08724
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

04/17/09 04/17/12
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
CURCIO, FRANK, PRES. & INDIV.
46 ACADIA DRIVE
VOORHEES, NJ 08043
Construction
Discrimination Law
Debarment

Health & Senior Services
Workplace Standards

08/31/07 08/31/10
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

Human Services
Medical Assistance (Medicaid)

12/01/98 Permanent
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
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

Human Services
Medical Assistance (Medicaid)

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

Human Services
Medical Assistance (Medicaid)

07/19/01
DALAL, NARENDRA R.PH.
131 HICKORY ROAD
UNION, NJ 07083
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/20/05
DALEY, ROBERTA, L.P.N.
36 HOLLY DRIVE
PARLIN, NJ 08859
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/20/01
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
DANIEL, WALTON H.
JAMES STREET
WEST INDIES,
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
DASS, SUMAN K., M.D.
4 BALDWIN AVENUE
JERSEY CITY, NJ 07304
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/04/00
DAVIS JAMES D
145 JUNIPER ST
BROWNS MILLS, NJ 08015
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


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

Human Services
Medical Assistance (Medicaid)


Permanent
DAVIS MATHILDA MD
230 W JERSEY ST
ELIZABETH, NJ 07202
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
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

Human Services
Medical Assistance (Medicaid)

10/20/02
DAVIS, MARK, S., DPM
5 MONTANA DRIVE
COLTS NECK, NJ 07722
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

04/09/04
DAVIS, SR., IRA, S. PRESIDENT
1041 SYDNEY STREET
PHILADELPHIA, PA 19150
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

10/16/08 10/16/11
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
DEABREU, PEDRO
239 NORTH 21ST STREET
KENILWORTH, NJ 07033
Construction
Discrimination Law
Debarment

Health & Senior Services
Workplace Standards

04/01/08 04/01/11
DEAQUINO, ANTHONY
11 STONE RIDGE LANE
HO-HO-KUS, NJ 07423
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

12/19/02
DEARVULO, IVAN, OWNER
186 NORWOOD AVE, APT. #2
LONG BRANCH, NJ 07740
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

09/14/09 09/14/12
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
DEGIROLAMO, MATTHEW, OWNER
235 MAIN STREET
SOUTH AMBOY, NJ 08879
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

10/16/08 10/16/11
DEISSE, SEAN, OWNER
62-60 60TH DRIVE
MASPETH, NY 11378
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

10/24/07 10/24/10
DELLAPENNA, LINDA, CNA
52 VAN NESS DRIVE
BRICK, NJ 08723
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

11/13/03
DELSASSO, CHRISTOPHER, OWNER
436 LAKEVIEW AVENUE
RINGWOOD, NJ 07456
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

08/20/09 08/20/12
DEMARCO, CHARLENE C
P. O. BOX 898801
OKLAHOMA CITY, OK 73189
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/20/08
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
DEROSE, ALBERT J, III, V-PRES.
169 DEERWOOD AVENUE
MILMAY, NJ 08340
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

11/13/07 11/13/10
DESANTIS, ANTHONY, RPH
105 FRANKLIN STREET
BELLEVILLE, NJ 07109
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

02/24/03
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
DIANTONIO, BRUCE, PRESIDENT
270 LAKESIDE BOULEVARD
TRENTON, NJ 08610
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

09/19/07 09/19/10
DIAS-PELLOT, NORMA
500 BERKELY DRIVE
BROWNS MILLS, NJ 08015
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

03/24/00 Permanent
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
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
DINKEL, ARTHUR R., LCSW
2 FREEMAN LANE
DENVILLE, NJ 07834
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

04/19/01 Permanent
DIRENZO, ALFRED M.
167 GROVE STREET
LODI, NJ 07644
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

02/21/95 Permanent
DJAVID SMAIL F
160 EAST 89TH STREE
NEW YORK CITY, NY 10028
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
DOBROWOLSKI, DONALD, DDS4
45 BRICK BLVD. S-108
BRICK, NJ 08723
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

12/29/95 Permanent
DOHERTY, CHARLES M. OWNER
99 GRAND ST., SUITE 18
MOONACHIE, NJ 07074
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

10/16/08 10/16/11
DOIRANLIS, ZENAIDA, MD
646 POMANDER WALK
TEANECK, NJ 07660
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

06/03/92 Permanent
DOLINER, PAUL
401 US HIGHWAY 22
N PLAINFIELD, NJ 07060
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

09/15/80 Permanent
DOMINGUEZ, FRANCISCO
11 HICKORY DRIVE
CHESTER, NJ 07930
Professional
Other
Suspension

997
0018

10/08/09 10/08/11
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
DOOLEY, CHRISTOPHER J. MD
10 DEER RUN
FREEHOLD, NJ 07728
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

02/09/09
DOOLEY, KEVIN
1717 BATH ROAD
BRISTOL, PA 19007
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

11/19/07 11/19/10
DORCHEIMER, WILLIAM, PRESIDENT
56 NARAGANSETTE ROAD
BUFFALO, NY 14220
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

11/14/06 11/14/09
DORSHEIMER, WM., PRESIDENT
56 NARAGANSETT ROAD
BUFFALO, PA 14220
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

01/24/07 01/24/10
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, JUDITH
71 WILDFLOWER LANE
MORRISTOWN, NJ 07960
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

10/20/04
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

Human Services
Medical Assistance (Medicaid)

07/20/20
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
EDGERTON, AARON T., OWNER & INDIV.
4000 PLOWDEN RD APT. 19-C
COLUMBIA, SC 29205
Construction
Discrimination Law
Debarment

Labor
Workplace Standards

08/31/07 08/31/10
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
EIDMAN, STEVEN, DDS
73 E. LINCOLN AVE.
ENGLEWOOD, NJ 07631
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

01/19/03
EISSLER, THOMAS, PRESIDENT
1405 ALPINE LANE
WILLIAMSTOWN, NJ 08094
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

04/24/09 04/24/12
EKSTEROWICZ, DEBORAH, LPN
283 S. BLACKHORSE PIKE
MOUNT EPHRAM, NJ 08059
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/18/02
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

Human Services
Medical Assistance (Medicaid)

07/01/00 Permanent
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, 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
ENGLISH, TONY, SECRETARY
28 ROYAL OAK DRIVE
HUNTINGTON, NY 11746
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

10/13/06 10/13/09
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
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, ELMER G., PRES. & INDIV.
5818 KENNEDY BLVD, APT. #
WEST NEW YORK, NJ 07093
Construction
Wage & Hour Violation
Debarment

Labor
4230

05/25/07 05/25/10
ETIENNE, FERNANDE
1205 MORRIS STREET #2L
ROSELLE, NJ 07203
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

