Firm and/or Individual |
Category/Reason |
Action/By |
Effective |
Expiration |
ABARCA, CHERYL R. (LPN) 528 3RD STREET NEWARK, NJ 07107
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/20/2005 |
|
ABASHKIN, ROMAN (CHHA) 72 RIDGEVIEW TERRACE WAYNE, NJ 07470
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/29/2015 |
|
ABASHKIN, ROMAN (CHHA) 72 RIDGEVIEW TERRACE WAYNE, NJ 07470
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/3/2016 |
|
ABBASSI, JADAN (MD) 1618 MAIN AVENUE CLIFTON, NJ 07011
NPI-1194807255 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/21/2016 |
Permanent |
ABBASSI, JADAN (MD) 115 NELLIS DRIVE WAYNE, NJ 07470
NPI-1194807255 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/20/2018 |
Permanent |
ABDALLA, FARIDA (CHHA) 558 ALLWOOD ROAD, APT. 2 CLIFTON, NJ 07012
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/28/2023 |
|
EMPIRE STATE MED. SVC INC 1116 ANNE STREET ELIZABETH, NJ 07201ABDALLA, IZZELDIN 1116 ANNE STREET ELIZABETH, NJ 07201
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/10/1999 |
Permanent |
ABDELGANI, AMIR ALLENWOOD USP WHITE DEER, PA 17887
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/26/2001 |
|
ABDELGANI, FADIL TERRE HAUTE USP TERRE HAUTE, IN 47808
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
11/26/2001 |
Permanent |
ABDELGAWAD, WALAA SALAH MOUHAMD (CHHA) 64 TURES AVENUE, APT. 1D JERSEY CITY, NJ 07306
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/4/2023 |
|
ABDELHAMID, MANAL (RPH) 7100 BOULEVARD EAST, 11G GUTTENBERG, NJ 07093
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
3/15/2001 |
Permanent |
ABDELMALAK, MAGDAH (CHHA) 39 DALES AVENUE, APT. 634 JERSEY CITY, NJ 07306
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/4/2023 |
|
ABDELRAHMAN, EMAN F. (CHHA) 47 GALES DRIVE NEW PROVIDENCE, NJ 07974
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/17/2023 |
|
ABDOLLAHI, MITRA (DMD) 646 N. SARATOGA DRIVE MOORESTOWN, NJ 08057
NPI-1033329230 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/5/2007 |
7/19/2019 |
ABERBACH, STEVEN (RPH) 23 STONEGATE DRIVE WATCHUNG, NJ 07069
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
12/19/2003 |
|
ABKIN, DIANA (LPN) 258 HIGH MOUNTAIN ROAD NORTH HALEDON, NJ 07508
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/30/2018 |
|
ABOOD, ABDOLMAID S. 64 BEVAN STREET JERSEY CITY, NJ 07306
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
5/7/1997 |
|
ABOUELHODA, AHMED (RPH) 33-17 60TH ST. APT. 1 WOODSIDE, NY 11377
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/20/2005 |
|
ABRAHAMSEN, SVEND (DPM) 101 CHESTNUT RIDGE ROAD SADDLE RIVER, NJ 07458
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
4/20/1994 |
Permanent |
ABRAMS, DE'NYSHIA (CHHA) 410 3RD AVENUE, APT. 1A ASBURY PARK, NJ 07712
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/16/2018 |
|
ABRAMS, IRVING (RPH) 5 LORGENE WAY MORGANVILLE, NJ 07551
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
4/27/2000 |
|
ABREU MARTINEZ, CAROLINA (CHHA) 14 EAST RUSSELL STREET CLIFTON, NJ 07011
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
10/31/2017 |
|
ABUROMI, RASHA ALI (CHHA) 19010 BROWNSTONE MILLS DRIVE CYPRESS, TX 77433
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/4/2023 |
|
SUTEX MEDICAL TRANSPORT 814 74TH STREET NORTH BERGEN, NJ 07047ABUSEF, ELSAYED K. 814 74TH STREET NORTH BERGEN, NJ 07047
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/20/1999 |
Permanent |
ACKLEY, GEORGE (PSYCH) 202 LENOX AVENUE CAPE MAY , NJ 08204
NPI-1457535833 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
7/21/2015 |
|
ACOSTA, LEILANI (CHHA) 458 STEVENSON PLACE, FLOOR 1 PERTH AMBOY, NJ 08861
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/9/2019 |
|
ACOSTA, PEDRO E. 5815 43RD AVENUE 1ST FL QUEENS, NY 11377
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/2/2008 |
|
ACOSTA, PEDRO E. 5815 43RD AVENUE 1ST FL QUEENS, NY 11377
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
4/13/2008 |
|
ACOSTA, PEDRO E. 5815 43RD AVENUE 1ST FL QUEENS, NY 11377
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
9/16/2011 |
|
ACOSTA, WILLIAM R. (MD) 47 OSBORNE STREET JOHNSTOWN, PA 15905
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
ACQUAH, ROSE AKA MANFORD, ROSE (CHHA) 5507 WARNER VIEW LANE WESTVILLE, OH 43081
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
7/13/2018 |
|
ACQUAIRE, FLORENCE EMCF PO BOX 08809 CLINTON, NJ 08809
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
4/20/2006 |
|
ACQUAYE, EDWARD 10 BERWICK CIRCLE NORTH BRUNSWICK, NJ 08902
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
4/19/2007 |
|
ACZON, FERDINAND B. (MD) 204 SUMMIT ROAD MOUNT LAUREL, NJ 08054
NPI-1255422135 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
9/20/2011 |
11/23/2016 |
ADADEVOH, LOVESDALE AKA HAMENOO, LOVESDALE (CHHA) 1 SKYTOP GARDENS, APT. 19 PARLIN, NJ 08859
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/16/2019 |
|
ADAIR, LISA AKA TARASEVICH, LISA (LPN) 206 LAKEHURST AVE., APT.B NATIONAL PARK, NJ 08063
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/19/2002 |
|
ADAMS, AMELIA (CHHA) 132 OAKMONT ROAD CLEMENTON, NJ 08021
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/31/2017 |
|
ADAMS, ANTOINETTE (CHHA) 1604 SEWALL AVENUE ASBURY PARK, NJ 07712
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/31/2017 |
|
ADAMS, JAIME L. (CHHA) 911 W. HAND AVE CAPE MAY CT. HS, NJ 08210
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/19/2003 |
|
ADAMSHICK, WILLIAM (RPH) 2516 HURRY ROAD. FORKED RIVER, NJ 08731
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
7/14/2005 |
3/21/2012 |
ADDIS, DAVID J. (MD) 334 FARNSWORTH AVENUE BORDENTOWN, NJ 08505
NPI-1770656068 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
1/20/2015 |
Permanent |
ADES, ALBERT (DR'S OFFICE) MIAMI FCI, PO BOX 779800 MIAMI, FL 33177
NPI-1447560867 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/16/2017 |
|
ADES, ALBERT (MD) 3 MARKHAM CIRCLE ENGLEWOOD, NJ 07631
NPI-1912069394 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
5/16/2016 |
|
ADES, ALBERT (MD) PO BOX 779800, #67194-050 MIAMI, FL 33177
NPI-1912069394 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/12/2016 |
|
ADISSON, LECLERC (MD) 1482 SW 150TH TERRACE SUNRISE, FL 33326
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/20/2007 |
Permanent |
ADISSON, LUNIC (CHHA) 14 WALTER PLACE #1 IRVINGTON, NJ 07111
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/14/2008 |
Permanent |
ADOLPHE, NAOMIE (CHHA) 410 FISHER AVENUE NEPTUNE, NJ 07753
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2017 |
|
ADU-BOAHENE, KWABENA (CHHA) 3 AUGUSTA DRIVE LITTLE EGG HARBOR, NJ 08087
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/23/2018 |
|
AFRIYIE, BRIGHT (CHHA) 317 W. RUNYON STREET, 3L NEWARK, NJ 07108
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/23/2018 |
|
AFZAL, FIAZ (MD) 1000 VETERANS MEMORIAL BLVD KENNER, LA 70062
NPI-1003801044 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/6/2022 |
|
AGARWAL, SHASHI K. (MD) FCI SCHUYLKILL, PO BOX 759 MINERSVILLE, PA 17954
NPI-1558416099 |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
2/28/2014 |
|
AGARWAL, SHASHI, K. (MD) 198 CENTRAL AVENUE 1ST FL EAST ORANGE, NJ 07018
NPI-1558416099 |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
10/22/2012 |
|
AGBOGE, EBOWA (CHHA) 111 TELFORD STREET, APT. 2 NEWARK, NJ 07106
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/28/2023 |
|
Agostino Ducato, VP
,
NPI- |
Other |
|
|
|
AGRAWAL, PANKAJ (MD) 3 E MEADOWBROOK CIRCLE SICKLERVILLE, NJ 08081
NPI-1962661215 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/11/2006 |
|
AGRESTA JR., RUDOLPH (MD) P.O. BOX 7450 TRENTON, NJ 08628
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
2/19/2004 |
|
AGRESTI, JAMES (MD) 292 FAIRMONT ROAD LONG VALLEY, NJ 07853
NPI-1255389813/1477874352 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
10/5/2020 |
|
AGRESTI, ROBERT (MD) 15 BARBERRY WAY ESSEX FALLS, NJ 07021
NPI-1619155710 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/26/2018 |
|
AGUH, CHIKEZIE (MD) 18 MULBERRY COURT BELLE MEAD, NJ 08502
NPI-1407876261/1619997483 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/11/2021 |
|
AGUIAR, SANDRA 605 KNICKERBOCKER ROAD TENAFLY, NJ 07670
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/18/2009 |
|
AGUILAR, RUBEN (RPH) 16 GOLDENROD DRIVE BELLE MEAD, NJ 08502
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
7/20/2010 |
|
AGUIRRE-MEDRANO, CANDIDA 40 FERRY STREET NEWARK, NJ 07105
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
7/12/1999 |
Permanent |
American Eagle Contractor, Inc. 420 Broadway Long Branch, NJ 07740Agustin Zuniga, President 420 Broadway Long Branch, NJ 07740
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
8/12/2014 |
08/11/2017 |
AGYEMANG, JOHN (RPH) 153 BLUE MEADOW LANE SICKLERVILLE, NJ 08081
NPI-1487934626 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/28/2016 |
9/22/2020 |
VICTORY PHARMACY 94 MARKET STREET NEWARK, NJ 07102AGYEMANG, KWADWO (RPH) 94 MARKET STREET NEWARK, NJ 07102
NPI-1154713394 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
8/25/2003 |
6/3/2015 |
AHLAWAT, RANVIR (MD) 2204 ARVELL STREET TOMS RIVER, NJ 08755
NPI-1447204615 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
12/19/2016 |
9/14/2021 |
AHMAD, ABADULLAH 280 LUIS MARIN BLVD #15 JERSEY CITY, NJ 07302
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
2/19/2009 |
Permanent |
AHMAD, FAROOQ (RPH) 300 EAST HALSEY ROAD PARSIPPANY, NJ 07054
NPI-1659605590 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
11/8/1994 |
|
GARDEN DRUGS INC./NEW HEALTH CARE PHARM./SAIRA SONIA INC. 682 BERGEN AVENUE JERSEY CITY, NJ 07306AHMAD, NAEEM S. 682 BERGEN AVENUE JERSEY CITY, NJ 07306
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
9/15/1983 |
Permanent |
AHMAD, NAVEED (MD) 48 SUYDAM ROAD SOMERSET, NJ 08873
NPI-1669412946 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/29/2016 |
Permanent |
AHMAD, NAVEED (MD) 48 SUYDAM ROAD SOMERSET, NJ 08873
NPI-1669412946 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/20/2016 |
Permanent |
AHMED, AMIR E. 7-11 TONNELLE AVE - 2MN JERSEY CITY, NJ 07306
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
5/30/1997 |
Permanent |
AHMED, FARHANA (CHHA) 193 PATERSON AVENUE, APT. 1 PATERSON, NJ 07502
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/28/2023 |
|
AHMED, KHALID H. PO BOX 930 NEW YORK, NY 10013
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
3/26/1994 |
Permanent |
AHMED, MOHAMED G. (PHARM TECH) 5 WESTOVER TERRACE WEST ORANGE, NJ 07052
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/20/2010 |
|
AIRD, EILEEN B. 295 GRANDVIEW CIRCLE RIDGEWOOD, NJ 07450
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
4/20/2003 |
|
AJAO, ABIOLA (CHHA) 687 S 20TH STREET, APT. 3 NEWARK, NJ 07103
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/28/2023 |
|
AKANDE, EZEKIEL (MD) 300 HAIL KNOB ROAD, #290828 SOMERSET, KY 42503
NPI-1003859885 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/20/2017 |
|
AKHMEDOV, KHUSEN SCI GRATERFORD, ME9849, PO BOX 244 GRATERFORD, PA 19426
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
AKHTAR, NADEEM (RPH) 15 GRIST MILL LANE UPPER SADDLE RI, NJ 07458
NPI-1063695963 |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
1/20/2012 |
|
AKHTAR, NADEEM (RPH) 15 GRISTMILL LANE UPPER SADDLE RI, NJ 07458
NPI-1063695963 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
9/20/2012 |
|
AKINBILE, MORUFU O. (RN) 419 E. MOOREHAVEN DRIVE CARSON, CA 90746
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/20/2010 |
|
AKODA, CHARLES AKA IGBERASE, OLUWAFEMI AKA IGBERASE, CHARLES (RN) 14909 DOWNEY COURT, SUITE 200 BOWIE, MD 20721
NPI-1609033042 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/20/2018 |
|
AL SALIHI, FAROUK (MD) 1810 JOHN F. KENNEDY BLVD JERSEY CITY, NJ 07305
NPI-1720158025 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/1/2011 |
|
AL SALIHI, FAROUK (MD) 1810 JOHN F. KENNEDY BLVD JERSEY CITY, NJ 07305
NPI-1720158025 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
1/9/2015 |
|
S & S Electric, LLC 108 Oak Glen Road Toms River, NJ 08753Al Shan, President 108 Oak Glen Road Toms River, NJ 08753
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
1/13/2015 |
01/12/2018 |
ALAM, HAMID (MD) 775 LISA CIRCLE, APT 11 HUNTINGDON VALLEY, PA 19006
NPI-1285659649 |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
10/25/2023 |
|
TEMPT TRANSIT, INC. 238 MAIN STREET HACKENSACK, NJ 07601ALAMEEN, ALWALEED 238 MAIN STREET HACKENSACK, NJ 07601
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
7/18/1995 |
|
Alan Lombardi, President
,
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
12/10/2014 |
12/9/2017 |
ALAN, DAVID 203 NORTH REDWOOD STREET MASONTOWN, PA 15461
NPI-1225012073 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
ALBERS, HENRY J. (EMT) 3 QUEEN STREET PARSIPPANY, NJ 07054
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
1/9/1996 |
Permanent |
Kitchen Crafters Plus d/b/a B&B Custom Cabinets 1 Suydam Place Aberdeen, NJ 07747Albert Brisebois, Owner 1 Suydam Place Aberdeen, NJ 07747
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
6/1/2015 |
05/31/2018 |
Ren Construction 1984 Whitesville Rd Toms River, NJ 08755Albert Chwedczuk, Owner 1984 Whitesville Rd Toms River, NJ 08755
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
7/10/2014 |
07/09/2017 |
ALBINO, ETHAN (RN) 224 FERN AVENUE HADDON TOWNSHIP, NJ 08108
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/7/2017 |
|
ALCAIDE, KELLY (LPN) 716 RIVER ROAD SOMMERVILLE, NJ 08844
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
2/20/2002 |
|
ALCANTARA, MARIA CHRISTINE (CNA) 1021 ROUTE 166 183504, NJ 08753
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/22/2023 |
Permanent |
ALEXANDER, EDWARD J. (MD) 8001 CASTOR AVE., STE 326 PHILADELPHIA, PA 19152
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
8/8/2000 |
Permanent |
ALEXANDER, JULIE B. (RPH) 1525 DOGWOOD DRIVE CHERRY HILL, NJ 08003
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/19/2005 |
|
ALEXANDER, MARVIN 52 S. JEFFERSON ST. ORANGE, NJ 07050
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
12/4/2013 |
12/3/2016 |
ALEXANDRA, ALYCIA AKA DOTRO, ALYCIA (RN) 6 LOWELL ROAD MANALAPAN, NJ 07726
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/23/2019 |
|
ALFONSO, NORMA (CHHA) 144 SUMMIT STREET ENGLEWOOD, NJ 07631
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/19/1997 |
|
Allied Construction LLC.Allied Construction Management, LLC 100 Dobbs Lane Suite 102 Cherry Hill, NJ 08034Alfred Sciubba, Managing Member 3 Chadwick Drive Voorhees Twp., NJ 08043
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
10/22/2013 |
10/21/2016 |
AL-GHRAOUI, FADI (MD) PO BOX 23429 FORT LAUDERDALE, FL 33307
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/18/2004 |
DECEASED |
ALI, HANIFAH (CHHA) 1216 FALCON DRIVE ABSECON, NJ 08201
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2017 |
|
ALI, MOHAMED T. (MD) 64 BEVAN STREET JERSEY CITY, NJ 07306
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/31/1994 |
Permanent |
ALI, RAUSHANAH (LPN) 103 BONNIA AVENUE TRENTON, NJ 08629
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/3/2019 |
|
ALI, SAMIRA (CHHA) 242 CLAREMONT AVENUE, APT. 6 JERSEY CITY, NJ 07305
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/28/2023 |
|
ALI, SAQIB MDC BROOKLYN, PO BOX 3290 BROOKLYN, NY 11232
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
5/20/2012 |
|
TARIK TRANSPORTATION SVC. 566 BLOOMFIELD AVENUE BLOOMFIELD, NJ 07306ALI, TARIK 566 BLOOMFIELD AVENUE BLOOMFIELD, NJ 07306
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/10/1999 |
Permanent |
Five Star Quality Construction 141 Rte. 130 South Suite 192 Cinnaminson , NJ 08077Alicirio Jose Santana Pires, Owner 141 Rte 130 South Suite 192 Cinnaminson, NJ 08077
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
4/23/2014 |
04/22/2017 |
Vercon Building & Maintenance Corp. 11 Arboretum Dr Jackson, NJ 08527Allanur Islambekov, Owner 11 Arboretum Dr Jackson, NJ 08527
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
5/12/2014 |
05/11/2017 |
ALLEN, ADINA (CHHA) 219 PINEBROOK DRIVE MANTUA, NJ 08051
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/22/2017 |
|
ALLEN, DEBRA (CHHA) 18 REID LANE MILLSTONE TWP. , NJ 08535
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/6/2019 |
Permanent |
ALLEN, KENNYATTA G. 148 CORNERSTONE PLACE WHITEHALL, NY 18052
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/14/2008 |
|
ALLEN, MICHELLE I. (RN) 306 LUKE FIDLER ROAD RENSHAW, PA 17866
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/31/2023 |
|
ALLEN-BROGAN, MELANIE A. 135 WILD OAKS COURT LITTLE EGG HARB, NJ 08701
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
3/5/2008 |
|
ALLRED, ELLEN ANNE (RN) 571 FERNWOOD AVENUE FAIRLESS HILLS, PA 19030
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
ALPERIN PEDIATRICS, PA 28 RIVERSIDE AVENUE RED BANK, NJ 07701ALPERIN, MARTIN (MD) 28 RIVERSIDE AVENUE RED BANK, NJ 07701
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
6/19/2000 |
Permanent |
ALPERT, PERRY (DDS) 560 NEWARK AVENUE ELIZABETH, NJ 07208
NPI-1952668782 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/2/1995 |
8/26/2020 |
ALSTON, SHERRELLE NORTH 52ND STREET PHILADELPHIA, PA 19139
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
10/9/2007 |
|
ALSUMMAGHIA, NATHEM (CHHA) 155 W 49th STREET BAYONNE, NJ 07002
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/31/2023 |
|
ALTOONIAN, ANN MARIE (RN) 82 CONTANT AVENUE, APT. 2 LODI, NJ 07644
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/11/2019 |
|
ALVIS, SANDRA (CHHA) 1421 HOLLINSHED AVENUE PENNSAUKEN, NJ 08110
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/19/2005 |
|
CRESCENT EXPRESS 24 BRANFORD PLACE NEWARK, NJ 07102ALY, ABUBAKR 24 BRANFORD PLACE NEWARK, NJ 07102
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/11/2004 |
|
ALY, AHMED F. (RPH) 1030 LIBERTY AVENUE UNION, NJ 07083
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/17/2007 |
|
CLIFTON FAMILY PHARMACY 1137 MAIN AVENUE CLIFTON, NJ 07011ALY, WAEL 1137 MAIN AVENUE CLIFTON, NJ 07011
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
5/30/2000 |
|
OMARS PHARMACY, INC. 1137 MAIN AVENUE CLIFTON, NJ 07011ALY, WAEL 1137 MAIN AVENUE CLIFTON, NJ 07011
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
5/30/2000 |
|
AMABILE, JOHN C. (OD) HIGHWAY #35 & 3RD AVENUE OCEAN, NJ 07712
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/30/2002 |
Permanent |
AMAKER, PHYLLIS (CHHA) 475 LIVINGSTON DRIVE EAST WINDSOR, NJ 08520
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/31/2017 |
|
AMANKWAH, VINCENTIA 8 MAPLES AVENUE CLIFFWOOD, NJ 07721
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/28/2017 |
|
AMANKWAH, VINCENTIA 8 MAPLES AVENUE CLIFFWOOD, NJ 07721
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
5/1/2016 |
|
AMATO, CARLO (DC) 500 RIVER AVENUE LAKEWOOD, NJ 08701
NPI-1275673360 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
9/18/2018 |
|
AMATO, NICOLA (DC) 3 MULLIGAN DRIVE FLANDERS, NJ 07836
NPI-1366941627 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/20/2005 |
12/19/2023 |
AMATO, STEVEN P. (DC) 30151 FISH ROCK ROAD YORKVILLE, CA 95494
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
10/20/2009 |
|
AMATO, VANESSA A. AKA NOWINSKI, VANESSA (RN) 65 LOCUST AVENUE N. ARLINGTON, NJ 07031
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/19/2003 |
|
AMBROSE, DEAN A. (DO) 119 NORTH CETNTRE STREET MERCHANTVILLE, NJ 08109
NPI-1598832560 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
2/1/2002 |
|
AMENYITOR, APEAFA (CHHA) 14 MARSHALL STREET, APT. 14W IRVINGTON, NJ 07111
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2017 |
|
AMES, TISHEENA (CHHA) 96 HALSEY REED ROAD CRANBURY, NJ 08512
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/28/2018 |
|
AMIN, JASHVANT (MD) 8 SUNSET ROAD WEST CALDWELL, NJ 07006
NPI-1922116268 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/9/2023 |
Permanent |
AMIN, PRISCILLA (CHHA) 133 ATLANTIC STREET HACKENSACK, NJ 07601
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
10/23/2017 |
|
AMMAR, TAMESHWAR (MD) 805 BROADWAY FL 1 AMITYVILLE, NY 11701
NPI-1366478943 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/15/2022 |
|
AMON, TAMERLANE (CNA) 394 EGE AVENUE JERSEY CITY, NJ 07304
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/16/2018 |
|
AMON, TAMERLANE (CNA) 394 EGE AVENUE JERSEY CITY, NJ 07304
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/18/2019 |
|
AMPARO, VIANNE AKA PAYANO, VIANNE (CHHA) 710 EAST 18TH STREET PATERSON, NJ 07501
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/31/2017 |
|
AMPOFO, TWUMASI 12 MARSHALL STREET #7W IRVINGTON, NJ 07111
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
2/1/2008 |
|
AMPOFO, TWUMASI 12 MARSHALL STREET #7W IRVINGTON, NJ 07111
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
3/30/2009 |
|
ANAND, NEIL (MD) 26 TAFT LANE MORRISTOWN, NJ 07960
NPI-1982626818 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/18/2019 |
|
ANAND, SUBINA (DMD) 17 GROVERS MILL ROAD IRVINGTON, NJ 07111
NPI-1982781589 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/20/2012 |
|
ANAND, SUBINA (DMD) 17 GROVERS MILL ROAD PLAINSBORO, NJ 08536
NPI-1982781589 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
4/17/2012 |
|
ANDERSON, CHARMAINE (RN) 95 FARRAGUT ROAD NORTH PLAINFIELD, NJ 07062
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/28/2017 |
|
ANDERSON, DAVID (RN) 519 HOBART AVE. TRENTON, NJ 08629
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/20/2003 |
|
ANDERSON, FRANCINE (CHHA) 901 PRINCETON AVENUE LAKEWOOD, NJ 08701
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/12/2018 |
|
ANDERSON, JOHN P. (MD) 362 S. LAUREL STREET WAYNEBORO, VA 22980
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
1/20/1999 |
|
ANDERSON, NICOLE (RN) 1801 HUNTINGTON MEWS CLEMENTON, NJ 08021
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/28/2017 |
|
ANDRADE, GLORIA (LCSW/LCADC) 679 GRANT TERRACE TEANECK, NJ 07666
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/18/2018 |
|
ANDREWS, TANELLE (RN) 1340 S. ORCHARD ROAD VINELAND, NJ 08360
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/25/2019 |
|
Andrzej Citak, Vice-President 556 Humboldt Street Brooklyn, NY 11222
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
9/24/2014 |
09/23/2017 |
A.J. Skora Inc. 1982 Route 9 Toms River, NJ 08753Andrzej Skora, President 67 Cox Cro Road Toms River, NJ 08755
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
8/19/2013 |
08/18/2016 |
ANDUJAR, EDWARD (MD) 516 E. WOOD STREET VINELAND, NJ 07410
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/20/2006 |
|
ANELLO, ALLYSON (PHARM TECH) 708 FOX HILL DRIVE DOVER, NJ 07801
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/5/2018 |
Permanent |
ANEROUSIS, MARY DEE (DDS) 283 SOUTH ORANGE AVENUE LIVINGSTON, NJ 07039
NPI-1871675769 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/20/2019 |
|
ANGEL, CHRISTINA (CHHA) 145 PRESIDENTIAL BOULEVARD, APT. 16J PATERSON, NJ 07522
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2017 |
|
ANGELES, KATHERINE (MD) 191 ROUTE 37 WEST TOMS RIVER, NJ 08755
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
6/23/1995 |
DECEASED |
I.K.E. Electrical Corp. 48 E. Central Blvd. Palisades Park, NJ 07650Angelo Castelli, President 100 W Forest Ave Building E ENGLEWOOD, NJ 07631
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
7/21/2014 |
07/20/2017 |
ANGELO, JOSEPH 34 STONEHEDGE ROAD LINCROFT, NJ 07738
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
4/27/1993 |
Permanent |
Lombardi Enterprises, Inc. 26 Whispeiring Way Berkeley Heights, NJ 07922Ann Lombardi, Secretary 2901 South Clinton Ave South Plainfield, NJ 07080
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
12/10/2014 |
12/09/2017 |
ANODIDE, PAUL A. (DDS) 23 BLUE DEVIL LANE TRENTON, NJ 08619
NPI-1841317625 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/3/2006 |
|
ANSERE, PATIENCE (CHHA) 305 COOLIDGE AVENUE ENGLEWOOD, NJ 07631
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/17/2018 |
|
ANTELL, CLIFF #65502-050 FCI CUMBERLAND, PO BOX 1000 CUMBERLAND, MD 21501
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/18/2019 |
|
Anthony Davis, Vice-President
,
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
10/29/2013 |
10/28/2016 |
Samco Construction Co. LLC 413-415 South Seventh St. Elizabeth, NJ 07202Anthony Mirabile, President 413-415 South Seventh St. Elizabeth, NJ 77202
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
7/3/2013 |
07/02/2016 |
ANTHONY, QUINT (LPN) PO BOX 214 BAYVILLE, NJ 08721
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/5/2017 |
|
ANTONE, JULIE (LCSW) 366 CAMBRIDGE DRIVE RAMSEY, NJ 07446
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
2/20/2013 |
5/25/2023 |
Crossroad Construction Corp. 312 Emmet Street Newark, NJ 07114Antonio Gomes Sr., President 164 Green Street Newark, NJ 07105
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
5/13/2013 |
05/12/2016 |
Pax Construction Corp. 159 Locust Avenue West Long Branch, NJ 07764Antonio Pereira, President 67 Highway 36 West Long Branch, NJ 07764
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
10/17/2014 |
10/16/2017 |
ANTWI, ISAAC (CHHA) 549 BOLTON AVENUE #1 BRONX, NY 10473
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
6/28/2018 |
|
ANZALONE, ANTHONY (MD) 203 DIETZ STREET CRANFORD, NJ 07016
NPI-1124071857 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2019 |
|
New Jersey State Floring, Inc. 109 Greentree Road Brick, NJ 08724APGAR, CHERYL 109 Greentree Road Brick, NJ 08724
NPI- |
Construction Wage & Hour Violation |
Debarment Treasury 2650 |
4/8/2016 |
4/10/2019 |
APGAR, ROY 109 Greentree Road Brick, NJ 08724
NPI- |
Construction Wage & Hour Violation |
Debarment Treasury 2650 |
4/8/2016 |
4/10/2019 |
APONTE, DENNIS (MD) MDC BROOKLYN - PO BOX 329002 BROOKLYN, NY 11232
NPI-1053458018 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/20/2015 |
|
APPIAH-KUBI, LESLEI (LPN) 1457 OGDEN AVENUE, APT 2H BRONX, NY 10452
NPI-1205351582 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2023 |
|
AQUILANTE, JOHN C. (RPH) 27 ROCKLEDGE PLACE CEDAR GROVE, NJ 07009
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
9/23/1983 |
Permanent |
ARDAN, MARGO (RN) 161 CONAWAGA TRAIL MEDFORD, NJ 08055
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/28/2017 |
|
ARDEHALI, MOHAMMED (MD) 193 ELMWOOD AVENUE NEWARK, NJ 07104
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
2/20/2001 |
|
ARGUETA, ALVARO (MD) 9408 BIG VIEW DRIVE AUSTIN, TX 78730
NPI-1194851618 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/22/2017 |
Permanent |
ARGUETA, EDWARD A. (CNA) 604 N. BAYVIEW AVENUE SEASIDE PARK, NJ 08752
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/13/1999 |
|
ARGUETA, EDWARD A. (CNA) 604 N. BAYVIEW AVENUE SEASIDE PARK, NJ 08752
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
4/8/1999 |
|
ARIF, MOHAMMED 147-14 14TH AVENUE WHITESTONE, NY 11375
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/1/1998 |
Permanent |
Real Construction LLC 1984 Whitesville Rd Toms River, NJ 08757Arkadiusz Chwedczuk, Owner 719 11th Ave Toms River, NJ 08757
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
11/24/2014 |
11/23/2017 |
Conex Construction Corp. 265 Wilson Avenue Kea(RN)y, NJ 07032Armando Piedade, President 265 Wilson Avenue Kearny, NJ 07032
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
1/20/2016 |
01/19/2019 |
ARMBRISTER, KATIMA (CHHA) 301 BELMAR AVENUE NEPTUNE, NJ 07753
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2017 |
|
ARNESON, VICTORIA (RN) 42 HOLLY STREET CRANFORD, NJ 07016
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/19/2003 |
|
AROWOSAYE, EMILY (RN) 24 CUNNINGHAM DRIVE WEST ORANGE , NJ 07052
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
7/31/2010 |
|
AROWOSAYE, EMILY (RN) 24 CUNNINGHAM DRIVE WEST ORANGE, NJ 07052
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
5/20/2012 |
|
AROWOSAYE, ISAAC 24 CUNNINGHAM DRIVE WEST ORANGE, NJ 07052
NPI- |
Professional Other |
Debarment Human Services Medical Assistance (Medicaid) |
3/30/2010 |
DECEASED |
AROWOSAYE, ISAAC 24 CUNNINGHAM DRIVE WEST ORANGE, NJ 07052
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
7/4/2014 |
DECEASED |
MG Topflight 6 Spruce Meadows Dr Monroe, NJ 08831Ashish Thomas, Owner 6 Spruce Meadows Drive Monroe, NJ 08831
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
7/29/2014 |
07/28/2017 |
ASHOKAN, ANNAMALAI (MD) 7 ROCKLEDGE DRIVE SUFFERN, NY 10901
NPI-1497857270 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
5/1/2004 |
|
ASKANAZI, JEFFREY (MD) 2322 OLDE FARM LANE HUDSON, OH 44236
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
7/19/1999 |
Permanent |
ASLAM, ZAHID (MD) 1814 E. 2ND STREET SCOTCH PLAINS, NJ 07076
NPI-1306906854 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/16/2019 |
Permanent |
ASTON, ALEXIA L. (LPN) 15 PRIMROSE LANE, APT. 3 DELRAN, NJ 08075
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/18/2009 |
|
ASTORE, MARYANN (CHHA) 45 KOHOMO AVENUE ERIAL, NJ 08081
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
4/30/2019 |
|
ATIENZA, CESAR P. (MD) 56 COLD INDIAN SPRING RD OCEAN, NJ 07712
NPI-1164491494 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
8/6/1991 |
Permanent |
ATKINS, DAWN AKA STILL, DAWN (CHHA) 697 EVERETT STREET CAMDEN, NJ 08104
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/6/2018 |
|
AUFSEESER, LESLIE (DPM) 111 MEADOWS LANE WAYSIDE, NJ 07712
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
2/12/2018 |
|
AURANGZEB, MUHAMMED 2330 ROUTE 33, SUITE 311 TRENTON, NJ 08691
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/2/2023 |
|
AUSTIN, BRITTANY (CHHA) 420 N. SOUTH CAROLINA AVENUE ATLANTIC CITY, NJ 08401
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/6/2018 |
|
GERI CARE CENTERS INC 31 MADISON AVENUE MONTCLAIR, NJ 07042AUSTIN, DONALD P 31 MADISON AVENUE MONTCLAIR, NJ 07042
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
Permanent |
AUSTIN, NIDERIA (CHHA) 822 GALINDEZ COURT CAMDEN, NJ 08102
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/15/2017 |
|
AVETIAN, CHARLES GARO aka AVETIAN, GARO CHARLES (MD) 2 MILL COURT NEWTOWN SQUARE, PA 19073
NPI-1013936400 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2023 |
|
AVICOLLI, NICHOLAS (RPH) 985 PAPEN ROAD BRIDGEWATER, NJ 08807
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/19/2022 |
|
AVILES, REBECCA (CHHA) 67 MILL ROAD LEVITTOWN, PA 19057
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2017 |
|
AYALA, ANDRES 33 MADISON AVENUE CHERRY HILL, NJ 08002
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/11/2017 |
10/3/2019 |
AYALA, ANDRES 33 MADISON AVENUE CHERRY HILL, NJ 08002
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/3/2019 |
|
AYODELE, SIMISOLA (CHHA) 165 N 6TH STREET NEWARK, NJ 07107
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/17/2023 |
|
AZAM, CHOWDHURY F. (MD) 38 ORIOLE DRIVE HACKETTSTOWN, NJ 07840
NPI-1922053792 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
2/1/1999 |
6/30/2015 |
AZAM, CHOWDHURY F. (MD) 30 DUNSTON LANE MONMOUTH JUNCTION, NJ 08852
NPI-1922053792 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
10/26/2016 |
|
AZEEZ, ALABA (CHHA) 806 S 16TH STREET, FLOOR 2 NEWARK, NJ 07108
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/5/2023 |
|
AZER, MERFAT (CHHA) 335 ARMSTRONG AVENUE, FLOOR 2 JERSEY CITY, NJ 07305
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/19/2023 |
|
AZIZ-DURRANI, MUMLIKAT 328 SIP AVENUE JERSEY CITY, NJ 07306
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/19/2002 |
|
GOODWILL PHARMACY 2836 DEBRA WAY UNION, NJ 07083AZU, PHILIP N. (RPH) 2836 DEBRA WAY UNION, NJ 07083
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
5/20/1999 |
Permanent |
AZU, PHILIP N. (RPH) 1094 CLINTON AVENUE IRVINGTON, NJ 07111
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
4/19/2001 |
Permanent |
AZZAM, DOAA (CHHA) 10 LAKE AVENUE PATERSON, NJ 07503
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/5/2023 |
|
BABARIA, ASHOKKUMAR (MD) FCI FORT DIX PO BOX 2000 FORT DIX, NJ 08640
NPI-1538100599 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
11/4/2014 |
|
BABARIA, ASHOKKUMAR (MD) 5756 HARTFIELD/POINTVILLE FORT DIX, NJ 08640
NPI-1538100599 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
2/28/2015 |
|
BABARIA, ASHOKKUMAR (MD) 208 QUAKERBRIDGE COURT MOORESTOWN, NJ 08057
NPI-1538100599 |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
1/10/2012 |
|
BABAYANTS, ALEXANDER (MD) 184 S. LIVINGSTON AVENUE #9272 LIVINGSTON, NJ 07039
NPI-1194779371 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
2/10/2018 |
10/21/2021 |
BACSENKO, JENNIFER (PHARM TECH) 103 STATE STREET LINWOOD, NJ 08221
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
1/20/2011 |
|
BADAWT, BADAWY AKA BADAWY BADAWY (MD) 2738 KENNEDY BOULEVARD 1ST FL JERSEY CITY, NJ 07306
NPI-1679615553 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/11/2016 |
|
BADAWT, BADAWY AKA BADAWY BADAWY (MD) 2738 KENNEDY BLVD 1ST FL JERSEY CITY, NJ 07306
NPI-1679615553 |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
3/25/2013 |
|
BADAWY, BADAWY AKA BADAWY BADAYT (MD) 2738 KENNEDY BOULEVARD 1ST FL JERSEY CITY, NJ 07306
NPI-1679615553 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/11/2016 |
|
BADAWY, BADAWY AKA BADAWY BADAYT (MD) 2738 KENNEDY BLVD 1ST FL JERSEY CITY, NJ 07306