03/20/06
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

Human Services
Medical Assistance (Medicaid)

01/16/09
FAENZA, MATTHEW, RP
64 COVENTRY WAY
RINGWOOD, NJ 07456-2747
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

01/20/04
FALOWO, YETUNDE
301 MAPLE AVE., APT266
N. PLAINFIELD, NJ 07060
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

01/06/06
FARINHA, JACK, OWNER
239 NORTH 21ST STREET
KENILWORTH, NJ 07033
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

04/01/08 04/01/11
FARLEY, THOMAS, OWNER
12241 STATE ROAD 93 N
LOGAN, OH 43138
Construction
Wage & Hour Violation
Debarment

Labor
4230

09/08/08 06/20/11
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
FAUSTINO, SERGIO, PRES. & INDIV.
5304 STATE HWY. #34/34
WALL TWP., NJ 07727
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

04/20/07 04/20/10
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, 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
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

Human Services
Medical Assistance (Medicaid)

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

Human Services
Medical Assistance (Medicaid)


Permanent
FERRARA, MARK, PRESIDENT
74 BROOKFIELD DRIVE
JACKSON, NJ 08527
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

06/19/08 06/19/11
FERRARI, FRANCIS M.
482 KEARNEY AVENUE
KEARNY, NJ 07032
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

02/16/95 Permanent
FERRER, LUIS, PRESIDENT
18 RICHMOND HILL DRIVE
SPARTA, NJ 07871
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

05/29/08 05/29/11
FERSTANGIG, RUSSELL A, MD
179 MAPLE AVE.
RIDGEWOOD, NJ 07450
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

12/07/87 Permanent
FILLIPI, LOUIS J., PRESIDENT
187 YORKTOWN BOULEVARD
HAMMONTON, NJ 08037
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

01/23/07 01/23/10
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
FIORE, THEODORE, PRESIDENT
192 DELANCEY STREET
NEWARK, NJ 07105
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

07/20/09 07/20/12
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
PINE PARK AVENUE
LAKEWOOD, NJ 08701
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

04/20/07
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
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
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
FORBES, AASE
882 DEWEY STREET
UNION, NJ 07083
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

04/20/09
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
FRANKEL, LEE J., DPM
900 WEST MAIN STREET
PARAMUS, NJ 07728
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

10/13/99 Permanent
FRASCA, CLIFFORD, C.
637 WESTON DRIVE
TOMS RIVER, NJ 08755
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

04/08/99 Permanent
FRASER, SHAWN E.
P.O. BOX 7000
FORT DIX, NJ 08640
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/20/05
FREDELLA, THOMAS, OWNER
3254 OCEANIC AVENUE
TOMS RIVER, NJ 08753
Construction
Discrimination Law
Debarment

Health & Senior Services
Workplace Standards

11/13/07 11/13/10
FREDERICK, KIMBERLY M
78 BOUNDARY AVENUE
HANOVER, PA 17331-3907
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

09/12/08
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, FRED J., D.D.S.
3600 BERGENLINE AVENUE
UNION CITY, NJ 07087
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
FRIEDMAN, SHERRY, RN
12 HOPI TRAIL
OAK RIDGE, NJ 07348
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/19/03
FRIEDMAN, STUART J. M.D.
7 MARION LANE
SCOTCH PLAINS, NJ 07076
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
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
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
FRUHBIS, PETRA, PRESIDENT
376 MARLEY NECK RD.
GLEN BURNIE, MD 21060
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

03/15/07 03/15/10
GABER, ROBERT A. DMD
100 VAIL ROAD
PARSIPPANY, NJ 07054
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
GACCIONE, JAMES, V-PRES & INDIV.
160 ANDOVER ROAD
SPARTA, NJ 07871
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

09/19/07 09/19/10
GACCIONE, JOSEPH, V-PRES & INDIV.
113 ORONO STREET
CLIFTON, NJ 07013
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

09/19/07 09/19/10
GACCIONE, PATRICIA, PRES & INDIV.
160 ANDOVER ROAD
SPARTA, NJ 07871
Construction
Discrimination Law
Debarment

Labor
Workplace Standards

09/19/07 09/19/10
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
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
22 STONEGATE COURT
BLACKWOOD, NJ 08012
Medical
Other
Disqualification

Human Services
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, 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, ERNEST
FCI FAIRTON P.O. BOX 420
FAIRTON, NJ 08320
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

02/19/09
GALLUPA, CARLOS, PRESIDENT
11 VAN NESS TERRACE
MAPLEWOOD, NJ 07040
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

12/20/06 12/20/09
GANDHI, HIREN PHARMA. CO. EMPLOYEE
120 ROLLING BROOK DRIVE
EDISON, NJ 08820
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/20/05
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, BENJAMIN CAMPOS, PRES.
784 MARLIN AVENUE
LAKEWOOD, NJ 08701
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

08/31/09 08/31/12
GARCIA, MARISOL, OWNER
55 RESEVOIR ROAD
STEWARTSVILLE, NJ 08886
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

09/16/08 09/16/11
GARDINER, MICHAEL, A., DC
2066 MILBURN AVENUE
MAPLEWOOD, NJ 07040
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

02/03/03
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
GATES, JIM P., PRESIDENT
4 LUCHETTI WAY
NEWTON, NJ 07860
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

11/24/08 11/24/11
GEFFEN,_STEVEN
50 SKYLARK COURT
MARLBORO, NJ 07746
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

08/15/00 Permanent
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
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
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
GIORDANO, JOHN, PRESIDENT
23 WOODLAND AVENUE
SEWELL, NJ 08080
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

12/12/06 12/12/09
GIOVINAZZO, FRANCES, TREASURER
710 MT MORO ROAD
WILLANOVA, PA 19085
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

10/16/08 10/16/11
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, JASON, OWNER
200 N. FURNACE ST, BLDG D
BIRDSBORO, PA 19508
Construction
Wage & Hour Violation
Debarment

Health & Senior Services
Workplace Standards

10/26/07 10/26/10
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
GOLIN, MARK, W., MD
172 FRANKLIN AVE., SUITE4
RIDGEWOOD, NJ 07450-3229
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

03/20/03
GONSHERY, DENISE C.
900 MCELWEE ROAD
MOORESTOWN, NJ 08057
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

02/20/05
GONZALES, RAMON, OWNER & INDIV.
1146 NORTH 23RD ST
CAMDEN, NJ 08105
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

06/12/07 06/12/10
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 CENTRER STREET
MERCHANTVILLE, NJ 08109
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

02/24/04
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 CRAIG
8 SHERWOOD CIRCLE
LINDEN, NJ 07036
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
GORDON, BARBARA X-RAY TEC
133 MORTON AVENUE
S. PLAINFIELD, NJ 07080
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

04/05/01 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
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, 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

Human Services
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

Human Services
Medical Assistance (Medicaid)


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
GROSSETT, KENNETH W II
SOUTH DUPONT ROAD
CARNEYSPOINT, NJ 08069
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

03/20/08
GUENSCH, LISA M.
85 MORNING GLORY ROAD
WARREN, NJ 07059
Medical
Other
Disqualification

Human Services
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 POAK TREE ROAD
EDISON, NJ 08820
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

03/04/99 Permanent
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
GUYTON, KATHLEN
228 SANFORD STREET
EAST ORANGE, NJ 07018
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

08/20/02
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

Human Services
Medical Assistance (Medicaid)

08/19/20
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
Suspension

Human Services
Medical Assistance (Medicaid)

09/19/03
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
HAND, GARY
299 TERRACE AVENUE
JERSEY CITY, NJ 07307
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

03/21/95 Permanent
HANDERHAN, LEE J., RN
909 ABINGTON ROAD
CHERRY HILL, NJ 08034-3901
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

05/20/07
HANSEN, DUANE F, PRESIDENT
941 E. NORTH AVENUE
STOCKTON, IL 61085
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

02/28/08 02/28/11
HANSEN, PEGGY J., TREASURER
941 E. NORTH AVENUE
STOCKTON, IL 61085
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

02/28/08 02/28/11
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
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
HARRISON, DAVID, D.C.
161 W. WHITE HORSE PIKE
ABSECON, NJ 08201
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

12/29/95 Permanent
HARRISON, RYAN, OWNER
9 POPPY COURT
BRICK, NJ 08723
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

01/24/08 01/24/11
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
HELLER, ELLIOT, C., MD
1150 AMBOY AVENUE
EDISON, NJ 08837
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

04/29/03
HEMMERICH, FRED, OWNER
10 MAPLE PLACE
ANDOVER, NJ 07821
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

11/27/06 11/27/09
HENDRICKS,BRIAN, PRES. & INDIV.
24 CLAUDE AVENUE
DENVILLE, NJ 07834
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

08/16/07 08/16/10
HENRY, SARA
54 CARVER AVENUE
LINDENWOLD, NJ 08021
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

03/07/08
HERMAN, THERESA, RN
676 HARBOR ROAD
BRICK, NJ 08724
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/20/04
HERNANDO, GILDA, BILLING
669A CHAMBERS STREET
TRENTON, NJ 08611
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

11/08/02
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, JOHN, PRESIDENT
15 CHATMAN STREET
BLOOMFIELD, NJ 07710
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

01/17/07 01/17/10
HILLARY, THOMAS, MANAGER & INDIV.
798 LOCUST GROVE ROAD
WEST CHESTER, NY 19382
Construction
Discrimination Law
Debarment

Labor
Workplace Standards

08/31/07 08/31/10
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
HOGUET, KENNETH, JR., OWNER
245 READING STREET
HADDON HEIGHTS, NJ 08035
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

09/08/08 09/08/11
HOLBEK, THOR A. PRESIDENT
278 OLD GREENFIELD ROAD
SHELBURNE, MA 01370
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

09/28/09 09/28/12
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

Human Services
Medical Assistance (Medicaid)

10/31/03
HOUTON, FARHAR
269 STEELMANVILLE ROAD
EGG HARBOR TOWN, NJ 08234-7801
Medical
Criminal Offense
Suspension

054
Medical Assistance (Medicaid)

10/27/09
HOWARD, ROBIN A., RN
196 KING AVENUE
TRENTON, NJ 08638
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

07/19/01 Permanent
HOYER, MARC C., MANAGER
834 CHESTNUT STREET
PHILADELPHIA, PA 19107
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

09/08/08 05/22/11
HRABARCHUK, EUGENE M.D.
925 CLIFTON AVENUE
CLIFTON, NJ 07013
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

12/01/98 Permanent
HU, HSUN TUAN
154 HOMESTEAD PLACE
BOGOTA, NJ 07603
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

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

Labor
Workplace Standards

03/18/09 03/18/12
HULSE, DUDLEY H., PRESIDENT
20 CRRESTVIEW DRIVE
MILFORD, NJ 08840
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

12/13/06 12/13/09
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
HUSSAIN, IFIKHAR
9 VAN COURTLAND AVENUE
STATEN ISLAND, NY 10301
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

01/29/03 Permanent
HUSSAIN, MALIKE, PRESIDENT
950 EAST 14TH ST
BROOKLYN, NY 11230
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

11/24/08 11/24/11
HUSSEIN, MOHAMMED K., PRES.
1177 RATZER ROAD
WAYNE, NJ 07470
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

04/28/09 04/28/12
HUSTON, JOHN A, JR DN2591
8 PRODUCTION WAY
AVENEL, NJ 07001
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/29/97
HYLBERT, PAUL W. OWNER
850 CHARLES STREET
GLOUBESTER CITY, NJ 08030
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

07/02/09 07/02/12
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
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
INTERIANO, ELMER, OWNER & INDIV.
620 TREMONT AVENUE
ORANGE, NJ 07050
Construction
Wage & Hour Violation
Debarment

Health & Senior Services
Workplace Standards

07/18/07 07/18/10
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
ISMAIL, MOHAMED, RP
4 GRAHAM COURT
PARSIPPANY, NJ 07054
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

12/18/03
ITALIANO, DION, OWNER
ORCHARD CT. BLDG., APT. 4
CLIFTON, NJ 07012
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

10/03/08 10/03/11
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, JAY P., D.C.
25 DEER PATH
HOLMDELL, NJ 07733
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

04/12/96 Permanent
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
JANI, AXAT S., M.D.
P.O. BOX 861
TRENTON, NJ 08625
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

10/15/04 Permanent
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
JECK, CHARLES, N., DO
1 CHICKORY PLACE
NEWTOWN, PA 18940
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

07/05/02
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
JIMENEZ, JOSE, COUNSELOR
EXTENSION VILLA RITA
SAN SEBASTIAN, NJ 00685
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

12/08/03
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
Suspension

Human Services
Medical Assistance (Medicaid)

08/20/06
JOHN, CORDOZO, OWNER & INDIV.
813-815 FRELINGHUYSEN AVE
NEWARK, NJ 07105
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

09/24/07 09/24/10
JOHNSON, BRENDA, C., LPN
232 OAK STREET
WILLIAMSTOWN, NJ 08094
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

01/19/03
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, 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