NPI-1679615553 |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
3/25/2013 |
|
BADAWY, HOSSAM (CHHA) 51 SMITHFIELD DRIVE SPRINGFIELD, NJ 07081
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/4/2023 |
|
BADO, JEFFREY (DO) 1615 ASHBOURNE ROAD ELKINS PARK, PA 19027
NPI-1801908173 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
BADO, JEFFREY (DO) FDC PHILADELPHIA #71927-066, PO BOX 562 PHILADELPHIA, PA 19105
NPI-1801908173 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2017 |
|
BADUINI, JOLIE (RN) 1300 32ND AVE SW, APT 307 MINOT, ND 58701
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/20/2015 |
|
BAER, MICHAEL L. (DC) BAYSIDE STATE PRISON LLESBURG, NJ 08327
NPI-1053654616 |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
9/20/2004 |
|
BAEZ, ANNA V. (DDS) 911 VILLAGE DRIVE SOMERSET, NJ 08873
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
3/20/2002 |
|
BAFFOWAAH, ZIBORAH 4345 DIAMOND DRIVE SAINT PAUL, MN 55122
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2015 |
|
BAGDASAROVA, ANGELICA (RN) 11981 AUDUBON AVENUE PHILADELPHIA, PA 19116
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
BAH, HUSAINATU (RN/LPN) 2510 BIRCHWOOD COURT NORTH BRUNSWICK, NJ 08902
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/15/2016 |
12/10/2019 |
BAH, HUSAINATU (RN/LPN) 2510 BIRCHWOOD COURT NORTH BRUNSWICK, NJ 08902
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/28/2013 |
12/10/2019 |
BAHNSON, WILLIAM F. (MD) 28 HIGH STREET TREENFIELD, MA 01301
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
9/2/1988 |
DECEASED |
BAILEY, FREDERICK (DDS) 41 WEST GLEN ROAD DENVILLE, NJ 07834
NPI-1205048410 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/29/2016 |
|
BAILEY, KENNETH 231 MAIN ST., PO BOX 12 HEISLERVILLE, NJ 08342
NPI- |
Vendor Industry Law Violation |
Construction Treasury Treasury Purchase Bureau |
5/7/2015 |
5/7/2020 |
BAIRD, DAVID B. (MD) 4107 MERCHANT SQ. PLACE LANSDALE, PA 19446
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/20/2004 |
|
BAJAKIAN, BRYAN (DC) 3105 STOWE LANE MAHWAH, NJ 07430
NPI-1679618094 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/18/2010 |
|
BAJWA, LATIF AHMAD PO BOX 633 LANGHORNE, PA 19047
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
2/9/2009 |
|
BAKER, MONIQUE (CHHA) 1521 NEWPORT STREET CAMDEN, NJ 08104
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/28/2019 |
|
BAKER, SCOTT (CNA) 215 BURLINGTON RD. SOUTH BRIDGETON, NJ 08302
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
5/24/2002 |
|
BAKMAN, MILANA (CHHA) 4 IVY WAY DAYTON, NJ 08810
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
6/19/2018 |
|
BALLERAS, ALFREDO B. (RPH) 1 VISTA DRIVE MOUNT OLIVE, NJ 07836
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/14/2010 |
9/13/2013 |
BAMDAD, BABAK (RPH) 2 SOUTH GATE ROAD, APT 736 GREAT NECK, NY 11023
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
7/26/2011 |
5/25/2023 |
BAMDAD, BABAK (RPH) 333 RIVER STREET HOBOKEN, NJ 07030
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
6/1/2010 |
5/25/2023 |
BAMGBOYE, PATRICK (DDS) 358 MEISEL AVENUE SPRINGFIELD, NJ 07081
NPI-1720175508 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
11/7/2012 |
|
BANDY, ANHUAR 141 CRINE ROAD COLTS NECK, NJ 07722
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/20/2018 |
|
BANDY, KARIM 141 CRINE ROAD COLTS NECK, NJ 07722
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/20/2018 |
|
BANGOURA, ALPHA 200 EXECUTIE DRIVE WEST ORANGE, NJ 07050
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
3/22/2006 |
|
BANKA, VIDYA (MD) 237 STACEY ROAD PENN VALLEY , PA 19072
NPI-1588659965 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/19/2018 |
|
BANKOLE, ADEJOKE (CHHA) 986 18TH AVENUE, APT. 1 NEWARK, NJ 07106
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/19/2023 |
|
GENE'S PHARMACY 640 PINE STREET CAMDEN, NJ 08103BANKS, KENNETH 640 PINE STREET CAMDEN, NJ 08103
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
8/14/2003 |
|
BANNON, JOSEPH 250 GORGE ROAD CLIFFSIDE PARK, NJ 07010
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
11/25/2011 |
11/24/2014 |
BAPTISTE, STANLEY (CHHA) 401 WEST VIRGINIA AVENUE, APT. B-16 NEPTUNE, NJ 07753
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/19/2018 |
|
BARAHONA, RONY 549 SUMMIT AVENUE MAPLEWOOD, NJ 07040
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
3/26/2013 |
|
BARAKAT, FATIMA (CHHA) 267 N 7TH STREET, FLOOR 1 PROSPECT PARK, NJ 07508
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/5/2023 |
|
BARAN-DICRISCIO, LORRAINE (CHHA) 309 IRIS ROAD CHERRY HILL, NJ 08620
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
3/20/2002 |
|
BARAQUE, IVAN DARIO (MD) 4 WOODCREST COURT WEST NYACK, NY 10994
NPI-1811059967 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2015 |
|
BARASCH, MILTON (RPH) 12 IVY WAY ABERDEEN, NJ 07747
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
8/3/2000 |
Permanent |
BARATTI, CARMEN (DO) 150 KIRKBRIDGE ROAD VOORHEES, NJ 08043
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/4/1997 |
|
BARBA, FIDELIS (MD) 2 POWDER HILL SADDLE RIVER, NJ
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/11/2000 |
Permanent |
BARBANEL, JACOB 4656 PARK LANE WALNUTPORT, PA 18088
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
4/7/2015 |
4/6/2018 |
The Boca Bay Group 163 Hillcrest Ave Cranford, NJ 07016Barbara Marano, President 16 South Ave West Suite 267 Cranford, NJ 07016
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
5/21/2013 |
05/20/2016 |
BARBER-HINSON, CONNIE 7011 SHADOW RUN SAN ANTONIO, TX 78250
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
4/20/2011 |
|
BARBERS-WEBER, JENNIFER 8 ELKRIDGE PARKWAY MANALAPAN, NJ 07726
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
11/5/2009 |
|
BARDEN, BRENDA (RN) 19 INTERVALE ROAD SALEM, MA 01970
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
12/20/2012 |
|
BARDO, MANUEL 11756 SW 14TH TERRACE MIAMI, FL
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/19/2004 |
|
BARET, MICHELLE (CHHA) 135 MARINA DRIVE EDISON, NJ 06076
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
BARGE, NICHOLAS 716 NAUTILUS STREET FORKED RIVER, NJ 08731
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
3/16/2011 |
|
BARGER, SHERRY (LPN) 187 KINGS HIGHWAY MIDDLETOWN, NJ 07748
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/24/2022 |
|
BARI, ABDUL 264 PROSPECT STREET NUTLEY, NJ 07110
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/19/2009 |
|
BARIEXCA, CARLA (LPN) 107 DAYTON STREET TRENTON, NJ 08610
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/20/2006 |
|
BARNA, ARLENE (RN) 205 KRAFT AVE. OAKLYN, NJ 08107
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/19/2003 |
|
BARNES, LIANNA C. (LPN) 4906 SCHINDLER TERRACE BRIDGEWATER, NJ 08807
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/16/2023 |
|
BARNEY, WILLIAM 73 HAMPTON GATE DRIVE SICKLERVILLE, NJ 08061
NPI- |
Vendor Criminal Offense |
Suspension Treasury Treasury Purchase Bureau |
8/27/2001 |
|
BARNWELL, LATANYA 1048 PENNINGTON ROAD EWING, NJ 08618
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
9/16/2011 |
9/17/2014 |
BARON, MICHAEL B. (MD) SE 1256 BISHOP BLVD, STE1 PULMAN, WA 99163
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
9/11/2000 |
Permanent |
BARONE, THOMAS (DO) 255 17TH STREET PHILADELPHIA, PA 19103
NPI-1780898965 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
BARRETTI SR., PHILIP 466 BLOOMFIELD AVENUE NEWARK, NJ 07107
NPI- |
Vendor Organized Crime Control Act |
Suspension Treasury Treasury Purchase Bureau |
1/9/1996 |
|
BARROUS, FELIPE (EMT) 40 KNOLL TERRACE HAZLET, NJ 07730
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/28/2015 |
|
BARSH, LAUREN AKA MCCABE, LAUREN (RN) 9 FIELDCREST WAY HAZLET, NJ 07730
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/30/2019 |
|
BARTEK, MARY H. (DC) 3225 NAZARETH ROAD, APT 3943 EASTON, PA 18045
NPI-1427048701 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
8/20/2023 |
|
BARTLOW, BRIAN 551 PARKWOOD AVENUE TOMS RIVER, NJ 08753
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
7/17/2003 |
|
BAS, KONSTANTIN 2800 COYLE STREET #625 BROOKLYN, NY 11235
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
9/14/2018 |
|
BASBUS, VICTOR M. (MD) 33 5TH AVENUE, APT 1B NEW YORK, NY 10003
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
2/6/2009 |
Permanent |
BASCUS, NAOMI AKA DERRICK, NAOMI (RN) 6 ENGLISH IVY DRIVE SICKLERVILLE, NJ 08081
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/9/2020 |
|
BASCUS, NAOMI AKA DERRICK, NAOMI (RN) 6 ENGLISH IVY DRIVE SICKLERVILLE, NJ 08081
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/26/2016 |
|
BASNETT, BETHANY (NP) 4940 PEPYS LN, APT 219 WILMINGTON, NC 28403
NPI-1487718938 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/15/2022 |
|
BASSO, NICHOLAS V. (MD) 7665 MAPLE AVENUE PENNSAUKEN, NJ 08109
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
2/1/2000 |
Permanent |
BATARSEH, BASEL (MD) 620 FAIRLAWN AVENUE GLEN ROCK, NJ 07410
NPI-1063602696/1891803318 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
12/31/2017 |
|
BATARSEH, BASEL (MD) 85 VINCENT DRIVE CLIFTON, NJ 07013
NPI-1063602696/1891803318 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/20/2018 |
|
BATARSEH, BASEL (MD) 6-20 PLAZA ROAD FAIR LAWN, NJ 07410
NPI-1891803318 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/20/2018 |
|
BATEMAN, PAMELA (LPN) 91 CHESTNUT STREET SALEM, NJ 08079
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
7/21/2008 |
|
BATES, NANCY M. (DO) 38 PALSA AVENUE ELMWOOD PARK, NJ 07407
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
4/3/2001 |
Permanent |
BATISTA-ALCANTARA, YOKAURI (LPN) 286 COMSTOCK STREET NEW BRUNSWICK, NJ 08901
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/27/2022 |
|
BATTISTI, RENATO PIETRO (DC) 6 MARLBORO ROAD WESTBURY, NY 11590
NPI-1134392145 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/20/2023 |
|
BATTLE, TIFANY (CHHA) 393 IRVINE TURNER BOULEVARD, APT. 4D NEWARK, NJ 07108
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2017 |
|
BAUBLITZ, CARRIE (RN) 80 CONEWAGO DRIVE HANOVER, PA 17331
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/29/2015 |
|
BAUTISTA, FILOMENA (CHHA) 133 PAMRAPO AVENUE #1 JERSEY CITY, NJ 07305
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/14/2017 |
|
BAXTER, LOUIS E. (MD) 2 MANCHESTER COURT COLUMBUS, NJ 08022
NPI-1962527051 |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
10/26/1983 |
4/2/2013 |
BAYOUMY, MAHETAB (CHHA) 47 BYRNE CT # B WAYNE, NJ 07470
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/19/2023 |
|
BEACHUM-THOMPSON, AMY (CHHA) 201 WEBSTER STREET WOODBINE, NJ 08270
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/17/2018 |
8/20/2018 |
BEALS, PAUL V. (MD) 4120 WESTFIELD AVENUE PENNSAUKEN, NJ 08110
NPI-1427175652 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/24/2014 |
|
BEASLEY, BRANDI (C N A) 433 ALFRED ROAD TOMS RIVER, NJ 08757
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
2/11/2019 |
Permanent |
BEAUCEJOUR, MONIQUE (CHHA/CNA) 204 BERKELEY AVENUE, APT. 323 BLOOMFIELD, NJ 07003
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/29/2019 |
|
BECK, ALLAN G. (MD) 1833 ARROWHEAD DRIVE WATERFORD, NJ 08089
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
2/20/2001 |
|
BECKETT, DONALD (DPM) 10144 DEERCLIFF DRIVE TAMPA, FL 33647
NPI-1871692285 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/4/2005 |
|
BECKFORD, AUDREY L. 566 NORTH MAPLE AVENUE EAST ORANGE, NJ 07017
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
1/20/2002 |
|
BEDRICK, BERNARD A. 300 EAST 56TH STREET NEW YORK, NY 10022
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
Permanent |
BEECHER, GEORGE (MD) 137 EVERGREEN AVENUE NW PROVIDENCE, NJ 07974
NPI-1073574059 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/8/2016 |
9/19/2018 |
BEECHER, GEORGE (MD) 137 EVERGREEN AVENUE NW PROVIDENCE, NJ 07974
NPI-1073574059 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
9/19/2018 |
|
BEHRMAN, EDWARD (DO) 520 HAMBURG TURNPIKE WAYNE, NJ 07470
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/1/1998 |
Permanent |
BEIRNE, MARY F. (MD) 75 ABE VORHEES AVENUE MANASQUAN, NJ 08736
NPI-1881782662 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/19/2001 |
5/16/2011 |
BEKHIT, CHRISTINA (RPH) 9 PEGGY ROAD EAST BRUNSWICK, NJ 08816
NPI-1952616922 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/2/2022 |
|
BEKIER, JACQUELYN (CHHA) 518 LAKE TERRACE BRADLEY BEACH, NJ 07720
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/31/2017 |
10/28/2022 |
BELIAEV, KIRA (CHHA) 108 36TH STREET UNION CITY, NJ 07087
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2017 |
|
BELKHAOUDA, FATMA (CHHA) 277 HARRISON AVENUE, APT. D1 JERSEY CITY, NJ 07304
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/5/2023 |
|
BELKOFF, MEYER (DO) 29 ELMORA AVENUE ELIZABETH, NJ 07202
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
7/17/1998 |
DECEASED |
BELL, BEANA 9926 HALDEMAN AVENUE PHILADELPHIA, PA 19115
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
BELL, KIMBERLY (RN) 2030 HIGHWAY 35 N. UNIT K ORTLEY BEACH, NJ 08735
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/20/2001 |
2/7/2020 |
BELL, SHANNON (PHARM TECH) 6591 MILL ROAD EGG HARBOR TOWNSHIP, NJ 08234
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/23/2017 |
|
BELLAMY, BERNICE 27 VILLAGE DRIVE LUMBERTON, NJ 08060
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
10/20/2004 |
Permanent |
H & B TRANSP 401 SOUTH WHITEHORSE PIKE MAGNOLIA, NJ 08049BELLAMY, HARVEY OWNER CRAF PO BOX 7450 TRENTON, NJ 08625
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/20/2004 |
Permanent |
BELLO, REY N. (MD) 444 60TH STREET WEST NEW YORK, NJ 07093
NPI-1780796409 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
1/31/2011 |
Permanent |
BELONY, IVELYSE (LPN) 131 PARK PLACE, APT. 1 IRVINGTON, NJ 07111
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/28/2017 |
|
BELTZER, BLAIR (MD) 2025 HAMBURG TURNPIKE WAYNE, NJ 07470
NPI-1073635421 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
12/16/2015 |
|
BENDER, TIFFANY (RN) 56 NOTRE DAME DRIVE RIVERSIDE, NJ 08075
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/3/2022 |
|
BENKO, ALICIA #60674-050 (PHARM TECH) FCI DANBURY RT 37 DANBURY, CT 06811
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/18/2009 |
|
BENNETT, SHARON (CHHA) 736 EDGEWOOD AVENUE TRENTON, NJ 08618
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/31/2017 |
|
BENNETT-WILLIAMSON, KATHLEEN (LPN) 75 WALT WHITMAN WAY TRENTON, NJ 08690
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/27/2001 |
Permanent |
BENSEMKY, AMINA (CHHA) 2828 KENNEDY BOULEVARD, APT. 361 JERSEY CITY, NJ 07306
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/26/2019 |
Permanent |
BENSIMHON, GEORGES (MD) 1488 SHELBOURNE COURT ALLENTOWN, PA 18104
NPI-1649234394 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
12/16/2015 |
|
BENTLEY, CYNTHIA (RN) 220 GILPIN ROAD WILLOW GROVE, PA 19090
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/15/2018 |
|
BENTON, DEBORAH AKA KING, DEBORAH (LPN) 9 RADFORD PLACE WILLINGBORO, NJ 08046
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/18/2001 |
11/5/2018 |
BERGER, SHELDON H. (MD) 1032 ROUTE 34 MATAWAN, NJ 07747
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
9/30/2000 |
Permanent |
BERKELHAMMER, EDWARD (MD) 230 W. JERSEY ST. ELIZABETH, NJ 07202
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
8/30/1990 |
Permanent |
BERKOWITZ, ANDREW (MD) 725 LISA CIRCLE, APT 11 HUNTINGDON VALLEY, PA 19006
NPI-1952454928 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/20/2023 |
|
BERMAN, LARRY R. (DDS) 308 RARITAN DRIVE HIGHLAND PARK, NJ 08904
NPI-1326191347 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
8/24/2010 |
|
BERMAN, LARRY R. (DDS) 308 RARITAN AVENUE HIGHLAND PARK, NJ 08904
NPI-1326191347 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
12/20/2012 |
|
BERNSTEIN, IRA S. (DPM) 301 OLD TERRYTOWN ROAD WHITE PLAINS, NY 10603
NPI-1629008271 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/1/2018 |
|
BERRY, BRADLEY D. (MD) PO BOX 2008 GRUNDY, VA 24614
NPI- |
Medical Industry Law Violation |
Disqualification Law and Public Safety Consumer Affairs Board of Medical Examiners |
6/13/1991 |
DECEASED |
BEST, ALEXANDER C. P.O. BOX 7000 FORT DIX, NJ 08640
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
7/20/2005 |
|
BETHEA, ALFREDA (LPN) 1234 PROSPECT STREET TRENTON, NJ 08638
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/20/2002 |
|
BEUKAS, STEPHEN (DMD) 27 ROUTE 34 NORTH COLTS NECK, NJ 07722
NPI-1275677213 |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
3/30/2014 |
|
BEUKAS, STEPHEN (DMD) MONMOUTH COUNTY CORRECTIONAL INSTITUTE, 1 WATERWORKS ROAD FREEHOLD, NJ 07728
NPI-1275677213 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
10/18/2018 |
|
BEYNON SERFASS, LEONOR (RN) 18 WILSON AVENUE CLARKS SUMMIT, PA 18411
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/30/2017 |
|
BEZOZA, HOWARD M. (MD) PO BOX 372 SADDLE RIVER, NJ 07458
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
7/20/2003 |
|
BHANDARI, BHUPINDER (MD) 9550 SANTOS RANCH ROAD PLEASANTON, CA 94588
NPI-1417068511 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/15/2023 |
|
BHATTI, HAMID 80 MILTON AVENUE, #1522 RAHWAY, NJ 07065
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
9/20/2012 |
9/10/2019 |
BHATTI, SARFRAZ (RN) 413 S 6TH AVENUE GALLOWAY, NJ 08205
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/13/2022 |
|
BIENSTOCK, DOUGLAS (DO) 245 DIAMOND BRIDGE AVENUE HAWTHORNE, NJ 07506
NPI-1831151356 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
12/16/2015 |
|
BIENSTOCK, DOUGLAS (DO) 245 DIAMOND BRIDGE AVENUE HAWTHORNE, NJ 07506
NPI-1831151356 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/12/2016 |
|
BILENKIN, ELANA (MANAGER) 242 COMUNITY CIRCLE OLD BRIDGE, NJ 08857
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
4/15/1998 |
Permanent |
BINDER, RANDY (RPH) FCI PO BOX 1000 OTISVILLE, NY 10963
NPI-1972526572 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/20/2015 |
Permanent |
BINDER, RANDY (RPH) 16 WINTER PLACE ABERDEEN, NJ 07747
NPI-1972526572 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/20/2016 |
Permanent |
BIONDELLO JR., PHILIP 41 CONCORD LANE BASKING RIDGE, NJ 07920
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/20/2017 |
|
BIRDSALL, HOWARD 120 ASHLEY AVENUE BRIELLE, NJ 08730
NPI- |
Vendor Criminal Offense |
Debarment Law and Public Safety 1020 |
2/18/2016 |
2/18/2021 |
BIRDSALL, WILLIAM 1902 OAK CIRCLE TAVARES, FL 32778
NPI- |
Vendor Criminal Offense |
Debarment Law and Public Safety 1020 |
5/2/2016 |
5/2/2026 |
BISHARA, GIRGIS (MD) 859 BRIGHTON PL. OCEAN CITY, NJ 08226
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
1/17/1987 |
Permanent |
BITTNER, MELISSA C. (RN) 436 RIVER DRIVE WESTVILLE, NJ 08093
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
1/19/2005 |
Permanent |
BLACKMAN, NOEL (MD) MOSHANNON VALLEY CI, 555 GEO DRIVE PHILIPSBURG, PA 16866
NPI-1720209521 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/30/2017 |
Permanent |
BLACKMAN, NOEL (MD) MOSHANNON VALLEY CI, 555 GEO DRIVE PHILIPSBURG, PA 16866
NPI-1720209521 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/26/2017 |
Permanent |
BLANCO, ALEX (DPM) 180 LAFAYETTE AVENUE, APT. 12A PASSAIC, NJ 07055
NPI-1881677987 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/24/2017 |
|
BLANCO, LAZARO (PHARM TECH) 401 46TH STREET, APT. 5 UNION CITY, NJ 07087
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/28/2017 |
|
BLANTON, MALEEK (CHHA) 640 LINE STREET CAMDEN, NJ 08103
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/14/2017 |
|
BLAU, SEYMOUR H. (DPM) 36 COLLEGE DRIVE JERSEY CITY, NJ 07305
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
11/20/2003 |
|
BLAZAK, ROBERT (PRESIDENT) 1700 BEACON STREET TOMS RIVER, NJ 08757
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
12/29/2011 |
12/28/2014 |
BLEIMAN, MICHAEL (MD) 1100 ROUTE 72 WEST, SUITE 304 MANAHAWKIN, NJ 08050
NPI-1821086463 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
1/27/2017 |
4/27/2017 |
BLOT, EDWARD (MD) 274 NORTH CENTER STREET ORANGE, NJ 07050
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
7/5/2000 |
Permanent |
BLUM, NOEL 74 TWIN RIVERS DRIVE EAST WINDSOR, NJ 08561
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
Permanent |
BLY, RODNEY 4737 FRANKFORD AVENUE, 3RD FLOOR PHILADELPHIA, PA 19124
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
BLYN, CHARLOTTE (MD) 511 WINDING WAY MERION , PA 19066
NPI-1669700910 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
BOADU, JACOB (RPH) EUCLID TERRACE PARSIPPANY, NJ 07054
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/20/2007 |
|
BOAMAH, KWAKU (MD) 101 HAVEN WAY MORGANVILLE, NJ 07751
NPI-1154413029 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
6/7/2017 |
8/2/2019 |
BOBADILLA, MARIA (CHHA) 85 PRESIDENTIAL BOULEVARD, APT. 2K PATERSON, NJ 07522
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/5/2018 |
|
BOBADILLA, MARIA (CHHA) 85 PRESIDENTIAL BOULEVARD, APT. 2K PATERSON, NJ 07522
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/5/2018 |
|
BOBRYSHEVA, SVETLANA (CHHA) 29 FOREST GARDEN DRIVE MATAWAN, NJ 07747
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/26/2017 |
|
BOCRA, WILLIAM PRESIDENT ONE NORTH RHODA STREET MONROE TWP, NJ 08831
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
2/7/2012 |
2/6/2015 |
BODINE, DENISE (RN) 66 YORK STREET APT. 12 LAMBERTVILLE, NJ 08530
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/25/2011 |
|
BOEHM, GREGORY (MD) 26777 LORAIN AVENUE, SUITE 716 NORTH OLMSTEAD, OH 44070
NPI-1972678894 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
12/28/2021 |
BOGUSLAVSKIY, VADIM 1903 MADALINE DRIVE AVENEL, NJ 07001
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
12/20/2001 |
|
A&B INVALID COACH, INC. 655 AMBOY AVENUE WOODBRIDGE, NJ 07095BOGUSLAVSKIY, VADIM OWNER 1903 MADALINE DRIVE AVENEL, NJ 07001
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
3/25/2002 |
Permanent |
BOHDAN, IWASKO
,
NPI- |
Construction Other |
Disqualification Treasury Treasury Property Management and Construction |
7/23/2018 |
|
BOHRER, ARTHUR 13796 RIVOLI DRIVE W. PALM BEACH, FL 33410
NPI- |
Vendor Criminal Offense |
Suspension Treasury Treasury Purchase Bureau |
9/17/2000 |
|
BOHUSLAWSKY, NINA (RN) P.O. BOX 4004 CLINTON, NJ 08809
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2010 |
|
BOISVERT, RAYMOND JOHN (RN) 2701 NW 23 BLVD, APT 225 GAINESVILLE, FL 32605
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/20/2015 |
|
BOND, CLIFTON (MD) 418 JAMESTOWN COURT MT LAUREL, NJ 08054
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
2/21/1992 |
Permanent |
BONDAR, SOFIYA (DDS) 2815 COYLE ST. APT 210 BROOKLYN, NY 11235
NPI-1952355158 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/18/2011 |
|
BONETT, OLGA 5105 N. PARK DRIVE PENNSAUKEN, NJ 08109
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
4/29/2003 |
|
BONILLA, CLEMY (CHHA) 2809 YORKSHIP ROAD CAMDEN, NJ 08104
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
BONNELL, STEPHANIE (RN) 165 DEY GROVE RD MONROE, NJ 08831
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
2/20/2002 |
|
BONSU, ACHIAA (CHHA) 1414 BIRCHWOOD COURT NORTH BRUNSWICK, NJ 08902
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/14/2017 |
3/3/2020 |
BONSU, KWADWO (CHHA) 911 AZALEA DRIVE NORTH BRUNSWICK, NJ 08902
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/31/2017 |
|
BONSU, NANA (CHHA) 68 MYRTLE AVENUE IRVINGTON, NJ 07111
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
3/6/2018 |
|
BOODRAM, VERONA 134 EVERGREEN PLACE 8TH EAST ORANGE, NJ 07018
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
3/22/2006 |
|
BOONE, LESLIE (RN) 122 SUMMIT AVENUE TRENTON, NJ 08628
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/20/2002 |
|
BOOS, GEORGE (PRESIDENT) 551 STANTON AVENUE FRANKLINVILLE, NJ 08322
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
11/25/2011 |
11/24/2014 |
BORCHARDT, KAREN (RN) 4145 MILL CREEK DRIVE N. CHARLESTON, SC 29420
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/17/2004 |
|
BORGES, JOHN MANUEL 550 BUCKINGHAM DRIVE PISCATAWAY, NJ 08854
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/20/2010 |
|
BORNHOLDT, HAE SUK (THERAPIST) P. O. BOX 1288 MCAFEE, NJ
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/19/2002 |
|
BORNSTEIN, KATHLEEN (LPN) 136 73RD STREET NORTH BERGEN, NJ 07047
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
2/19/2004 |
|
BOROWEC, LAWRENCE W. (MD) 202 STATESBURG AVENUE NEWFIELD, NJ 08344
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
11/18/1997 |
12/1/1998 |
BOROWEC, LAWRENCE W. (MD) 202 STOTESBURY AVENUE NEWFIELD, NJ 08344
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/1/1998 |
Permanent |
BORRELLI, HENRY (DPM) 49 PROSPECT STREET LITTLE FALLS, NJ 07424
NPI-1902839830 |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
4/6/2010 |
10/27/2017 |
BORTZ, AMANDA (PHARM TECH) 13 SWEET BRIAR DRIVE SICKLERVILLE, NJ 08081
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/21/2016 |
4/5/2018 |
BOSTICK, MICHELLE (CHHA) 87 TILLINGHAST STREET NEWARK, NJ 07108
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2017 |
|
BOTTENBLEY, CECIL J. (DMD) 16 FIRESIDE CT. WILLINGBORO, NJ 08046
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
4/9/1987 |
Permanent |
BOUCHE, JASON 6641 E. MEADOWLARK LANE PARADISE VALLEY, AZ 85253
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
5/20/2012 |
|
BOULOS-PLUDOWSKI, GEORGEANN (RPH) 493 RINGWOOD AVENUE PHILLIPSBURG, NJ 08865
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/19/2005 |
3/11/2013 |
BOWERS JR., THOMAS ROBERT 14 AMITY STREET LITTLE FALLS, NJ 07424
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
12/20/2022 |
|
BOWICK, JUDY C. (CHHA) 1503 BOND STREET ASBURY PARK, NJ 07712
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/20/2002 |
|
BOYD, DARRYL PO BOX 38, FCI FORT DIX, NJ 08640
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/18/2002 |
|
BOYKIN, ASHLEE (CHHA) 602 HARBOR LANE SICKLERVILLE, NJ 08081
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
3/6/2018 |
|
BOYKINS, TAMIKA (CHHA) 235 ABLETT VILLAGE CAMDEN, NJ 08105
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
5/16/2018 |
|
BRABHAM, THEODORE J. 14 HAZARD STREET ELIZABETH, NJ 07208
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/20/2001 |
Permanent |
BRACCIA, VITO, PRESIDENT 184 FAIRWAY ROAD AMBLER, PA 19002
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
7/27/2012 |
7/26/2015 |
BRACUTO, ANNMARIE (RN) 1319 ST. GEORGE AVENUE RAHWAY, NJ 07065
NPI- |
Medical Wage & Hour Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
9/12/2016 |
|
Brothers LandscapingJ.H. Brothers Inc. 169 Robertsville Rd. Freehold, NJ 07728Brad J. Moini, President 101 Buttonwood Lane Freehold, NJ 07728
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
1/6/2015 |
01/05/2018 |
BRADLEY, EARL B. (MD) 1181 PADDOCK ROAD SMYRNA, DE 19977
NPI-1669414553 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
10/20/2012 |
|
BRANCO, DOROTHY (LPN) 1012 W. GENEVA STREET EGG HARBOR CITY, NJ 08215
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/11/2019 |
5/31/2022 |
BRANDT, DOUGLAS A. 5 HOWARD STREET VERONA, NJ 07044
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2011 |
|
BRANDT, HERBERT L. (RPH) 6 DEVONSHIRE DRIVE RANDOLPH, NJ 07689
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2011 |
|
BRANDT, JEFFREY M. 24 CRESTVIEW LANE MOUNT ARLINGTON, NJ 07856
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
11/17/2011 |
|
BRAUNSTEIN, MOSES 2404 BRONX PARKWAY BRONX, NY 10458
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
Permanent |
BRAVER, ALEXANDER (MD) 127 CROAK AVENUE STATEN ISLAND, NY 10314
NPI-1811098650 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/20/2007 |
|
BREEN, NICHOLAS (DMD) 7731 RUDDEROW AVENUE PENNSAUKEN, NJ 08109
NPI-1730307836 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/18/1995 |
9/27/2013 |
BREEN, NICHOLAS (DMD) 7731 RUDDEROW AVENUE PENNSAUKEN, NJ 08109
NPI-1730307836 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/14/1996 |
9/27/2013 |
BREEN, NICHOLAS (DMD) 926 HADDONFIELD ROAD CHERRY HILL, NJ 08002
NPI-1730307836 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/6/2023 |
|
BREIHOF, PETER 51 COEYMAN AVENUE NUTLEY, NJ 07110
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/5/2019 |
|
BRESSMAN, DANIELLE (RN) 40 HARBORAGE AVENUE BAYVILLE, NJ 08721
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/29/2019 |
|
BRETTLER, NORBERT AKA BRETTLER, NORMAN 401 COUNTRY CLUB DRIVE CHERRY HILL, NJ 08003
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/12/2016 |
|
BREWINGTON, CYNTHIA (CHHA) 379 MILLBRIDGE ROAD CLEMENTON, NJ 08021
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/31/2017 |
|
American Welding ServicesAmerican Welding Services, Inc. 1041 Glassboro Rd D-2 Williamstown, NJ 08094Brian O'Shea, Owner 1041 Glassboro Rd D-2 Williamstown, NJ 08094
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
7/10/2014 |
07/09/2017 |
Brian Patterson Mechanical Contracting, Inc. 5 Cindy Lane Ocean, NJ 07712Brian Patterson, President 11 Arlene Drive West Long Branch, NJ 07764
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
3/30/2015 |
03/29/2018 |
BRICK, ROGER (MD) 31-33 WEST 11TH STREET NEW YORK, NY 10026
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
12/15/2006 |
|
AMERICAN MEDICAL SVCS. PC 1 ALPHA AVENUE VOORHEES, NJ 08043BRIGHAM, STEVEN C. (MD) 1 ALPHA AVENUE VOORHEES, NJ 08043
NPI-1306012539 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/20/2018 |
|
BRINT, SAMUEL (DO) 515 BROADWAY CAMDEN, NJ 08103
NPI-1538326780 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
12/15/1987 |
Permanent |
BRISTOL, KENNETH (RN) PO BOX 931 FLAGSTAFF, AZ 06002
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/19/2006 |
|
BRITT, JANICE (RN) 28 SCHOOL STREET SWANSEA, MA 02777
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/27/2019 |
|
BRIZER, DAVID ALLEN (MD) 6766 108TH STREET, APT A62 FOREST HILLS, NY 11375
NPI-1518181270 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2015 |
|
BRIZER, DAVID ALLEN (MD) 255 W 85TH STREET, APT 5B NEW YORK, NY 10024
NPI-1518181270 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/30/2014 |
|
BROADNAX, DEITRICH 347 BELLEVILLE AV, #B8 BLOOMFIELD, NJ 07003
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
11/25/1998 |
Permanent |
BROCCOLI, CHRISTOPHER 126 CRESCENT AVENUE DEPTFORD, NJ 08096
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
10/25/2023 |
|
BRODSKY, KONSTANTIN (CHHA) 55 WEST 45TH STREET, FLOOR 7R NEW YORK, NY 10036
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
5/2/2017 |
|
BROOKHIM, ROBEN (DDS) 120 LAWRENCE DRIVE SHORT HILLS, NJ 07078
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/20/2015 |
|
BROOKHIM, ROBEN (DDS) 444 MORRIS AVENUE ELIZABETH, NJ 07208
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/20/2000 |
|
BROOKMAN, HARVEY (MD) 301 OXFORD VALLEY ROAD YARDLEY, PA
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/13/1995 |
|
BROOKS JR., OSCAR (COUNSELOR) 27 E VILLAGE OF STONEY RD MAPLE SHAE, NJ 08052
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
4/17/1995 |
Permanent |
BROOKS, MAUREEN R. (LPN) 110 THIRD AVENUE BELMAR, NJ 07719
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
10/9/2003 |
|
BROWN, ALEXANDRIA N. (RN) 803 DAWN LANE WILLIAMSTOWN, NJ 08094
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/19/2005 |
|
BROWN, DANNY (CHHA) 527 CENTRE STREET EASTON, PA 18042
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/6/2018 |
Permanent |
BROWN, DEANNA (CHHA) 611 B. BINGHAM STREET NEPTUNE, NJ 07753
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/23/2018 |
|
BROWN, DERVENT (CHHA) 151 FIRST STREET ENGELWOOD, NJ 07631
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
1/26/2018 |
|
BROWN, IMAN (CHHA) 717 N. MICHIGAN AVENUE ATLANTIC CITY, NJ 08401
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
7/14/2017 |
|
BROWN, KAYDIA (CHHA) 1033 SEWALL AVENUE ASBURY PARK, NJ 07712
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/31/2017 |
|
BROWN, LAFONDA (CHHA) 485 EAST 19TH STREET, APT. #4-F PATERSON, NJ 07524
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
10/26/2017 |
|
BROWN, LOUIS S (DC) 1082 MAURICE AVENUE RAHWAY, NJ 07065
NPI-1780735787 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/2/2022 |
|
BROWN, ROGER H. (DMD) 601 ROUTE 206, UNIT 30 BELLE MEAD, NJ 08844
NPI-1457460305 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
5/27/2005 |
10/28/2022 |
BROWN, SAO (LPN) 9 ALAN STREET WEST ORANGE, NJ 07052
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
6/5/2017 |
|
BROWN-COLEY, KELLI (LPN) 88 WEST 6TH STREET BAYONNE, NJ 07002
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/11/2017 |
|
BRUNELLE, ELIZABETH (LPN) 5902 EAST 2ND STREET TUCSON, AZ 85711
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/19/2006 |
|
BRUNO, MARK 18 RIDGEWOOD COURT NORTHFIELD, NJ 08225
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/11/2023 |
|
BRUNO, ROBERT 22 OLSEN DRIVE WARREN, NJ 07059
NPI- |
Vendor Criminal Offense |
Debarment Law and Public Safety Criminal Justice |
3/18/2021 |
3/18/2026 |
BRYANT SR., DAVID V. 107 MADISON ROAD PITTSGROVE, NJ 08344
NPI- |
Vendor Criminal Offense |
Debarment Law and Public Safety Criminal Justice |
9/13/2013 |
9/12/2018 |
GULF COAST POLYMER SERVICES, INC.