Human Services
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
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
KAESER, WILLIAM J, PRESIDENT
3237 BORDENTOWN AVE
PARLIN, NJ 08859
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

01/25/08 01/25/11
KALAI, WILLIAM, OWNER
2448 ROUTE 50
MAYS LANDING, NJ 08330
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

10/27/08 10/27/11
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
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, HARMON B. DDS
1251 PATERSON PLANK RD.
SEACACUS, NJ 12345
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
KAPLAN, MICHAEL, RP
3 SHAWNE COURT
MANALAPAN, NJ 07726
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/19/02
KARES FRANCES FRITZ
615 SUMMIT ROAD
UNION, NJ 07083
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
KARFUNKEL, DAVID M.
100 HOWARD AVENUE
PASSAIC, NJ 07055-4438
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

04/02/08
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
KATSMAN, SOFIA, OWNER
5 MANOR DRIVE, # 12-J
NEWARK, NJ 07462
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

01/11/07 01/11/10
KAUFMAN, SHOSHANA
349 JESTER COURT
OLD BRIDGE, NJ 08857
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

07/15/09
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

Human Services
Medical Assistance (Medicaid)

06/20/01
KELLOGG, WILLIAM T., M.D.
47 MAPLE STREET, STE. 204
SUMMIT, NJ 07901
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

01/09/96 Permanent
KELLY, JOSEPH J.
513 DRUM POINT ROAD
BRICK, NJ 08723
Vendor
Industry Law Violation
Debarment

Treasury
Treasury Purchase Bureau

02/16/06 02/16/11
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
KESHISHIAN, PAUL, DO
625 COBH ROAD
RIVER VALE, NJ 07675
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

04/22/99 Permanent
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

Human Services
Medical Assistance (Medicaid)

06/05/96
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, SALEEM, M.
336 2ND ST. APT.1
JERSEY CITY, NJ 07302
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

07/20/03
KHANDWALA, NITIN, R.PH
225 MILLBURN AVENUE
MILLBURN, NJ 07041
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

10/21/99 Permanent
KHARCHENKO, MIKOLA, PRESIDENT
1585 ROUTE 23, APT. 4
BUTLER, NJ 07405
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

12/28/07 12/28/10
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 JENNIFER, RP
1117 INWOOD TERRACE
FORT LEE, NJ 07024-1623
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

10/23/03
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
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, PETER
11 MIDVALE AVENUE
WEST CALDWELL, NJ 07006
Construction
Organized Crime Control Act
Debarment

Transportation
Contract Administration

08/03/07 08/03/10
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
KONAIN, RASHIN, PRESIDENT
2645 EAST 28TH STREET
BROOKLYN, NY 11235
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

09/08/08 09/08/11
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
KOSLOV, GLEB M., DC
388 RAMAPO VALLEY ROAD
OAKLAND, NJ 07436
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

12/01/98 Permanent
KOTHALANKA, RAMAKRISHNA
PO BOX 900520
HOMESTEAD, FL 33090
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

05/25/99 Permanent
KOTTURI, SHIVA, K. MD
133 CHRISTIE STREET
EDISON, NJ 08820-3749
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

04/20/02
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

Human Services
Medical Assistance (Medicaid)

01/10/03
KREIDLER, KURT, OWNER & INDIV.
19 CHERRY LANE
WOODBURY, NJ 08096
Construction
Wage & Hour Violation
Debarment

Health & Senior Services
Workplace Standards

06/12/07 06/12/10
KREISMAN, MARCIA, BILLING CLERK
8800 BOULEVARD EAST AP6J
NORTH BERGEN, NJ 07047
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

12/20/04 Permanent
KUBLIN, ANNE, M.D.
182 WHALEPOND ROAD
EATONTOWN, NJ 07724
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

03/19/20
KUHAR, JAMES P.
20 KAY DRIVE
HAMMONTON, NJ 08037
Vendor
Failure to Perform
Debarment

Transportation
Treasury Purchase Bureau

12/14/05 12/14/10
KUKASH, ABBY
6648 WEXFORD AVENUE
RICHMOND, VA 23255
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

12/01/98 Permanent
KUMAR, ANIL, LABRATORY OWNER
184 OLD BEEKMAN ROAD
MONMOUTH JUNCT., NJ 08852
Medical
Other
Disqualification

Human Services
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
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
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
LAMANTIA, RUSS, PRESIDENT
52 CAROL PLACE
BLOOMFIELD, NJ 07003
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

01/17/07 01/17/10
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
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, 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, ANDRES, PRESIDENT
30 WOODBINE ROAD
FLORHAM PARK, NJ 07932
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

10/09/09 10/09/12
LANZA, PAUL E., V-PRES.
30 WOODBINE ROAD
FLORHAM PARK, NJ 07932
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

10/09/09 10/09/12
LAPOLA, RICHARD, MEMBER
120 CURRENT DRIVE
NEWTON, NJ 07860
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

12/28/07 12/28/10
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
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, BRIAN, LPN
1722 COPE STREET
CAMDEN, NJ 08104-3522
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/20/02
LEE, CHARLOTTE, DMD
2815 KENNEDY BOULEVARD
JERSEY CITY, NJ 07306
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

03/12/96 Permanent
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

Human Services
Medical Assistance (Medicaid)

03/05/02 Permanent
LETIA, JAKE, OWNER & INDIV.
813-815 FRELINGHUYSEN AVE
NEWARK, NJ 07105
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

09/24/07 09/24/10
LEVELL, CRYSTAL, L.P.N.
143 N 12TH STREET
NEWARK, NJ 07107
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/20/01
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, RICHARD S. DPM
177 MAIN ST. SUITE 235
FORT LEE, NJ 07024
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

12/20/01
LEWIS, MICHAEL, OWNER
14078 GARED DR. STE K
GLENWOOD, MD 21838
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

06/09/09 06/09/12
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
LIMA, ANA R., PRESIDENT
21 CIVIC PLACE
BLOOMFIELD, NJ 07003
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

05/29/08 05/29/11
LIMA, JAIME D., PRESIDENT
32 GEORGE STREET
BLOOMFIELD, NJ 07003
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

05/29/08 05/29/11
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

Human Services
Medical Assistance (Medicaid)

12/01/95
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
LOPEZ, ELVIN, OWNER
58 MILL STREET
MT. HOLLY, NJ 08060
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

10/16/08 10/16/11
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
LOUISSANT, PARACLET, MD
669 ELIZABETH AVENUE
NEWARK, NJ 07112
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

01/01/01 Permanent
LOVE, GARY, OWNER
427 GLENDALE AVENUE
MAPLE SHADE, NJ 08052
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