, BRYANT, GERALD 4984 LAKE ROAD NEWFIELD, NJ 08344
NPI- |
Vendor Criminal Offense |
Debarment Law and Public Safety Criminal Justice |
9/13/2013 |
9/12/2018 |
BRYANT-DERRICK, KISHARA (LPN) 107 DEAL AVENUE NEPTUNE, NJ 07753
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
9/12/2016 |
|
BUCKLER, BERT L., PRESIDENT 182 WYCOFF WAY WEST EAST BRUNSWICK, NJ 08816
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
1/3/2013 |
1/2/2016 |
BUCKLEY, MARIANNE (LPN) 83 IRVING COURT TRENTON, NJ 08610
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/20/2001 |
|
BUFANIO, NICHOLAS A (DC) 1530 GREYSTONE PLACE HELLERTOWN, PA 18055
NPI-1336195825 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2022 |
|
BUFANIO, NICHOLAS A (DC) 1530 GREYSTONE PLACE HELLERTOWN , PA 18055
NPI-1336195825 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2022 |
|
BUITRAGO, CARMEN (LPN) 412 CLIFF STREET, APT. 1 FAIRVIEW, NJ 07022
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/12/2018 |
|
BULGER, PATRICE (RN) 117 MILL CREEK ROAD BAYVILLE, NJ 08721
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/15/2002 |
|
BULLARD, ANGELA (CHHA) 268 E. 21ST STREET, 3RD FLOOR PATERSON, NJ 07513
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/26/2017 |
|
BUNCH, LATITIA (LPN) 212 S. 27TH STREET CAMDEN, NJ 08105
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
2/20/2002 |
|
BUNN, YAHMINAH (CHHA) 22 GATLING COURT NEW BRUNSWICK, NJ 08901
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/2/2017 |
|
BUONO, DONNA (RN) 61 S. LOCUST AVE MARLTON, NJ 08053
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/19/2003 |
|
BURDETTE, KAYLA F. (CHHA) 31 ISLAND AVENUE SEASIDE PARK, NJ 08752
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
11/14/2014 |
|
BURDUCEA, ALEXANDRU (DO) 223 SHOREWARD DRIVE GREAT NECK, NY 11021
NPI-1558540807 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/15/2022 |
|
BURGOS, LEALYNN (CHHA) 636 BILLINGS AVENUE PAULSBORO, NJ 08066
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/31/2017 |
|
BURKARD, JUDITH (LPN) 320 7TH AVENUE APT 16 ASBURY PARK, NJ 07712
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/23/2009 |
11/23/2010 |
BURKE, WILLIAM (MD) PO BOX 670 NEW VERNON, NJ 07976
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
11/20/2006 |
|
BURKES, JEFFREY (DDS) 176 LAKEWOOD AVENUE HO-HO-KUS, NJ 07423
NPI-1073690137 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
2/19/2009 |
|
BURKETT, EILEEN (PHARM TECH) 1407 VIRGINIA COURT MARLTON, NJ 08053
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
4/20/2011 |
|
BURNETT, RASHEEDAH (CHHA) 860 SOUTH 11TH STREET, APT. 4-B NEWARK, NJ 07108
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/31/2017 |
|
BURNS, MARGARET 2429 WESTFIELD AVENUE SCOTCH PLAINS, NJ 07076
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/19/2003 |
|
BURRELL, TIARA (CHHA) 141 STRANGER AVENUE GLASSBORO, NJ 08028
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/19/2019 |
|
BURTON, FREDERICK (MD) 1455 CITY AVENUE WYNNEWOOD, PA 19096
NPI-1811932874 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/15/2021 |
|
BURWELL-ADENIJI, LORIN (CHHA) 1004 HIGH STREET BURLINGTON, NJ 08016
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2017 |
|
BUSSEY, PAUL (MD) 187 KIRSCHLING DRIVE SWEDESBORO, NJ 08095
NPI-1356341424 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
1/22/2016 |
|
BUSSEY, PAUL (MD) 1 MILL STREET WOODSTOWN, NJ 08098
NPI-1356341424 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
10/13/2015 |
|
BUTT, ATIQ (PRESIDENT) 2524 FORD ROAD BRISTOL, PA 19007
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/15/2001 |
Permanent |
BUTTERHOF, TRACY (RN) 501 S. BERLIN AVE. EGG HARBOR CITY, NJ 08215
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
4/20/2003 |
|
BUTTS, YOLANDA (CNA) 600 PACIFIC AVENUE, APT. A102 ATLANTIC CITY, NJ 08401
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/2/2020 |
|
BYADGI, CHETHAN (MD) LACKAWANNA COUNTY PRISON, 1371 NORTH WASHINGTON AVENUE SCRANTON, PA 18509
NPI-1063537215 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/20/2017 |
|
BYAHATTI, PRAMILA (MD) 200 EXCHANGE STREET, UNIT 217 PROVIDENCE, RI 02903
NPI-1841212800 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/23/2020 |
|
R & B MEDICAL TRANSPORTATION 844 JEROME AVENUE HILLSIDE, NJ 07205-3108BYERS, FAYE AKA BYERS, RAYMOND 844 JEROME AVENUE HILLSIDE , NJ 07205
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
10/14/2005 |
|
BYRNE, RACHEL (LPN) 6 STOWE DRIVE SHAMONG, NJ 08088
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/5/2023 |
|
CABALEIRO, YODALIO (MD) 3700 KENNEDY BLVD. UNION CITY, NJ 07087
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
4/18/1986 |
Permanent |
CABALERIO, THERESA 4611 BERGENLINE AVE. UNION CITY, NJ 07087
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
Permanent |
CABAN, DESTINY (CHHA) 105 BOYD STREET CAMDEN, NJ 08105
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
CABATIC, VIRGINIA C. (RN) 14 SPARROW ROAD RANDOLPH, NJ 07869
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/19/2005 |
|
CABRERA, RAMON BRETON 486 ZAMBORY STREET, APT. PERTH AMBOY, NJ 08861
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
9/19/2011 |
|
CACERES, MARIO 328 MARKET STREET CAMDEN, NJ 08102
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/20/1998 |
|
NEW HOPES OF NJ, INC. 328 MARKET STREET CAMDEN, NJ 08102CACERES, MARIO ( CO-OWNER) 328 MARKET STREET CAMDEN, NJ 08102
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/5/2000 |
|
CACI, FRANCIS R. (DDS) 248 SOUTH SUMMIT AVENUE HACKENSACK, NJ 07601
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
12/8/1997 |
DECEASED |
CACOILO, MARIA (OFF. MGR.) 1150 AMBOY AVENUE EDISON, NJ 08837
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
4/29/2003 |
|
CAI, PING (DMD) 22 SAGE STREET HOLMDEL, NJ 07733
NPI-1275667362 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
9/10/2012 |
9/15/2017 |
CALABRESE, ANGELO (MD) FCI-SCHUYLKILL, PO BOX 759 MINERSVILLE, PA 17954
NPI-1891722237 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/22/2016 |
|
CALABRESE, ANTHONY (RN) 105 JOAN COURT JACKSON, NJ 08527
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/22/2020 |
|
CALDERON, TANISHA (CHHA) 108 N. 16TH EAST ORANGE, NJ
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
3/20/2002 |
|
CALLAHAN, VICTORIA (PHARM TECH) 130 FROST AVENUE PHILLIPSBURG, NJ 08865
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/21/2017 |
Permanent |
CALVELO, ARSENIO C. (RN) 13515 SCENIC GLADE DR. HOUSTON , TX 77059
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/19/2003 |
|
Calvin's Floor Service,aka Calvin's Carpet Service 126 Winding Ridge Road Dover, DE 19904Calvin Hudson, Owner 126 Winding Ridge Road Dover, DE 19904
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
6/12/2013 |
06/11/2016 |
CAMACHO, OLGA (CHHA) 176 KNAPP AVENUE CLIFTON, NJ 07011
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/17/2018 |
|
CAMP, SUZANNE (RN) P.O. BOX 423 PORT ELIZABETH, NJ 08348
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/21/2010 |
|
CAMPANELLA, ANDRE, V. PRESIDENT 948 SINCLAIR AVE STATEN ISLAND, NY 10309
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
2/7/2013 |
2/6/2016 |
CAMPANELLA,-KAPLAN, DONNA (LPN) 1355 W. POINT AVENUE MAYS LANDING, NJ 08330
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/10/2018 |
|
CAMPBELL JR., HIGHLAND (MD) 1009 MEADOWVIEW LANE MONT CLARE, PA 19453
NPI-1043270143 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
12/18/2020 |
CAMPIONE JR., FRANK (PA) 431 STONEY POINT ROAD BRICK, NJ 08733
NPI-1598856924 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/16/2016 |
2/19/2020 |
CANALES JR., DELOVI 11 ALBERT STREET TOMS RIVER, NJ 08953
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
4/30/2010 |
4/30/2013 |
CANARES, ALEXANDER (RN) 60 RBOOKSIDE AVENUE, APT. 2-B SOMERVILLE, NJ 08876
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/20/2018 |
|
CANE, LAMONT (NURSES AIDE) P.O. BOX 90431 CAMDEN, NJ 08012
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
8/18/1997 |
|
CANNON, JEROME 4221 NORTH 6TH STREET PHILADELPHIA, PA 19140
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/29/2015 |
|
CANTAVE, MARIE (CHHA) 1217 OCEAN AVENUE, APT. C-12 BRADLEY BEACH, NJ 07720
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/18/2017 |
|
CANTERMEN, LYNN (RN) 518 N. HILDEBRAND AVENUE GLENDORA, NJ 08029
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/2/2018 |
|
CAPACIO, RICHARD (DC) 99 ANNAPOLIS DRIVE SICKLERVILLE, NJ 08081
NPI-1245230929 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
12/20/2006 |
|
CAPILLI, MICHAEL A. (DC) 427 HOYT STREET LONG BRANCH, NJ 07740
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/9/2001 |
|
CAPITANO, PETER (RPH) SCHUYLKILL FCI, PO BOX 759 MINERSVILLE, PA 17954
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
CAPO, LASARAH (CHHA) 50-52 ROSA PARK BOULEVARD, APT. 5 PATERSON, NJ 07501
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/31/2017 |
|
CAPOBIANCO, LEO J. (DO) 7 CASTLE COURT RANDOLPH, NJ 07860
NPI-1063483097 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
9/5/2002 |
6/8/2018 |
CAPPIELLO, RAFAEL (MD) 2704 BRIENZA WAY LAS VEGAS, NV 89117
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
8/19/1999 |
Permanent |
CAPRIOLA, EDWARD (MD) 313 S. FRANK ROGERS HARRISON, NJ 07029
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
12/20/2006 |
DECEASED |
CARABALLO, CARLA (CHHA) 742 EAST SEVENTH STREET PLAINFIELD, NJ 07062
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/13/2017 |
Permanent |
CARAGINE JR., PAUL J. (MD) 1 SAWMILL ROAD KINNELON, NJ 07504
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/18/2001 |
Permanent |
CARCHIA, ETTORE (DC) 994 SANDY CIRCLE MANAHAWKIN, NJ 08050
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
2/20/2006 |
|
CARDENAS, PRESENTACION E. (RN/LPN) 274 BATH AVE., #22 LONG BRANCH, NJ 07740
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/20/2001 |
|
CARDILLO, JOHN 162 GARFIELD STREET BERKELEY HEIGHT, NJ 07922
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
5/20/2006 |
|
CARDILLO, JOHN 162 GARFIELD STEET BERKELEY HEIGHT, NJ 07922
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/4/2005 |
|
CARDILLO, RICHARD C. (MD) 2893 BIRCH ROAD SUAMICO, WI 54173
NPI-1477520807 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
3/27/2002 |
8/30/2023 |
CARDINAL, PETER (MD) 520 WALNUT STREET, APT. 3 LEMOYNE, PA 17043
NPI-1104985142 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
CARDOSO SR., LUCIO (MD) FCI FORT DIX FORT DIX, NJ 08640
NPI-1639119019 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
2/3/2014 |
|
CARDOSO SR., LUCIO (MD) 253 LAFAYETTE STREET NEWARK, NJ 07105
NPI-1639119019 |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
2/22/2012 |
|
CAREY JR., CHARLES B. 218 BRIANT PARK DRIVE SPRINGFIELD, NJ 07081
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/20/2015 |
|
CARIDAD, MICHELLE (CHHA) 10 BROOKSIDE COURT TOMS RIVER, NJ 08753
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
CARIDEO, IDA (MD) 7 MALKE DRIVE WAYSIDE, NJ 07712
NPI-1578842977 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/7/1999 |
8/1/2012 |
CARINO, JOVY 37 JAMES STREET BLOOMFIELD, NJ 07003
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/29/2009 |
|
CARLSON, LILLIAN MAE (RN) 275 HIGH STREET APT. Q334 GLASSBORO, NJ 08028
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/18/2009 |
|
CARLUCCI JR., WILLIAM A (RPH) FCI FORT DIX FORT DIX, NJ 08640
NPI-1902120363 |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
9/25/2014 |
|
CARLUCCI, ROBERT A. (RPH) PO BOX 759 MINERSVILLE, PA 17954
NPI-1639493091 |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
9/25/2014 |
Permanent |
CARMENATY, ANTHONY (LPN) 28 SUMMER STREET PASSAIC, NJ 07055
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/25/2019 |
|
CARMONA, ALICE Y. 78 DAWN STREET VINELAND, NJ 08302
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
10/23/2000 |
Permanent |
CARR, JOEL R. (DO) 8 JASMINE ROAD LUMBERTON, NJ 08048
NPI-1275586489 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
3/2/2011 |
|
CARR, PATRICIA P.O. BOX 91 BROWNS MILLS, NJ 08015
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/19/2001 |
|
CARRION, NANCY (CHHA) 76 ZABRISKIE STREET JERSEY CITY, NJ 07307
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
3/5/2018 |
|
CARRION, SARAH (CHHA) 1086 KENYON AVENUE PLAINFIELD, NJ 07060
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
8/9/2018 |
|
CARROLL, KIMBERLY J. (LPN) 18 LEE AVENUE HADDOMFIELD, NJ 08033
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/18/2011 |
|
CARSON, YOLANDA (CHHA) 65 DALES AVENUE, APT. 1137 JERSEY CITY, NJ 07306
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/31/2017 |
|
CARTER, DARRICKA C. (DPM) 2505 ST. REGIS DRIVE RICHMOND, VA 23236
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/20/2010 |
|
CARUSO, EDMUND M. (DMD) 2275 KENNEDY BLVD. JERSEY CITY, NJ 07304
NPI-1811132442 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/10/1994 |
Permanent |
CASAS, JOSE (MD) 215 PASSAIC AVENUE PASSAIC, NJ 07055
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
5/24/1999 |
Permanent |
CASAVINA, PHILIP 244 KNOX AVENUE CLIFFSIDE PARK, NJ 07650
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
|
Permanent |
CASCIO, DANIEL (RN) 17 SEGUR STREET DOVER, NJ 07801
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/20/2002 |
|
CASSELL, BINDU 830 CALLOWHILL ROAD PERKASIE, PA 18944
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
12/14/2022 |
|
CASSELL, DANIEL 830 CALLOWHILL ROAD PERKASIE, PA 18944
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
12/14/2022 |
|
CASTANEDA, JOSE (APN) 194 E. 7TH STREET CLIFTON, NJ 07011
NPI-1699840264 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
1/26/2015 |
2/16/2022 |
CASTANEDA, JOSE (APN) 1925 PACIFIC AVENUE ATLANTIC CITY, NJ 08401
NPI-1699840264 |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
2/22/2012 |
2/16/2022 |
CASTANON, ROBERTO 555 GEO DRIVE PHILLIPSBURG, PA 16866
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
9/16/2011 |
|
PASSAIC FAMILY MEDICAL 540 BROADWAY PASSAIC, NJ 07055CASTELLANO, DOLORES (OWNER) 4300 SW 57TH STREET MIAMI, FL 33155
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/17/2004 |
Permanent |
CASTILLO, AL JEHDD (CHHA) 170 32ND STREET WEST BAYONNE, NJ 07002
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/28/2018 |
|
CASTILLO, HECTOR L. (MD) 1000 MADISON AVENUE PATERSON, NJ 07501
NPI-1528198124 |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
2/19/2012 |
|
CASTILLO, STEVEN A. (DDS) P.O. BOX 16421 JERSEY CITY, NJ 07306
NPI-1134342017 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/5/1997 |
Permanent |
CASTRO, FRANKLIN CHACHO (RN) 41 MIDDLE AVENUE SUMMIT, NJ 07901
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/20/2023 |
|
CATANIA, RAYMOND (DO) 5 BRIARWOOD DRIVE EAST WARREN, NJ 07059
NPI-1023094711 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/16/2021 |
|
CATANZARO, DANIEL (DC) 28 ETOWAH RIDGE DRIVE, SW CARTERSVILLE, GA 30120
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
12/20/2005 |
|
CATANZARO, VINCENT F. (MD) 560 MAIN STREET ALLENHURST, NJ 07711
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
DECEASED |
CATHERS, THOMAS (LPN) 707 BURLINGTON AVENUE DELANCO, NJ 08075
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/6/2019 |
|
CAVALLARO, KEVIN (RN) 630 SALEM AVENUE FRANKLINVILLE, NJ 08322
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/11/2019 |
Permanent |
CAVALLI, DEAN 762 BROADWAY CAMDEN, NJ 08103
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
|
Permanent |
CAVE, SANDY 109 BOBWHITE ROAD ROYAL PALM BEACH, FL 33411
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
5/20/2012 |
|
CECE, ANGELO (DMD) 566 NYE AVENUE IRVINGTON, NJ 07111
NPI-1033396593 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/19/1996 |
Permanent |
CEDENO, HUMBERTO (RPH) 601 ELIZABETH AVENUE ELIZABETH, NJ 07206
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
5/3/1984 |
Permanent |
CENTENO, JOSEPH (LPN) 9 SURBURBIA COURT JERSEY CITY, NJ 07305
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/5/2017 |
Permanent |
CENTRELLI, MARC (DC) 176 ALPINE TRAIL SPARTA, NJ 07871
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
7/21/2008 |
|
CERELLI NICK (MEMBER) 1640 NIXON DR., STE. 285 MOORESTOWN, NJ
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
2/6/2013 |
2/5/2016 |
Demanual Drywall Services, Inc. 64 Grandview Ave North Plainfield, NJ 07060Cesar Garcia, Owner 64 Grandview Ave North Plainfield, NJ 07060
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
5/1/2014 |
04/30/2017 |
CHA, DONG S. (MD) 608 S. BROAD STREET WOODBURY, NJ 08096
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/1/1998 |
Permanent |
CHACK, JOEL (DO) 5 GWEN COURT CHERRY HILL, NJ 08003
NPI-1093739096 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/13/2011 |
1/6/2012 |
CHACKER, JASON (PA) 1030 DOMINO LANE WARMINSTER, PA 18974
NPI-1609058916 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/10/2020 |
|
CHAI, CHRISTINA (RPH) 2561 LEIGHTON STREET FORT LEE, NJ 07024
NPI-1689997835 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/24/2016 |
|
CHAIKEN, BARBARA (LCSW) 419 OTISCO DRIVE WESTFIELD, NJ 07090
NPI-1871768465 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
Permanent |
RADIATION ONCOLOGY GROUP 100 FORD ROAD DENVILLE, NJ 07107CHAM, WILLIAM C. (MD) 11 HICKORY DRIVE CHESTER TWP, NJ 07930
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/29/1997 |
|
CHAMBERS, CAROL (CHHA) 1022 STUYVESANT AVENUE IRVINGTON, NJ 07111
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
1/20/2004 |
|
CHAMPAGNE, CIARA C. (RN) 3106 TREMLEY POINT ROAD LINDEN , NJ 07036
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
2/8/2024 |
|
CHAMPION, MARY M. (RN) 91 SOUTH MT AIRY AVE EGG HARBOR TOWNSHIP, NJ 08234
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/3/2022 |
|
CHAMPION, MARY MARGARET (RN/CHHA) 91 MOUNT AIRY AVE., SOUTH EGG HARBOR, NJ 08234
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/20/2005 |
6/11/2013 |
CHANDLER, BRYAN K. 10 ELLINGTON STREET #1 EAST ORANGE, NJ 07017
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
8/28/2008 |
|
CHANDLER, CHARLES 219 N. WALNUT STREET, FL. 1 EAST ORANGE, NJ 07017
NPI-1417996901 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/4/2009 |
|
Chaney, James 610 County Meadows Road Nicholls, GA 31553
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
8/11/2015 |
8/10/2018 |
CHANSKY, CHRISTINE (MD) 820 NORTH AVENUE WESTFIELD, NJ 07090
NPI-1508125600 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/20/2018 |
|
CHAPLAN, ABRAHAM (MD) 384 NORTH WOODLAND ST. ENGLEWOOD, NJ 07631
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
Permanent |
All Jersey Fence Co. 266 Columbus Ave Hasbrouck Heights, NJ 07604Charles Viola, President 10 Route 46 West Clifton, NJ 07011
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
9/15/2016 |
9/14/2019 |
CHARLES, ERIC 396 CHERRY LANE MENDHAM, NJ 07945
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
4/22/2014 |
4/21/2017 |
CHARLES, ESTHER (CHHA) 380 UNION AVENUE IRVINGTON, NJ 07111
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/6/2018 |
|
CHATMON, ALTON (RPH) RR8, BOX 370 BRIDGETON, NJ 08302
NPI-1790091742 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
3/3/2017 |
|
CHAUDHRY, YASMIN (OWNER) 333 NORTH BROAD STREET ELIZABETH, NJ 07028
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
7/21/1997 |
|
CHEESE, EPHONIA (CHHA) 18 PATRIOT LANE WILLINGBORO, NJ 08046
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/16/2018 |
|
CHEN, BONNIE (MD) 243 HORSENECK ROAD FAIRFIELD, NJ 07004
NPI-1750373486 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/12/2018 |
Permanent |
CHEN, KENNETH (MD) 244 BROADWAY NEWARK, NJ 07104
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/7/1999 |
|
CHEN, TAN (MD) 12 LORRAINE DRIVE PINE BROOK, NJ 07058
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/5/1999 |
Permanent |
CHERVIN, ARON 36 LAKE DRIVE NORTH BRUNSWICK, NJ 08902
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/11/2016 |
|
Cheryl Apgar, Vice-President
,
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
2/11/2016 |
2/10/2019 |
CHESS, JEFFREY S. (MD) 1570 OLD CEDAR SWAMP ROAD GLEN HEAD, NY 11545
NPI-1073511929 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/26/2023 |
Permanent |
CHESTON, EBONY (CHHA) 33 NEWELL AVENUE TRENTON, NJ 08618
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/6/2018 |
|
CHHADEH, AHED 401 NEW BRUNSWICK AVENUE, APT. 221 EAST BRUNSWICK, NJ 08816
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/21/2016 |
|
CHIAPETTA, THERESA 8 STEINHARDT AVENUE OLD BRIDGE, NJ 08857
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
9/15/2008 |
|
CHIAPETTA, THERESA 8 STEINHARDT AVENUE OLD BRIDGE, NJ 08857
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
11/12/2009 |
|
CHICCO, LUKE #65503-050 FCI FAIRTON, PO BOX 420 FAIRTON, NJ 08320
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/5/2019 |
|
CHIKOWSKI, JOHN (RN) 121 WEST 29TH STREET, 2ND FLOOR BAYONNE, NJ 07002
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/24/2018 |
4/9/2019 |
CHILLEMI, SALVATORE 29 BERKSHIRE DRIVE SEWELL, NJ 08080
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/10/2011 |
|
CHIRUMAMILLA, RAMABU (RPH) 212 E PITTSBURGH AVENUE WILDWOOD CREST, NJ 08260
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
3/11/1985 |
Permanent |
CHIZHOV, ELLA 200 WINSTON DRIVE #C1104 CLIFFSIDE PARK, NJ 07010
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
7/21/2008 |
|
CHIZHOV, SERGEY 200 WINSTON DRIVE CLIFFSIDE PARK, NJ 07010
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
9/20/2007 |
|
CHLOROS, STACY (LPN) 323 GILL LANE ISELIN, NJ 08830
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/18/2006 |
|
CHOI, JEHEE (RN) 31 PINE RIDGE LANE MANSFIELD CENTER, CT 06250
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/27/2018 |
|
CHOI, STANLEY S. aka CHOI, STAN S. (MD) 12 ANTHONY AVENUE EDISON, NJ 08820
NPI-1053337253 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/5/2023 |
Permanent |
CHRISTENSEN, CYNTHIA (RN) 20 SKYLINE DRIVE HAZLET, NJ 07730
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/18/2001 |
|
Christine Charles, Vice-President 396 Cherry Ln Mendham, NJ 07945
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
4/22/2014 |
04/21/2017 |
CHRISTJOHN, COLLEEN M. (LPN) 144 CORSON TAVERN ROAD SOUTH SEAVILLE, NJ 08246
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/11/2007 |
Permanent |
CHRISTMAS, ARTHUR 66 NORTH 11TH STREET NEWARK, NJ 07107
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
6/16/2006 |
Permanent |
IBS, Inc. 1929 Darby Rd Havertown, PA 19083Christopher Rymal, Owner 1929 Darby Rd Havertown, PA 19083
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
5/16/2014 |
05/15/2017 |
CHRISTPHONTE, CAIRY (CHHA) 1976 OSTWOOD TERRACE UNION, NJ 07083
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/9/2019 |
Permanent |
CHU, ALICE (MD) 1512 PALISADE AVENUE, APT. 6P FORT LEE, NJ 07024
NPI-1356505127/1962513366 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/24/2019 |
|
CHUDRY, RAZA RD #5 FEDERAL PRISON LEWISBURG, PA 17837
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/19/2002 |
|
CHUGH, JAGDISH (MD) 1 CORINE COURT LONG VALLEY, NJ 07853
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/2/2019 |
|
CHUKWUANI, ROSETTA (CHHA) 3 LISZKA LANE SAYREVILLE, NJ 08872
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
2/28/2009 |
|
CHULAK, GENADY (PRESIDENT) 242 COMMUNIT CIRCLE OLD BRIDGE, NJ 08857
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
4/15/1996 |
Permanent |
CHUN, KYE (DO) 53 MEADOWBROOK ROAD SHORT HILLS, NJ 07078
NPI-1356371819 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/31/2022 |
|
CHUNMUANG, PRASERT (MD) 401 DEVONSHIRE PL FRANKLIN LAKES, NJ 07417
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
6/14/1993 |
Permanent |
CHUPREVICH, EILEEN, D. (RN) 8 STANTON PLACE BUTLER, NJ 07405
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
1/20/2003 |
|
CIALLELLA, GINA AKA GARCEN, GINA (DC) 57 GREEN STREET WOODBRIDGE, NJ 07095
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
3/24/2000 |
Permanent |
CICCONE, GREGORY 5 WATERS EDGE DR. LITTLE EGG HARB, NJ 08087
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/15/2005 |
|
CICERO, BARBARA (RN) 91 LINCOLN AVENUE SOMERVILLE, NJ 08876
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/20/2001 |
|
CICERO, RALPH (DDS) 245 BALDWIN STREET SUCCASUNNA, NJ 07876
NPI-1740449305 |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
3/6/2014 |
|
CICERON, ANDRE (MD) 621 BANNING AVENUE NORTHFIELD, NJ 08225
NPI-1265526586 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2019 |
Permanent |
CLACKLEY, MACK O. (LPN) PO BOX 150 DELMONT, NJ 08314
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/20/2001 |
|
CLAPPER, STEPHANIE (LPN) 169 NAUTILUS MANAHAWKIN, NJ 08050
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
2/26/2010 |
|
CLARK, JAMES 380 MOUNTAIN ROAD #12 UNION CITY, NJ 07087
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/27/2007 |
|
CLARK, ALLAN (MD) 1200 VILLAGE DRIVE, APT 2413 PITTSBURGH, PA 15241
NPI-1033260120 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/15/2021 |
|
CLARK, ANDREW 1627 WYKOFF ROAD WALL, NJ 07727
NPI- |
Vendor Criminal Offense |
Debarment Law and Public Safety Criminal Justice |
11/13/2020 |
11/13/2025 |
CLARK, ANDREW 624 RANKIN ROAD BRIELLE, NJ 08730
NPI- |
Vendor Criminal Offense |
Debarment Law and Public Safety Criminal Justice |
11/13/2020 |
11/13/2025 |
CLARK, INDIA (CHHA) 55 SECOND AVENUE TOMS RIVER, NJ 08757
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/14/2017 |
5/6/2021 |
CLARK, JOVONNE (CHHA) 1605 SEWALL AVENUE ASBURY PARK, NJ 07712
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/22/2017 |
|
CLARK, KEVIN 537 TRINITY PLACE WESTFIELD, NJ 07090
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
10/5/2009 |
|
CLARK, NORMAN L. (MD) 5 TARA DRIVE PARSIPPANY, NJ 07054
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
3/2/1999 |
|
CLARK, RAYONNE 844 CENTRE STREET TRENTON, NJ 08611
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/13/2003 |
|
CLARK, RAYONNE 844 CENTRE STREET TRENTON, NJ 08611
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
7/20/2003 |
|
CLARK. NYKEBA (CHHA) 807 N. INDIANA AVENUE ATLANTIC CITY, NJ 08401
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
1/24/2018 |
|
CLARKE, KIRK (CHHA) 218 YOUNGS ROAD TRENTON, NJ 08619
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/30/2019 |
Permanent |
CLARKE, MICHELLE (CHHA) 75 NORTH WALNUT STREET, APT. 6C EAST ORANGE, NJ 07017
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/30/2017 |
Permanent |
CLAVIJO, LAURA 908 CLARK CIRCLE FLEMINGTON, NJ 08822
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/28/2017 |
|
CLAYTON, ROBERT (RN) 14 WALNUT DRIVE BURLINGTON, NJ 08016
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/16/2022 |
|
CLEMENTE, JOHN (MD) 20 PILGRIM WAY COLTS NECK, NJ 07722
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
11/29/2015 |
|
CLEMENTE, JOHN (MD) 20 PILGRIM WAY COLTS NECK, NJ 07722
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/20/2015 |
|
CLEMMENTS, RALPH W. (MD) 7304 CENROSE CIRCLE WESTWOOD, NJ 07675
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
9/12/2008 |
|
COACHI, DANIEL P. (MD) 209 STENTON AVENUE BLUE BELL, PA 19422
NPI-1245222991 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/25/2021 |
|
COBB, ROY (MD) 504 SUMMIT AVENUE MAPLEWOOD, NJ 07040
NPI-1548350556 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/5/2017 |
Permanent |
COBB, WILLIAM A. (MD) 2 WEST RIVER STYX ROAD HOPATCONG, NJ 07843
NPI-1679666903 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
3/16/2011 |
Permanent |
COCCO, KRISTEN 44 SYRACUSE DRIVE CHERRY HILL, NJ 08056
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/5/2017 |
|
CODDINGTON, DE'LYNNE (CHHA) 904 MAIN STREET BRADLEY BEACH, NJ 07720
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/8/2017 |
|
COHEN, BARRY E. 6326 NW 80TH TERRACE POMPANO BEACH, FL 33067
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
3/20/2006 |
|
COHEN, JUDAH L. (MD) 1000 GALLOPING HILL RD. UNION, NJ 07083
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/24/1998 |
Permanent |
COHEN, MITCHELL (MD) 144 WHITE CAP LANE NEWPORT COAST, CA 92657
NPI-1114972874 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2020 |
|
COHEN, ROBERT G. (RN/APN) 51 KRISTEN COURT MATAWAN, NJ 07747
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
3/24/2003 |
|
COHEN, WENDY E. (MD) 151 N. DEAN STREET ENGLEWOOD, NJ 07631
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/10/2012 |
DECEASED |
COLADONATO, JOSEPH P. (MD) 9760 EVERGREEN AVENUE SEAFORD, DE 19973
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
2/3/2006 |
|
COLBERT, DONNA (CHHA) 183 ROUTE 35 WALL TOWNSHIP , NJ 07719
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/14/2017 |
Permanent |
COLEMAN, BARBARA (CHHA) 81 LINCOLN PARK, APT. 5B NEWARK, NJ 07102
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/31/2017 |
|
COLEMAN, BETH (RN) 12 NORTH ELMIRA STREET ATHENS, PA 18810
NPI-1598919466 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/12/2016 |
|
COLETTI, ROGER (MD) 324 CAPTAINS CL LEWES, DE 19958
NPI-1770508053 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/5/2018 |
Permanent |
COLEY, CHERYL (CHHA) 17 NORTH 3RD STREET PATERSON, NJ 07522
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/22/2018 |
|
COLLIER, BERT D. (MD) 4933E N. WINDWOOD AVENUE MILWAUKEE, WI 53217
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
5/29/2001 |
9/20/2013 |
COLLIER, KENYA (CHHA) 708 THIRD AVENUE, APT. 13-B ASBURY PARK, NJ 07712
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/31/2017 |
|
COLLIER, KISHA (CHHA) 54 FEDERAL COURT GALLOWAY, NJ 08205
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/2/2017 |
5/31/2022 |
COLLIER, SARA (MD) 2825 NW 155TH STREET EDMOND, OK 73013
NPI-1750556924 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/15/2023 |
|
COLLINS, JEAN (RN) 218 COPELAND AVENUE LYNDHURST, NJ 07071
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/24/2018 |
|
COLON, KAREN L. (LPN) 1020 MCGUIRE DRIVE TOMS RIVER, NJ 08753
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/20/2005 |
|
COLON-TORRES, FRANCIS M. 437 STUYVESANT AVENUE IRVINGTON, NJ 07111
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
11/7/2008 |
|
COMESANAS, MARIO (MD) COLUMBIA TPK. FLORHAM PARK, NJ 07932
NPI-1508922659 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
8/10/2007 |
Permanent |
COMPAS, JEAN CLAUDE (MD) 255 EASTERN PARKWAY BROOKLYN, NY 11238
NPI-1720178148 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/20/2015 |
|
COMRIE, SHIRLEY M. (CHHA) 7 DUFFELD DRIVE TRENTON, NJ 08628
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
7/18/2002 |
|
CONARD, MICHELLE (LPN) 16 ELDRIDGE AVENUE TRENTON, NJ 08648
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/20/2009 |
|
CONDON, MARJORIE (DO) 327 FRANKLIN AVENUE RIDGEWOOD, NJ 07450
NPI-1528098068 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
11/2/2019 |
|
CONNER, BYRON (MD) 15418 CRUISER STREET, UNIT A CORPUS CHRISTI, TX 78418
NPI-1669412243 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2018 |
|
CONNERS, LAURA (LPN) 11 FENWAY ROAD HAMILTON, NJ 08620
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
3/20/2002 |
|
CONOVER, WILLIAM S. (LPN) 225 RUTLAND AVE. MT. HOLLY, NJ 08060
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/20/2004 |
|
CONTE, SALVATORE (MD) NEW YORK RRM, PO BOX 329014 BROOKLYN, NY 11232
NPI-1174688493 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/3/2019 |
|
CONTEH, AMARA S. (MD) 3 OLD TAPPAN ROAD OLD TAPPAN, NJ 07675
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/20/2007 |
|
CONTI, VINCENT (MFT) 180 PROSPECT AVENUE MORRIS PLAINS, NJ 07950
NPI-1023189644 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/23/2016 |
|
CONTRERAS, MICHAEL 77 LITTLETON RD MORRIS PLAINS, NJ 07950
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
4/12/2013 |
4/11/2016 |
COPLIN, BRUCE (MD) 7 HOSPITAL DRIVE TOMS RIVER, NJ 08755
NPI-1699755868 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
9/6/2021 |
|
COPLIN, GEORGE J. (MD) 528 EAST JERSEY ST ELIZABETH, NJ 07206
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
DECEASED |
COPPOLA, KELLY AKA FURLONG, KELLY (PHARM TECH) 52 CORNELL DRIVE HAZLET, NJ 07730
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/23/2016 |
|
CORIANO, ALFRED 31 POPLAR STREET, APT 1 JERSEY CITY, NJ 07307
NPI- |
Vendor Other |
Debarment Law and Public Safety 1020 |
|
Permanent |
CORNELY, MICHAEL P. (DC) 6650 BROWINING ROAD MERCHANTVILLE, NJ 08109
NPI-1326199803 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/1/1998 |
Permanent |
CORREA-HUNTER, LOUISA (DDS) 372 FOREST AVENUE PARAMUS, NJ 07652
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/22/2010 |
|
CORSON KENNETH E. (MD) 5 SOUTH MYRTLE ST VINELAND, NJ 08360
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
DECEASED |
Permanent |
CORTEZ, JESSICA (CHHA) 114 EDWARDS AVENUE LANDISVILLE, NJ 08326
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/6/2017 |
|
COSTA, LAWRENCE J. 441 PENN AVE. FORKED RIVER, NJ 08731
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
|
Permanent |
COSTA, PAULA, PRESIDENT 33 E. KUPSCH STREET SAYREVILLE, NJ 07032
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
1/19/2012 |
1/18/2015 |
COSTA, RICHARD (DO) 16 BRIDLE COURT CHERRY HILL, NJ 08003
NPI-1982693511 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/20/2023 |
|
COSTIGAN, KEVIN (LCSW) 132 FRANKLIN AVE, APT. 2 LONG BRANCH, NJ 07740
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
3/21/2000 |
|
COSTINO JR., JOHN (DO) 404 SURF AVENUE WILDWOOD, NJ 08260
NPI-1811978414 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/18/2011 |
|
COTTRELL, LISA L. (CHHA) 290 ROUTE 9 NORTH APT C5 WARETOWN, NJ 08758
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/30/2010 |
|
COUCH, SUSAN (CHHA) 10 PLACID LANE WILLINGBORO, NJ 08046
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
COUGHLIN, CATHERINE K. (RN) PO BOX 22 LIMESTONE, PA 16234
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/18/2009 |
|
COULTON, DIANE (LPN) 272 BIRCH DRIVE LEVITTOWN, PA 19054
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/13/2018 |
|
COVERDALE, JULIE ANN (RN) 909 CINNAMINSON AVE. PALMYRA, NJ 08065
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
4/20/2003 |
|
COVILLE, FREDERICK A. (MD) 230 N. MAPLE AVENUE MARLTON, NJ 08050
NPI-1679728307 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
4/17/1997 |
8/16/2012 |
COVILLE, FREDERICK A. (MD) 51-37 HAVEN AVENUE OCEAN CITY, NJ 08226
NPI-1679728307 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/26/1998 |
8/16/2012 |
COVONE, DOMINICK (DME OWN) FORT DIX F.C.I. BOX 38 FORT DIX, NJ 08640
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/18/2001 |
Permanent |
COWAN JR., JAMES (MD) 572 WEST SADDLE RIVER ROAD RIDGEWOOD, NJ 07450
NPI-1063527026 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/20/2016 |
Permanent |
COWAN JR., JAMES (MD) 28 W. 3RD STREET, APT. 1347 SOUTH ORANGE, NJ 07079
NPI-1063527026 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/6/2017 |
Permanent |
COWAN, MARYANNE (LCSW) 572 WEST SADDLE RIVER ROAD RIDGEWOOD, NJ 07450
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/21/2016 |
DECEASED |
COWINS, KIMBLINS (CHHA) 75 SHADY LANE HAMBURG, NJ 07419
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/20/2019 |
Permanent |
COWINS, KIMBLINS (LPN) 75 SHADY LANE HAMBURG, NJ 07419
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/20/2019 |
|
CRAIN, GREGORY 60 HAWKINS ROAD TABERNACLE, NJ 08088
NPI- |
Vendor Criminal Offense |
Suspension Treasury Treasury Purchase Bureau |
8/27/2001 |
|
CRAPANZANO SR., PETER (DDS) 46 VILLAGE COURT HAZLET, NJ 07730
NPI-1861566960 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
4/26/2011 |
|
CRAWFORD, KENNETH (CNA) B-8 ABBINGTON DRIVE PHILLIPSBURG, NJ 08865
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/6/2006 |
|
CRAWFORD, KENNETH (CNA) 199A FIDDLER ELBOW ROAD PHILLIPSBURG, NJ 08865
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/20/2006 |
|
CRAY, JASON E. (COTT. AID) WARREN COUNTY JAIL BELVIDERE, NJ 07823
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
8/21/2000 |
Permanent |
CRESTA, NICOLE AKA RIVERA, NICOLE (RN) 2009 KICKAPOO TERRACE VINELAND, NJ 08361
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/28/2017 |
|
CREWS, VERN (DIRECTOR) 844 N. MAIN STREET AKRON, OH 44310
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
4/5/2013 |
4/4/2016 |
CRIDER, STEVEN 507 PRESSLER STREET AUSTIN, TX 78703
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
5/11/2014 |
5/10/2017 |
CRISCITO, MARIO (MD) 32 CHELSEA DRIVE LIVINGSTON, NJ 07039
NPI-1063411957 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/1/2017 |
Permanent |
CRISSIEN, CINDY 78 FORNELIOUS AVENUE CLIFTON, NJ 07013
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
1/18/2007 |
|
CRITCHFIELD, CYNTHIA AKA SULLIVAN, CYNTHIA (RPH) PIN OAK COURT SHAMONG, NJ 08088
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
4/20/2008 |
6/15/2017 |
CROCKER JR., KENNETH W. 15 VIOLA AVENUE LEONARDO, NJ 07737
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
7/17/2009 |
7/17/2014 |
CROMARTIE, CHERISE (CHHA) 25 RONALD ROAD LAKEWOOD, NJ 08701
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
7/19/2018 |
|
CRON, EVA (RN) 31 CHERRY STREET WARWICK, NY 10990
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/27/2007 |
|
CROUSE, FARRELL R. (MD) 101 NORTH MAIN STREET WOODSTOWN, NJ 08098
NPI-1386795292 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
3/18/2015 |
|
CROWDER, CLAXTON L. (MD) 115 ASHBY COURT MOUNT LAUREL, NJ 08054
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/13/2006 |
|
CROWLEY, TERRI (RN) 5 THOREAU ROAD HAMILTON SQUARE, NJ 08690
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
11/13/2017 |
|
CRUCIANI, RICARDO (MD) 77 HUDSON STREET, APT. 4401 JERSEY CITY, NJ 07302
NPI-1881615268 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
4/16/2018 |
Permanent |
CRUZ III, ORLANDO (LPN) 10 ORCHID STREET APT 19 PASSAIC, NJ 07055
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/11/2022 |
|
CRUZ, ANGELICA (CHHA) 2566 SOUTH 8TH STREET CAMDEN, NJ 08104
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/14/2017 |
|
CRUZ, DELIA (CHHA) 3 RAY PLACE FAIRFIELD, NJ 07004
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
3/5/2018 |
|
CRUZ, EDNA (CHHA) PO BOX 535 VINELAND, NJ 08362
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/31/2017 |
|
CRUZ, JAHAIRA (CHHA) 559 BAILEY STREET CAMDEN, NJ 08102
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/2/2017 |
|
CRUZ, MARIA C. 128-65 MCCARTHY CIRCLE PHILADELPHIA, PA 19154
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
12/5/2003 |
|
CRUZ-SLEDGE, ANICIA 13 Tremont Street Apt 2 IRVINGTON, NJ 07111
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
3/3/2015 |
|
CUETO, PAOLA (CHHA) 619 THIRTY-EIGHTH STREET UNION CITY, NJ 07087
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/20/2017 |
|
CUEVAS, ASHLEY 372-3 VAN HOME STREET JERSEY CITY, NJ 07304
NPI- |
Vendor Other |
Debarment Law and Public Safety 1020 |
|
Permanent |
CUFFE, MAXINE (RN) 33 GREENBROOK DRIVE BLOOMFIELD, NJ 07003
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/3/2017 |
8/22/2019 |
CUI, XIN (CHHA) 119 S. ADELAIDE LANE HIGHLAND PARK, NJ 08904
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/24/2008 |
|
CULLEN, CHARLES (RN) PO BOX 861 TRENTON, NJ 08625
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
1/18/2007 |
|
CULLEN, KENNETH 100 MARSHALL AVENUE TUCKERTON, NJ 08087
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
1/19/2010 |
|
CUNNINGHAM, MICHAEL D. (MD) PO BOX 505 GLEN SPEY, NY 12737
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/19/2002 |
|
CUPO, DAWN (LPN) 129 ADELPHIA ROAD FARMINGDALE, NJ 07727
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/20/2001 |
|
CUPOLO, STACY J. (DENTAL HYGIENTIST) 897 INVERNESS CT. APT. A LAKEWOOD, NJ 08701
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/20/2005 |
|
CURETON, WILLIE T. 61 CHELSEA AVENUE NEWARK, NJ 07106
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/27/2011 |
|
CURETON, WILLIE T. 5 UNAMI LANE SCOTCH PLAINS, NJ 07076
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
2/23/2009 |
Permanent |
CJC Builders Corp. 220 Mount Pleasant Ave. Newark, NJ 07104Curillo Guaman, Owner 197 Broad Street Newark, NJ 07104
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
1/8/2016 |
01/07/2019 |
CURRY, CHARLES M. (MD) 816 BURNT MILLS ROAD OLDWICK, NJ 08858
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/1/1998 |
Permanent |
CUSTIS, KEVIN (MD) 908 MAIN STREET ASBURY PARK, NJ 07712
NPI-1811976970 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/22/2017 |
Permanent |
CUTLER, JAZMERE (LPN) 131 HUNTLEY AVENUE BAYVILLE, NJ 08721
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/17/2019 |
|
CUVIELLO, CHRISTINA (LPN) 1647 WHITTIER AVENUE TOMS RIVER, NJ 08753
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/24/2018 |
|
CZYZYK, LISA M. (RN) 12 VILLAGE COURT APT A TRENTON, NJ 08690
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/13/2013 |
|
DACONTI, JOHN (DO) 13 MEDFORD ROAD MORRIS PLAINS, NJ 07950
NPI-1063460939 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
6/13/2016 |
|
DADAIAN, JON PAUL (MD) 77 W 24TH STREET, APT 21H NEW YORK, NY 10010
NPI-1629081013 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/21/2023 |
|
DAFTARY, REKHA B. (MD) 81 B EAST MAIN STREET MENDHAM, NJ 07943
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/29/2008 |
|
DAHAB, YASIR 5 PARK STREET ROSELAND, NJ 07068
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
12/12/2001 |
Permanent |
DAHHAN, MOHAMED Z. (MD) WINDING WAY WEST PATERSON, NJ 07424
NPI-1417279779 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
11/20/2008 |
4/3/2014 |
DAILY, GALE (CHHA) 14 SUDBERRY LANE WILLINGBORO, NJ 08046
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
7/19/2001 |
|
DALEY, ROBERTA (LPN) 36 HOLLY DRIVE PARLIN, NJ 08859
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/20/2001 |
|
D'ALLEGRO, FRANK (RPH) 32 SUMMIT AVENIE CEDAR GROVE, NJ 07009
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
8/5/1990 |
Permanent |
DALMACY, KESLER 3427 COLONY DRIVE BALDWIN, NY 11510
NPI-1306037940 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/15/2022 |
|
DALTON, ERIN (RN) 14 VICTORIAN WAY WEST DEPTFORD, NJ 08090
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
2/20/2013 |
10/27/2020 |
DALY, JAMES J. (EMT) 504 EAST FRANKLIN AVENUE EDGEWATER PARK, NJ 08010
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
8/7/2013 |
|
DALY, LAUREN (MD) SCI CAMBRIDGE SPRINGS, 451 FULLERTON AVENUE CAMBRIDGE SPRINGS, PA 16403
NPI-1952492233 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/5/1990 |
|
DALY, LAUREN (MD) SCI CAMBRIDGE SPRINGS, 451 FULLERTON AVENUE CAMBRIDGE SPRINGS, PA 16403
NPI-1952492233 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
FIVE BROS. SERV. CO., INC 266 BROADWAY JERSEY CITY, NJ 07306D'AMBROSIO, MICHAEL 266 BROADWAY JERSEY CITY, NJ 07306
NPI- |
Vendor Organized Crime Control Act |
Suspension Treasury Treasury Purchase Bureau |
1/9/1996 |
|
ROBROS RECYCLING CORP.
, D'AMBROSIO, MICHAEL 266 BROADWAY JERSEY CITY, NJ 07306
NPI- |
Vendor Organized Crime Control Act |
Suspension Treasury Treasury Purchase Bureau |
1/9/1996 |
|
D'AMICO, DENNIS (RPH) 91 OTTOWA RD SOUTH MARLBORO, NJ 08817
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
3/11/1985 |
Permanent |
DAMMERS, SEAN 255 SANTIAGO AVE RUTHERFORD, NJ 07070
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
9/2/2012 |
|
Dane DeForest Demolition, Inc. 1508 Beaver Dam Road Point Pleasant, NJ 08742Dane DeForest, President 2406 Herbertsville Road Point Pleasant, NJ 08742
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
2/16/2016 |
02/15/2019 |
DANESHVAR, GERALD (MD) 3425 LONE PINE ROAD WEST BLOOMFIELD, MI 48323
NPI-1548427164 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/20/2018 |
|
DANIEL, ALAN (LCSW) 3 HARRISON PARK LANE BURLINGTON, NJ 08016
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
3/17/2000 |
|
DANIEL, ALAN L. (LCSW) 415 KEIM BOULEVARD BURLINGTON, NJ 08016
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/20/1999 |
|
DANIEL, ALAN L. (LCSW) 202 SPRING GARDEN RD ANCORA, NJ 08037
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/20/2002 |
|
DANIEL, THERESA D. 3 HARRISON PARK LANE BURLINGTON, NJ 08016
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
3/17/2000 |
|
DANIEL-CONOVER, NAHLA (CHHA) 191 RUTLEDGE AVENUE EAST ORANGE, NJ 07017
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
8/1/2017 |
|
DANIELS, BERLYN E. (CHHA) WHITE HORSE AVENUE TRENTON, NJ 08610
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/13/2008 |
|
DANIELS, CLIFTON 37 HUGHES STREET MAPLEWOOD, NJ 07040
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
7/17/2009 |
7/17/2014 |
D'ANTIGNAC, CHARLOTTE 3 CHURCHILL DOWNS W. LONG BRANCH, NJ 07764
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
3/10/2000 |
|
DARA, PARVEZ (MD) 214 COMMONS WAY, BLDNG B TOMS RIVER, NJ 08755
NPI-1215952775 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
10/12/2011 |
|
DARBY, MARK 1245 ADEE AVENUE, APT 4C BRONX, NY 10469
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
11/18/2010 |
|
DARBY, MARK SBI305830E, EJSP RAHWAY, NJ 07065
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
1/1/2010 |
|
D'ASCOLI, BARTHOLOMEW (MD) PO BOX 1869 MONTAGUE, NJ 07827
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
8/18/2000 |
Permanent |
DASS, SUMAN K. (MD) 4 BALDWIN AVENUE JERSEY CITY, NJ 07304
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
10/4/2000 |
Permanent |
DATCHER, ANTHONY SCI DALLAS, FOLLIES RD., DRAWER K DALLAS, PA 18612
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
DATESHIDZE, JANE (RPH) 617 STOKES ROAD, SUITE 4 MEDFORD, NJ 08055
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
6/28/2017 |
|
DATILUS, SHELSIE (CHHA) 533 NORWOOD STREET, FL. 1 EAST ORANGE, NJ 07018
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/22/2017 |
Permanent |
DAVID, GABRIELLA (CHHA) 130 W 49th STREET BAYONNE, NJ 07002
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/31/2023 |
8/16/2023 |
DAVID, RICHARD 819 EDGEWOOD AVENUE TRENTON, NJ 08618
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
9/17/2009 |
2/17/2016 |
DAVID, VANESSA (LPN) 204 N. 17TH STREET BLOOMFIELD, NJ 07003
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/17/2018 |
|
DAVIS, ANTOINETTE 43 VERNON COURT SICKLERVILLE, NJ 08081
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/23/2007 |
|
DAVIS, CHARLES M. (COUNSELOR) 381 BALA AVENUE BALA CYNWYD, PA 19004
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
3/31/2008 |
|
DAVIS, CONITA (CHHA) 2 SUTTON DRIVE, APT. O-1 MATAWAN, NJ 07747
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/7/2017 |
|
DAVIS, COREY 25 JAMES STREET LAKEWOOD, NJ 08701
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
3/12/2006 |
|
DAVIS, DEYSHA 12250 ATLANTIC BOULEVARD JACKSONVILLE, FL 32225
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
DAVIS, ESTELLE (CHHA) 71 HAMILTON STREET EAST ORANGE, NJ 07017
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
5/31/2018 |
|
DAVIS, JAMES DANIEL 145 JUNIPER ST BROWNS MILLS, NJ 08015
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
10/4/1988 |
Permanent |
DAVIS, JAMES S. 41 B TROY DRIVE SPRINGFIELD, NJ 07081
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
9/4/1986 |
9/4/1994 |
DAVIS, JEFFREY (MD) 5 EAST 63RD STREET NEW YORK, NY 10065
NPI-1548258189 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/22/2016 |
|
DAVIS, KARIN B. (RN) 141 EAST BENNETT AVE. WILDWOOD, NJ 08260
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/20/2002 |
4/14/2014 |
DAVIS, LORETTA (CHHA) 120 CENTRAL PLACE, 202-B ORANGE, NJ 07050
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
1/19/2018 |
|
DAVIS, MARK S. (DPM) 5 MONTANA DRIVE COLTS NECK, NJ 07722
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
4/9/2004 |
|
DAVIS, MATHILDA (MD) 230 W JERSEY ST ELIZABETH, NJ 07202
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/13/1985 |
Permanent |
DAVIS, NICOLE (RN) 544 ACKLEY ROAD NEWPORT, NJ 08345
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/4/2018 |
12/20/2023 |
DAVIS, SHANTA (LPN) 114 PLUMTREE LANE WILLINGBORO, NJ 08046
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/11/2019 |
|
DAVIS, SHARAE (CHHA) 116 LANFORD STREET ASBURY PARK, NJ 07712
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/31/2017 |
|
DAVIS-HARVEY, DIANA (RN) 10 CAMINO COURT SICKLERVILLE, NJ 08081
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
9/15/2017 |
8/6/2021 |
DAVIT, SAMUEL (MD) 100 WINSTON DRIVE #B CLIFSIDE PARK, NJ 07010
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
4/20/2003 |
|
DAWLEY, ASHALEY (CHHA) 247 MORSE STREET CAMDEN, NJ 08105
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/19/2018 |
|
DAWOUD, MONIR A. (MD) 7 COLTSFOOT GLEN SADDLE RIVER, NJ 07458
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
11/13/2008 |
|
DAWOUD, MONIR A. (MD) 7 COLTSFOOT GLEN SADDLE RIVER, NJ 07458
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/4/2007 |
|
DAWSON, LATIA (CHHA) 838 4TH AVENUE NEPTUNE, NJ 07753
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/14/2017 |
11/9/2020 |
DE LA ROSA ACOSTA, BIENVENIDA (CHHA) 355 OAK STREET, APT. 8 PASSAIC, NJ 07055
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/31/2017 |
|
DG Construction & Renovations LLC 245 Emanuel St. Trenton, NJ 08610Dean Gallo, Owner 245 Emanuel St. Trenton, NJ 08610
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
4/5/2016 |
4/4/2019 |
DEAN, ARLENE (CHHA) 34 WEST UNION STREET, APT. A BURLINGTON, NJ 08016
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/3/2019 |
|
DEAN, RANDY (MD) 3391 NORTH WEST 99TH AVENUE CORAL SPRINGS, FL 33065
NPI-1083924807 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
DEANGELO, KRYSTAL (RN) 1314 HANCOCK AVENUE VANDERGRIFT, PA 15690
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
DEAQUINO, ANTHONY 11 STONE RIDGE LANE HO-HO-KUS, NJ 07423
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
12/19/2002 |
|
DEBARO, GERRI (RN) 3715 ROYCE COURT HILLSBOROUGH, NJ 08844
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/12/2019 |
|
DEBIASI, RICK (DC) 1 ASHLEY PLACE TOWACO, NJ 07082
NPI-1861415655 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
6/30/2016 |
|
DECASTRO, ANGELA (LPN) 894 GOSHEN ROAD CAPE MAY CRT HSE, NJ 08210
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/29/2016 |
|
DEEMI, SAMUEL 665 MARTIN LUTHER KING BL NEWARK, NJ 07102
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
10/27/2010 |
|
DEFEO, DELORES A. (CNA) RR #6 BOX 280-D PLEASANTVILLE, NJ 08232
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
4/26/1996 |
Permanent |
46419517500 ELITE DEMOLITION, LLC 180 Oliver Street Paterson, NJ 07501DeFilippi, Stephen
,
NPI- |
Construction Wage & Hour Violation |
Debarment Treasury Treasury Property Management and Construction |
7/14/2016 |
7/14/2021 |
DEGILIO, MICHAEL (PSYD) 144 DOGWOOD DRIVE JIM THORPE, PA 18229
NPI-1356329528 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
DEGUZMAN, DAISY (MD) 111 MULBERRY STREET NEWARK, NJ 07102
NPI-1699865097 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2014 |
9/22/2020 |
DEIXLER, GLENN (CHHA) 262 PRIVATEER ROAD MANAHAWKIN, NJ 08050
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/19/2018 |
|
DEJESUS, YAZMIN (CHHA) 654 OHIO AVENUE EWING, NJ 08638
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/19/2019 |
|
DEKU, FAUSTINA (CHHA) 10 MARSHALL STREET IRVINGTON, NJ 07111
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
DEL PIANO, ANTHONY (MD) 24 DRINKING BROOK ROAD MONMOUTH JUNCTION, NJ 08052
NPI-1922032770 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/15/2015 |
4/1/2022 |
DELA GENTE, ROBERT AKA DELAGENTE, ROBERT (MD) 12 HUNTERS RUN OAKLAND, NJ 07436
NPI-1891886230 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/12/2019 |
|
DELA GENTE, ROBERT S. aka ROBERT DELAGENTE (DO) P.O. BOX 2000 JOINT BASE MDL, NJ 08640
NPI-1891886230 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
12/20/2023 |
|
DELACRUZ, AMELITA (CHHA) 62 LEXINGTON AVENUE JERSEY CITY, NJ 07306
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/28/2018 |
|
DELAGENTE, ROBERT AKA DELA GENTE, ROBERT (MD) 12 HUNTERS RUN OAKLAND, NJ 07436
NPI-1891886230 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/12/2019 |
|
DELANCEY, WAYNE K. (PHARM TECH) 1020 HIDEAWAY COURT VINELAND, NJ 08361
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
9/16/2011 |
|
DELAURENTIS, REGINA P (LPN) 102 TENNYSON DRIVE PLAINSBORO, NJ 08536
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
1/20/2023 |
|
DeLEON, NOEL 110 MORGAN PLACE NORTH ARLINGTON, NJ 07031
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
2/13/2023 |
|
DELGADO, NICOLE (RN) 81 WALNUT STREET OAKLAND, NJ 07436
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/29/2018 |
|
DELGADO, YOKATI (CHHA) 175 BRIGHTON AVENUE PERTH AMBOY, NJ 08861
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/31/2017 |
|
DELIA, MICHELLE 545 W. HILL ROAD GLEN GARDNER, NJ 08826
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
4/7/2010 |
|
DELLAPENNA, LINDA (CNA) 52 VAN NESS DRIVE BRICK, NJ 08723
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/13/2003 |
|
DELL'AQUILA, PATRICK 55 BROOKVIEW DRIVE WOODCLIFF LAKE, NJ 07677
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
2/25/2014 |
2/24/2017 |
DELLAQUILLA, PATRICK 55 BROOKVIEW DR. WOODCLIFF LAKE, NJ 07677
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
2/25/2014 |
2/24/2017 |
DELLBENI, FRANK (LPN) P.O. BOX 89 MARTINS CREEK, PA 18063
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/4/2021 |
Permanent |
DELOACH, LORRAINE (CHHA) 9 DAVID STREET, APT. 3 SOUTH RIVER, NJ 08882
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/31/2017 |
|
DELUANTO, LILIANA (CHHA) 1160 SUMMIT LANE MOUNTAINSIDE, NJ 07092
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/2/2018 |
|
DELUCA, ANTHONY (MD) 630 PRINCETON AVEMUE BRICK, NJ 08724
NPI-1043257744 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
12/16/2015 |
|
DELUCA, ANTHONY (MD) FCI-FORT DIX, PO BOX 2000 JOINT BASE MDL, NJ 08640
NPI-1043257744 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/11/2016 |
|
DELUCA, WENDY (LPN) 108 GRANDVIEW ROAD HIGHLAND LAKES, NJ 07422
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/15/2018 |
|
DEMARCO, CHARLENE C. (DO) P O BOX 898801 OKLAHOMA CITY, OK 73189
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
7/20/2008 |
|
DEMARIA JR., WILLIAM R. ( AGENT) 104 WINDSOR COURT PALM BEACH, FL 33480
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
1/5/2001 |
|
DEMASSI, MICHAEL A. (LCSW) 1917 WATERS EDGE DRIVE TOMS RIVER, NJ 08753
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/20/2013 |
|
DEMBOSKE, RICHARD MICHAEL (RN) 557 WILLOW AVENUE SADDLE BROOK, NJ 07663
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/22/2022 |
|
DEMEO, ROBERT (MD) 522 TYSENS LANE, 2ND FL. STATEN ISLAND, NY 10306
NPI-1043220262 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/23/2015 |
|
DEMOSS, KATHLEEN M. (DC) 14 N. MAIN STREET FLEMINGTON, NJ 08822
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/19/2001 |
|
DENNIS, MOSES (LPN) 625 GREENWAY AVENUE DARBY, PA 19023
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/18/2018 |
Permanent |
DENT, VALERIE (RN) 325 ROLLING KNOLLS ROAD SCOTCH PLAINS, NJ 07076
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/7/2022 |
|
DENUCCI, NICHOLAS 51 BARN OWL HACKETTSTOWN, NJ 07840
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
7/24/2002 |
|
DEORIO, ANA G. (RN) COLUMBIA AVENUE NORTH BERGEN, NJ 07047
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/18/2007 |
|
DEPHILLIPS, DONNA (MD) 7 WESTMINSTER PLACE OLD TAPPAN, NJ 07675
NPI-1386657971 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/15/2023 |
|
DEROSIER-BEAUBRUN, SABRINA (CHHA) 754 SOUTH BROAD STREET TRENTON, NJ 08611
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/28/2018 |
|
DERRICK, NAOMI AKA BASCUS, NAOMI (RN) 6 ENGLISH IVY DRIVE SICKLERVILLE, NJ 08081
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/9/2020 |
|
DERRICK, NAOMI AKA BASCUS, NAOMI (RN) 6 ENGLISH IVY DRIVE SICKLERVILLE, NJ 08081
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/26/2016 |
|
DESAI, BAKUL (MD) 15 MOUNTAIN RIDGE DRIVE LIVINGSTON, NJ 07039
NPI-1376654624 |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
3/8/2010 |
9/10/2019 |
DESAI, BAKUL (MD) 15 MOUNTAIN RIDGE DRIVE LIVINGSTON, NJ 07039
NPI-1376654624 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/20/2012 |
9/10/2019 |
DESAI, NEMISH (DDS) 248 BOONTON TURNPIKE LINCOLN PARK, NJ 07035
NPI-1598908295 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/18/2019 |
|
DESAI, USHA (DDS) 23 REYNOLDS AVENUE PARSIPPANY, NJ 07054
NPI-1407988173 |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
5/2/2023 |
10/5/2023 |
DESAI, USHA (DDS) 23 REYNOLDS AVENUE PARSIPPANY, NJ 07054
NPI-1407988173 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
10/5/2023 |
|
DESANTIS, ANTHONY (RPH) 105 FRANKLIN STREET BELLEVILLE, NJ 07109
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
2/24/2003 |
|
DESIMONE, EUGENE (MD) FCI FORT DIX, PO BOX 38 JOINT BASE MDL, NJ 08640
NPI-1427098268 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/28/2015 |
|
DESIR, MELISSA (CHHA) 20 WILLOW DRIVE, APT. 8 OCEAN, NJ 07712
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/18/2017 |
|
DESTASIO, VINCENT (MD) 1851 HOOPER AVENUE TOMS RIVER, NJ 08753
NPI-1043215650 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
5/13/2016 |
|
DESTASIO, VINCENT (MD) 1851 HOOPER AVENUE TOMS RIVER, NJ 08753
NPI-1043215650 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
4/12/2016 |
5/13/2016 |
DETROLIO, DANIEL (RN) 23 FOXWOOD DRIVE, APT. D MORRIS PLAINS, NJ 07950
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/27/2018 |
|
DEVARIS, HELENA D. (DMD) 35-08 MORLOT AVENUE 1X FAIR LAWN, NJ 07410
NPI-1679723589 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/21/2013 |
|
DEVARSO, ANGELA (RN) FCI DANBURY, RTE 37 DANBURY, CT 06811
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
5/20/2012 |
12/18/2023 |
DEVERA, MONICA T. 118 BEACON STREET DUMONT, NJ 07628
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/20/2002 |
|
360 Golf, LLC 300 Mamaroneck Avenue, #733 White Plains, NY 10605Devin, Lemere, Partner 300 Mamaroneck Avenue, #733 White Plains, NY 10605
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
6/30/2015 |
06/29/2018 |
DEVLIN, MARYELLEN (RN) 809 DEVON ROAD RIVERSIDE, NJ 08075
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/4/2018 |
Permanent |
DEZENHALL, MERVIN (RPH) SUNSET RD AT SUMMIT TURN WILLINGBORO, NJ 08046
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
Permanent |
DI SPALTRO, FRANKLIN L. (MD) MELROSE LANE GREEN VILLAGE, NJ 07935
NPI-1740627082 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/18/2007 |
|
DIAZ, CHRISTINA (CHHA) 40 MORRIS STRET, APT. 402 PASSAIC, NJ 07055
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/22/2019 |
|
DIAZ, PEDRO P. 80 SKYTOP ROAD NEWTON, NJ 07860
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
5/20/2011 |
|
DIAZ-PELLOT, NORMA 500 BERKELY DRIVE BROWNS MILLS, NJ 08015
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
3/24/2000 |
Permanent |
DIAZ-PELLOT, NORMA 258 UNIVERSITY AVE PEMBERTON, NJ 08068
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/19/2001 |
Permanent |
DICARLO, ANTHONY G. 35 GALT OCEAN DR FT LAUDERDALE, FL 33308
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
Permanent |
DICICCO, RICHARD (DC) 1 MYERS AVENUE BERLIN, NJ 08009
NPI-1073668265 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/5/2017 |
|
DICK, SHONDELL (CHHA) 196 22ND STREET IRVINGTON, NJ 07111
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/29/2018 |
Permanent |
DICKERSON, DENISE M. (RN) 126 HILLCREST AVE, 2A BLACKWOOD, NJ 08012
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/22/2010 |
|
DICOVSKIY, CLAUDIO (MD) 1308 ABBOTT BOULEVARD FORT LEE, NJ 07024
NPI-1932282845 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/7/2017 |
11/13/2023 |
DICOVSKIY, CLAUDIO (MD) 1308 ABBOTT BOULEVARD FORT LEE, NJ 07024
NPI-1932282845 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/23/2015 |
11/13/2023 |
DICUBELLIS, MICHELE R. (LCSW) 4030 ANDERSON AVE, SE ALBURQUERQUE, NM 87108
NPI- |
Medical Antitrust/Anti-Kickback Acts |
Disqualification Human Services Medical Assistance (Medicaid) |
6/23/2011 |
10/22/2014 |
DIEM, MICHELLE C. (CHHA) 821 NEVILLE STREET TOMS RIVER, NJ 08753
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
9/23/2014 |
|
DIETERLE, KAREN M. (RN) 51 STURBRIDGE DRIVE SICKLERVILLE, NJ 08081
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/19/2004 |
|
DIETRICH, LISA B. DOGWOOD TRAIL RANDOLPH, NJ 07869
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
11/20/2008 |
|
DIETZ, MICHAEL (CHHA) 1602 AQUEDUCT COURT TOMS RIVER, NJ 08755
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2017 |
|
DIGIORGIO, DAWN K. 13 EAST PINE ST. 13D WESTVIEW, NJ 08093
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
2/19/2004 |
|
DIKENGIL, MEHMET #79773-054 (DDS) FCI FORT DIX, PO BOX 2000 JOINT BASE MDL, NJ 08640
NPI-1255608279 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/10/2019 |
|
DILER, NISHA a.k.a. NISHA RANA (RPH) 6 BOULDER LANE HICKSVILLE, NY 11801
NPI-1265831242 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/20/2022 |
|
DILLARD, LATICIA 4208 NORTH DRIVE ATLANTIC CITY, NJ 08401
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
8/24/2013 |
|
DILLIGARD, LATASHA (CHHA) 320 W. BRANCH AVENUE, APT. 47C CAMDEN, NJ 08021
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
DILORENZO, PAUL (MD) 22 NORTHWOODS ROAD OCEAN, NJ 07712
NPI-1699841056 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/17/2017 |
|
DILUIGI, KENNETH (RN) RAVENSWOOD WAY SEWELL, NJ 08080
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
12/17/2008 |
|
DIMEO, ALEXANDER 19355 LASERENA DRIVE FORT MEYERS, FL 33967
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/3/2017 |
|
DIN, TARIQ 22 CAMERON ROAD SADDLE RIVER, NJ 07458
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
5/2/2023 |
|
DINKEL, ARTHUR R. (LCSW) 2 FREEMAN LANE DENVILLE, NJ 07834
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/19/2001 |
Permanent |
DINKEL, ARTHUR R. (LCSW) 2 FREEMAN LANE DENVILLE, NJ 07834
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
9/29/2000 |
Permanent |
DIPAOLO, EDMONDO (LPN) 136 DANIELS AVENUE BROWNS MILLS, NJ 08015
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/9/2020 |
|
DIPIERRO, CHARLES G. PRESIDENT 404 SPOTSWOOD GRAVEL HILL MONROE TWP, NJ 08831
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
11/25/2011 |
11/24/2014 |
DIPIERRO, KEVIN J. V-PRESIDENT 402 SPOTSWOOD GRAVEL HILL MONROE TWP., NJ 08831
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
11/25/2011 |
11/24/2014 |
DIRENZO, ALFRED M. (DO) 167 GROVE STREET LODI, NJ 07644
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/21/1995 |
Permanent |
DISCENZA, RONALD (MD) 2578 WOLF HOLLOW ROAD ANDES, NY 13731
NPI-1528137882 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/17/2017 |
|
DITURO, JOSEPH (MD) 376 WOOD RIDGE ROAD WOODRIDGE, NJ 07075
NPI-1194871459 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
2/15/2016 |
|
DIXIT, DIVY R. (RPH) 3022 EDWARD STEC BLVD EDISON, NJ 08837
NPI-1619125135 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/30/2015 |
|
DIXON, SHANNON 501 IRVING STREET CLEMNTON, NJ 08021
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
3/18/2010 |
3/18/2013 |
DJAMBA, MONDJA (CHHA) 17 PHEASANT ROAD CLEMENTON, NJ 08021
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/6/2017 |
Permanent |
DJAVID, ISMAIL F. 160 EAST 89TH STREE NEW YORK CITY, NY 10028
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
|
Permanent |
DLUZNIEWSKI, MICHELE (RN) 137 STEPHAN ROAD BRICK, NJ 08724
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/7/2019 |
5/31/2023 |
DOBIECKA, DOROTHY 556 HUMBULT STREET BROOKLYN, NY 11222
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
8/4/2014 |
8/3/2017 |
DOBRE, FLORAN 526 SHERIDAN AVE. ROSELLE, NJ 07203
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
12/2/2013 |
12/1/2016 |
DOBROWOLSKI, DONALD A. (DMD) 45 BRICK BLVD. S-108 BRICK, NJ 08723
NPI-1184764664 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/29/1995 |
Permanent |
DOLINER, PAUL (MD) 401 US HIGHWAY 22 N PLAINFIELD, NJ 07060
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
9/15/1980 |
Permanent |
DOMINGUES, JOHN 402 MARKET STREET NEWARK, NJ 07105
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
5/28/2014 |
5/27/2017 |
DOMINIC JR., ANTHONY J. (MD) 216 2ND AVENUE UPPER MANASQUAN, NJ 08736
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
1/20/2002 |
|
C & E Contracting, Inc. PO Box 690 Boonton, NJ 07005DOnald Fleming, President 340 Reservoir Road Boonton, NJ 07005
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
12/16/2015 |
12/15/2018 |
DONALDSON, DENISE 2650 SPRUCE DRIVE LAKEHURST, NJ 08733
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
12/29/1995 |
DECEASED |
DONALDSON, DENISE 33 3RD AVENUE TOMS RIVER, NJ 08757
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/9/2003 |
DECEASED |
Antiveros Construction, Inc. 677 Old Highway 64 Etowah, NC 28729Donnie Antiveros, President 677 Old Highway 64 Etowah, NC 28729
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
10/20/2015 |
10/19/2018 |
DONOFRIO, CHRISTINE (RN) 207 TULIP LANE FREEHOLD, NJ 07728
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/3/2017 |
|
DONOFRIO, DOUG 1 SPRING LAKE DRIVE FAR HILLS, NJ 07931
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/4/2012 |
|
DONSKY, DMITRY (MD) 126 SHINNECOCK DRIVE MANALAPAN, NJ 07726
NPI-1407807803 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/15/2022 |
|
DOOLEY, CHRISTOPHER J. (PHD) 10 DEER RUN FREEHOLD, NJ 07728
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
2/9/2009 |
|
DORBOR, BONGO (CHHA) 2341 LIBERTY STREET HAMILTON, NJ 08629
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2017 |
|
DORIA, LAWRENCE (RPH) 6 BROOK PLAZA JACKSON, NJ 08527
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
2/7/1984 |
Permanent |
Cityline Contracting Inc. 556 Humboldt Street Brooklyn, NY 11222Dorothy Dobiecka, President 556 Humboldt Street Brooklyn, NY 11222
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
9/24/2014 |
09/23/2017 |
DORSEY, KIONA (CHHA) 670 W. GROVELAND AVENUE SOMERS POINT, NJ 08244
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/22/2019 |
|
DORVIL, FAUBERT (RN) 651 S. PALM STREET, #201 LITTLE ROCK, AR 72205
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/4/2014 |
|
DOS SANTOS, ISABELLE (LMBT) 464 NORTH AVENUE ELIZABETH, NJ 07208
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/21/2023 |
|
DOSHI, PRIYAKANT S. (MD) 11 WARFIELD STREET MONTCLAIR, NJ 08625
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/2/1997 |
DECEASED |
DOSSEN, SEBRENA (CHHA) 24 PHILIP E. FRANK WAY CLIFFWOOD, NJ 07721
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/29/2018 |
|
DOSSOUS, JONAS (CHHA) 1927 BANGS AVENUE NEPTUNE, NJ 07753
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/17/2017 |
|
DOTOLI, FRANKLIN (MD) 460 FRANKLIN AVE NUTLEY, NJ 07110
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
DECEASED |
DOTRO, ALYCIA AKA ALEXANDRA, ALYCIA (RN) 6 LOWELL ROAD MANALAPAN, NJ 07726
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/23/2019 |
|
D'OTTAVIO, PAOLA (RPH) WILLOW OAKS DR. MAYS LANDING, NJ 08330
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/4/2007 |
Permanent |
D'OTTAVIO, PAOLA (RPH) 504 WILLOW OAK DRIVE MAYS LANDING, NJ 08330
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
9/20/2011 |
|
DOUGHERTY-PRICE, ANITA JO (CHHA) 212 WESTMONT AVENUE WESTMONT, NJ 08108
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/22/2017 |
|
DOYLE, GINA PRESIDENT 716 WHITE HORSE PIKE HAMMONTON, NJ 08037
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
4/5/2012 |
4/4/2015 |
DOYLE, JUDITH M. (RN) 71 WILDFLOWER LANE MORRISTOWN, NJ 07960
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
10/20/2004 |
|
RONCONE CONSTRUCTION, LLC
, DOYLE, WILLIAM J. 200 PINE ROAD HAMMONTON, NJ 08031
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
12/17/2014 |
12/16/2017 |
DRAGERT, ROBERT (MD) 12 E. SEUDDER COURT PENNINGTON, NJ 08534
NPI-1558522821 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
9/26/2018 |
7/21/2020 |
DRISCOLL, PETER V. (MD) 525 HOPKINS LANE HADDONFIELD, NJ 08033
NPI-1215276787 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2023 |
|
DRIVAS, GUSTAVE (MD) FCI LORETTO, PO BOX 1000 LORETTO, PA 15940
NPI-1003867730 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
5/11/2014 |
|
DRIZAN, LOULEA (CHHA) 43B MANLAY MANOR ELIZABETH, NJ 07202
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/6/2018 |
|
DUAH, GLORIA (CHHA) 68 MYRTLE AVENUE IRVINGTON, NJ 07111
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
2/20/2017 |
|
DUARTE, LEONARD (DC) 10 INDEPENDENCE COURT JACKSON, NJ 08527
NPI-1568681542 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/30/2019 |
|
DUBNOFF, MICHELLE (DC) 333 PROVINCIAL DRIVE MORGANVILLE, NJ 07751
NPI-1225066210 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/20/2018 |
|
DUBOVY, CARL (MD) 11 PIPPINS WAY MORRISTOWN, NJ 07960
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/1/1998 |
Permanent |
DUCHEINE, YVAN (MD) 310 CENTRAL AVENUE EAST ORANGE, NJ 07018
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
11/1/2017 |
4/5/2018 |
DUFF, RICHARD W. (RN) 1260 SUMMERLEA AVENUE WASHINGTON, PA 15301
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/29/2015 |
|
DUFFIELD, CAMI R. (RN) 119 GRAF AVENUE LAWRENCEVILLE, NJ 08648
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
12/20/2000 |
|
DUFFY, BARBARA AKA GONZOPH, BARBARA (LPN) 208 WAYNE TERRACE COLLINGSWOOD, NJ 08108
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/19/2004 |
|
DULL, JOHN W. (DDS) 399 HOOVER AVENUE BLOOMFIELD, NJ 07003
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/1/1998 |
DECEASED |
DUMITRU, DAN (MD) 1657 JFK BOULEVARD FL 1 JERSEY CITY, NJ 07305
NPI-1073639530 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
1/11/2016 |
|
DUNCAN, ANTHONY (RPH) 566 N UNION AVENUE FL 1 HILLSIDE, NJ 07205
NPI-1245996453 |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
6/28/2022 |
|
DUQUE, IRMA (CHHA) 314 BROADWAY ELIZABETH, NJ 07206
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/14/2007 |
|
DURFEE, JANET (RN) 103 WOODLAKE DRIVE MARLTON, NJ 08053
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
7/20/2004 |
|
DURIVAGE, SHARON (RN/APN) 1655 HUNTERS COURT YARDLEY, PA 19067
NPI-1407033442 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/4/2018 |
|
DURNIEN, EDWARD (CHHA) 215 CREEK ROAD KEANSBURG, NJ 07734
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/6/2006 |
|
DURST, LAWRENCE (RPH) FCI FORT DIX, PO BOX 38 FORT DIX, NJ 08640
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/19/2001 |
|
DWAMENA, ELIZABETH (CHHA) 42 LINDEN AVENUE, APT. 2 IRVINGTON, NJ 07111
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/28/2023 |
|
DWAMENA, ELIZABETH (CHHA) 42 LINDEN AVENUE IRVINGTON, NJ 07111
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/4/2023 |
|
DYEVICH, KEVIN 193 LIVINGSTON AVENUE NEW BRUNSWICK, NJ 08901
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
8/21/1996 |
Permanent |
DYOUS, KEISHA (LPN) 2 BONNIE COURT LAWRENCEVILLE, NJ 08648
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/24/2018 |
8/22/2019 |
DZIENISIEWSKI, DONNA J. (RN) 9 IVY LANE MIDDLETOWN, NJ 07748
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/3/2016 |
|
GLOBAL MEDICAL SYSTEMS
, DZIUBA, STANISLAW 69 WEST SHORE ROAD PENNINGTON, NJ 08534
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
2/11/2015 |
2/10/2018 |
DZUIK, CAROL (CHHA) 416 CABLE AVENUE BEACHWOOD, NJ 08722
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
EASTBURN, NORMAN W. (DC) 424 MATTHEWS LANE JACKSON, NJ 08527
NPI-1013056670 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
11/14/2014 |
|
EASTMAN, DONALD (OWNER) 292 CHURCH STREET ABERDEEN, NJ 07747
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
9/15/2012 |
9/16/2015 |
EATOUGH, PHILIP (DO) 5 SYCAMORE LANE RUMSON, NJ 07748
NPI-1972681674 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
2/26/2010 |
|
EDANIEWSKI, EDWARD R. 113 FRONT STREET SECAUCUS, NJ 07094
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
|
Permanent |
EDDIB, LATIFA (CHHA) 8700 LAZY HOLLOW DRIVE, APT. 142 HOUSTON, TX
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/19/2023 |
|
Eddy Drywall, LLC 1100 W. 7th St., Apt. A9 Plainfield, NJ 07060Eddy Rodriguez 1100 W. 7th St., Apt. A9 Plainfield, NJ 07060
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
5/14/2015 |
5/13/2016 |
EDMILAO, CANUNITA 645 NEWARK AVE. JERSEY CITY, NJ 07305
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
4/9/2004 |
|
EDMONDS, KIANNAH (CHHA) 916 4TH AVENUE WALL TOWNSHIP, NJ 07719
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
12/6/2017 |
|
Sandora & Spina Contracting Inc. 15 North Branch River Rd. Branchburg, NJ 08876Edward Sandora, President 15 North Branch River Rd. Branchburg, NJ 08876
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
6/29/2015 |
06/28/2018 |
EGANEY, BETH (LPN) 46 REA AVENUE MIDLAND PARK, NJ 07432
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/28/2019 |
|
EGBERT, JENNIFER (CHHA) PO BOX 1129 FORKED RIVER, NJ 08731
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/26/2018 |
1/19/2022 |
EGENBERG, IRIS 153 AVENUE B BAYONNE, NJ 07002
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
|
Permanent |
EGLOFF, MARY ANN (RN) 1100 KELLY LANE FRMINGDALE, NJ 07727
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/19/2005 |
|
EIB, KEVIN G. 29 MONMOUTH ROAD MONROE, NJ 08831
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
4/3/2014 |
4/2/2017 |
EICHHORN, WARREN (DC) 447 NEW ROAD SOUTHAMPTON, NJ 08088
NPI-1326412297 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/28/2019 |
|
EIDMAN, STEVEN (DDS) 73 E. LINCOLN AVE. ENGLEWOOD, NJ 07631
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
1/19/2003 |
|
EISEMANN, OSHER 345 OAK STREET LAKEWOOD, NJ 08701
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
7/23/2018 |
|
EJIOFOR, UDOKA (RN/APN) 47 KENMORE AVENUE NEWARK, NJ 07106
NPI-1295096584/1982024790 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
4/26/2018 |
10/20/2020 |
EKSTEROWICZ, DEBORAH (LPN) 283 S. BLACKHORSE PIKE MOUNT EMPHRAIM, NJ 08059
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
7/18/2002 |
|
EL SOURY, AHMED #70613-050 (MD) FCI FORT DIX, PO BOX 2000 JOINT BASE MDL, NJ 08640
NPI-1497745905 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/4/2018 |
|
ELAMIR, MADGY (MD) 14 HIGH MEADOW ROAD N SADDLE RIVER, NJ 07458
NPI-1710081336 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
3/18/2015 |
|
ELAMIR, MAGDY (MD) 550 SUMMIT AVENUE JERSEY CITY, NJ 07306
NPI-1710081336 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
11/5/2010 |
|
ELBASHIR, IMAD MAHGOUB P.O. BOX 7450 TRENTON, NJ 08628
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/17/2004 |
|
ELBASHIR, IMAD MAHGOUB 160 ALABAMA AVENUE PATERSON, NJ 07505
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
1/28/2001 |
|
ITPL DIAGNOSTIC LAB, INC./READY CARE CORPORATION 470 CHAMBERLAIN AVENUE PATERSON, NJ 07522ELCHAGEA, ISMAIL 470 CHAMBERLAIN AVE PATERSON, NJ 07522
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
7/1/2000 |
|
ELHAG, ABUBAKER O. 10 HILL STREET APT. 9W NEWARK, NJ 07102
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
11/23/2007 |
|
ELIA, HARRY R. (DC) 136 BROADWAY WESTWOOD, NJ 07675
NPI-1104034578 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/1/1998 |
Permanent |
ELIA-RAGGIO, LORI (LPN) 4001 BURRYPORT WAY MOUNT LAUREL, NJ 08054
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
3/18/2004 |
|
ELIAS, AHDI I (MD) 1042 MORRIS TPKE SHORT HILLS , NJ 07078
NPI-1700808219 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
4/29/2022 |
Permanent |
Ellen Petric, President
,