01/08/08 01/08/11
LOVE, JULIA, OWNER
427 GLENDALE
MAPLE SHADE, NJ 08052
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

01/08/08 01/08/11
LOVETT, WILLIAM, PRESIDENT
201 HERRINGBONE AVENUE
BENSALEM, PA 19020
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

05/28/09 05/28/12
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
LUDDEN JAMES W.
23 SOCIETY HILL WAY
TINTON FALLS, NJ 07724-3802
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

06/08/07
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
MADDOX, PEARL V.
KINSLEY ROAD
PEMBERTON, NJ 08068
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

09/25/07
MAGANA, HECTOR
917 WEST 3RD ST.
PLAINFIELD, NJ 07063
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

05/28/09 05/28/12
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
MAHEDY, DANIEL III, OWNER
472 RIDER ROAD
NEWTON, NJ 07860
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

07/10/09 07/10/12
MAHEDY, DANIEL, JR., OWNER
31 ROSLYN ROAD
BRANCHVILLE, NJ 07826
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

07/10/09 07/10/12
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
MALADY, SUSAN, RN
PO BOX 468
BLAIRSTOWN, NJ 07825
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/20/01
MALDONADO, LEONIDAS, MANAGER
1705 COWART ROAD
PLANT CITY, FL 33567
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

10/09/09 10/09/12
MALDONADO, MORIS, OWNER
1705 COWART ROAD
PLANT CITY, FL 33567
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

10/09/09 10/09/12
MALIK, MOHAMMAD, S.
146 OLD COURT HOUSE RD.
MANHASSETT, NY 11040
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/20/02
MANCILLA, MARIA
284 REDMOND STREET
NEW BRUNSWICK, NJ 08873
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/14/07
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

Human Services
Medical Assistance (Medicaid)


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
MANNION, ROBERT, OWNER
11 ARLINTON DRIVE
DENVILLE, NJ 07834
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

03/18/09 03/18/12
MANNO, MICHAEL, DC
PO BOX 1000 CAMP
FORT DIX, NJ 08640
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/20/03
MANTO, CHARLES, PRESIDENT
149 RIVERSIDE DRIVE
BRICK, NJ 08724
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

11/26/07 11/26/10
MANZE, PATRICK, MD
53 GARDNER AVENUE
CHATHAM, NJ 07928
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

02/20/05
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
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
MARCUS, ALAN L, D.C.
789 CLIFTON AVENUE
CLIFTON, NJ 07013
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

07/25/01 Permanent
MARIN, GABRIEL, TREASURER
129 E. MAIN ST., BOX 531
EPHRATA, PA 17522
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

10/09/09 10/09/12
MARKOFF, MORTON, DO
908 FRANCINE DRIVE
CHERRY HILL, NJ 08003
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

11/07/97
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
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, LUIS, PRES & INDIV.
17 S. SYRACUSE COURT
CHERRY HILL, NJ 08034
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

08/23/07 08/23/10
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
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
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
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
MASSI, ALBERT, OWNER
25 OLD KINGS HIGHWAY
BELLMAWR, NJ 08031
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

10/09/09 10/09/12
MASTRANGELO, MARTHA
12 NORTH 28TH AVENUE
LONGPORT, NJ 08403
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
MASTRIANI, JOSEPH, PRESIDENT
132 LAWRENCE STREET
BLOOMFIELD, NJ 07003
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

04/17/09 04/17/12
MASTROKOSTAS, ANTHANASIOS
11 EQUINOX LANE
FREEHOLD, NJ 07728-8652
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

10/15/09
MATHESUK, H. JARED, AKA HENRY J, OWNER
99 GRAND ST, SUITE 18
MOONACHIE, NJ 07074
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

10/16/08 10/16/11
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, NURSE AID
388 BRICK BOULEVARD
BRICK, NJ 08723
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

10/26/99
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
MAYER, FREDRICK G., D.C.
610 WOODLAND AVENUE
AVON BY THE SEA, NJ 07717
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

08/20/00 Permanent
MAZUR, BONNIE, DMD
210 E. SEAVIEW AVENUE
LINWOO, NJ 08221-2140
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

01/27/98
MC ELROY, DONALD J, DDS
14 RESEVOIR AVENUE
DOVER, NJ 07801
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

02/20/83 Permanent
MCANANEY, SUSAN, RN
321 W. CONNECTICUT AVE.
SOMERS POINT, NJ 08244
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/19/03
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
MCCREADY, JOSEPH, PRES. & INDIV.
903 TYGER RIVER COURT
MYRTLE BEACH, SC 29588
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

04/21/07 04/21/10
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

Human Services
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

Human Services
Medical Assistance (Medicaid)

02/20/02
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
211 WEST END AVENUE
RARITAN, NJ 08869
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

06/22/02
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
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
MEDINA, REYNALDO, PRES. & INDIV.
3357 EMERALD STREET
PHILADELPHIA, PA 19134
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

05/17/07 05/17/10
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
MELCHIORRE, PAUL, MEMBER
9129 FREEMONT AVENUE
MARGATE, NJ 08402
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

08/13/09 08/13/12
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
MEMBER, BERNARD, J., MD
12335 S. ANNA DRIVE
ROCKVILLE, MD 23146
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/20/04
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
MERCIER, JOHN, OWNER & INDIV.
675 HEMLOCK STREET
RAHWAY, NJ 07065
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

07/30/07 07/30/10
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
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

Human Services
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
MILLS, MARC C., PRESIDENT
238 ALPHANO ROAD
GREAT MEADOWS, NJ 07850
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

06/19/08 06/19/11
MILMAN, BORIS
655 AMBOY AVENUE
WOODBRIDGE, NJ 07095
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

09/11/01 Permanent
MILSEP, JAMES, PRESIDENT
PO BOX 317
BERLIN, NJ 08009
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

05/15/08 05/15/11
MINI, EUGENE P., PRESIDENT
731 BIRCH STREET
BOONTON, NJ 07005
Construction
Wage & Hour Violation
Debarment

Health & Senior Services
Workplace Standards

10/25/06 10/25/09
MINNOW, MARY
9 WINDINGWOOD DRIVE
SAYERVILLE, NJ 08872
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

07/25/01 Permanent
MIRAGLIA, ROBERT
254 VOSE AVENUE
SOUTH ORANGE, NJ 07079
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/09/02
MIRANDA, EDWIN, OWNER & INDIV.
134 3RD STREET
PASSAIC, NJ 07055
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

06/12/07 06/12/10
MIRILASHVILI, MOSHE B, MD
PO BOX 350146
BROOKLYN, NY 11235
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

11/17/99 Permanent
MISHRA ARUNA, M.D.
63 WEST BROADWAY
SALEM, NJ 08079-2608
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

02/04/97 Permanent
MISHRA, ARUNA, M.D.
317B AUBURN ROAD
PILESGROVE, NJ 08098
Medical
Other
Debarment

Human Services
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

Human Services
Medical Assistance (Medicaid)

04/12/94 Permanent
MOINI, BRAD, OWNER
169 ROBERTSVILLE ROAD
FREEHOLD, NJ 07728
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

12/05/07 12/05/10
MONAHAN, THOMAS
4667 SOMERTON RD., STE. C
TREVOSE, PA 19053
Vendor
Industry Law Violation
Suspension

Treasury
Treasury Purchase Bureau

08/07/06
MONEJON, ENRIQUE AKA HENRY, OWNER
370 FAIRVIEW AVENUE
FAIRVIEW, NJ 07022
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

10/05/07 10/05/10
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
MOONEY, MARY MELISSA
777 CHERRY TREE ROAD
ASTON, PA 19014
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

04/23/07
MOORE, CHRISTOPHER W., OWNER
158 MONARCH ROAD
SUMMERFIELD, NC 27358
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

10/16/08 10/16/11
MOORE, DARRELL, PARTNER
158 MONARCH ROAD
SUMMERFIELD, NC 27358
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

10/16/08 10/16/11
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

Human Services
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
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
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, 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

Human Services
Medical Assistance (Medicaid)

04/08/99 Permanent
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
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
MOZULAY, MARK J. MD
512 TOWNSHIP LANE
BLUE BELL, PA 19422
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

12/01/98
MRVA, WOLFGANG, OWNER
82-19-62ND AVENUE
MIDDLE VILLAGE, NY 11379
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

08/13/09 08/13/12
MUELLER, WILLIAM E.
152 THOMAS AVENUE
WEST CREEK, NJ 08092
Vendor
Industry Law Violation
Debarment

Transportation
Treasury Purchase Bureau

01/14/08 01/14/13
MUHAMMAD, ABDUL, B. M.D.
284 BROADWAY
NEWARK, NJ 07104
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

11/18/04 Permanent
MUHAMMAD, SALAAM, OWNER
15 CEDAR STREET
NEWARK, NJ 07106
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

04/17/09 04/17/12
MUHAMMED, ABDUL, B.
284 BROADWAY
NEWARK, NJ 07104
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

11/08/04 Permanent
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
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
MUNOZ, MARCELO, OWNER
611 TURNER ROAD, APT. #1
ALLENTOWN, PA 18102
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

04/17/09 04/17/12
MURPHY, MILES P.
924 TWELFTH AVENUE
TOMS RIVER, NJ 08753
Vendor
Industry Law Violation
Debarment

Treasury
Treasury Purchase Bureau

01/14/08 01/14/13
MURRAY, EDWARD C., OWNER & INDIV.
212 EAST 9TH AVENUE
ROSELLE, NJ 07203
Construction
Wage & Hour Violation
Debarment

Health & Senior Services
Workplace Standards

08/31/07 08/31/10
MURRAY, TROY, OWNER
107 W. KINNEY ST, 2-A
NEWARK, NJ 07102
Construction
Wage & Hour Violation
Debarment

Health & Senior Services
Workplace Standards

10/05/07 10/05/10
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
MYERS, HOWARD M.D.
103 FAIRWAY TERRACE
MOUNT LAUREL, NJ 08054-2321
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

12/01/98 Permanent
MYERS, KIRK G., PRESIDENT
106 WINNIPEG AVENUE
EGG HARBOR TWP., NJ 08234
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

10/25/06 10/25/09
MYNDIUK, JAROSLAW, MD
96 TUXEDO PARKWAY
NEWARK, NJ 07106
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)

02/27/88 Permanent
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
NAPOLI, SALVATORE, MD DDS
1530 PALISADE AVENUE
FORT LEE, NJ 07024
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

12/01/98 Permanent
NASH, LEONARD
TALL OAKS CT.
FRANKLIN LAKES, NJ 07417
Vendor
Criminal Offense
Suspension

Treasury
Treasury Purchase Bureau

09/27/00
NATELLI, JOE, OWNER
333 PERRY PLACE
RIVER VALE, NJ 07675
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

01/23/08 01/23/11
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
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
NEMETH, CHRISTOPHER, PRESIDENT
420 S. BRADFORD ROAD
ALLENTOWN, PA 18109
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

09/16/08 09/16/11
NESSMAN, LAWRENCE, D.O.
143 GREENRALE AVENUE
WAYNE, NJ 07470-2978
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

06/24/97 Permanent
NEVES, BRIAN, OWNER
22 MARION STREET
SOUTH RIVER, NJ 08882
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

03/23/09 03/23/12
NEWMAN, ALEXANDER
372 N. WOODLAND STREET
ENGLEWOOD, NJ 07631
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

03/10/99 Permanent
NEWMAN, MICHAEL
192 GABRIEL TERRACE
SOUTH AMBOY, NJ 08879
Medical
Other
Disqualification

Human Services
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
NICHOLSON, BEVERLY C.N.A.
139 HOLLYWOOD AVENUE
EAST ORANGE, NJ 07108
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

01/13/06
NIEDMAN, GEORGE SCOTT, OWNER
11A WILLIAM STREET
FLEMINGTON, NJ 08822
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

09/12/06 09/12/09
NINOS, DIANE E.
569 E. 33RD STREET
PATERSON, NJ 07613-1119
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

03/28/01 Permanent
NISIVOCCIA
260MAIN STREET
LITTLE FALLS, NJ 07424
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/20/06
NOLAN-COOPER, ANGELA, PRESIDENT
15 HIGH TRAIL
PINE HILL, NJ 08034
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

04/10/08 04/10/11
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

Human Services
Medical Assistance (Medicaid)

01/15/01
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'CALLAGHAN, TERESE, RN
5122
ORCHARD WAY, NJ 08109
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/20/02
O'DONNELL, ANTHONY, PRESIDENT
131 SWAN AVENUE
STATEN ISLAND, NY 10812
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

01/08/07 01/08/10
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
OBERSON, RICHARD J., OWNER
411 POETS WAY
MAHWAH, NJ 07430
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

10/30/06 10/30/09
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
OHEA, JOHN M., D.C.
72 UNION STREET
MEDFORD, NJ 08055
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

03/02/98 Permanent
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
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
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
OREM, SUSAN
140 VALERIE DRIVE #488
MANVILLE, NJ 08835
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

09/20/06
ORENSTEIN, PAUL, PRES. & INDIV.
78 PENNSYLVANIA AVE.
MEDFORD, NY 11763
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