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
6/8/2015 |
06/07/2018 |
ELLIEN, WILLIAM (MD) 39 CABBAGE XING SAVANNAH, GA 31411
NPI-1437196375 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
ELLIOTT, CLAUDIA (CHHA) 345 PARK AVENUE, APT. 4 PATERSON, NJ 07504
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
9/26/2017 |
|
ELLIOTT, ROISIN M. (LPN) 115 S MAHWAH ROAD MAHWAH, NJ 07430
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/18/2022 |
|
ELLIS, FREDERICK PRESIDENT 2 ISLAND POND ROAD DERRY, NH 03038
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
8/27/2012 |
8/26/2015 |
ELLIS, JAMES (MD) 763 GLENWILD DRIVE CANTON, MS 39046
NPI-1578566733 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/11/2021 |
|
ELLIS, KENT R. (MD) 1005 N. WASHINGTON AVE GREEN BROOK, NJ 08812
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
6/15/2001 |
Permanent |
ELLIS, MICHAEL A. 33 FERRIS LANE OAK RIDGE, NJ 07438
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
2/1/2024 |
|
ELLISON, RAEFORD (LAC) 8 N. SACRAMENTO AVENUE VENTNOR, NJ 08406
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
4/18/2002 |
|
ELSAYED, ABEER (CHHA) 290 GETTY AVENUE, FLOOR 2 PATERSON, NJ 07503
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/28/2023 |
|
ELYAS, EVON (CHHA) 14 CROSSGATE ROAD, APT. B JERSEY CITY, NJ 07305
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/28/2023 |
|
J.C. Maintenance & Repair 1435 71st Street Brooklyn, NY 11228Emanuel Cucco, Owner 6725 13th Avenue Brooklyn, NY 11219
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
3/15/2016 |
03/14/2019 |
EMERSON, BARBARA L. (RN) 45 HAWTHORNE ST. BROWNS MILLS, NJ 08015
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/20/2004 |
|
REFOCUS GROUP LLC 200 ROUND HILL DRIVE FREEHOLD, NJ 07728EMMERICH, MICHELE 200 ROUND HILL DRIVE FREEHOLD, NJ 07728
NPI-1306342373 |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
4/29/2019 |
|
ENEMUO, JOHNNY 215 JACOBY ST., 1ST FLOOR MAPLEWOOD, NJ 07040
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
5/1/1999 |
Permanent |
ENEMUO, KENNETH (RPH ) 236-242 S. ORANGE AVENUE NEWARK, NJ 07103
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/20/1999 |
10/26/2017 |
ENGRISSEI, PATRICIA LEISE (RN) 700 GROVE STREET HADDONFIELD, NJ 08033
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/18/2005 |
|
FAMILY CARE PHARMACY 456 BERGEN AVENUE JERSEY CITY, NJ 07304ENOGWE, FELIX (RPH) 51 CLIFTON AVE., C-401 NEWARK, NJ 07104
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/24/1999 |
Permanent |
ENOGWE, FELIX (RPH) 25 CLIFTON AVENUE NEWARK, NJ 07104
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
2/24/2006 |
|
ENRICO JR., ANTHONY (DPM) 57 STONEYRIDGE DRIVE LINCOLN PARK, NJ 07035
NPI-1013095975 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/2/2017 |
|
ENRICO JR., ANTHONY (DPM) 99 SUNCREST AVENUE NORTH HALEDON, NJ 07508
NPI-1013095975 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
ENRICO JR., ANTHONY #71171-050 (DPM) USP LEWISBURG, PO BOX 1000 LEWISBURG, PA 17837
NPI-1013095975 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/5/2019 |
|
Ohana Metal & Iron Works Inc. 60 Miller Rd Montgomery, NY 12549Erezy Ohana, Owner 60 Miller Rd Montgomery, NY 12549
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
8/6/2014 |
08/05/2017 |
All County Pipeline & Site Excavation Inc. 164 Ball Ave Parsippany, NJ 07054Eric Charles, President 396 Cherry Ln Mendham, NJ 07945
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
4/22/2014 |
04/21/2017 |
ERKOBONI, PATRICIA (RN) 1850 W. MCGALLIARD AVENUE TRENTON, NJ 08610
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/14/2018 |
|
ERNST, DAVID J. (DDS) 5 BRUNSWICK WOOD DRIVE E. BRUNSWICK, NJ 08816
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/31/1995 |
Permanent |
ESCALERA, EMILY (CHHA) 3716 UNION AVENUE, APT. B PENNSAUKEN, NJ 08109
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/2/2018 |
|
ESHAM, CHARLES (MD) 2401 GREENLEAF DRIVE WILMINGTON, DE 19810
NPI-1457315921 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/15/2021 |
|
ESPADA, MARGARET (CHHA) 310 HAMILTON AVENUE SEASIDE HEIGHTS, NJ 08751
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
ESPINDOLA, JUAN (MD) 467 CLIFTON AVENUE CLIFTON, NJ 07011
NPI-1881703726 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/29/2016 |
4/1/2017 |
ESPINDOLA, JUAN (MD) 32 FOREST STREET MONTCLAIR, NJ 07042
NPI-1881703726/1225238074 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
4/1/2017 |
|
ESPOSITO, VINCENT (MD) 5 BUCKINGHAM DRIVE MADISON, NJ 07940
NPI-1225008253 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/20/2017 |
|
ESQUERRE, RENE (MD) 5 ASHLEY ROAD WEST ORANGE, NJ 07052
NPI-1033150172 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
7/18/2018 |
11/8/2018 |
ESSER, ARISTIDE HENRI (PSY) 337 N. MAIN STREET, STE 2 NEW CITY, NY 10956
NPI-1447249891 |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
10/20/2013 |
|
ESTAMBUL, BERNARDO 605 W.141 STREET, APT 51 NEW YORK, NY 10031
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
1/31/2008 |
|
ESTERMAN, SIDNEY (DPM) 185 CENTRAL AVE, STE. 412 EAST ORANGE, NJ
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/31/2001 |
Permanent |
ETIENNE, FERNANDE (CHHA) 1205 MORRIS STREET #2L ROSELLE, NJ 07203
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
3/20/2006 |
|
EUSEBIO, EDWIN (CHHA) 220 S. 30TH STREET CAMDEN, NJ 08105
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/31/2017 |
|
EVANS JR., EUGENE (MD) 301 E. LINCOLN AVENUE ROSELLE PARK, NJ 07204
NPI-1033284930 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/9/2017 |
|
EVANS, ROLAND A. (DC) 263 NORTH 3RD AVE. MANVILLE, NJ 08835
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
9/3/2003 |
|
EVDOKIMOW, DAVID (MD) 96 S. FINLEY AVENUE BASKING RIDGE, NJ 07920
NPI-1508930678 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
4/12/2018 |
|
Ribles Locksmith & Hardware 613 15th Ave. Belmar, NJ 07719Evelyn McDermott, Owner 613 15th Ave. Belmar, NJ 07719
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
7/11/2014 |
07/10/2017 |
EVRA, JOANEL (CHHA) 1551B ASBURY AVENUE ASBURY PARK, NJ 07712
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/29/2017 |
|
EWING, DIONNA (CHHA) 909 HADDON AVENUE CAMDEN, NJ 08103
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
7/2/2018 |
|
EZELL, PAUL (MD) 251 SAGEMORE ROAD HAVERTOWN, PA 19083
NPI-1235130741 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
EZEONYIM, CHARLES I. (RPH) 2153 TYLER STREET UNION, NJ 07083
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
1/16/2009 |
1/6/2012 |
EZINWA, JENNIFER (CHHA) 509 COVENTRY LANE, APT. 210 SALIBURY, MD 21804
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/28/2023 |
|
Old City Remodeling 1406 Lexington Pl Elizabeth, NJ 07208Fabricio Franco, Owner 1406 Lexington Place Elizabeth, NJ 07208
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
6/10/2013 |
06/09/2016 |
FABULIAN, PETER (DO) 26 WEST MAIN STREET STRASBURG, PA 17579
NPI-1023184835 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2013 |
|
FAENZA, MATTHEW (RPH) 64 COVENTRY WAY RINGWOOD, NJ 07456
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
1/20/2004 |
|
FAERMAN, VLADIMIR (CHHA) 2506 GATES COURT MORRIS PLAINS, NJ 07950
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/16/2017 |
|
FAHE, MIREILLE (RN) 269 MAIN STREET, APT. B NEW MILFORD, NJ 07646
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/3/2017 |
10/24/2018 |
FAISON, LAUREN 1804 EAST THAYER STREET PHILADEPHIA, PA 19134
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
FAKONDO, VICTOR 180 HANSON AVE PISCATAWAY, NJ 08854
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
8/18/2011 |
|
FALLAH, KEBEH (CHHA) 365 SCHLEY STREET, APT. A8 NEWARK, NJ 07112
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/14/2017 |
6/12/2018 |
FALLUCCA, KARLA JANE (APN/RN) 21 STONEHAM DRIVE DELRAN, NJ 08075
NPI-1053734095 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
10/20/2020 |
|
FALOWO, YETUNDE 301 MAPLE AVE., APT266 N. PLAINFIELD, NJ 07060
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/6/2006 |
|
FARL. MUTALIB (CHHA) 61 NORTH ARLINGTON AVENUE EAST ORANGE, NJ 07017
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/3/2018 |
|
FARRIS, JOEL (CHHA) 212 UNION AVENUE NEPTUNE, NJ 07753
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/20/2001 |
|
FARRO, ANDREW 87 CASTLE RIDGE DRIVE EAST HANOVER, NJ 07936
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/12/2008 |
|
FARRO, FRANCESCO 21 LAKEVIEW COURT ROCKAWAY, NJ 07866
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
2/4/2015 |
2/3/2018 |
FASANO, JUDITH (RN) 1770 YORKTOWNE BOULEVARD TOMS RIVER, NJ 08753
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/5/2017 |
|
FASONU, AYODEJI 70 RUSLING PLACE BRIDGEPORT, CT 06604
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
2/7/2023 |
|
FASWALA, MUNIR H. (MD) 506 LAGOON BLVD. BRIGANTINE, NJ 08203
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
9/15/2008 |
|
FASWALA, MUNIR H. (MD) 506 LAGOON BLVD. BRIGANTINE, NJ 08203
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/26/2005 |
|
FATATO, VIRGINIA A. (DC) 8 N. WHITEHORSE PIKE HAMMONTON, NJ 08009
NPI-1437432960 |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
5/5/2003 |
|
FAULX, LORI (RN) 4444 N. 7TH AVENUE, APT. 417 PHOENIX, AZ 85013
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
FAUSTINO, ALAN (MD) 110 WEST CHURCH STREET ABSECON, NJ 08201
NPI-1669482568 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/29/2016 |
3/8/2019 |
FAUSTINO, ALAN (MD) 28 W. GILMAR CIRCLE MARGATE CITY, NJ 08402
NPI-1669482568 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
3/8/2019 |
Permanent |
FAUSTINO, ALAN (MD) 830 PLYMOUTH PLACE, UNIT 2 OCEAN CITY, NJ 08226
NPI-1669482568 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/3/2019 |
|
FEE, CATHERINE ANN (RPH) 7353 CLUBHOUSE CIRCLE EGG HARBOR CITY, NJ 08215
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/19/2006 |
8/30/2022 |
FEIGIN, LESLIE C. (MD) 160 POWDER MILL ROAD MORRIS PLAINS, NJ 07950
NPI-1447336250 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/25/2022 |
Permanent |
FEINBERG, IRA 411 CHELSEA STREET PARAMUS, NJ 07652
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
Permanent |
FEINMAN, BRIAN (DPM) 418 WALNUT STREET NEWARK, NJ 07105
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
12/20/2006 |
Permanent |
FEIT, FREDRIC (MD) 2 TWIN LAKES DRIVE MANALAPAN, NJ 07726
NPI-1093835308 |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
7/13/2009 |
|
FELDMAN, BRUCE J. 807 NORTHWINDS DRIVE BRYN MAWR, PA 19010
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
3/18/2004 |
|
FELDMON, DORON (MD) FCI MCKEAN, PO 8000 BRADFORD, PA 16702
NPI-1194704627 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/29/2015 |
|
FELDNER, EDWARD S. (MD) 50 E MAIN STREET LITTLE FALLS, NJ 07424
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
11/16/1999 |
DECEASED |
Felipe Villagomez 160 Lincoln Street Bridgeton, NJ 08302Felipe Villagomez, Owner 160 Lincoln St Bridgeton, NJ 08302
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
3/9/2016 |
03/08/2019 |
FELIX, JESSICA (CHHA) 40 PASSAIC STREET, APT. 4D HACKENSACK, NJ 07601
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/14/2015 |
|
FELLUS, JONATHAN L. (MD) 57 WOODLAND AVENUE GLEN RIDGE, NJ 07028
NPI-1053309195 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/20/2015 |
5/21/2020 |
FELSENBERG, SANFORD 517 SO ORANGE AVENUE NEWARK, NJ 07103
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
Permanent |
FERMIN, ESPERANZA (CHHA) 229 MADISON AVENUE, APT. #1 PATERSON, NJ 07524
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
FERNANDES, HUGO 90 WILLOW STREET CARTERET, NJ 07008
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
1/28/2015 |
1/27/2018 |
FERNANDEZ, LUIS (DPM) 293 MONROE STREET PASSAIC, NJ 07055
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
3/26/1997 |
Permanent |
MF Speed Construction, LLC. 65-67 7th Ave. 1st Floor Newark, NJ 07104Fernando Lopes, President 65-67 7th Ave 1st Floor Newark, NJ 07104
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
10/17/2013 |
10/16/2016 |
FERRANDINO, LUIGI (MD) 8 EAST RAMAPO AVENUE MAHWAH, NJ 07430
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
5/20/2007 |
Permanent |
FERRARI, FRANCIS M. (DPM) 482 KEARNEY AVENUE KEARNY, NJ 07032
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/16/1995 |
Permanent |
FERREIRA, NUNO PRESIDENT 295 BALTURSOL WAY SPRINGFIELD, NJ 07081
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
5/8/2012 |
5/7/2015 |
FERRINGO, MICHAEL J. 616 GLEN COURT TURNERSVILLE, NJ 08012
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/20/2012 |
4/12/2022 |
FERSTANDIG, RUSSELL A. (MD) 179 MAPLE AVE. RIDGEWOOD, NJ 07450
NPI-1780779702 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
12/7/1987 |
1/1/2013 |
FIELDS, CARENE (CHHA) 190 HAMILTON AVENUE, APT. #8 PATERSON, NJ 07501
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2017 |
|
FIGUEREO, ESTHER J. (RN) 83 CLIFTON AVENUE CLIFTON, NJ 07011
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2024 |
|
FIGUEROA, DESIREE (CHHA) 11 COLLETON STREET LAKEWOOD, NJ 08701
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2017 |
|
FIGUEROA, JORGE (MD) 493 21ST AVENUE PATERSON, NJ 07513
NPI-1770542151 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
1/23/2018 |
|
FIGUEROA, JORGE (MD) USP LEWISBURG, PO BOX 1000 LEWISBURG, PA 17837
NPI-1770542151 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/19/2018 |
|
FILIPONE JR., DENNIS R. (MD) 147 STANTON ROAD FLEMINGTON, NJ 08822
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
11/21/1998 |
Permanent |
FILIPPONE, MARK A.P. (MD) 15 MORRISSEE AVENUE WALLINGTON, NJ 07057
NPI-1710063797 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/18/2021 |
|
FINDER, RICHARD (DC) 810 ABBOTT BLVD. FORT LEE, NJ 07024
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
5/1/2004 |
|
FINE, EDWARD (MD) 271 MOORE LANE HADDONFIELD, NJ 08033
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
9/28/1983 |
Permanent |
FINELLI, PETER K (DO) 919 MAIN STREET BELMAR, NJ 07719
NPI-1427067156 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/15/2022 |
Permanent |
FINESMITH, ROSS (MD) PARKVIEW AVENUE BASKING RIDGE, NJ 07920
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
8/10/2007 |
Permanent |
FINK, DAVID (PSYCH) 139 HIGHLAND AVENUE METUCHEN, NJ 08840
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/20/2003 |
|
FINKEL, MARINA EDNA MAHAN CORRECTIIONAL CLINTON, NJ 08809
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/15/2014 |
|
FINKEL, MARINA 75 STONEGATE DRIVE STATEN ISLAND, NY 10304
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
10/3/2013 |
|
FISCHBERG, JUAN C. (MD) 354 RUSSELL AVENUE EDGEWATER, NJ 07020
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/19/2008 |
|
FISCHGRUND, JOEL (MD) 56 CORNELL DRIVE LIVINGSTON, NJ 07039
NPI-1427097534 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
8/30/2014 |
|
FISCHGRUND, JOEL (MD) 56 CORNELL DRIVE LIVINGSTON, NJ 07039
NPI-1427097534 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/24/2017 |
|
FISCHMAN, HAROLD (MD) 56 BOWDOIN ST MAPLEWOOD, NJ 07040
NPI- |
Medical Industry Law Violation |
Disqualification Law and Public Safety Consumer Affairs Board of Medical Examiners |
6/1/1993 |
Permanent |
FISH, MICHAEL (DMD) 1500 PINE PARK AVENUE LAKEWOOD, NJ 08701
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
4/20/2007 |
7/17/2013 |
FISHER, CALLETTA (PHARM TECH) 115 SENACA BOULEVARD BARNEGAT, NJ 08005
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/21/2016 |
|
FISHER, DARRYL 55 SHELBOURNE STREET BURLINGTON, NJ 08016
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/6/2006 |
7/24/2023 |
FITZPATRICK, TIA LYNETTE (LPN) 4 PERSIA COURT SICKLERVILLE, NJ 08081
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/4/2022 |
|
FLANNERY, PATRICIA 2023 LEITHSVILLE ROAD HELLERTOWN, PA 18055
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2023 |
|
FLEISCHER, MARK H. (MD) FCI-OTISVILLE, PO BOX 600 OTISVILLE, NY 10963
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
4/20/2005 |
|
FLEISCHMAN, EDWARD (DO) 3804 CHURCH ROAD MOUNT HOLLY, NJ 08054
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
8/25/1998 |
|
FLEMING, KEVIN M. (MD) 710 STATION AVENUE 2 FLR HADDON HEIGHTS, NJ 08035
NPI-1508816075 |
Medical Contingent Fees |
Suspension Human Services Medical Assistance (Medicaid) |
11/20/2010 |
|
FLEMING, STEPHANIE LYNN FCI DANBURY ROUTE 37 DANBURY, CT 06811
NPI-1073819934 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
3/20/2023 |
|
FLEURANTIN, MARIE (RN) 14 OAK TREE COURT WESTAMPTON, NJ 08060
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/24/2018 |
|
FLEURANTIN, RUBEN J. SCOTLAND ROAD SO. ORANGE, NJ 07079
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
3/20/2008 |
|
FLEURY, DIANE (RN) 552 PENNY STREET FRANKLINVILLE, NJ 08322
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/20/2001 |
|
FLEYSHMAKHER, ALEX 211 WALNUT DRIVE MORGANVILLE, NJ 07751
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
2/6/2024 |
|
FLEYSHMAKHER, IGOR 26 WINCHESTER LANE HOLMDEL, NJ 07733
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/19/2023 |
|
FLORES, CARMEN (CHHA) 95 PROSPECT STREET, APT. #1 PASSAIC, NJ 07055
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/6/2018 |
|
FLORES, MARIE MIRAVITE (RN) 258 DEEP BROOK COURT PISCATAWAY, NJ 08854
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
9/20/2004 |
|
FLORES, MELBA (CHHA) 106 MAPLE AVENUE BOONTON, NJ 07005
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2017 |
|
B & B Atlantic LLC 526 Sheridan Ave. Roselle, NJ 07203Florian Dobre, Partner 526 Sheridan Ave. Roselle, NJ 07203
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
8/27/2013 |
08/26/2016 |
FLOUNDERS, JOSEPH P. (LPN) 106 W. MIAMI AVE. VILLAS, NJ 08251
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/20/2005 |
|
FLOWERS JR., HERMAN J. (CHHA) 143 URSINUS COURT PEMBERTON, NJ 08075
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
12/10/1997 |
Permanent |
FLOWERS, FELICIA (CHHA) 321 NEPTUNE BOULEVARD NEPTUNE, NJ 07753
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/14/2017 |
9/5/2023 |
FLOWERS, HERMAN T. 143 URSINUS COURT PEMBERTON, NJ 08075
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
3/16/1999 |
|
FLOYD, JAMES A. (PHD) 1733 BLAKE BOTTOM ROAD NW HUNTSVILLE, AL 35806
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
2/26/2010 |
|
FOGLER, SEAN (MD) 1900 HAMILTON STREET PHILADELPHIA, PA 19130
NPI-1548322068 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/28/2017 |
|
FOGLER, SEAN (MD) 201 N. 8TH STREET, UNIT 911 PHILADELPHIA, PA 17105
NPI-1548322068 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/20/2019 |
|
FOLK, THOMASA A. 463 IRVINGTON AVENUE ELIZABETH, NJ 07201
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/19/2006 |
|
FOLKERTS, ANNAMARIA M. (MD) 32 OAK PLACE HAWTHORNE, NJ 07506
NPI- |
Medical Industry Law Violation |
Disqualification Law and Public Safety Medical Assistance (Medicaid) |
12/8/1993 |
Permanent |
FONTANELLA, DANIEL (DC) 27 MOUNTAINWOOD COURT TOTOWA, NJ 07512
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
11/20/2003 |
|
FONTANEZ, MODESTO (MD) 1838 2ND AVENUE NEW YORK, NY 10128
NPI-1851395826 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/7/2011 |
|
FORBES, AASE (RN) 882 DEWEY STREET UNION, NJ 07083
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/20/2009 |
|
FORD, MARYKATE (RN) 103 SWEETWATER DRIVE CINNAMINSON, NJ 08077
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/30/2018 |
|
FORD, TAMIKA (CHHA) 600 ELM STREET CAMDEN, NJ 08102
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/31/2017 |
|
FORDE, SHIVONNE 57 CHESTNUT STREET C4 EAST ORANGE, NJ 07018
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/8/2010 |
3/8/2015 |
FORMAN, STEVEN (DPM) 15 CANTERBURY PLACE SICKLERVILLE, NJ 08081
NPI-1700850096 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
4/18/2017 |
|
FORMICOLA, JENNIFER L (CSW) 1282 S COLUMBINE STREET DENVER, CO 80210
NPI-1174163026 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2022 |
|
FORNEY, DONALD 354 CRESCENT STREET HARRISBURG, PA 17104
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
FORSHAY, LAUREN (RN) 2201 RIVER ROAD PT. PLEASANT BORO, NJ 08742
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/25/2016 |
6/26/2017 |
FORTE, GARY 44 SUMMIT AVENUE BERLIN, NJ 08009
NPI- |
Vendor Criminal Offense |
Suspension Treasury Treasury Purchase Bureau |
8/27/2001 |
|
FORTI, PAUL J. (PSYCH) 6 SILVER SPRING COURT EAST HANOVER, NJ 07936
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/19/2001 |
Permanent |
FORTUNATO, FRANKLIN (MD) FMC-DEVENS, PO BOX 879 AYERS, MA 01432
NPI-1548278930 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/11/2016 |
|
FORTUNATO, FRANKLIN D. (MD) 127 PINE STREET MONTCLAIR, NJ 07042
NPI-1548278930 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/29/2015 |
|
FOSTER, DEBRA (CHHA) 714 ZLOTKIN CIRLCE, APT. 6 FREEHOLD, NJ 07728
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/18/2017 |
|
FOWLER, BERNARD J. (MD) 1341 MIDDLE GULF DRIVE 12D SANIBEL, FL 33957
NPI-1326105032 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/20/2015 |
|
FOWLER, BERNARD J. (MD) 15 GRIST MILL RUN MAHWAH, NJ 07430
NPI-1326105032 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/27/2014 |
|
FOX, SUSAN (DMD) 2300 WALNUT STREET PHILADEPHIA, PA 19103
NPI-1952661472 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/29/2015 |
|
FRAENKEL, DAVID M. (DDS) BERGEN MALL DENTAL OFFICE PARAMUS, NJ 07652
NPI-1790774271 |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
11/4/1991 |
4/5/2018 |
FRAJDENBERG, THERESA 110 S. HARDING HIGHWAY LANDISVILLE, NJ 08326
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
2/2/2016 |
2/1/2019 |
FRANCILLON, CARLINE (LPN) 98 ASHLAND ACENUE, 2ND FLOOR WEST ORANGE, NJ 07052
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
11/13/2017 |
7/27/2022 |
FRANCISCO, DALMACIO HONASAN (MD) 9303 90TH AVENUE, 1ST FLOOR WOODHAVEN, NY 11421
NPI-1922084763 |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
10/19/2023 |
|
FRANCO, DAISY (CHHA) URB JARDIN DE S. ANNA COAMO, NJ 00769
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/10/2007 |
Permanent |
FRANCOIS, EMMANUEL (MD) 187 HOBART GAP ROAD LIVINGSTON, NJ 07039
NPI-1457383382 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/10/2016 |
7/19/2019 |
FRANCOIS, ESTHER (CHHA) 514 LIDGERWOOD AVENUE ELIZABETH, NJ 07202
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/17/2018 |
8/30/2023 |
Heritage Hills Estates 100 Liberty Dr Millville, NJ 08332Frank Carpine, Owner 3730 S. Delsea Dr Vineland, NJ 08360
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
1/4/2016 |
01/03/2019 |
East Coast Touch Enterprises, LLC 152 Jackson St Newark , NJ 07105Frank Loutner, Vice President 152 Jefferson St Newark , NJ 07105
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
8/12/2014 |
8/11/2017 |
Frank Montgomery Builder 42 Bryant Rd. Waretown, NJ 08758Frank Montgomery, Owner 42 Bryant Rd Waretown, NJ 08758
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
7/11/2014 |
07/10/2017 |
FRANK, OLEG (MD) 40 FERRY STREET NEWARK, NJ 07105
NPI-1457469090 |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
9/9/2016 |
2/7/2020 |
FRARE, ROBERT (DMD) 15 PROMENADE PLACE VOORHEES, NJ 08043
NPI-1740477553 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/29/2014 |
Permanent |
FRASCA, CLIFFORD C. 637 WESTON DRIVE TOMS RIVER, NJ 08755
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
4/8/1999 |
Permanent |
FRASER, KEITH (MD) 6 WEDGEWOOD DRIVE, UNIT7 VERONA, NJ 07044
NPI-1881621266 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
1/10/2011 |
12/4/2014 |
FRASER, SHAWN E. P.O. BOX 7000 FORT DIX, NJ 08640
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/20/2005 |
|
FREDERICK, KIMBERLY M. (RN) 78 BOUNDARY AVENUE HANOVER, PA 17331
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
9/12/2008 |
|
FREE, JOSEPH 149 GARFIELD AVENUE STATEN ISLAND, NY 10305
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
3/6/2013 |
3/5/2016 |
FREE, KEVIN R. (MD) 14 PATTEN TERRACE CEDAR GROVE, NJ 07009
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/14/1998 |
Permanent |
FREILER, JOHN (DMD) 2307 WARRENS WAY WANAQUE, NJ 07465
NPI-1295815710 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
12/26/2018 |
|
FREMPONG, EBENEZER (CHHA) 30 POST STREET, APT. 6M YONKERS, NY 10705
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
7/2/2018 |
|
FRENCH, EUGENE (MD) 241 SUMMIT AVENUE HACKENSACK, NJ 07601
NPI-1215927843 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
4/18/2016 |
|
FRICK, JAEMS 1626 ABBOT AVENUE TOMS RIVER, NJ 08753
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/5/2004 |
|
FRIDMAN, LEV (CHHA) 6 SALT MEADOW ROAD EAST BRUNSWICK, NJ 08816
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
5/2/2017 |
|
FRIED, MARTIN (MD) 5 SHINNECOCK HILLS DRIVE ASBURY PARK, NJ 07712
NPI-1407087802 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/17/2018 |
|
FRIED, MARTIN (MD) 5 SHINNECOCK HILLS DRIVE ASBURY PARK, NJ 07712
NPI-1407087802 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
10/21/2019 |
|
FRIEDMAN, AMIR (MD) 390 N. BROADWAY, STE 1000 PENNSVILLE, NJ 08070
NPI-1417907361 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
8/1/2014 |
8/11/2016 |
FRIEDMAN, AMIR (MD) 6928 PESCADO CIRCLE #5 RANCHO MURIETA, CA 95683
NPI-1689662041 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/15/2022 |
|
FRIEDMAN, LAWRENCE A. OWNER 1688-90 54TH STREET BROOKLYN, NY 11024
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/16/2002 |
|
FRIEDMAN, SHERRY (RN) 12 HOPI TRAIL OAK RIDGE, NJ 07348
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/19/2003 |
|
FRIEDMAN, STRASSMAD BARB 5 ROANOKE AVENUE ROCKAWAY, NJ 07866
NPI- |
Criminal Offense |
Disqualification Treasury Treasury Property Management and Construction |
12/1/1998 |
Permanent |
FRIEND, CHARLES (LPN) 2336 CORBETT RD PENNSAUKEN, NJ 08109
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/19/2003 |
|
FRIMPONG, JOSEPH (CHHA) 357-363 LINCOLN AVENUE, APT. 3D ORANGE, NJ 07050
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/31/2017 |
|
FRIMPONG, KOFI (LPN/RN) ESSEX ROAD MAPLEWOOD, NJ 07040
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
12/20/2007 |
|
FRISCH, FREDERICK (MD) 7 SOUTH DUDLEY AVE. VENTOR, NJ 08406
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
3/5/1994 |
DECEASED |
FRITTS, LARRY F. (RN) 5 AUTUMN RIDGE LANE PHILLIPSBURG, NJ 08865
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/20/2005 |
|
FRITZ, GINA (LPN) 52718-2 PIMA COURT KILEEN, TX 76543
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/14/2018 |
|
FROHWIRTH, DANIEL H. (MD) MEADOW RD P O BOX 274 WHITEHOUSE, NJ 08888
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
4/18/1992 |
Permanent |
FROMER, CARL H. (MD) 1000 CLOVER ROAD, APT 7R STATEN ISLAND, NY 10314
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/20/2000 |
Permanent |
FROMM, JOSEPH MICHAEL 28301 ATLANTIC AVE.#110 S ATLANTIC CITY, NJ 08401
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
3/17/1991 |
Permanent |
FROSCH, LISA AKA PLOTTS, LISA (RN) 111 BEECHWOOD AVENUE OAKLYN, NJ 08107
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/18/2001 |
4/5/2022 |
FRYE, ROBIN (CHHA) 1224 WASHINGTON AVENUE CAMDEN, NJ 08104
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/13/2018 |
Permanent |
FRYER, CYNTHIA (LPN) PO BOX 121 MERRY HILL, NC 27957
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/29/2017 |
|
FURLONG, KELLY AKA COPPOLA, KELLY (PHARM TECH) 52 CORNELL DRIVE HAZLET, NJ 07730
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/23/2016 |
|
GABER, ROBERT A. (DDS) 100 VAIL ROAD PARSIPPANY, NJ 07054
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
12/19/1988 |
Permanent |
Galindo Const. LLC 1025 23rd St Paterson, NJ 07513Gabino Galindo, Owner 1025 23rd St Paterson, NJ 07513
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
8/7/2015 |
08/06/2018 |
GABRIEL, NWALA (RPH) 34 SCHOOL STREET PISCATAWAY, NJ 08854
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/23/2010 |
|
GADHOK, RAJINDER S. 120 CIRCEL AVE., BOX 121 BERKELY HGHTS, NJ 07922
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/12/1997 |
Permanent |
GADIRAJU, SRINIVAS (RPH) 76 MORRIS STREET MORRISTOWN, NJ 07960
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/2023 |
|
GAFFNEY, JOHN (DO) 9501 VENTNOR AVENUE MARGATE CITY, NJ 08402
NPI-1710985387 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/24/2017 |
|
GAINER, JAHNIA (PHARM TECH) 11 14TH AVENUE NEWARK, NJ 07103
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
4/26/2016 |
2/12/2024 |
GAINES, TONI 4650 COLES MILL ROAD R-3 WILLIAMSTOWN, NJ 08094
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
8/4/2012 |
8/3/2014 |
GAITHER, HERBERT (MD) 1453 HILLCREST COURT, APT. 407 CAMP HILL, PA 17011
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
GALCIK, DIANE (LPN) 34 MAHAN STREET TENAFLY, NJ 07670
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/20/2001 |
|
GALIN, MILES A. (MD) EAST END AVENUE NEW YORK, NY 10128
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
9/19/2008 |
|
GALINSKY, KIMBERLY (RPH) 220 VAN FLEET AVENUE SOUTH PLAINFIELD, NJ 07080
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/10/2017 |
|
GALINSKY, RONALD C. (PSYCH) 34 DUNHILL DRIVE VOORHEES, NJ 08043
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/1/1998 |
Permanent |
GALL, WILLIAM J. (DO) 22 STONEGATE COURT BLACKWOOD, NJ 08012
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/20/2009 |
Permanent |
GALLAGHER JR., WALTER B. (RN) 132 TULIP LANE SUMMIT, NJ 07901
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/20/2005 |
|
GALLAGHER, BRENDA JO (RN/LPN) 14B WISHING WELL ROAD HAMBURG, NJ 07419
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
4/19/2001 |
|
GALLAGHER, JOANNE M. (DC) 108 BENJAMIN AVENUE CONYNGHAM, PA 18219
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/20/2005 |
|
GALLAGHER, PATRICIA A. (RN) 111 QUAKER ROAD MICKLETON, NJ 08056
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
8/20/2014 |
|
GALLAGHER, STEPHEN OWNER 221 COOLIDGE ST, STE. 11 LINDEN, NJ 07036
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
7/30/2012 |
7/29/2015 |
GALLE, JAMES (RPH) 105 ELM AVENUE HACKENSACK, NJ 07644
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/16/2003 |
|
GALLETTA, ERNEST FCI FAIRTON P.O. BOX 420 FAIRTON, NJ 08320
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
2/19/2009 |
|
GALLETTA, GEORGE W. 3001 E. CHESTNUT AVE A1 VINELAND, NJ 08361
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
2/19/2009 |
|
GAMAO, EDDIE (MD) 375 NORTH DRIVE, J9 NORTH PLAINFIELD, NJ 07060
NPI-1639479397/1770500423 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/14/2018 |
|
GAMAO, EDDIE (MD) 375 NORTH DRIVE, J9 NORTH PLAINFIELD, NJ 07060
NPI-1639479397/1770500423 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/31/2018 |
Permanent |
GAMUZZA, VINCENT #70500-050 (OPTOMETRIST) FCI FORT DIX, PO BOX 2000 JOINT BASE MDL, NJ 08640
NPI-1063851285 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2018 |
|
GANDHI, HIREN 120 ROLLING BROOK DRIVE EDISON, NJ 08820
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/20/2005 |
|
GANETSKY, SVETLANA (PT) 197 SOUTH EDWARDS DRIVE SOUTHAMPTON, PA 18966
NPI-1407180037 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
GANTI, SHASHI (MD) 2035 HAMBURG PIKE WAYNE, NJ 07410
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/20/1997 |
3/3/2020 |
GARCEN, GINA AKA CIALLELLA, GINA (DC) 57 GREEN STREET WOODBRIDGE, NJ 07095
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
3/24/2000 |
Permanent |
GARCIA, DIANE (LCSW) 6612 TERRA DOLCE AVE NW ALBUQUERQUE, NM 87114
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/18/2012 |
|
GARCIA, SHEILA (CHHA) 1003 W. CHAPLAIN ROAD MANVILLE, NJ 08835
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/2/2017 |
|
GARDINER, MICHAEL A. (DC) 2066 MILBURN AVENUE MAPLEWOOD, NJ 07040
NPI-1346524907 |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
2/3/2003 |
|
GARIPALLI, LAXMIPATHI (MD) 11 COLTS GAIT LANE COLTS NECK, NJ 07722
NPI-1851325500 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
4/21/2008 |
|
GARIPALLI, LAXMIPATHI (MD) 11 COLTS GAIT LANE COLTS NECK, NJ 07722
NPI-1851325500 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/20/2012 |
|
GARRETSON, MATTHEW (PHARM TECH) 119 GLEN AVENUE LAKEWOOD, NJ 08701
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/23/2016 |
|
GARRITANO, RALPH E. (MD) 281 GROVE ST ORADELL, NJ 07649
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
Permanent |
GAULT, TYMIER (CHHA) 180 HAYNES AVENUE BRIDGETON, NJ 08302
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
7/22/2017 |
|
GAYLE, DELORES (MD) 249 GREGORY AVENUE WEST ORANGE, NJ 07052
NPI-1508886664 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
12/16/2015 |
6/5/2017 |
GAYLE, DELORES (MD) 249 GREGORY AVENUE WEST ORANGE, NJ 07052