03/12/07 03/12/10
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
ORTEGA, VICTOR, OWNER
562 HUDSON AVENUE
WEEHAWKIN, NJ 07086
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

08/31/09 08/31/12
ORTELL, CARL, R.P.
221 TINDERBOX LANE
MARLTON, NJ 08053
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

12/05/83 Permanent
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
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
OYENUSI, ADEBOWALE
90 WASHINGTON STREET
EAST ORANGE, NJ 07017
Medical
Criminal Offense
Debarment

Human Services
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
PAGANO, NICOLE
531 PARKWAY AVENUE
TRENTON, NJ 08618
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

05/20/09
PALLADINO, JAMES, PRESIDENT
90 CENTRAL SCHOOL ROAD
WANTAGE, NJ 07461
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

05/27/08 05/27/11
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
PANELLA, KEVIN A.
346 MAIN STREET
TENNENT, NJ 07763
Vendor
Industry Law Violation
Debarment

Treasury
Treasury Purchase Bureau

08/16/06 08/16/11
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
PAPAGIACUMOS, MARK J. OWNER
1874 CATASQUAQUA ROAD
ALLENTOWN, PA 18109
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

10/03/08 10/03/11
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
PARADISO, NINO RPH
57 POPLAR DRIVE
MORRIS PLAINS, NJ 07950
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

01/14/04
PARASHOS, LINDA, RN
514 9TH AVENUE
LINDENWOLD, NJ 08021
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/20/01
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
PARKER, JAMES, PRES. & INDIV.
36 BANK STREET
MIDLAND PARK, NJ 07432
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

09/24/07 09/24/10
PATEL, ARUNA S., M.D.
NORTH BROAD STREET
ELIZABETH, NJ 07208
Medical
Criminal Offense
Disqualification

Human Services
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, NIRAV, PH. INTERN
12 FOXHILL RUN
MONMOUTH JUNCTI, NJ 08852
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

04/04/04
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
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

Human Services
Medical Assistance (Medicaid)

09/20/00
PENALVER, FAITH R.N.
4 MAPLE COURT
ROOSEVELT, NJ 08555
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

05/19/05
PENICK, JAMES, PRESIDENT
626 SOUTH ECHO DRIVE
BRANDON, FL 33511
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

10/17/06 10/17/09
PENICO, PETER, MD
300 MAIN STREET
MILLVILLE, NJ 08332
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

08/24/78 Permanent
PEREZ, ANA, SECRETARY
33 DOUGLAS DRIVE
SPARTA, NJ 07871
Construction
Wage & Hour Violation
Debarment

Health & Senior Services
Workplace Standards

05/29/08 05/29/11
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
PERRONE, JAMES, PRESIDENT
74 GLEN ROY ROAD EAST
FAIRFIELD, NJ 07004
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

10/09/09 10/09/12
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 RICHARD
312 103RD STREET
FT LEE, NJ 07024
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
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
PHILIPS, KELLY W., OWNER
1 WASHINGTON AVENUE
MORRISTOWN, NJ 07960
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

08/31/09 08/31/12
PHILLIPS, RONALD, D.O.
718 HAVEN PLACE
LINDEN, NJ 07026
Medical
Other
Debarment

Human Services
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
PICCIOTTI, JOSEPH, DPM
1145 S. WHITE HORSE PIKE
HAMMONTON, NJ 08037
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

06/23/98
PICCIOTTI, JOSEPH, DPM
402 SUNSHINE LAKES DRIVE
VOORHEES, NJ 08043
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

02/16/00 Permanent
PIERSON, GEORGE T, DO
5 RAINBOW TRAIL
SPARTA, NJ 07871
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)

04/02/88 Permanent
PILOT, JOHN, PRESIDENT
28 CANNON ROAD
FREEHOLD, NJ 07728
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

12/05/07 12/05/10
PINEDA, FRANCISCA
151 TRAILS END
NEW CITY, NY 10956
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/18/01
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
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.
171 N. LANSDOWNE AVE.
LANSDOWNE, PA 19050
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
POLLACK, RICHARD
P. O. BOX 11401
YARDVILLE, NJ 08628
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
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
215 FAIRFIELD LANE
KING WILLIAM, VA 23086
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

05/20/09
PRAVETZ, MICHAEL, M.D.
531 GATES STREET
PHILADELPHIA, PA 19128
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

03/05/01 Permanent
PRENSKY, JOSHUA
28-10 HIGH STREET
FAIRLAWN, NJ 07410
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

07/17/09
PRESILLA, ALEJANDRO M.D.
15 FULTON STREET
WEEHAWKEN, NJ 07086
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/19/05
PRESS, STUART M
1525 E. PUTNAM AVE #206
OLD GREENWICH, CT 06870
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

08/01/09
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
PRITZ, WILLIAM
120 MAIN STREET
BOUND BROOK, NJ 08880
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)

06/01/93 Permanent
PROPER DANIEL H MD
143 HESSIAN AVE
WOODBURY, NJ 08096
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
PROSKUROVSKY, BORIS
218 HALSEY STREET
NEWARK, NJ 07102
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

08/25/98
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

Human Services
Medical Assistance (Medicaid)

04/27/00
QUICKSILL, CHARLES, V-PRES. & INDIV.
8 LAKESIDE AVENUE
CHERRY HILL, NJ 08003
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

04/23/07 04/23/10
QUICKSILL, SILVIA, PRES. & INDIV.
8 LAKESIDE AVENUE
CHERRY HILL, NJ 08003
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

04/23/07 04/23/10
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
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
RACK, JAMES, OWNER
1416 LEDLIE STREET
CINCINNATI, OH 45225
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

01/24/08 01/24/11
RADOWITZ, MARK A DC
76 CHICHESTER ROAD
MONROE TOWNSHIP, NJ 08831-2650
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

09/04/07
RAJA, ABDUL, H.
53 FULHAN LANE
HOLBROOK, NY 00741
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

01/29/03 Permanent
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
RAMBOW, ROBERT, CEO
200 JAMES COURT
DELRAN, NJ 08075
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

09/28/09 09/28/12
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, 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
REBA, GARY J., D.D.S.
TITUS LANE
PLAINSBORO, NJ 08536
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

12/20/07
REDMER, KENNETH, CEO
4 HILLCREST AVENUE
OAKLYN, NJ 08107
Construction
Discrimination Law
Debarment

Labor
Workplace Standards

07/30/07 07/30/10
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, 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
REHAN, ZAHEER, A.
280 HENDERSON STREET
JERSEY CITY, NJ 07302
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

05/10/99 Permanent
REICHLE, FREDRICK, M.D.
771 EASTON ROAD
WARRINGTON, PA 18976
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

10/01/01
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
REKOS, BRIAN, PRESIDENT
1519 PALASKI DRIVE
WEST CHESTER, NY 19382
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

03/28/08 03/28/11
RENZI, CAROLINE M, DO
247 CENTER ST
TRENTON, NJ 08611
Medical
Industry Law Violation
Disqualification

Human Services
Medical Assistance (Medicaid)

12/04/91 Permanent
REYNOLDS, CHRISTOPHER, MANAGER & INDIV.
404 PENNOCK BRIDGE RD.
WEST GROVE, NY 19390
Construction
Discrimination Law
Debarment

Health & Senior Services
Workplace Standards

08/31/07 08/31/10
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
RIENZO, FRANCIS G., MD
2164 HIGHWAY 35
SEA GIRT, NJ 08750
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

04/02/01 Permanent
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, JOSE, M.D.
175 SUMMER AVENUE
NEWARK, NJ 07104
Medical
Criminal Offense
Suspension

Human Services
Medical Assistance (Medicaid)

05/14/98
RIOS, JOSE, M.D.
930 PARK AVENUE
ELIZABETH, NJ 07208
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

04/03/00 Permanent
RIOS, JOSE, M.D.
930 PARK AVENUE
ELIZABETH, NJ 07208
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/22/98
RIPPS, DANIEL, DDS
1330 CALHOUN STREET
TRENTON, NJ
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

12/01/95 Permanent
RIVERA, CLARISSA L.
138 PLEASANT DRIVE
BAYVILLE, NJ 08721
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

04/09/01 Permanent
RIVERA, CLARISSA, L.
697 ROUTE 547
HOWELL, NJ 07731
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

04/09/01 Permanent
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
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
RODGERS, JAMES, PRESIDENT
403 RIDGEWOOD AVENUE
NEWARK, NJ 07112
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

09/28/09 09/28/12
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
49 WESTERN PARKWAY
IRVINGTON, NJ 07111
Medical
Other
Suspension

Human Services
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
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
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
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
ROSERO, EDGAR M., OWNER
411 ELMER STREET
TRENTON, NJ 08611
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

05/29/08 05/29/11
ROSETTI, JEROME, PRESIDENT
158 JEROME PLACE
BLOOMFIELD, NJ 07003
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

08/04/09 08/04/12
ROSS, BERNARD
30 E. PASSAIC STREET
MAYWOOD, NJ 07607
Medical
Other
Debarment

Human Services
Medical Assistance (Medicaid)

10/05/99 Permanent
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

Human Services
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
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
RUBINO, JOSEPH, OWNER
PO BOX 119
AUGUSTA, NJ 07822
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

09/08/08 09/08/11
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, 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

Human Services
Medical Assistance (Medicaid)

10/02/95 Permanent
RUSSO, PETER J. OWNER
272 WILSON AVENUE
WASHINGTON TWP, NJ 07676
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

04/02/08 04/02/11
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

Human Services
Medical Assistance (Medicaid)


Permanent
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

Treasury
Treasury Purchase Bureau

09/07/00
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, MD
531 SUMMIT AVENUE
FRANKLIN LAKES, NJ 07417
Medical
Criminal Offense
Disqualification

Human Services
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
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
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
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
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
SAMUEL SOUFFRONT, DELORIS
P.O. BOX 4004
CLINTON, NJ 08809
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

05/02/08
SAMUELS, DAVID R., RH.
7 STEARNS ROAD
EAST BRUNSWICK, NJ 08816
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)

07/11/00 Permanent
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
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, ALLAN GERMANO, PRES & INDIV.
87 ELM ROAD, APT. 10-B
CALDWELL, NJ 07006
Construction
Discrimination Law
Debarment

Labor
Workplace Standards

07/19/07 07/19/10
SANTOS, ROBSON, PRESIDENT
519 OCEAN BLVD, STE. 30
LONG BRANCH, NJ 07740
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

12/20/06 12/20/09
SAPERSTEIN ALAN
30 HIGHLAND RD-DIX HILLS
LONG ISLAND, NY 11746
Medical
Criminal Offense
Disqualification

Human Services
Medical Assistance (Medicaid)


Permanent
SAUL, STEPHEN L., DPM
76 W. JIMMIE LEEDS ROAD
ABSECON, NJ 08201
Medical
Other
Disqualification

Human Services
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
SCHEELER, MILFORD V., PRESIDENT
2229 S. PARK AVENUE
BUFFALO, NY 14220
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

11/14/06 11/14/09
SCHEELER, MILFORD, SECRETARY
610 HALL ROAD
ELMA, NY 14059
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

01/24/07 01/24/10
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
87 IRVING AVENUE APT. 3
LIVINGSTON, NJ 07039
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

06/20/09
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
25 WELLINGTON DRIVE, #D
LUMBERTON, NJ 08048
Medical
Other
Disqualification

Human Services
Medical Assistance (Medicaid)

06/20/09
SCHRAGER, KENNETH, J., MD
FCI P.O. BOX 600
OTISVILLE, NY 10963
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

06/19/01
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
SCHUPP, STEVEN, PRESIDENT
24 S LECATO AVENUE
AUDUBON, NJ 08106
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

09/28/09 09/28/12
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

Human Services
Medical Assistance (Medicaid)

12/19/07
SCHWARZ, DENISE, DPM
1729 PAMMEL PARK ROAD
WINTERSET, IOWA, NJ 50273-8315
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

02/20/02
SCILLA, ANTHONY, OWNER
PO BOX 66
DINGSMAN FERRY, PA 18328
Construction
Wage & Hour Violation
Debarment

Health & Senior Services
Workplace Standards

12/05/07 12/05/10
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
SCRO, FRANK, PRES. & INDIV.
2-35 33 STREET
FAIR LAW, NJ 07410
Medical
Discrimination Law
Debarment

Health & Senior Services
4230

06/25/07 06/25/10
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
SEAMAN, JEREMY, PRESIDENT
1202 ANDOVER ROAD
FORKED RIVER, NJ 08731
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

09/28/09 09/28/12
SEAMAN, JOHN, OWNER
111 WILLIAMS ROAD
WOODSTOWN, NJ 08098
Construction
Wage & Hour Violation
Debarment

Labor
Workplace Standards

11/24/08 11/24/11
SEHGAL, SHASHIBALA
630 FT. WASHINGTON AVENUE
NEW YORK, NY 10040
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

12/31/00
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
SENDER, PAUL
30A WEST MAPLE AVENUE
MONSEY, NY 10952
Medical
Other
Suspension

Human Services
Medical Assistance (Medicaid)

11/20/06