NPI-1508886664 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/5/2017 |
Permanent |
GAYLE, LURINE (CHHA) 2144 ALDRIN ROAD, #5A OCEAN, NJ 07712
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
GAZI, MUKARAM (MD) 9 EMBRY FARM RD MARLBORO, NJ 07746
NPI-1679527188 |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
7/25/2023 |
|
GECYS, GINTARE T. (DO) 1504 BLACKWOOD CLEMENTON BLACKWOOD, NJ 08012
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
9/22/2015 |
5/21/2020 |
GEFFEN, STEVEN 50 SKYLARK COURT MARLBORO, NJ 07746
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
8/15/2000 |
Permanent |
GENNINGER, LEWIS E. (MD) 95 SOUTH MAIN ST PHILLIPSBURG, NJ 08865
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
1/10/1988 |
DECEASED |
GENSHEIMER, MAUREEN (LPN) 1409 EDGEMERE ROAD WALL, NJ 07719
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/19/2002 |
|
Midwest Construction, Inc. 114 Brace Rd Cherry Hill, NJ 08034George Antonas, President 114 Brace Road Cherry Hill, nJ 08034
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
7/24/2014 |
07/23/2017 |
Low Bid, Inc. SUSPENDED PENDING DEBARMENT 125 East Broadway Suite 507 Long Beach, NY 11581George McNulty, President 125 East Broadway Suite 507 Long Beach, NY 11561
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
1/0/1900 |
SUSPENDED |
GEORGE, JOBY (RPH) 395 MYRTLE STREET CLIFFWOOD, NJ 07721
NPI-1255481917 |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
7/18/2011 |
|
GERALDO, PHILIP K. (RN) 2075 SPRINGFIELD AVENUE, FL 2 VAUXHALL, NJ 07088
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/5/2023 |
|
GERARD, ROBERT 144 DORSETT DRIVE WALL, NJ 08719
NPI- |
Vendor Criminal Offense |
Debarment Law and Public Safety 1020 |
4/12/2017 |
4/12/2027 |
GERARDO, LETRICIA M. (MD) 317 MT. PROSPECT AVE. NEWARK, NJ 07104
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/30/1997 |
Permanent |
GERMAN, MARIA (CHHA) 195 BROADWAY PATERSON, NJ 07505
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
5/24/2002 |
|
GERNER, JASON A 16 COLEBRICK COURT SHAMONG, NJ 08088
NPI-1295191005 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/19/2023 |
|
GETSON, LEE 7 HAMILTON COURT SOUTHAMPTON, NJ 08088
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/12/2016 |
|
GIACALONE-HEWSON, MARIA (DC) FCI COLEMAN MEDIUM, PO BOX 1032 COLEMAN, FL 33521
NPI-1487782504 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
GIALANELLA, CRAIG (MD) 4 OXFORD ROAD NORTH CALDWELL, NJ 07006
NPI-1467596502 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/19/2017 |
|
GIAMPORCARO, STEVEN (MD) 15 GLEN AIRE DRIVE EGG HARBOR TOWNSHIP, NJ 08234
NPI-1255356994 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/22/2019 |
Permanent |
INTERCONTINENTAL MEDICAL 185 BROADWAY #14 PATERSON, NJ 07505GIANETTI JR., JOSEPH P. (DC) LINDEMAN AVENUE CLOSTER, NJ 07624
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/18/2008 |
|
GIANNOTTO, ANTHONY (MD) 31 PALM STREET NEWARK, NJ 07106
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
11/24/1988 |
Permanent |
GIARRETTA, MARY SUEANNE (RPH) 9 KINGWOOD AVE FRENCHTOWN, NJ 08825
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
2/15/2001 |
Permanent |
GIBBONS, SHANIKA (CHHA) 11 LINDEN AVENUE EDISON, NJ 08817
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/31/2017 |
|
GIBBONS, SHAWN S. 40 DOVER STREET NEWARK, NJ 07106
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
11/24/2007 |
|
GIBBONS, WAYNE L. (MD) 2 EAST RIVER DRIVE WILLINGBORO, NJ 08046
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
1/12/2001 |
Permanent |
GIBBS, ARLENE (CHHA) 18 BELLEVILLE CT APT C BELLEVILLE, NJ 07109
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
5/20/2007 |
|
GIBBS, ARLENE (CHHA) 35 CIVIC SQUARE, #23 IRVINGTON, NJ 07111
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/28/2006 |
|
GIBBS, MARY ELLEN (CHHA) 157 ANDREW STREET HAMILTON, NJ 08610
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
2/14/2002 |
|
GIBNEY, EDWARD D. 10 CEDAR LAKE DENVILLE, NJ 07834
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
Permanent |
GIBSON, MARY E. 376 MADISON AVENUE RAHWAY, NJ 07065
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/18/2001 |
Permanent |
GIFFINS-MATLACK, DEANNE (LPN) 46 BURT STREET BRIDGETON, NJ 08302
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/28/2017 |
|
GILL, ALYSON R. (RN) 115 BRADLEY COURT LAUREL SPRINGS, NJ 08021
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/19/2003 |
|
GILL, JEFFREY J. (DPM) 1168 BEACON AVENUE MANAHAWKIN, NJ 08050
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
9/13/1999 |
Permanent |
GILL, YURI (CHHA) 13 PINE GLEN DRIVE SICKLERVILLE, NJ 08081
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/19/2017 |
|
GILLARD, MARY (RN) 321 SUNSET AVE., APT.2H ASBURY PARK, NJ 07712
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
4/20/2003 |
|
GILLER, LEONID 4 WOODFERN STREET EDISON, NJ 08820
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
8/27/1999 |
Permanent |
GILLIARD, MICHELLE (CHHA) 2929 HURLEY POND ROAD WALL, NJ 07719
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
1/20/2017 |
|
GILLISS, ADAM (DO) 27 EAST CHESTNUT AVENUE MERCHANTVILLE, NJ 08109
NPI-1982741328 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
12/16/2015 |
|
GILMAN, DANIEL FCI - FAIRTON, PO BOX 420 FAIRTON, NJ 08320
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/20/2017 |
|
GILMAN, DENISE (DO) 108 WOODCREST DRIVE CORAOPOLIS, PA 15108
NPI-1689986960 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
9/19/2016 |
GILMORE, BRUCE STEWART (MD) FRANKLIN DRIVE ARDMORE, OK 73401
NPI-1306985882 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/18/2008 |
|
JEROME DRUGS 7320 VENTOR AVENUE VENTOR, NJ 08406GILTMAN, JEROME (RPH) 7320 VENTOR AVENUE VENTOR, NJ 08406
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
4/30/2007 |
Permanent |
Cobra Communications & Installations, LLC 26 Spencer Place Garfield, NJ 07026Giovanny Bustos, Owner 265 Wilson Avenue Kearny, NJ 07032
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
12/11/2014 |
12/10/2017 |
GIRARDY, MATTHEW (DDS) 1285 BRADFORD RUN SPRING LAKE, NJ 07762
NPI-1831278118 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/20/2019 |
|
GITKIN, SAMUEL 1288 15TH STREET FORT LEE, NJ 07024
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
4/18/2002 |
|
GLASER, VICTORIA M. (RN) 1612 THIRD STREET RENSSELAER, NY 12144
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
7/18/2002 |
|
GLASS, JOEL (MD) 2027 SPRING GARDEN STREET PHILADEPHIA, PA 19130
NPI-1861537219 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/28/2017 |
Permanent |
GLASS, JOEL (MD) 2027 SPRING GARDEN STREET PHILADEPHIA, PA 19130
NPI-1861537219 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/27/2017 |
Permanent |
GLASS, MICHAEL (MD) 1345 SLATERVILLE ROAD ITHACA, NY 14850
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
1/18/2007 |
|
GLEASON, WALTER 252 LILLBRIDGE APTS. CLEMENTON, NJ
NPI- |
Vendor Criminal Offense |
Vendor Treasury Treasury Purchase Bureau |
8/27/2001 |
|
GODBOLT, KIMISHA (CHHA) 190 HAMILTON AVENUE PATERSON, NJ 07501
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
8/24/2017 |
|
GODWIN, LASTAISA (PHARM TECH) 6 HILLSIDE TERRACE SUSSEX, NJ 07461
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/1/2018 |
|
GOEPFERT, SARAH (LPN) 21 HOPKINS DRIVE LAWRENCEVILLE, NJ 08648
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/8/2022 |
|
GOLDBERG, ARTHUR PO BOX 239 AVERNE, NY 11692
NPI- |
Vendor Criminal Offense |
Suspension Treasury Treasury Purchase Bureau |
9/7/2000 |
|
GOLDBERG, CHARLES S. (MD) FCI-OTISVILLE, PO BOX 1000 OTISVILLE, NY 10963
NPI-1164443958 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/22/2016 |
|
GOLDBERG, JESSE G. AKA BLACKFORD, JOSHUA 316 SEATON AVENUE ROSELLE PARK, NJ 07204
NPI- |
Vendor Industry Law Violation |
Suspension Treasury Treasury Purchase Bureau |
10/12/2004 |
|
GOLDBERG, RICHARD (MD) FEDERAL BUREAU PRISONS-RRM #66231-050, 100 29TH STREET BROOKLYN, NY 11232
NPI-1629136320 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/9/2017 |
|
GOLDBERG, RICHARD (MD) 95 DAVIS HILL ROAD WESTON, CT 06883
NPI-1629136320 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
7/1/2015 |
|
GOLDIS, MICHAEL (MD) 36 STOKES ROAD MOUNT LAUREL, NJ 08054
NPI-1982603247 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/30/2020 |
|
GOLDSTEIN, JACK (DO) 695A MAIN STREET LUMBERTON, NJ 08048
NPI-1154355055 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
8/28/2014 |
DECEASED |
GOLDSTEIN, JACK (DO) 695A MAIN STREET LUMBERTON, NJ 08048
NPI-1154355055 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
DECEASED |
GOLDSTEIN, JEFFREY (DO) 90 BARNARD ROAD NEW ROCHELLE, NY 10801
NPI-1831158088 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/14/2021 |
Permanent |
GOLDTHWAITE, JENNIFER (LPN) 507 KENBURY ROAD BRANCHBURG, NJ 08876
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/15/2018 |
|
GOLEJ, IVY (RN) 631 MARION ROAD NEPTUNE, NJ 07753
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/9/2016 |
|
GOLEMBIOSKI, RICHARD C. (DMD) 5 ROUTE 94 VIKING VILLAGE, SUITE H VERNON, NJ 07462
NPI-1831107150 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/15/2023 |
|
GOLEV, DIMO 7 ROSELAND AVENUE TOTOWA, NJ 07512
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
6/10/2014 |
6/9/2017 |
GOLIN, MARK W. (MD) 172 FRANKLIN AVE., SUITE4 RIDGEWOOD, NJ 07450
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
3/20/2003 |
|
GOMEZ, ALFREDO (CHHA) 148 NORTH 10TH STREET, 2ND FLOOR PATERSON, NJ 07522
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/26/2018 |
|
GOMOLINSKI, NANCY ( LCSW) 23 FORSHEE CIRCLE MONTVALE, NJ 07645
NPI-1700986890 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
5/7/2014 |
|
GONCALVES, COURTNEY J. (RN) 312 TEABERRY COURT TOMS RIVER, NJ 08753
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/25/2023 |
|
GONSHERY, DENISE C. (RPH) 900 MCELWEE ROAD MOORESTOWN, NJ 08057
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
2/20/2005 |
|
GONZALEZ, ARELIS (CHHA) 28 MADOLE PLACE PENNS GROVE, NJ 08069
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/31/2017 |
|
GONZALEZ, EFRAIN 256 GROVE STREET NORTH PLAINFIEL, NJ 07060
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
3/6/2012 |
3/5/2015 |
GONZALEZ, FELICIA E. (DO) 1203 GREEN VIEW WAY TOMS RIVER, NJ 08753
NPI-1598850935 |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
9/19/2011 |
6/17/2013 |
GONZALEZ, JORDAN (RPH) FCI FAIRTON #66214-050, PO BOX 420 FAIRTON, NJ 08320
NPI-1992073167 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/9/2017 |
|
GONZALEZ, KALER E. (RN) 113 WALNUT STREET NEPTUNE, NJ 07753
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/31/2023 |
|
GONZALEZ, LEAH (CHHA) 5 TWIN RIVERS DRIVE EAST WINDSOR, NJ 08520
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
1/16/2017 |
5/6/2021 |
GONZALEZ, MIGUEL A. (MD) P.O. BOX 208 HELLERTOWN, PA 18055
NPI-1275543340 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
4/10/2022 |
|
GONZOPH, BARBARA AKA DUFFY, BARBARA (LPN) 208 WAYNE TERRACE COLLINGSWOOD, NJ 08108
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/19/2004 |
|
GOOBERMAN, LANCE (MD) 1 SOUTH CENTRE STREET MERCHANTVILLE, NJ 08109
NPI-1194998682 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
2/24/2004 |
7/23/2012 |
GOODEY, KATHLEEN 333 WHITTIER AVENUE DUNELLEN, NJ 08812
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
5/23/1997 |
|
GOODIN, RICHARD C. (MD) RIVERVIEW CORRECTIONAL OGDENSBURG, NY 13669
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
8/19/2004 |
|
GOODNIGHT, JAMES W. (MD) 535 HIGH MOUNTAIN ROAD NORTH HALEDON, NJ 07508
NPI-1144313131 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
1/17/2014 |
4/11/2017 |
GOODWIN, BARBARA G. (RN) 1201 NORTH CHARLOTTE ST. DICKSON, TN 37055
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
12/19/2002 |
|
GORCEY, STEVEN (MD) 32 VALLEY FORGE ROAD EATONTOWN, NJ 07724
NPI-1679512941 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/11/2019 |
1/7/2021 |
GORDON, BARBARA (X -RAY TECH) 133 MORTON AVENUE S. PLAINFIELD, NJ 07080
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
4/5/2001 |
Permanent |
GORDON, CRAIG W. (MD) 164 RIVEREDGE DRIVE #164 CHATHAM, NJ 07928
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/4/2007 |
|
GORDON, CRAIG W. (MD) 8 SHERWOOD CIRCLE LINDEN, NJ 07036
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
3/18/1993 |
Permanent |
GORDON, HOWARD L. (MD) 222 BROADWAY NEWARK, NJ 07104
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
Permanent |
GORDON, RAHSHEEDA (CHHA) 445 SOUTH 11TH STREET NEWARK, NJ 07103
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
GORIGANTI, MAHENDER (MD) 7187 WOODCHUCK HILL ROAD FAYETTEVILLE, NY 13066
NPI-1144202805 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/20/2015 |
|
GOROVITS, LILIA (MD) 1157 METTLER ROAD HUNTINGTON VALLEY, PA 19006
NPI-1427163427 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/7/2017 |
|
GORUKANTI, SURENDER (MD) 4324 BEDFORD AVENUE BROOKLYN, NY 11229
NPI-1750488292 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/20/2018 |
|
GORUKANTI, SURENDER (MD) 4324 BEDFORD AVENUE BROOKLYN, NY 11229
NPI-1750488292 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/31/2019 |
Permanent |
GOTAY, ALEXANDER (LCSW) SSCF, P.O. BOX 150 DELMONT, NJ 08314
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
2/24/2008 |
|
GOUDA, NEEMAT G. (CHHA) 78 FREMONT STREET JERSEY CITY, NJ 07302
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/4/2023 |
|
GOULBOURNE, MARIANA (CHHA) 430 S. 13TH STREET NEWARK, NJ 07103
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/6/2018 |
|
GRANGER, MAI AKA GRIFFITHS, MAI (CHHA) 15 PEPPERMINT LANE WILLINGBORO, NJ 08046
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
9/29/1999 |
Permanent |
GRANT, NICOLE (CHHA) 18 BUCKNELL DRIVE TOMS RIVER, NJ 08757
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/31/2017 |
|
GRANVILLE, PEDRO JULIO (CLIN LAB TECH) 823 BROAWAY WEST LONG BRANCH, NJ 07764
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/20/2015 |
|
GRASSER, JENNIFER B. AKA KROWICKI, JENNIFER (RN) 232 CLUB DRIVE WALL, NJ 07719
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/20/2002 |
|
GRAUERHOLZ, JOHN E. (MD) P.O. BOX 2172 LEESBURG, VA 22075
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/19/2002 |
|
GRAY, KEVIN 129 CHANCELLOR AVE NEWARK, NJ 07112
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
Permanent |
GRAY-KEARLY, ASHLEE (CHHA) 10 CORAL DRIVE HOWELL, NJ 07731
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/31/2017 |
|
GRAYOVSKI, ELIZABETH (CHHA) 206 NORTHFIELD ROAD MILLINGTON, NJ 07946
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
7/14/2017 |
|
THIRO AND GRAYSON INC 449 AVENUE C BAYONNE, NJ 07002GRAYSON, MURRAY A. (RPH) 163 HAMPTON GREEN STATEN ISLAND, NY 10312
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
Permanent |
GRAZIADEI, PAMELA J. (RN) 175 N MAIN STREET YARDLEY, PA 19067
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/2/2023 |
|
GRAZIANO, NATALE (MD) 470 BROOKSIDE LANE SOMERVILLE, NJ 08876
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/1/1998 |
Permanent |
GREEN, JOHN N. (MD) 3 PADDOCK COURT BASKING RIDGE, NJ 07920
NPI-1114072444 |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
9/25/2014 |
|
GREEN, JOHN N. (MD) 61 MAIN STREET WEST ORANGE, NJ 07102
NPI-1114072444 |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
2/22/2012 |
6/21/2012 |
GREEN, JOYCE D. (CHHA) PO BOX 145 WOODBINE, NJ 08270
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/20/2003 |
|
GREEN, ROBERT (MD) 22 OLD SHORT HILLS ROAD LIVINGSTON, NJ 07039
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
9/2/1992 |
DECEASED |
GREEN, SHANNON R. (LPN) 19 MADELEY COURT SICKLERVILLE, NJ 08081
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/3/2022 |
|
GREENBERG, ANTHONY (MD) 576 STATE ROUTE 94 COLUMBIA, NJ 07832
NPI-1487641239 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/29/2016 |
|
ORANGE DRUG & SURGICAL IN 270 HIGHLAND ROAD S. ORANGE, NJ 07079GREENBERG, EDMUND (RPH) 270 HIGHLAND ROAD S. ORANGE, NJ 07079
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
2/7/2000 |
DECEASED |
GREENBERG, LAUREN (LPN) 2376 WEST MAIN STREET MILLVILLE, NJ 08332
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/25/2019 |
|
GREENE, LIZA (RN) 57 N. RIVER DRIVE PENNSVILLE, NJ 08070
NPI- |
Vendor Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/19/2003 |
|
GREENFARB, IRVING (DO) 160 LITTLETON ROAD MORRIS PLAINS, NJ 07950
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
12/19/1988 |
DECEASED |
GREENFIELD, RONALD W. 227 CLUB DRIVE WALL, NJ 07719
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
7/19/2001 |
|
GREENLEAF, JANICE (LPN) 110 EAST JUNIPER AVENUE NORTH WOLDWOOD, NJ 08260
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/20/2005 |
|
GREENSPAN, BERNARD (DO) 484 LAFAYETTE AVENUE HAWTHORNE, NJ 07506
NPI-1245231406 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/4/2017 |
Permanent |
GREENSPAN, BERNARD (DO) 150 OVERLOOK AVENUE, 10C HACKENSACK, NJ 07601
NPI-1245231406 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/29/2017 |
Permanent |
GREENSPAN, WILLIAM GILL LANE ISELIN, NJ 08830
NPI- |
Vendor Criminal Offense |
Suspension Treasury Treasury Purchase Bureau |
9/27/2000 |
|
Jack Mack Commercial Roofing, Inc. 153 Lewis Street Perth Amboy, NJ 08861Gregorio Soto, Owner 768 Courtlandt St Perth Amboy, NJ 08861
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
3/18/2015 |
03/17/2018 |
GRETZULA, CHAD (DMD) 616 EAST LANCASTER AVENUE BERWYN, PA 19312
NPI-1558422311 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
GREUNER, DAVID (MD) 14 E 60TH STREET, STE 501 NEW YORK, NY 10022
NPI-1063627347 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/14/2022 |
|
GRIETZER, JOY (RN) 406 EAST FRANKLIN AVENUE WEST BERLIN, NJ 08091
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
7/22/2017 |
|
GRIFFIN, CHARLES (RPH) HAZELTON USP, PO BOX 2000 BRUCETON, WV 26525
NPI-1669757530 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
GRIFFIN, REMY (CHHA) 490 PARK AVENUE, APT. #3-B PATERSON, NJ 07504
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/2/2017 |
|
GRIFFITHS, MAI AKA GRANGER, MAI (CHHA) 15 PEPPERMINT LANE WILLINGBORO, NJ 08046
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
9/29/1999 |
Permanent |
GRIMES, BRIDGET 293 LINCOLN STREET PHILLIPSBURGH, NJ 08865
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
10/29/2012 |
|
GRINBERG, SAGY (MD) 201 LYONS AVENUE NEWARK, NJ 07112
NPI-1093177503 |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
6/1/2023 |
|
GRINBERG, SAGY (MD) 900 AVE AT PORT IMPERIAL BLVD APT 1018 WEEHAWKEN, NJ 07086
NPI-1093177503 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2023 |
|
GRINSHPUN, LEV (CHHA) 201-F MORRIS AVENUE ELIZABETH, NJ 07208
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
7/22/2017 |
|
GRISSON, SANDRA 30 SOUTH CHURCH STREET, APT. 5 WAYNESBORO, PA 17268
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/29/2015 |
|
GROSS, KENNETH (DC) 333 PROVINCIAL DRIVE MORGANVILLE, NJ 07751
NPI-1740488709 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/20/2018 |
|
GROSSETT II, KENNETH W. (RPH) SOUTH DUPONT ROAD CARNEYSPOINT, NJ 08069
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
3/20/2008 |
|
GRULLON, KADIA (CHHA) 204 ACKERMAN AVENUE CLIFTON, NJ 07011
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/19/2018 |
|
GUALTIERI, CHRISTOPHER 109 KARENLYNN DRIVE FRANKLINVILLE, NJ 08322
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
11/29/2023 |
|
GUANMESIA, EUNICE AKA MANJO, EUNICE (RN) 128 FIELDBROOK DRIVE MAGNOLIA, DE 19962
NPI-1811443815 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/3/2019 |
|
GUDE, ROBERT 9 WYCOFF TERRACE FAIRLAWN, NJ 07410
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
2/6/2013 |
2/5/2016 |
GUENSCH, LISA M. (RN) 85 MORNING GLORY ROAD WARREN, NJ 07059
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/20/2009 |
|
GUERRERO, RAUL 110 JEROME AVENUE SOUTH BOUND BRO, NJ
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
1/20/2004 |
|
GUERRERO, THAMARA (CHHA) 327 OUTWATER LANE #2 GARFIELD, NJ 07026
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/6/2018 |
|
GUERRIERO, LU ANN M. (DC) 21 KILMER DR, STE 2A MORGANVILLE, NJ 07751
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/24/1997 |
|
GUICE SR., JASON C. 725 ELIZABETH AVE. NEWARK, NJ 07112
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/15/2004 |
|
GUICE, AZIE VICE PRESIDENT 725 ELIZABETH AVENUE NEWARK, NJ 07112
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
9/5/2005 |
|
GUILBERT, RICARDO (LPN) SOUTHERN STATE CORREC FAC DELMONT, NJ 08314
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
11/21/1995 |
Permanent |
GUILIANO, GINA (RN) 1 KINDERKAMACK ROAD WOODCLIFF LAKE, NJ 07677
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
12/18/2003 |
|
GUINTU, PHILLIPPE M. (LPN) 80 SUNSET STREET DUMONT, NJ 07628
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/3/2022 |
|
GULLA, FRANK T. (MD) 113 RTE. 46 W. WILLOW SQ. WAYNE, NJ 07470
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
12/7/1999 |
Permanent |
GUPTA PHARMACY 1700 OAK TREE ROAD EDISON, NJ 08820GUPTA, NAVEEN (RPH) 1700 OAK TREE ROAD EDISON, NJ 08820
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
3/4/1999 |
Permanent |
GUPTA, RASHMI J. (COUNSELOR) 203 HASSE AVENUE PARAMUS, NJ 07652
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
7/30/2012 |
|
GUPTA, RASHMI J. (COUNSELOR) 10913 CORY LAKE DRIVE TAMPA, FL 33647
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
7/3/2013 |
|
GUPTA, ROHIT #000263228G BAYSIDE STATE PRISON, PO BOX F-1 LEESBURG, NJ 08327
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/4/2019 |
|
GURBAN, ELHAN 14 FAHRNER STREET BERGENFIELD, NJ 07621
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/16/2016 |
|
GURBAN, ELHAN SOUTHERN STATE CORRECTIONAL, 4295 ROUTE 47 DELMONT, NJ 08314
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
12/16/2015 |
|
GUREVICH, NATALIA (MD) 31-23 CRESCENT ST. APT 2C ASTORIA, NY 11106
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/20/2005 |
|
GUSSMAN, MICHAEL (DPM) 141 GREENBROOK DRIVE MARLTON, NJ 08053
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/20/2001 |
|
GUSTAFSON, JOHN 39 CHARLES STREET MONTGOMERY, NY
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
4/10/2013 |
4/9/2016 |
GUTIERREZ, SALLY (CHHA) 1005 MADISON AVENUE, STE 2 PATERSON, NJ 07501
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/5/2023 |
|
GUYTON, KATHLEEN 228 SANFORD STREET EAST ORANGE, NJ 07018
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/20/2002 |
|
GUZZI, NICOLE (CHHA) 117 SHERIDAN AVENUE ROSELLE PARK, NJ 07204
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/2/2018 |
|
GYAPONG, WILLIAM (CHHA) 5 LORETTO STREET NEWARK, NJ 07112
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/29/2019 |
|
HABIB, IMAD 1529 39TH STREET 1ST FL NORTH BERGEN, NJ 07047
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
9/30/2011 |
|
HAHN, JENNIFER I. (APN/RN) 6125 N. GUAVA LANE LAKE WORTH, FL 33462
NPI-1184645772 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2024 |
|
EAST BROADWAY MEDICAL ASSOCIATES 195 BROADWAY PATERSON, NJ 07505HAIDER, MOHAMMED M. 195 BROADWAY PATERSON, NJ 07505
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
12/7/1999 |
|
HAINES, KEITH (MD) 1210 BRACE ROAD CHERRY HILL, NJ 08034
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
10/15/1991 |
DECEASED |
HAINES, RAMONA L. (RN) 103 MEADOWVIEW CIRCLE MARLTON, NJ 08053
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/19/2004 |
6/16/2022 |
HAINES, ROBBIE A. (RN) WHITE POND COURT ABSECON, NJ 08205
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/18/2007 |
|
HAITMANEK, OTTILLIE M. (LPN) 4162 BAYBERRY COURT MONMOUTH JUNCTION, NJ 08852
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/28/2017 |
|
HALAS, JOHN 144 WHITEHALL DRIVE VOORHEES, NJ 08043
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/20/2002 |
|
HALL, AFRIKA AKA JACKSON, AFRIKA BRIARWOOD DRIVE TOBYHANNA, PA 18466
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
10/2/2007 |
6/28/2018 |
HALL, ANNA M. (RN) 44 LAKE TRAIL EAST WAYNE, NJ 07470
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/18/2001 |
|
HALL, KIM 5 UNAMI LANE SCOTCH PLAINS, NJ 07076
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
1/23/2009 |
Permanent |
HUDSON MEDICAL LIVERY 100 RESERVOIR AVENUE JERSEY CITY, NJ 07307HAMAD, ALHIBER K. 100 RESERVOIR AVENUE JERSEY CITY, NJ 07307
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/1/1998 |
Permanent |
HAMBERG, IVAN (OD) 49 W. CHELTEN AVENUE PHILADEPHIA, PA 19144
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/27/2001 |
Permanent |
HAMDAN, AIMAN (MD) 7 OAK HILL DRIVE WAYNE, NJ 07470
NPI-1336186600 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/20/2018 |
|
HAMDAN, KRISTINA 7 OAK HILL DRIVE WAYNE, NJ 07470
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/16/2017 |
|
HAMDAN, KRISTINA #70919-050 ALDERSON FPC, GLEN RAY ROAD, BOX A ALDERSON, WV 21910
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/4/2019 |
|
ANDAS PHARMACEUTICAL SUPPLY CORP. 592 PALISADE AVENUE TEANECK, NJ 07666HAMED, AHMED 592 PALISADE AVENUE TEANECK, NJ 07666
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/20/2018 |
|
HAMEEDI, FAWAD (MD) 79 WASHINGTON AVENUE NORTH HAVEN, CT 06473
NPI-1124318068 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/20/2022 |
|
HAMENOO, LOVESDALE AKA ADADEVOH, LOVESDALE (CHHA) 1 SKYTOP GARDENS, APT. 19 PARLIN, NJ 08859
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/16/2019 |
|
HAMM, CARRIE (RN) 1134 N. STILES STREET LINDEN, NJ 07036
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
2/23/2010 |
2/23/2013 |
HAMM, CARRIE (RN) 1134 N STILES STREET LINDEN, NJ 07036
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/19/2003 |
2/23/2013 |
HAMPTON, GLYNDA 571 MONTGOMERY STREET JERSEY CITY, NJ 07302
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/29/2002 |
Permanent |
HAN, DANIEL 481 WALKER STREET, APT. 1D FAIRVIEW, NJ 07022
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/29/2016 |
|
HANDERHAN, LEROY (RN) 909 ABINGTON ROAD CHERRY HILL, NJ 08034
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/20/2007 |
|
HANDS, EVELYN (CHHA) 789 WHEATLAND COURT CAMDEN, NJ 08104
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/27/2006 |
|
HANLEY, KEVIN 10203 SPRINGRIDGE AVENUE BATON ROUGE, LA 70810
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
9/20/2023 |
|
HANNA, ALEXANDRA (LPN) 51 NORTHRUP DRIVE BRICK, NJ 08724
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/2/2018 |
|
HANNA, ASHRAF (PHARM TECH) 50 WILLETT AVENUE SOUTH RIVER, NJ 08882
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/21/2016 |
|
HANNAN, SR., PAUL (MD) 6619 WALLASTON COURT BROOKLYN, NY 11204
NPI-1639166572 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/15/2021 |
|
HANSCOM, CRYSTAL (RPH) 1407 BROMLEY ESTATES PINE HILL, NJ 08021
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
8/8/2011 |
9/6/2016 |
HARLOW, ALBERT J. 515 SUMMIT LANE RIEGELSVILLE, PA 18077
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
4/22/2013 |
4/21/2016 |
Harold Marshall, Jr., Member 1800 Eva Street Austin, TX 78704
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
5/12/2014 |
05/11/2017 |
HARPER, JENNIFER R. (RN) 131 HEMLOCK COURT WOODBURY, NJ 08096
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/19/2003 |
|
HARRELL, PAMELA L. (RN) 1150 REDROCK CANYON RD KATY, TX 77450
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/20/2002 |
|
HARRIGAN, DAVID C. (DC) 161 W. WHITE HORSE PIKE ABSECON, NJ 08201
NPI-1932155736 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/29/1995 |
|
HARRIS, JOHNNIE 2 LAKE BLVD EWING, NJ 08638
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/22/2006 |
Permanent |
HARRIS, PAUL AKA PATEL, HARISH (MD) GB-46 PO BOX 26010 BEAUMONT, TX 77720
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
11/20/2006 |
|
HARRISON, RONISHA (CHHA) 96 KNIGHTS BRIDGE WAY MAYS LANDING, NJ 08330
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/9/2018 |
|
HARRIS-POOLE, IRENE (PTA) 708G LUCAS LANE VOORHEES, NJ 08043
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
8/20/2003 |
|
Harry Gallo, Secretary 245 Emanuel St. Trenton, NJ 08610
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
4/5/2016 |
4/4/2019 |
HARVILIK, DOROTHEA (RN) 20 EAST ALLENDALE ROAD SADDLE RIVER, NJ 07458
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/28/2017 |
Permanent |
HASSAN, FAWZIA (CHHA) 3413 JOHN F. KENNEDY BLVD., APT. 3 JERSEY CITY, NJ 07307
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/28/2023 |
|
HASSAN, SALAH A. 105 TONNELLE AVENUE JERSEY CITY, NJ 07305
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/31/2001 |
Permanent |
HASSETT, IRENE (PHD) 950 MORGAN HIGHWAY 226 SOUTH ABINGTON, PA 18411
NPI-1801894803 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
HATCHER-MURPHY, KIMBERLY AKA HURBAN, KIMBERLY (LPN) 966 HERMAN DRIVE DEPTFORD, NJ 08051
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
7/18/2018 |
|
HATTON, JOSEPH R. (RN) 41 DOGWOOD DRIVE SOMERS POINT, NJ 08244
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/14/2023 |
|
HEGGS, PAMELA B. P.O. BOX 4004 CLINTON, NJ 08809
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/18/2007 |
|
HEIGEL, GEORGE 350 MAIN STREET KERSEY, PA 15846
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
5/30/2013 |
5/29/2016 |
HEINRICH, SARATU (CHHA) 435 STUYVESANT AVENUE, FLOOR 1 IRVINGTON, NJ 07111
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/19/2023 |
|
E & S ENTERPRISES, LLC PO Box 2050 Vineland, NJ 08360HELEN HENRIQUEZ, OWNER 101 South Orachard Rd Vineland, NJ 08360
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
1/28/2016 |
1/27/2019 |
HELLER, ELLIOT M. (MD) 1150 AMBOY AVENUE EDISON, NJ 08837
NPI-1770688723 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
4/29/2003 |
6/25/2014 |
HENRIQUEZ, HELEN 101 S. ORCHARD ROAD VINELAND, NJ 08360
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
1/28/2016 |
1/27/2019 |
HENRY, SARA (RN) 54 CARVER AVENUE LINDENWOLD, NJ 08021
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/7/2008 |
|
HERMAN, LAWRENCE S. (DC) 8908 DANVILLE TERRACE FREDERICK, MD 21701
NPI-1881664761 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/29/2015 |
|
HERMAN, THERESA (RN) 676 HARBOR ROAD BRICK, NJ 08724
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/20/2004 |
|
HERNANDEZ, FRANCHESCA (CHHA) 256 N 11TH STREET NEWARK, NJ 07107
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/4/2023 |
|
HERNANDEZ, JENNIFER OFELIA (CHHA) 1410 OAK TREE DRIVE (H) NORTH BRUNSWICK, NJ 08902
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/25/2013 |
|
HERNANDEZ, NORA LEE (LPN) 4820 OLD HARRISBURG ROAD, LOT 27 GETTYSBURG, PA 17325
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
HERNANDO, GILDA 669A CHAMBERS STREET TRENTON, NJ 08611
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
11/8/2002 |
|
HERSCHMAN, ZVI J. (MD) 1 OLD SHORT HILLS ROAD LIVINGSTON, NJ 07039
NPI-1033217492 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
10/28/2013 |
|
HERSCHMAN, ZVI J. (MD) 346 WILSON STREET WEST HEMPSTEAD, NY 11552
NPI-1033217492 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
4/20/2013 |
|
HERSHAN, DAVID (MD) 33 OWATONNA STREET HAWORTH, NJ 07641
NPI-1740280957 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/18/2017 |
|
HESSEIN, AMGAD A. (MD) 483 SOUTH ORANGE AVENUE SOUTH ORANGE, NJ 07079
NPI-1578637260 |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
1/26/2012 |
5/25/2016 |
HESSEIN, AMGAD A. (MD) 24 DOGWOOD COURT WOODLAND PARK, NJ 07424
NPI-1578637260 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
5/25/2016 |
|
HESSEIN, AMGAD A. (MD) BAYSIDE STATE PRISON, PO BOX F-1 LEESBURG, NJ 08327
NPI-1578637260 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/1/2017 |
|
HEYMACH, GEORGE (MD) 801 W. 57TH TERRACE KANSAS CITY, MO 64113
NPI-1568588317 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/27/2001 |
Permanent |
HEYMAN, JACK (DO) 124 E MT PLEASANT AVENUE LIVINGSTON, NJ 07039
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
1/7/1983 |
DECEASED |
HIBBS, ELIZABETH AND ELIZABETH O'BRIEN 2201 BENJAMIN FRANKLIN PARKWAY, APT. 807 PHILADEPHIA, PA 19130
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/18/2019 |
|
HICKS, MYASIA (CHHA) 38-40 JOHNSON AVENUE NEWARK, NJ 07108
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/8/2017 |
|
HIGGINS, GARY W. (RN) 548 WAYSIDE ROAD NEPTUNE, NJ 07753
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/20/2002 |
|
HIGGINS, MARTIN 706 BLOOMFIELD AVENUE NUTLEY, NJ 07110
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
7/20/2005 |
|
HIGGINS, RANDALL T. (RPH) 17 WAVERLY PLACE MATAWAN, NJ 07747
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/3/2017 |
|
HILLA,ALAN 612 CHEROKEE LANE BRIELLE, NJ 08730
NPI- |
Vendor Criminal Offense |
Law and Public Safety 1020 |
6/6/2017 |
6/6/2027 |
HILLEY, KATHLEEN M. 219 CENTER STREET TUCKERTON, NJ 08087
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
10/15/2010 |
|
HILT, JOE PRESIDENT 79 MYRTLE AVENUE MICKELTON, NJ 08056
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
8/23/2012 |
8/22/2015 |
HILTON JR., JAMES R. (DO) 28 BROCKTON COURT BEACON FALLS, CT 06403
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
4/3/2002 |
|
HIMMELWRIGHT, VICTOR 44 LONDONBERRY WAY SUMMIT, NJ 07901
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
Permanent |
HINSON, ANTHONY (RN) 566 RECTOR STREET PHILADEPHIA, PA 19128
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/21/2020 |
|
HINSON, ANTHONY M. (RN) 566 RECTOR STREET PHILADELPHIA, PA 19128
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/30/2023 |
Permanent |
HIRES, STEPHANIE (RN) 725 FORD AVENUE LANGHORNE, PA 19047
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2018 |
|
HIRSCH, SCOTT 871 CORONADO CENTER DR., SUITE 200 HENDERSON, NJ 89052
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
3/20/2022 |
|
HIRSH, HOWARD (RPH) 163 EINSTEIN WAY EAST WINDSOR, NJ 08512
NPI-1811204605 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/25/2016 |
|
HO, SHING (MD) 6 JAMOR COURT NESCONSET, NY 11767
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/19/2000 |
|
HOANG, NGOC aka ANNIE HOANG (RN) 12046 COURSEY BLVD BATON ROUGE, LA 70816
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/22/2022 |
|
HOCHBERG, JOHN (MD) 288 PLEASANT VALLEY ROAD MORGANVILLE, NJ 07751
NPI-1134280480 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/14/2016 |
9/23/2022 |
HOCHBERG, JOHN (MD) 288 PLEASANT VALLEY ROAD MORGANVILLE, NJ 07751
NPI-1134280480 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/17/2017 |
9/23/2022 |
HODGKISS, KATHLEEN (PSYCH) 151 KNOLLCROFT ROAD LYONS, NJ 07939
NPI-1013179233 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
7/22/2017 |
|
HOFFMAN, KATHLEEN AKA SULIMENKO-HOFFMAN, KATHLEEN (LPN) 99 CREEK ROAD BRICK, NJ 08724
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/13/2018 |
|
HOFFMAN, LISA M. 405 OLCOTT STREET ORANGE, NJ 07050
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
5/31/2022 |
|
HOFFMAN, LISA M. FCI DANBURY ROUTE 37 DANBURY, CT 06811
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2023 |
|
HOFFMAN, MARTIN L. (MD) 7 CAREFREE LANE SUFFERN, NY 10901
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
3/29/2002 |
|
HOFFSPIEGEL, PAUL 56 SULLLIVAN DRIVE WEST ORANGE, NJ 07052
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
8/6/1998 |
|
HOFSTETTER, DAVID OWNER 114 COUNTY ROAD 513 PITTSTOWN, NJ 08867
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/14/2000 |
|
HOLCA, LIVIU (MD) 1137 BEACON AVENUE MANAHAWKIN, NJ 08050
NPI-1053348417 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
11/25/2014 |
|
HOLLENBAUGH, JUSTIN E. (RN) 616 LESTERSSHIRE DRIVE SEWELL, NJ 08080
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2024 |
|
HOLLEY, AKEYA (CHHA) 11 MONTICELLO AVENUE, 2ND FLOOR NEWARK, NJ 07106
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/13/2018 |
|
HOLLOWAY, JAZMINE (CHHA) 95 CUMMINGS AVENUE IRVINGTON, NJ 07111
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/23/2018 |
|
HOLLOWAY, LAKEZIA (CHHA) 1306 SUMMERFIELD AVENUE ASBURY PARK, NJ 07712
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/13/2018 |
|
PARTNERS FOR HOPE 447 EAST 42ND STREET PATERSON , NJ 07504HOLLOWAY, QUINCEY (LSW) 447 EAST 42ND STREET PATERSON, NJ 07504
NPI-1689883001 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/17/2019 |
4/24/2019 |
HOLMES, THERESA (CHHA) 1290 N. 27TH STREET CAMDEN, NJ 08105
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/12/2018 |
|
HOMAN, WALTER W. (CHHA) FORECASTLE AVENUE BEACHWOOD, NJ 08722
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/21/2008 |
|
HONG, JOSEPH S. (MD) 34 FOREST DRIVE WATCHUNG, NJ 07069
NPI-1346258001 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/29/2016 |
|
HOOKE, KNYCKHOLLE 1050 HARRISON AVENUE ROSELLE, NJ 07203
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
12/14/2022 |
|
HOPKINS, TANYA (CHHA) 433 EAST 18TH STREET, 2ND FLOOR PATERSON, NJ 07524
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/20/2019 |
|
HOPPE, GERALD BOX 483A RD 1 MONROEVILLE, NJ 08343
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
Permanent |
HORN, MURRAY 287 GARFIELD AVE HAWORTH, NJ 07641
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
8/19/1984 |
Permanent |
HORVATH, CHARLYN (RN) 3072 BORDENTOWN AVENUE PARLIN, NJ 08859
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/27/2018 |
|
HORWITZ, KENNETH (RPH) 8 MOHAWK PLACE RANDOLPH, NJ 07869
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
10/31/2003 |
7/20/2011 |
HOUSTON, PLATINUM (CHHA) 15 COURTLAND LANE WILLINGBORO, NJ 08046
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/19/2017 |
|
HOUTAN, FARAH (PTA) 269 STEELMANVILLE ROAD EGG HARBOR, NJ 08234
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
5/1/2012 |
|
HOUTAN, FARAH (PTA) 269 STEELMANVILLE ROAD EGG HARBOR TOWN, NJ 08234
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
10/27/2009 |
|
HOWARD, REGINA R. 104 E. 8TH STREET LAKEWOOD, NJ 08701
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
10/30/2013 |
|
HOWARD, ROBIN A. (RN) 196 KING AVENUE TRENTON, NJ 08638
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/19/2001 |
Permanent |
HOWELL, BRIAN (LPN) 106 PARKER AVENUE #2 FORKED RIVER, NJ 08731
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/27/2017 |
|
HOWELL, CHRISTOPHER (CHHA) 978 JOLSON COURT MANCHESTER TOWNSHIP, NJ 08759
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
10/26/2017 |
|
HOWELL, CLIFTON (MD) 15 COLONY DRIVE WEST WEST ORANGE, NJ 07052
NPI-1942247622 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
8/19/2011 |
|
HOWELL, CLIFTON (MD) 15 COLONY DRIVE WEST WEST ORANGE, NJ 07052
NPI-1942247622 |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
10/18/2012 |
|
HRABARCHUK, EUGENE (MD) 925 CLIFTON AVENUE CLIFTON, NJ 07013
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/1/1998 |
Permanent |
HSIA, VINCENT (RPH) SCHUYLKILL FCI MINERSVILLE, PA 17954
NPI-1710209291 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
5/1/2014 |
|
HU, HSUN TUAN 154 HOMESTEAD PLACE BOGOTA, NJ 07603
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/10/1999 |
Permanent |
HUBBARD, PETER (RN) 1051 WASHINGTON STREET, APT. 4 EASTON, PA 18042
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/25/2016 |
7/12/2022 |
HUDSON, FITZGERALD (MD) PO BOX 1000 MILAN, MI 48160
NPI-1639367725 |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
6/12/2014 |
|
HUERTA JR., FRANK 25 CHAPEL STREET BROOKLYN, NY 11201
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
1/10/1997 |
|
HUERTAS, CARLOS 47 GARRISON AVENUE JERSEY CITY, NJ 07306
NPI- |
Vendor Other |
Debarment Law and Public Safety 1020 |
|
Permanent |
HFC Painting 696 Elm St Kearny, NJ 07032Hugo Canabe, CEO 696 Elm St Kearny, NJ 07032
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
3/18/2015 |
03/17/2018 |
DM FERNANDES CONTRACTS, LLC 551 North Broad St Elizabeth, NJ 07208Hugo Fernandes, Owner 90 Willow Street Cartaret, NJ 07008
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
1/28/2015 |
1/27/2018 |
HUNDA, RAFAEL (MD) 472 RIVER STREET PATERSON, NJ 07524
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/21/2001 |
Permanent |
HUNTER, CHRISTOPHER (LPN) 430 BARTINE STREET SOMERVILLE, NJ 08876
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/20/2002 |
|
HUNTER, FRANK L. 6 HARTZ DRIVE BRIDGETON, NJ 08302
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
2/20/2005 |
|
HURBAN, KIMBERLY AKA HATCHER-MURPHY, KIMBERLY (LPN) 966 HERMAN DRIVE DEPTFORD, NJ 08051
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
7/18/2018 |
|
HURLEY, DOUGLAS #65501-050 FCI FAIRTON #66214-050, PO BOX 420 FAIRTON, NJ 08320
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/18/2019 |
|
Jamali Developers, LLC SUSPENDED PENDING DEBARMENT 553 Main Street North Brunswick, NJ 08902Hussain Burhanpurwala, Member 238 Fresh Ponds Rd Suite 100 Monroe, NJ 08816
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
1/0/1900 |
SUSPENDED |
HUSSAIN, IFTIKHAR 9 VAN COURTLAND AVENUE STATEN ISLAND, NY 10301
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
1/29/2003 |
Permanent |
HUSSAIN, ZAHID (MD) 301 ROUTE 9 NORTH FREEHOLD, NJ 07728
NPI-1992733232 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/30/2011 |
7/22/2016 |
HUSSKE, JULIE (RN) 1105 CRENDALL WAY WAKE FOREST, NC 27587
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/10/2019 |
|
HUSTON JR., JOHN A. DN2591 (CHHA) 8 PRODUCTION WAY AVENEL, NJ 07001
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/29/1997 |
|
HYMAN, DEBORAH 6 HASTINGS LANE FLEMINTON, NJ 08822
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/20/2006 |
|
HYMAN, RONALD M. (RPH) 3845 DEMPSEY HUNTINGTON VALLEY, PA 19006
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
1/19/2005 |
|
IBRAHIM, ELHADI 125 HALF MILE RD, BOX 190 MIDDLETOWN, NJ 07748
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
1/29/2001 |
Permanent |
ATA MEDICAL TRANSPORTATION 55 WASHINGTON STREET, SUITE 600 EAST ORANGE, NJ 07017IBRAHIM, GASIM 340 FAIRMOUNT JERSEY CITY, NJ 07306
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/11/1996 |
Permanent |
IBRAHIM, MOHAMMAD (MD) 871 MCBRIDE AVENUE WOODLAND PARK, NJ 07424
NPI-1265494645 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
1/22/2016 |
|
IGBERASE, OLUWAFEMI AKA IGBERASE, CHARLES AKA AKODA, CHARLES (RN) 14909 DOWNEY COURT, SUITE 200 BOWIE, MD 20721
NPI-1609033042 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/20/2018 |
|
IGBINADUWA, NEWTON (RPH) 116-35 139TH STREET JAMAICA, NY 11436
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/19/2005 |
|
IGHAMA-AMEGOR, IBIOLA (MD) 59 MAPLE AVENUE VAUXHALL, NJ 07088
NPI-1639251804 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/16/2017 |
|
IGHAMA-AMEGOR, IBIOLA (MD) 204 KEER AVENUE NEWARK, NJ 07112
NPI-1639251804 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/18/2019 |
|
IGNACCOLO, EMANUELE (MD) 688 WYCHOFF AVENUE MAHWAH, NJ 07430
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
DECEASED |
IKEH, CHIDI ETHELBERT PO BOX 26030 BEAUMONT, TX 77720
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
3/9/2008 |
|
ILEM, PRISCILLA G. (MD) 782 ALPS ROAD WAYNE, NJ 07470
NPI-1699860684 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
10/27/2013 |
|
ILLINGWORTH, DONNA (LPN) 1505 CLAIRE ROAD FORKED RIVER, NJ 08731
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/19/2005 |
|
IMANE, HARRAFI (CHHA) 30 WASHINGTON PKWY, APT. B BAYONNE, NJ 07002
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/19/2023 |
|
INGALLS, ANDREA (CHHA) 36 NORWOOD STREET, 3RD FLOOR NEWARK, NJ 07106
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/19/2018 |
|
INNES JR., GEORGE MICHAEL (MD) 1736 EAST GENESEE STREET FAYETTEVILLE, NY 13066
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
7/20/2005 |
|
Envirocare Enterprises, Inc.Envirocare Enterprises, Inc. 658 Rutgers Pl Paramus, NJ 07652Inno Obiorah, Manager 358 Broadway Suite 202 Newark, NJ 07104
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
5/16/2014 |
05/15/2017 |
INNOCENZI, ANTHONY (DPM) 7972 AQUADALE DRIVE YOUNGSTOWN, OH 44512
NPI-1255336079 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/29/2015 |
|
INSABELLA, HARRY (DDS) 591 SOMERSET ST. SOMERSET, NJ 08873
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
7/1/1997 |
Permanent |
INTELISANO, RONALD (DO) 46 BUCKINGHAM DRIVE BERLIN, NJ 08009
NPI-1235200775 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/3/2017 |
|
INTELISANO, RONALD (DO) 1504 BLACKWOOD CLEMENTON ROAD BLACKWOOD, NJ 08012
NPI-1235200775 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/29/2017 |
|
IOSIM, ANATOLY (CHHA) 9217 FALSTON CIRCLE OLD BRIDGE, NJ 08857
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
1/20/2017 |
|
IQBAL, MOHAMMED S. (MD) LINWOOD AVENUE RIDGEWOOD, NJ 07450
NPI-1972564078 |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
9/12/2008 |
|
IRBY, ARCHER (DC) 115 GRAND AVENUE ENGLEWOOD, NJ 07631
NPI-1801927520 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/25/2016 |
|
Euro Construction 70 Bordentown-Chesterfied Chesterfield, NJ 08022Ireneusz Waluk, Owner 70 Bordentown Chesterfield Rd Chesterfield, NJ 08022
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
2/25/2014 |
02/24/2017 |
IRVING, EDWARD J. 202 SEYMOUR AVENUE NEWARK, NJ 07108
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
4/20/2004 |
|
ISAACSON, STEVEN (RPH) 1959 BIRCHWOOD PARK DRIVE CHERRY HILL, NJ 08034
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
4/6/1995 |
Permanent |
ISHAK, ABRAM (CHHA) 132 EILEEN DRIVE CEDAR GROVE, NJ 07009
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/19/2023 |
|
ISKANDARANI, NIMER (MD) 38 PATTEN TERRACE CEDAR GROVE, NJ 07009
NPI-1457498768 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
11/16/2021 |
Permanent |
ISLAMBEKOV, ALLANUR 11 ARBORETUM DRIVE JACKSON, NJ 08527
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
5/12/2014 |
5/11/2017 |
ISMAIL, KHADEJAH (CHHA) 827 E. FRONT STREET, APT. C PLAINFIELD, NJ 07062
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/5/2023 |
|
ISMAIL, MOHAMMAD (RPH) 4 GRAHAM COURT PARSIPPANY, NJ 07054
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
12/18/2003 |
|
IVASHENKO, ALEXANDER (PT) 31 GOLDSMITH DRIVE HOLMDEL, NJ 07333
NPI-1134289796 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/25/1999 |
|
IYENGAR, DEVARAJAN (MD) 27 EAST 29TH STREET BAYONNE, NJ 07002
NPI-1689620700 |
Medical Antitrust/Anti-Kickback Acts |
Suspension Human Services Medical Assistance (Medicaid) |
8/25/2015 |
1/10/2017 |
JACKSON, AFRIKA AKA HALL, AFRIKA BRIARWOOD DRIVE TOBYHANNA, PA 18466
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
10/2/2007 |
6/28/2018 |
JACKSON, AMINATU (CHHA) 26 JAMES STREET, C12 LAKEWOOD , NJ 08701
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
JACKSON, AVILA TYRELL a.k.a. JACKSON, AVIA TYRELL 100 PHILLIPS ROAD, APT 62 SOMERSET, NJ 08873
NPI-1811196488 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/18/2020 |
|
JACKSON, DESHONETTE (CHHA) 419 EAST 27TH STREET, 2ND FLOOR PATERSON, NJ 07515
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/19/2018 |
|
JACKSON, GEORGE D. (PSYCH) 367 FAIRVIEW AVE. ORANGE, NJ 07050
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/30/1997 |
Permanent |
JACKSON, MAKEBA (CHHA) 15 MILL STREET EATONTOWN, NJ 07724
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/14/2017 |
|
JACKSON, ZEKIA (CHHA) 232 JUSTIN WAY WILLIAMSTOWN, NJ 08094
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/19/2017 |
|
JACKSON-GILLARD, CRYSTALYNN (CHHA) 3 BORDEN AVENUE, APT. 8 ASBURY PARK, NJ 07712
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/24/2018 |
|
JACOBS, AMY (LPN) 620 MOUNTAIN ROAD BUTLER, NJ 07405
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/5/2017 |
|
JACOBS, ROSS M. 15 MAST DRIVE BARNEGAT, NJ 08005
NPI- |
Vendor Industry Law Violation |
Suspension Treasury Treasury Purchase Bureau |
10/12/2004 |
|
JACOBSON, CRAIG (DC) 1219 LIBERTY AVENUE HILLSIDE, NJ 07205
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
3/24/2000 |
DECEASED |
JACOBSON, DEBRA 661 RT. 9 BAYVILLE, NJ 08721
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
1/25/2011 |
1/25/2013 |
JACOBSON, JAY P. (DC) 25 DEER PATH HOLMDELL, NJ 07733
NPI-1508084385 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/12/1996 |
Permanent |
JACQUES, ARNOLD J. (MD) 31 BRIDGEWATER COURT JACKSON, NJ 08527
NPI-1124170899 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/30/2011 |
|
JACQUEZ, MADELIN (CHHA) 2141 SOUTH CLINTON AVENUE HAMILTON, NJ 08610
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/12/2018 |
|
JAFARI, MARYAM (MD) 80 LINDEN STREET APT. M MILLBURN, NJ 07041
NPI-1831276880 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
9/20/2014 |
|
JAFARI, MARYAM (MD) 176 BLOOMFIELD AVENUE NEWARK, NJ 07104
NPI-1831276880 |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
2/22/2012 |
|
JAFFERY, SYED (MD) 109 TROTTER ROAD EGG HARBOR, NJ 08234
NPI-1235153685 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
2/15/2016 |
|
JAGTIANI, RAJA (MD) 10 ONTARIO STREET DUMONT, NJ 07628
NPI-1659320281 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/6/2016 |
11/29/2016 |
JAGTIANI, RAJA (MD) 10 ONTARIO STREET DUMONT, NJ 07628
NPI-1659320281 |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
9/28/2015 |
|
JAKUBCZAK, ARTHUR F. (DC) 465 RATHBURN PLACE PERTH AMBOY, NJ 08861
NPI-1053493718 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
1/18/2001 |
10/26/2001 |
JC Builders 610 County Meadows Road Nicholls, GA 31554James Chaney, President 610 County Meadows Road Nicholls, GA 31554
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
8/11/2015 |
08/10/2018 |
James DiLorenzo, Vice-President
,
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
2/3/2016 |
2/2/2019 |
Perrone Trucking LLC 74 Glen Roy Road East Fairfeild, NJ 07004James Perrone, Owner 74 Glenroy Road East Fairfield, NJ 07004
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
10/28/2015 |
10/27/2018 |
The Grace Brothers 14 Surrey Lane Williingboro, NJ 08046James T. Grace, Owner 311 Colonial Road Edgewater Park, NJ 08010
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
1/9/2014 |
01/08/2017 |
Top Notch Tree & Landscape, LLC 46 Tam O Shanter Rd Mahwah, NJ 07430James Van Wyckhouse, Owner 70 East Allendale Rd Saddle River, NJ 07458
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
12/7/2015 |
12/06/2018 |
JAMES, EDWARD (DO) 505 GROVE STREET SEWICKLEY, PA 15143
NPI-1598789703 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
JAMES, GLORIA M. (RN) 18 LINDEN COURT JERSEY CITY, NJ 07305
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
7/20/2005 |
|
JAMES, SULENNY (CHHA) 293-295 BROAD STREET, 2ND FLOOR NEWARK, NJ 07104
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/27/2017 |
|
JAMISON, ROBERT W. (DO) 79 PARTRIDGE LANE CHERRY HIL, NJ 08003
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
9/11/2000 |
Permanent |
JANKULOSKI, MARIA 4 QUARTZ LANE PATERSON, NJ 07501
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
6/10/2014 |
6/9/2017 |
JANOF, ROY 502 WASHINGTON STREET HOBOKEN, NJ 07030
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
1/9/1983 |
Permanent |
JANVIER-PIERRE, MARY 6400 BRIDGEPORT LANE LAKE WORTH, FL 33463
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
5/20/2012 |
|
JARMON, ROBERT G. (MD) 8 BRIGHTON AVENUE SPRING LAKE, NJ 07762
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
5/9/2002 |
|
JASCALEVICH, MARIO E. (MD) 10 PRISCILLA LANE ENGLEWOOD CLIFF, NJ 07632
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
DECEASED |
JASINSKI, DARIUS (DPM) 1225 MCBRIDE AVENUE WOODLAND PARK, NJ 08424
NPI-1013995182 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
12/29/2016 |
9/22/2020 |
JASPER, SARAH (CHHA) 187 SIERRA COURT WOODBRIDGE, NJ 07095
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/31/2017 |
|
JASPER, THEODORE (MD) 1010 CLIFTON AVENUE CLIFTON, NJ 07013
NPI-1528171972 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
12/16/2015 |
|
JASPER, THEODORE (MD) 1010 CLIFTON AVENUE CLIFTON, NJ 07013
NPI-1528171972 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
8/12/2015 |
|
JASZCZULT, JOAN E. (DO) 50 NEWARK AVENUE, APT 309 BELLEVILLE, NJ 07109
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
2/3/2006 |
|
JAVID, MOHAMMAD A. E. JERSEY STATE PRISON RAHWAY, NJ 07065
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/20/2000 |
|
JAVID, MOHAMMAD A. 63 FEDERAL STREET METUCHEN, NJ 08840
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/11/1996 |
Permanent |
JAYARAM, AJIT (MD) 215 SOUTH BURLINGTON ROAD BRIDGETON, NJ 08302
NPI-1295773869 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
8/20/2013 |
|
JAYARAM, AJIT (MD) 215 SOUTH BURLINGTON ROAD BRIDGETON, NJ 08302
NPI-1295773869 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
4/4/4014 |
|
JEAN-BAPTISTE, DEMESVAR A. (MD) 775 MOUNTAIN BLVD STE 1 WATCHUNG, NJ 07069
NPI-1831227719 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/19/2011 |
DECEASED |
Twin Industries 15 Lewis Street Eatontown, NJ 07724Jeanne Crispino, Vice-President 15 Lewis Street Eatontown, NJ 07724
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
4/5/2016 |
04/04/2019 |
JECK, CHARLES N. (DO) 1 CHICKORY PLACE NEWTOWN, PA 18940
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
7/5/2002 |
|
JEDJU, LINDA (CHHA) 33 NINTH STREET, PO BOX 644 FLAGSTOWN, NJ 08824
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/27/2016 |
|
JEFFERSON, MICHAEL K. (DMD) 408 PADDOCK COURT SEWELL, NJ 08080
NPI-1811956238 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/16/2016 |
5/12/2017 |
Turfscapes LLC 3477 S. Blackhorse Pike Williamstown, NJ 08094Jeffrey Grize, Owner PO Box 950 Williamstown, NJ 08094
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
5/28/2014 |
05/27/2017 |
JEFFRIES, MARC 2 MILLER LANE WHITEHOUSE STAT, NJ 08889
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
3/13/2014 |
|
JELKS, SAMARRA (CHHA) 3309 RIDGEWAY ROAD MANCHESTER TOWNSHIP, NJ 08759
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/28/2017 |
|
JEMINI, DAVID PO BOX 280, HWY. 698 FAIRTON, NJ 08320
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
7/18/2002 |
|
JEMINI, JACK PO BOX 600 ELGIN, FL 32542
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
7/18/2002 |
|
Saravia Concrete Pumping Corp. 223-10 113th St Queens Village, NY 11429Jerson Saravia, Owner 223-10 113th St Queens Village, NY 11429
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
8/19/2013 |
08/18/2016 |
Jethro Grace Jr., Owner
,
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
1/9/2014 |
01/08/2017 |
JIBEAU, GUY 40 ENTERPRISE AVENUE TRENTON, NJ 08638
NPI- |
Vendor Failure to Perform |
Debarment Treasury Treasury Purchase Bureau |
4/10/2013 |
Permanent |
JIMENEZ, CRISTIAN (RN) 61 CHESTNUT STREET, APT. 3C ONEONTA, NY 13820
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
6/10/2019 |
|
JIMENEZ, JOSE (COUNSELOR) EXTENSION VILLA RITA SAN SEBASTIAN, PR 00685
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
12/8/2003 |
12/8/2011 |
JIMENEZ, ZOILA (CHHA) 458 PROSPECT STREET, APT. 3 LAKEWOOD, NJ 08701
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/5/2023 |
|
JIN, JINHUA 405 CELEBRATION AVENUE KISSIMMEE, FL 34747
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/19/2022 |
|
JITAN, RAED (MD) 1 BETHANY ROAD HAZLET, NJ 07730
NPI-1033167986 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
3/10/2021 |
|
JOACHIM, LEONARD (MD) 26 LAKE DRIVE MOUNTAIN LAKES, NJ 07046
NPI-1720023005 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/5/1997 |
Permanent |
JOACHIM, LEONARD (MD) 25 HIDEAWAY LANE SPARTA, NJ 07871
NPI-1720023005 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/5/2017 |
|
JOACHIM, STEPHANEM (CHHA) 15 LINDSLEY PLACE, APT. 1R EAST ORANGE, NJ 07018
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/31/2017 |
|
JODELKA, ERIK (RPH) 391 BEECROFT PLACE OAKHURST, NJ 07755
NPI-1003103946 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
8/20/2006 |
2/23/2011 |
J.D.S Electric, Inc. 149 Montross Ave Rutherford, NJ 07070Joe DeSalvo, Jr., Owner 149 Montross Ave Rutherford, NJ 07070
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
1/7/2015 |
01/06/2018 |
JOHAL, GURVINDRA S. (DO) 16 PARSON PLACE COLONIA, NJ 07067
NPI-1871551721 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/8/2023 |
|
Metal Fab Atlantic LLC 1086 Mays Landing Rd Somers Point , NJ 08234John Dever, Owner 353 Zion Road Egg Harbor Twp, NJ 08234
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
1/22/2015 |
01/21/2018 |
Precise Builders LLC 402 Market St Newark, NJ 07105John Domingues, Owner 402 Market St Newark, NJ 07105
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
5/28/2014 |
05/27/2017 |
John Ettere, Owner 1453 Tooz Place South Plainfield, NJ 07080
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
1/5/2016 |
1/4/2019 |
Garza Contracting LLC 768 Chambers Street Trenton , NJ 08619John Garza, Owner 768 Chambers Street Trenton, NJ 08619
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
4/28/2014 |
04/27/2017 |
D & B Partners LLCsame 89 Jeanne Court Stamford, CT 06905John Giannattasio, Member 89 Jeanne Court Stamford, CT 06905
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
8/9/2013 |
08/08/2016 |
Advantage Contracting & Entertainment Services Inc 319 Terrace Street Rahway, NJ 07065John H. Madara, President 319 Terrace St Rahway, NJ 07065
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
5/8/2015 |
05/07/2018 |
J&D Plumbing & Heating Inc. 193 Natrona Avenue Mercerville, NJ 08619John J. Benedetti Jr., President 193 Natrona Avenue Mercerville, NJ 08619
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
11/2/2015 |
11/01/2018 |
Mullen & Sons Contractors, Inc. 45 Fairfield Place West Caldwell, NJ 07006John Mullen, Jr., Owner PO Box 773 West Caldwell, NJ 07006
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
3/1/2016 |
02/28/2019 |
John Mullen, Sr, President
,
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
3/1/2016 |
2/28/2019 |
Ocean Blue Builders LLC 140 Harrison Ave Fair Haven, NJ 07704John Riley Jr, Managing Member 711 Carol Ave Oakhurst, NJ 07755
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
11/6/2014 |
11/05/2017 |
Jamcon Construction LLC 6 Justa Lane Cherry Hill, NJ 08003John Schiavo, Managing Member 100 Springdale Road Cherry Hill, NJ 08003
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
1/13/2014 |
01/12/2017 |
Barzzini Construction 65 Fern St Browns Mills, NJ 08015John Sorrentino, Owner 65 Fern Street Browns Mills, NJ 08015
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
9/16/2014 |
09/15/2017 |
JOHNSON, ALICIA (LPN) 20 SKYTOP GARDENS PARLIN, NJ 08859
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/12/2016 |
|
JOHNSON, BEVERLY (CHHA) 909 ARMSTRONG BOULEVARD, APT 3A ASBURY PARK, NJ 07712
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/17/2018 |
|
JOHNSON, BRENDA C. (LPN) 232 OAK STREET WILLIAMSTOWN, NJ 08094
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
1/19/2003 |
|
JOHNSON, CALLISHA (CHHA) 1250 PRINCESS AVENUE CAMDEN, NJ 08103
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/5/2019 |
|
JOHNSON, DARLA (LPN) 4 STELTON ROAD UNIT C PISCATAWAY, NJ 08854
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/25/2022 |
|
JOHNSON, DEMETRIA (CHHA) 21 ROSA PARK BOULEVARD PATERSON, NJ 07524
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/31/2017 |
|
JOHNSON, DENISE M. (RN) 12 SIOUX TRAIL DENVILLE, NJ 07834
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
4/20/2005 |
|
JOHNSON, DUWANA L. (CHHA) 213 MARTIN LUTHER KING DR LAKEWOOD, NJ 08701
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/14/2005 |
|
JOHNSON, HENRY (OWNER) 1258 N. EAST AVENUE VINELAND, NJ 08360
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
1/25/2013 |
1/24/2016 |
JOHNSON, JOANNA N. (LPN) 70 LAUREL DRIVE MAPLE SHADE, NJ 08052
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/18/2022 |
|
JOHNSON, JOHN 33 GRAPEVINE ROAD LEVITTOWN, PA 19057
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
12/14/2022 |
|
JOHNSON, JULIE ANN (CHHA) 1145 MANTUA PIKE MANTUA, NJ 08051
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/19/2001 |
|
JOHNSON, KIM E. (LPN) 68 JANS WAY BYRAM TOWNSHIP, NJ 07821
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/16/2017 |
|
JOHNSON, LARHONDA (CHHA) 1704 CENTENNIAL VILLAGE CAMDEN, NJ 08105
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
JOHNSON, MICHAEL (LPN/RN) 899 DIANE COURT WOODBRIDGE, NJ 07095
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/28/2017 |
|
JOHNSON, ROBERT 1608 4TH AVE. ASBURY PARK, NJ 07712
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/6/2006 |
|
JOHNSON, SHYKIRA (CHHA) 152 BELMONT AVENUE, APT. 2 PATERSON, NJ 08522
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/28/2018 |
|
JOHNSTON, JAMES 25 IRELAND BROOK DRIVE NORTH BRUNSWICK, NJ 08902
NPI- |
Vendor Criminal Offense |
Law and Public Safety 1020 |
6/6/2017 |
6/6/2027 |
JOHNSTON, KELLIE (RN) 1697 SYLVAN DRIVE BLUE BELL, PA 19422
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/19/2006 |
|
JOHNSTON, MICHAEL #MX4261 (MFT) SCI CAMP HILL, PO BOX 200 CAMP HILL, PA 17001
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/29/2017 |
|
Warbeck Construction Group LLC 680 West Pine Brook Road Lincoln Pakr, NJ 07035Jon J Warbeck, President 63 Beaver Brook Rd Suite 305 Lincoln Park, NJ 07035
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
3/1/2016 |
02/28/2019 |
Jonathan Ettere, President 7 Craig Road Readington, NJ 08853
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
1/5/2016 |
1/4/2019 |
JONES, AARAON DASHAWN (MEDICAL ASSISTANT) 30 TIPTON LANE WILLINGBORO, NJ 08046
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
12/20/2022 |
|
JONES, ANIECE (LPN) 625 DREXEL AVENUE ATLANTIC CITY, NJ 08401
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
6/4/2018 |
|
JONES, CYNTHIA R. (RN) 1089 HAWSER AVENUE MANAHAWKIN, NJ 08050
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/20/2002 |
|
JONES, DAVID (LPN) 97 LINCOLN PARK NEWARK, NJ 07102
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
3/20/2003 |
|
JONES, IMAJE (CHHA) 287 ABLETT VILLAGE CAMDEN, NJ 08105
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
JONES, JASMINE (CHHA) 304 ERIAL ROAD SICKLERVILLE, NJ 08081
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
JONES, KEVIN (PHARM TECH) 734 STERLING STREET PLAINFIELD, NJ 07062
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/22/2017 |
|
JONES, MICHELLE N. 446 PROSPECT STREET-B16 LAKEWOOD, NJ 08701
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/30/2005 |
11/25/2019 |
JONES, ROSALIN (CHHA) 159 PFEIFFER STREET CAMDEN, NJ 08105
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2017 |
|
JONES, VANESSA (CHHA) 156 NORTH 18TH STREET EAST ORANGE, NJ 07017
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
7/17/2018 |
|
JONES-HATTOH, CHATIQUA (CHHA) 3 ROANOKE AVENUE, APT. 2C NEWARK, NJ 07108
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/23/2018 |
|
JONES-PRICE, ANTIONETTE PO BOX 1006 WENDELL, NC 27591
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/2000 |
Permanent |
JONES-PRICE, ANTOINETTE 120 S. 20TH STREET IRVINGTON, NJ 07111
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
3/16/1998 |
Permanent |
K & J Drywall Contractor, Inc. 68 Westervell Ave Plainfield, NJ 07060Jonny Ayala, Owner 705 Taft Ave North Plainfield, NJ 07063
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
3/17/2016 |
03/16/2019 |
JOO, EUI D. (MD) 29 TIP TOP WAY BERKELEY HGHTS, NJ 07922
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
10/14/1985 |
Permanent |
JORDAN, SANDRA (LPN) 15 CANIS COURT SEWELL, NJ 08080
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/5/2017 |
|
JOSE, DELIA V. 185 S.EUCLID ST, SUITE 111 PASADENA, CA 91101
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
4/22/1997 |
|
J & B Plumbing LLC 11 Hummingbird Way Jackson, NJ 08527Joseph Battista, Owner 644 Cross Street LAKEWOOD, NJ 08701
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
5/4/2015 |
05/03/2018 |
Joseph Csakvary, Inc. 163 Breakneck Road Highland Lakes, NJ 07422Joseph Csakvary, President 163 Breakneck Road Highland Lakes, NJ 07422
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
11/4/2013 |
11/03/2016 |
Niceta Electric 2119 Merritt Drive Northfield, NJ 08225Joseph Niceta, Owner 2119 Merritt Drive Northfield, NJ 08225
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
10/20/2015 |
10/19/2018 |
JOSEPH, ALEX (CHHA) 1531 SEWALL AVENUE, #2 ASBURY PARK, NJ 07712
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/26/2018 |
|
JOSHI, JAYENDRA B. 95-05 37TH AVE., APT 1-A JACKSON HEIGHTS, NY 11373
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/4/1997 |
Permanent |
JOSHI, KAJALBEN (LPN) 476 EBONY TREE AVENUE GALLOWAY, NJ 08205
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/12/2018 |
|
JOSS, ETHAN E. 111 9TH AVENUE HADDON HEIGHTS, NJ 08035
NPI- |
Construction Criminal Offense |
Debarment Treasury Treasury Property Management and Construction |
6/29/2007 |
Permanent |
JOY, RENEE (RN) 34 LUTHER ALLEN LANE BRUSH CREEK, TN 38547
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/16/2017 |
|
JOYNER, VALERIA (CHHA) 19 SCHIRRA DRIVE WANAQUE, NJ 07465
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
6/18/2018 |
|
Camelot Roofing, LLC 1455 St. George Ave. Roselle, NJ 07203Juan J. Barquero, Owner 533 South 5th Street Elizabeth, NJ 07206
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
2/18/2015 |
02/17/2018 |
Super Stars Construction Inc 58 Steiner Ave. Neptune City, NJ 07753Juan Riano, Owner 58 Stiner Ave Neptune City, NJ 07753
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
8/12/2014 |
08/11/2017 |
JUDGE, SCHREATHA R. (CHHA) 49 WALNUT STREET WOODBURY, NJ 08096
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/2/2023 |
|
JUISTON, PEGGY A. 17 MYRTLE AENUE IRVINGTON, NJ 07111
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/5/2000 |
Permanent |
Julio Pereira, Vice-President
,
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
10/17/2014 |
10/16/2017 |
JUNGER, SYLVAIN S. (MD) 270 PENNINGTON AVENUE PASSAIC, NJ 07055
NPI-1497975551 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
4/20/2011 |
|
JUODENKO, ANDREW 949 SPRING VIEW DRIVE SOUTH HAMPTON, PA 19114
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
10/25/2012 |
10/24/2015 |
JUPITER, RONALD (DDS) 119 EYLAND AVENUE SUCCASUNNA, NJ 07876
NPI-1023125879 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
5/5/2014 |
|
JUPITER, RONALD (DDS) 111 EAST DEWEY AVENUE APT 365 WHARTON, NJ 07885
NPI-1023125879 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
4/15/2016 |
|
JURGENSON, THEODORE W. (DPM) 438 BROADWAY LONG BRANCH, NJ 07746
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
DECEASED |
Arete Development Inc.Arete Development Inc. 20 Industrial Road Fairfield, NJ 07004Justin Ettere, Vice-President 52 Brass Castle Road Washington, NJ 07882
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
1/5/2016 |
01/04/2019 |
JYAMFI, CHARLES (RPH) 71 OLD SHORT HILLS ROAD WEST ORANGE, NJ 07052
NPI- |
Medical Contingent Fees |
Suspension Human Services Medical Assistance (Medicaid) |
3/22/2006 |
|
KACHADOURIAN, ANISE A. (MD) 2233 MORRIS AVENUE, SUITE B-206 UNION, NJ 07083
NPI-1205861861 / 1750349395 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/21/2023 |
|
KACHMAR, DAVID, PRESIDENT 11 BLUE RIDGE AVENUE GREEN BROOK, NJ 08812
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
11/18/2011 |
11/17/2014 |
KAHF, AHMAD (MD) 401 HALEDON AVENUE HALEDON, NJ 07508
NPI-1922069517 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/12/2023 |
|
KAHN, MARK 910 CEDAR STREET MILLVILLE, NJ 08332
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
2/4/2016 |
2/3/2019 |
KAHONU, ANNE N. 315 MILL ST. S. PLAINFIELD, NJ 07080
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
1/19/2013 |
|
KAJI, VIKRAM (MD) 310 COVE LANE BEACH HAVEN, NJ 08008
NPI-1346326634 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/10/2019 |
Permanent |
KALFUS, DENIS H. (DPM) 1015 EAST GLEN AVE. WASHINGTOWN TWP, NJ 07606
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/19/2003 |
DECEASED |
KALINOSKI, STEPHEN (RPH) 178 KINGFISHER DRIVE MIDDLETOWN, NJ 07748
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/20/2018 |
|
KALINOWSKI, KAROL (RN) 31 COVINGTON LANE VOORHEES, NJ 08043
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/28/2017 |
11/18/2019 |
KALLEN, HERBERT 274 RIVER ROAD ST JAMES ISLAND, NY 11780
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
Permanent |
KAMARA, HELEN H. (CHHA) P.O. BOX 509 PALMYRA, NJ 08065
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/20/2002 |
|
KANATSOULIS, GIORGIA (CHHA) 470 PIAGET AVENUE, APT. K6 CLIFTON, NJ 07011
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/19/2023 |
|
KANE, TINA (APN/RN) 157 EVERGREEN AVENUE VILLAS, NJ 08251
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/9/2019 |
|
KANEVSKY, ZHANNA (MD) 28 KEPPEL AVENUE #10307 STATEN ISLAND, NY 10307
NPI-1073551065 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
2/4/2014 |
Permanent |
KANG, BYUNG (MD) 122 LONG HILL ROAD LITTLE FALLS, NJ 07424
NPI-1164599213 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/23/2016 |
|
KANIA, RAMESHCHAN (MD) 310 CENTRAL AVE SUITE 10 EAST ORANGE, NJ 07018
NPI-1235158403 |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
2/22/2012 |
10/3/2019 |
KANIA, RAMESHCHAN (MD) 310 CENTRAL AVE STE. 106 EAST ORANGE, NJ 07018
NPI-1235158403 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
1/20/2014 |
10/3/2019 |
KANKAM, MARTIN 13 G READING RD. EDISON, NJ 07083
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
7/30/2005 |
|
KANZ JR., JOHN T. (RPH) 136 HILLCREST AVENUE HILLTOP, NJ 07542
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
9/17/1984 |
Permanent |
KAPLAN, DONALD (DPM) 701 PALMER AVENUE ALLENHURST, NJ 07711
NPI-1952433567 |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
3/25/2010 |
|
KAPLAN, HARMON B. (DDS) 1251 PATERSON PLANK RD. SECAUCUS, NJ 07094
NPI-1093991044 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
8/26/1988 |
Permanent |
KARASEK, ROBERT D. (DMD) 64 DOCKSIDE DRIVE SOMERS POINT, NJ 08244
NPI-1689794042 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/19/2016 |
|
KARASEK, ROBERT D. (DMD) 559 PLAINFIELD AVENUE BERKELEY HEIGHT, NJ 07922
NPI-1689794042 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2014 |
|
KARES, FRANCES (RPH) 615 SUMMIT ROAD UNION, NJ 07083
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
2/16/1983 |
2/16/1991 |
KARFUNKEL, DAVID M. 100 HOWARD AVENUE PASSAIC, NJ 07055
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/2/2008 |
10/25/2013 |
KARGE, FREDRICK PO BOX 190 AVENEL, NJ 07001
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
1/28/2007 |
|
KARNER, ANNA (EMT) 17 MAPLE AVENUE PINE BROOK, NJ 07058
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
7/23/2002 |
|
KARSHENBOYM, ALEXANDER 90 WEST HILL ROAD WOODCLIFF LAKE, NJ 07677
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
9/20/2007 |
|
KATTUPALLI, GERONAMI (MD) 175 BARRENS COURT, SUITE 100 PORT MATILDA, PA 16870
NPI-1992901433 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/15/2022 |
|
KAUFMAN, SHOSHANA AKA STOKELBERG, SHOSHANA (LCSW) 349 JESTER COURT OLD BRIDGE, NJ 08857
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
7/15/2009 |
11/7/2014 |
KAUL, RICHARD (MD) 292 ATLANTIC STREET HACKENSACK, NJ 07601
NPI-1902838790 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
8/1/2014 |
|
KAVROS, STEVEN J. (DPM) 12 HERITAGE COURT CHERRY HILL, NJ 08034
NPI-1316912801 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
8/22/2019 |
KAWAN JABAKJI, MOHAMED (MD) 160 HALEDON AVENUE PROSPECT PARK, NJ 07508
NPI-1760541312 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
5/16/2016 |
|
KAWAN JABAKJI, MOHAMED (MD) 6 BARKER PLACE WAYNE, NJ 07470
NPI-1760541312 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/20/2017 |
|
KAY, KWAME (CHHA) PO BOX 961186 MIAMI, FL 33296
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
KEE, TERRAYA C. (CHHA) CLINTON STREET CAMDEN, NJ 08105
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
11/30/2007 |
Permanent |
KEELEN, SUSAN (RN) 272 OLD YORK ROAD FLEMINGTON, NJ 08822
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/20/2001 |
1/27/2012 |
KEENEY, RICHARD (DC) 112 BALTIMORE STREET HANOVER, PA 17331
NPI-1255461430 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/29/2015 |
|
HFM Labor Ready LLCHFM Labor Ready LLC 459 Rt 38 West Maple Shade, NJ 08052Keith Ludwig, Member 459 Rt 38 West Maple Shade, NJ 08052
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
1/6/2015 |
01/05/2018 |
Keith Mishoe, Owner 341 Seaton Avenue Roselle Park, NJ 07204
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
11/21/2013 |
11/20/2016 |
KELADA, RINIH (CHHA) 132 W 9TH STREET, APT. 1F BAYONNE, NJ 07002
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/5/2023 |
|
KELLER, MIKE 233 LEXINGTON AVENUE DUMONT, NJ 07628
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
3/6/2013 |
3/5/2016 |
KELLEY, JANINE (RN) 126 S. LECATO AVENUE AUDOBON, NJ 08106
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/2/2018 |
Permanent |
KELLOGG, WILLIAM T. (MD) 47 MAPLE STREET, STE. 204 SUMMIT, NJ 07901
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/9/1996 |
2/28/2014 |
KELLUM, BETZAIDA (CHHA) 1936 S. 8TH STREET, APT. B13 CAMDEN, NJ 08104
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
KELLUM, EARLENE (CHHA) 279 S. BLACKHORSE PIKE MOUNT EPHRAIM, NJ 08059
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/5/2018 |
|
KELLY, MICHELLE 963 PARK AVENUE PLAINFIELD, NJ 07060
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
3/24/2002 |
|
KELLY-UPPER, DENISE 2200 ATLANTIS AVENUE MAYS LANDING, NJ 08330
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
12/1/1998 |
Permanent |
KEMENY, GEORGE (MD) 39 THIRD STREET ELIZABETH, NJ 07206
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
11/22/1977 |
Permanent |
KEMOKAI, JOSEPHINE (LPN) 29 BENNETT AVENUE RANDOLPH, NJ 07869
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/21/2016 |
|
KENDRICK, SOPHIA (CHHA) 4 OAK WALK CAMDEN, NJ 08104
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/17/2018 |
|
KENNEALLY, CHRISTOPHER (RN) 1308 NOREEN DRIVE BURLINGTON, NJ 08016
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/30/2019 |
|
Ranco Mechanical, Inc. 2 Melba Drive Newton, NJ 07860Kenneth Davis, President P. O. Box 510 Augusta, NJ 07869
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
10/29/2013 |
10/28/2016 |
Shoreline Marine Construction, LLC 213 West Edgewood Ave Linwood, NJ 08221Kenneth Pontari, Partner 213 West Edgewood Avenue Linwood, NJ 08821
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
6/4/2013 |
06/03/2016 |
KEREKES, KEVIN #65504-050 FCI SCHUYKILL, PO BOX 759 MINERSVILLE, PA 17954
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/1/2019 |
|
KESHISHIAN, PAUL (DO) 625 COBH ROAD RIVER VALE, NJ 07675
NPI-1437207610 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
4/22/1999 |
3/15/2000 |
Division Ten Installations, LLC 29 Monmouth Road Monroe Twp., NJ 08831Kevin G. Eib 29 Monmouth Rd Monroe, NJ 08831
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
4/3/2014 |
4/2/2017 |
KEYES, DONNA (CHHA) 4433 EAST MILLS ROAD MAPLE SHADE, NJ 08052
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2017 |
|
I & I INVALID COACH, INC. 85 CENTRAL AVENUE CLIFTON, NJ 07015KHAIR, IMADELIN A. 160 ALABAMA AVENUE PATERSON, NJ 07505
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
1/28/2001 |
|
KHAIR, IMADELIN A. FORT DIX FCI, PO BOX 2000 JOINT BASE MDL, NJ 08640
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/24/2017 |
|
KHAJAVI, ABDOLALI (MD) HIGHWAY 94 & OSBOW LANE FRANKLIN, NJ 07416
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
8/20/1999 |
Permanent |
KHAMIS, HEBA (CHHA) 117 TONNELE AVENUE, APT. 5 JERSEY CITY, NJ 07306
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/19/2023 |
|
KHAN, ASIF ALI 909A BROAD STREET NEWARK, NJ 07102
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
6/5/1996 |
Permanent |
KHAN, AYSHA (RPH) 116 BOONTON AVENUE KINNELON, NJ 07405
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
2/23/2024 |
|
S. BROTHERS PHARMACY, INC. 687 FRELINGHUYSEN AVENUE NEWARK, NJ 07114KHAN, AZAM HYAT 687 FRELINGHUYSEN AVENUE NEWARK, NJ 07114
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
12/16/1998 |
|
S. BROTHERS PHARMACY, INC. 687 FRELINGHUYSEN AVENUE NEWARK, NJ 07114KHAN, AZAM HYAT 687 FRELINGHUTSEN AVENUE NEWARK, NJ 07114
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/21/1999 |
Permanent |
KHAN, AZAM HYAT 107 CHARLESTON AVENUE STATEN ISLAND, NY 10309
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/7/2008 |
|
KHAN, MUNIR 238 GRAND ST. APT. 1 JERSEY CITY, NJ 07302
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
8/20/2009 |
Permanent |
KHAN, SALEEM M. 336 2ND ST. APT.1 JERSEY CITY, NJ 07302
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
7/20/2003 |
|
KHAN, TAUQIR 71 HEALTH COURT PENNINGTON, NJ 08534
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
2/1/2024 |
|
KHAN, TAUQIR P.O. BOX 420 FAIRTON, NJ 08320
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
7/20/2010 |
8/9/2010 |
KHAN, TAUQIR P.O. BOX 420 FAIRTON, NJ 08320
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
8/9/2010 |
|
KHANDWALA, NITIN (RPH) 225 MILLBURN AVENUE MILLBURN, NJ 07041
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/21/1999 |
11/29/2012 |
KHAN-JAFFREY, KRANIZ (MD) 1127-1129 N. NEW ROAD, SUITE 102 ABSECON, NJ 08201
NPI-1629143979 / 1396131025 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/15/2021 |
|
KHANNA, YASH (MD) 310 CENTRAL AVENUE EAST ORANGE, NJ 07018
NPI-1093805012 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
11/30/2014 |
|
KHANNA, YASH K. (MD) 825 BLOOMFIELD AVE ST L1 VERONA, NJ 07044
NPI-1093805012 |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
2/22/2012 |
|
KHANTHAN, SUBRAMANIAM (MD) 327 SCHUYLER AVENUE KEARNY, NJ 07032
NPI-1003882663 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/20/2019 |
|
VIP CARE, INC. 49 GATES COURT MATAWAN, NJ 07747KHAPCHIK, DMITRY 49 GATES COURT MATAWAN, NJ 07747
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/10/2019 |
|
KHARKOVER, ALEKSANDR (PT) FCI FORT DIX PO BOX 2000 FORT DIX, NJ 08640
NPI-1861594889 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2013 |
|
KHURANA, NORENDRA 32 ROLLING HILLS LANE HARRISON, NY 10528
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
Permanent |
K&K Construction LLC 685 Bergen Blvd. Ridgefield, NJ 07657Ki Kuk Kim, Partner 685 Bergen Blvd Ridgefield, NJ 07651
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
6/10/2014 |
06/09/2017 |
KIBALLO, MARIAN B. (RN) 4 OJIBWA COURT WARETOWN, NJ 08758
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
12/18/2003 |
|
KIKTA, DANUTA (RN) 593 GREENWICH COURT HIGHTSTOWN, NJ 08520
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/25/2019 |
|
KILLEN, DAWN (LPN) 804 COTSWOLD ROAD SOMERDALE, NJ 08083
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/20/2006 |
|
KILLMEYER, LINDA (RN) 875 QUAKER CHURCH ROAD PERRYOPOLIS, PA 15473
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/29/2015 |
|
KIM, DOYOUN (MD) 2302 BAY HEAD DRIVE PARLIN, NJ 08859
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/13/1999 |
Permanent |
KIM, DOYOUN (MD) 545 KEARNY AVENUE KEARNY, NJ 07032
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/30/1998 |
|
KIM, JENNIFER J. (RPH) 1117 INWOOD TERRACE FORT LEE, NJ 07024
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
10/23/2003 |
7/12/2022 |
KIMBLE, SABRINA 341 OSBOURNE TERRACE, 2C NEWARK, NJ 07106
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
2/23/2009 |
|
KIMMEL, STEVEN (CONTRACTS MANAGER) 420 DELAWARE ST. MINNEAPOLIS, MN 55455
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
4/1/2002 |
|
KINDER, EDWARD P. 5180 LA TERRA AVE. PAHRUMP, NV 89061
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
7/17/2009 |
7/17/2014 |
KING, DEBORAH AKA BENTON, DEBORAH (LPN) 9 RADFORD PLACE WILLINGBORO, NJ 08046
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/18/2001 |
11/5/2018 |
KING, ELAM 6285 PLANK ROAD NARVON, PA 17555
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
9/15/2014 |
9/14/2017 |
KING, JOHN ANDERSON (DO) 11310 S. ORANGE BLOSSOM ORLANDO, FL 23837
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
3/20/2007 |
|
KING, WILLIAM (MD) LEWISBURG USP, PO BOX 1000 LEWISBURG, PA 17837
NPI-1457411670 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/20/2010 |
|
KIRWIN, SHANNON (RN) 114 NORTHMONT AVENUE MOUNT EPHRAIM, NJ 08059
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
1/18/2007 |
|
KISSAM, JEFFREY 1506 RUSTIC DRIVE OCEAN TOWNSHIP, NJ 07712
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
11/28/1992 |
Permanent |
KLAUMENZER, JANE (RN) 8 TENNESSEE AVENUE LONG BEACH TWP., NJ 08008
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
4/20/2003 |
|
KLAUSNER, MARC (RPH) 4515 BERGENLINE AVENUE UNION CITY, NJ 07087
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
12/29/1999 |
|
KLAUSS, GUNNAR (MD) 30 PROSPECT AVENUE HACKENSACK, NJ 07601
NPI-1962685305 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
8/1/2014 |
6/22/2017 |
KLEES, DAVID (DO) 1527 LINWOOD AVENUE ERIE, PA 16510
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
KLEINER, MITCHELL (LCSW) 108 SHINNECOCK DRIVE MANALAPAN, NJ 07726
NPI-1316416662 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/8/2022 |
Permanent |
KLEINMAN, MARSHA (PSYCH 32 NORTH 7TH AVENUE HIGHLAND PARK, NJ 08904
NPI-1043332893 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/4/2012 |
|
KLEINMAN, MARVIN (AUDIOLOGIST) 1 CLARIDGE DRIVE, APT. 508 VERONA, NJ 07044
NPI-1609995307 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/11/2016 |
|
KLEMONS, IRA (DDS) 23 DEERPATH LANE COLTS NECK, NJ 07722
NPI-1841393386 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/7/2017 |
|
KLEYDMAN, YEKATERINA (DO) 2960 OCEAN AVENUE, 2ND FLOOR BROOKLYN, NJ 11235
NPI-1740589258 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/20/2022 |
|
KLEYMAN, VLADIMIR (RPH) 3 CATHEDRAL DRIVE LAKEWOOD, NJ 08701
NPI-1386957710 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
1/23/2016 |
|
KLEYMAN, VLADIMIR #66307-050 (RPH) FCI-OTISVILLE, PO BOX 1000 OTISVILLE, NY 10963
NPI-1386957710 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/12/2016 |
|
KMET, BOGDAN 363 EAST ROOSEVELT BOULEVARD PHILADELPHIA, PA 19120
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
KMET, NAZARIY 2284 SANTRAP ROAD JAMISON, PA 18929
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
KMET, ROSTISLAV 13021 BLAKESLEE DRIVE, APT. A PHILADELPHIA, PA 19116
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
KOBYLECKYJ, CRYSTYNA (RN) 35 WOODCOCK MOUNTAIN ROAD WASHINGTONVILLE, NY 10992
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/29/2017 |
|
KOCH, MARK (DO) 336 BARNES ROAD MONROEVILLE, AL 36460
NPI-1528102647 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
KOGAN, VADIM (RN) 56 NORMANDY DRIVE PRINCETON JUNCT, NJ 08550
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
12/18/2003 |
|
KOHFELDT, LISA (RN) 242 WEST FRONT STREET, APT. 2 FLORENCE, NJ 08518
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
2/7/2019 |
|
KOLLMER, W. LANCE (MD) 101 OLD SHORT HILLS ROAD WEST ORANGE, NJ 07052
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
7/18/2001 |
DECEASED |
KONNY, GREGORY (RPH) 990 CROMWELL ROAD WOODMERE, NY 11598
NPI-1396926432 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
11/18/2021 |
|
KONTOS, DEMETRIUS D. (MD) 463 TENAFLY ROAD ENGLEWOOD , NJ 07631
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
2/20/2000 |
|
KOPLITZ, MARSHALL 256 NORWOOD AVENUE DEAL, NJ 07723
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
12/10/1999 |
|
KORNAK, PAUL H. (MD) ELKTON FCI, BOX 10 LISBON, OH 44432
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/19/2007 |
|
KOSLOV, GLEB M. (DC) 388 RAMAPO VALLEY ROAD OAKLAND, NJ 07436
NPI-1366584583 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/1/1998 |
Permanent |
KOTHALANKA, SITARAMAKRISHNA (MD) 562 SW ROMORA BAY PORT LUCIE, FL 34986
NPI-1184644080 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/25/2016 |
|
KOTTURI, SHIVA (MD) 512 KEARNY AVENUE, SUITE B KEARNY, NJ 07032
NPI-1013168251 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/17/2018 |
Permanent |
KOUSOULIDES, LOUISE (RN) 34 TOPANEMUS LANE, APT. 14 FREEHOLD, NJ 07728
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/20/2009 |
|
KOUZMA, NATALIA (CHHA) 122 CHELSEA WAY BRIDGEWATER, NJ 08807
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
KOVAR, GRACE M. (RN) 929 CHELSEA DRIVE BRICKTOWN, NJ 08724
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/19/2005 |
|
KOWALENKO, THOMAS A (DO) 880 RARITAN ROAD CLARK, NJ 07066
NPI-1538136429 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
8/10/2021 |
1/19/2023 |
KOWNACKY, MEGAN (RN) 622 WALDEN WAY LUMBERTON, NJ 08048
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/28/2017 |
|
KOZIUPA, HELENE A. (LPN) 64 WESLEYAN DRIVE TRENTON, NJ 08690
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/20/2002 |
|
KRACKE, BARBARA (LPN) 44 COVINGTON COURT EAST BRUNSWICK, NJ 08816
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
11/13/2018 |
|
KRAEMER, LINDA (LPN) 436 SAINT ANDREW PLACE MANALAPAN, NJ 07726
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/19/2006 |
|
KRAKAUER, RANDALL (MD) 900 W MAIN ST FREEHOLD, NJ 07728
NPI-1588811012 |
Medical Poor Performance |
Disqualification Human Services Medical Assistance (Medicaid) |
2/25/1985 |
|
KRAMER JR., EDWARD (DC) 106 MOTT ROAD BLAIRSTOWN, NJ 07825
NPI-1285762401 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/28/2017 |
Permanent |
KRAMER, LARRY S. (RPH) 650 PALISADES AVE ENGLEWOOD CLIFF, NJ 07632
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
1/10/2003 |
|
KREISMAN, MARCIA 8800 BOULEVARD EAST, APT. 6J NORTH BERGEN, NJ 07047
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
12/20/2004 |
Permanent |
KRESKI, CHRISTINA (RN) 2667 PAXTONVILLE ROAD MIDDLEBURG, PA 17842
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/29/2015 |
|
KRICHEVSKY, RITA (MD) 4429 DRIFTWOOD DRIVE PHILADELPHIA, PA 19129
NPI-1851561963 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/20/2017 |
|
KRICHEVSKY, RITA (MD) 712 KEEFE ROAD LAWRENCEVILLE, NJ 08648
NPI-1851561963 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/26/2019 |
|
KS Exteriors, LLCKS Exteriors, LLC 650 Ohio Ave Trenton, NJ 08638Kris Brezinska, Owner 650 Ohio Ave Trenton, NJ 08638
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
3/9/2016 |
03/08/2019 |
KRIVOSHIK, MARK (MD) 16 YEGER DRIVE ALLENTOWN, NJ 08501
NPI-1669409306 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
10/27/2020 |
KROHN, IVAN T. (MD) 33 NORTHWOOD DRIVE VINELAND, NJ 08360
NPI-1467429258 |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
5/20/2012 |
|
KROHN, IVAN T. (MD) 33 NORTHLAND DRIVE VINELAND, NJ 08360
NPI-1467429258 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
4/20/2011 |
|
KROMAH, ANGIE (RN) 3206 LAWNDALE DRIVE EAST GREENSBORO, SC 27408
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/2/2017 |
|
KROWICKI, JENNIFER B. AKA GRASSER, JENNIFER (RN) 232 CLUB DRIVE WALL, NJ 07719
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/20/2002 |
|
KRUTYOYARSKY, IRINA #65107-050 ALDERSON FEDERAL PRISON, GLEN RAY ROAD, BOX A ALDERSON, WV 24910
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/12/2016 |
|
KRYSIAK, KIMBERLY (LPN) 766 DUNEDIN STREET TOMS RIVER, NJ 08753
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/11/2023 |
|
Old World Construction, Inc. 19 Woodville Rd Hopewell, NJ 08525Krzystof Oprzadek, President PO Box 35 Pennington, NJ 08534
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
2/11/2015 |
02/10/2018 |
KUBACKI, JOSEPH (MD) PO BOX 3949 PENSACOLA , FL 32516
NPI-1306834213 |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
5/20/2013 |
|
KUBLIN, ANNE (MD) 182 WHALEPOND ROAD EATONTOWN, NJ 07724
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
3/19/2004 |
|
KUDLA, ALEXANDER 1449 LLOYD TERRACE MILLVILLE, NJ 08332
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/18/2019 |
|
KUKASH, ABIGAIL 6648 WEXFORD AVENUE RICHMOND, VA 23255
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/1/1998 |
Permanent |
KUKASH, MAJDI AKA MIKE 87-02 PENNSBURY PLACE RICHMOND, VA 23255
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/1/1998 |
Permanent |
KUKREJA, NAV R. (MD) 1331 COVENTRY COURT ISELIN, NJ 08830
NPI-1295739662 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
2/15/2016 |
|
KULYK, ODARKA (CHHA) 6 COLBY COURT LINCOLN PARK, NJ 07035
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
KUMAR, ANIL 184 OLD BEEKMAN ROAD MONMOUTH JUNCT., NJ 08852
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/14/2005 |
Permanent |
KUMAR, SAROJ 184 OLD BEEKMAN ROAD MONMOUTH JUNCT., NJ 08852
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/14/2005 |
Permanent |
KUNZ, BARBARA (RN) 55 THIRD STREET NEW YORK, NY 10956
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
8/21/2018 |
10/21/2021 |
KUNZ, BARBARA (RN) 55 THIRD STREET NEW CITY, NJ 10956
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/16/2023 |
|
KURAN, BASSEM FCI FAIRTON, PO BOX 420 FAIRTON, WV 08320
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/7/2017 |
|
KURBAN, HAKAN 41 SIDNEY AVENUE RUTHERFORD, NJ 07070
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/22/1999 |
Permanent |
KURIAN, LISSYAMMA (RN) 1253 COLLIDGE AVENUE UNION, NJ 07083
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/20/2002 |
|
KURIS, JAY (MD) 160 MONTDALE DRIVE PRINCETON , NJ 08540
NPI-1003997453 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/18/2019 |
|
KURLANDER-ZAKARIA, TRACI (RN) 20 ROCK ROYAL ROAD TRENTON, NJ 08620
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
2/26/2010 |
|
KURTZ, JOEL P. (DMD) 9 WESTGATE ROAD LIVINGSTON, NJ 07039
NPI-1285874743 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/19/2005 |
|
KUSHMAN, JOSEPH (MD) 224 COLONIAL AVENUE UNION, NJ 07083
NPI-1205025541 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/28/2017 |
|
KUSHNER, ALAN (DC) SCI GRATERFORD, JG1165, PO BOX 244 GRATERFORD, PA 19426
NPI-1558398396 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
KUYINU, MICHAEL (MD) 24 VANDERVEER DRIVE BELLE MEAD, NJ 08502
NPI-1235173568 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
12/16/2015 |
|
Kwang Hee Kim, Partner
,
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
6/10/2014 |
6/9/2017 |
KYMER, RHIANNON (ROOSMA) (RN) 8 SPENCER LANE WARREN, NJ 07059
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/27/2018 |
|
LABORDE, JAMES (DC) 329 SOUTH HIGHLAND STREET DUBOIS, PA 15801
NPI-1578541504 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
LABOY, MICHELLE (LPN) 71 LYCEUM COURT STATEN ISLAND, NY 10310
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/2/2017 |
11/2/2017 |
LABRUNA, VINCENT A. (DDS) 227 EAST 19TH STREET NEW YORK, NY 10003
NPI-1801192216 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/22/2002 |
1/29/2018 |
LABRUNA, VINCENT A. (DDS) EAST 19TH STREET NEW YORK, NY 10003
NPI-1801192216 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/19/2002 |
1/29/2018 |
JRL HEALTH ASSOC., LTD 479 INNES ROAD WOODBRIDGE, NJ 07075LACEY, JOAN R. (RN) 479 INNES ROAD WOODRIDGE, NJ 07075
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/19/2000 |
|
LACRICCHIO, RICHARD C. 150 ROUTE 150 DENVILLE, NJ 07834
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
|
Permanent |
LAFON, MICHAEL (MD) 107 E. MANTUA AVE. WENONAH, NJ 08090
NPI-1609168715 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
3/28/2004 |
2/16/2015 |
LAGRADA, WILLIAM (MD) 1300 MAIN STREET, STE2D CLIFTON, NJ 07011
NPI-1316996762 |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
2/15/2012 |
9/25/2014 |
LAGRADA, WILLIAM (MD) 15 FORSYTHIA DRIVE EDISON, NJ 08837
NPI-1316996762 |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
9/25/2014 |
|
LAGUERRE, JEAN EDWARD (RPH) 1 62ND STREET APT 4C W. NEW YORK, NJ 07093
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
8/16/2007 |
|
LAGUERRE, JEAN EDWARD (RPH) 1 62ND STREET APT 4C WEST NEW YORK, NJ 07093
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/29/2008 |
|
LAI, MYUNG-OK (RN) 40 PONY LANE FLEMINGTON, NJ 08822
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/13/2018 |
6/27/2019 |
LAIDO, JOSEPH (CHHA) 722 SIXTH STREET LYNDHURST, NJ 07071
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
LAJEWSKI, WAYNE (MD) FCI FORT DIX, PO BOX 2000 JOINT BASE MDL, NJ 08640
NPI-1558364166 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/20/2015 |
|
LALLEMAND JR., ROGER (MD) 4 TYCOR COURT HOLMDEL, NJ 07733
NPI-1770575821 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
12/20/2014 |
|
LAM, MICHAEL CHUNG KAY (MD) 28TH STREET ENGLEWOOD CLIFF, NJ 07632
NPI-1184656050 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
11/14/2014 |
|
LAM, MICHAEL CHUNG KAY (MD) 1625 ANDERSON AVE FORT LEE, NJ 07024
NPI-1184656050 |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
3/6/2014 |
|
LAMBRIOLA, VINCENT P. (DDS) 143 LITTLE FALLS CEDAR GROVE, NJ 07009
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2001 |
Permanent |
LaMONACA, TARA ANNE (LSW) 211 BELHAVEN AVENUE LINWOOD, NJ 08221
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/20/2022 |
|
LAMP, REBECCA (RN/CNP) 139 DERWOOD DRIVE NEW CUMBERLAND, WV 26407
NPI-1568511236 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
LAMPARELLI, NICHOLAS (RPH) 149 SUMMIT AVENUE ISLAND HEIGHTS, NJ 08732
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
4/30/2003 |
Permanent |
LAMPHIER, JENNIFER (DMD) 38 SILVERSIDE ROAD LAKEWOOD, NJ 08701
NPI-1487860649 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/23/2019 |
|
LAMPROU JR., EMANUEL (MD) 509 N. BROAD ST. WOODBURY, NJ 08096
NPI-1033104526 |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
12/18/2012 |
12/18/2015 |
LANCE-LANNIGAN, JUDITH 12 PROSPECT HILL FLEMINGTON, NJ 08822
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
7/23/2010 |
DECEASED |
LANDOLFI (LANDOLPHI), CHRISTINA (LPN) 659 HERITAGE ROAD SEWELL, NJ 08080
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/27/2021 |
|
LANDOU, LISSA S. (DC) 17B 16TH AVENUE EMLMWOOD PARK, NJ 07407
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
4/18/2002 |
|
LANE, EDWIN (MD) BEACHWOOD BOULEVARD BEACHWOOD, NJ 08722
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
|
DECEASED |
LANG, ANTHONY 151 SOUTH DURAND PLACE IRVINGTON, NJ 07111
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
10/19/2009 |
10/19/2014 |
LANG, BRIAN E. (LPN) 634 SPROUL STREET CHESTER, PA 19013
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
3/20/2006 |
|
LANG, DEBRA (CHHA) 124 VAN BUSKIRK ROAD TEANECK, NJ 07666
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/20/2002 |
|
LANGERAAP, JOHN (DC) 198 WHITE LAKE ROAD LAFAYETTE, NJ 07848
NPI-1720299092 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/26/2018 |
|
LANGERAAP, JOHN (DC) 289 WEST MOUNTAIN ROAD SPARTA, NJ 07871
NPI-1720299092 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/12/2020 |
|
LANGLIEB, MARTIN S. (DDS) 0-94 MIDLAND AVENUE FAIRLAWN, NJ 07410
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
8/25/1999 |
Permanent |
LANNON, JENNIFER (RN) 520 COLLINGS AVENNUE COLLINGSWOOD, NJ 08108
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/4/2018 |
|
LAPIDES, DAVID (MD) 3772 BUCK ISLAND ROAD CHARLOTTESVILLE, VA 22902
NPI-1255774311 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/5/2023 |
Permanent |
LAPIDES, DAVID (MD) 3772 BUCK ISLAND ROAD CHARLOTTESVILLE, VA 22902
NPI-1255774311 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/19/2023 |
|
LAPORTE, EDYNE (RN/LPN) 1107 FURTH ROAD VALLEY STREAM, NY 11581
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/27/2007 |
|
LASHKEVICH, JOHN P. 9 CHARLES LANE CHERRY HILL, NJ 08003
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/8/1998 |
|
LASTIVKA, MARTA (CHHA) 28 WINDING WOOD, APT. 2-B SAYREVILLE, NJ 08872
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
LASTRA, ABRAHAM 1808 BERGENLINE AVENUE UNION CITY, NJ 07087
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
12/20/2010 |
|
LASTRA, ABRAHAM 500 HIGHLAND AVENUE NEWARK, NJ 07102
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
4/15/1999 |
Permanent |
LATAWIEC, ANDREA (RN) 1681 RARITAN ROAD CLARK, NJ 07066
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/20/2002 |
|
LATCHMAN, BHANWATIE (PHARM TECH) 76 WATSON AVENUE EAST ORANGE, NJ 07052
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
5/16/2016 |
|
GST Power Service Group Inc. 2801 Remington St Suite 3 Fort Collins, CO 80526Lauchland Roberts, President 2801 Remington Street Suite 3 Fort Collins, CO 80525
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
5/4/2015 |
05/03/2018 |
LAURIA, SHANNON (CHHA) 86 FORT DE FRANCE AVENUE TOMS RIVER, NJ 08757
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/7/2017 |
|
LAURITANO, LAURA (RN) 47 OLD ORCHARD COURT CEDAR GROVE, NJ 07009
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/28/2017 |
8/2/2019 |
LAVELLE, BARBARA (RN/APN) 550 LINCOLN AVE. RIDGEFIELD, NJ 07657
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
12/18/2003 |
|
LAVINE, LAWRENCE M. (MD) 926 HADDONFIELD ROAD CHERRY HILL, NJ 08002
NPI-1336119171 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/27/2021 |
|
LAVNEVICH, NAUM (CHHA) 11 HIAWATHA BLVD. OAKLAND, NJ 07436
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
11/4/2014 |
|
LAVNEVICH, NAUM (CHHA) 11 HIAWATHA BLVD. OAKLAND, NJ 07436
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/11/2016 |
|
LAZOW, SOLOMON M. (MD) 199 MAIN ST MATAWAN, NJ 07747
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
Permanent |
LEATHERDALE, LAURA (CHHA) 4 MEETINGHOUSE ROAD WRIGHTSTOWN, NJ 08562
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/19/2003 |
|
LEBAK, STEPHANIE (APN/RN) 92 EATON ROAD BORDENTOWN, NJ 08505
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/29/2019 |
8/30/2022 |
SP-One LLc 2816 Coronado Way Vero Beach, FL 32960Lee Dinenberg, President 2816 Coronado Way Vero Beach, FL 32960
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
7/22/2013 |
07/21/2016 |
LEE JR., SAMUEL (RPH) 34 PINAFORE LANE WILLINGBORO, NJ
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/30/1997 |
Permanent |
LEE, AUGUSTINE (MD) PO BOX 329002 BROOKLYN, NY 11232
NPI-1255478269 |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
10/29/2013 |
|
LEE, AUGUSTINE (MD) 905 STUYVESANT AVENUE TRENTON, NJ 08618
NPI-1255478269 |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
12/22/2011 |
|
LEE, BRIAN (LPN) 1722 COPE STREET CAMDEN, NJ 08104
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/20/2002 |
8/9/2013 |
LEE, BRIAN (LPN) 1722 COPE STREET CAMDEN, NJ 08104
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
7/18/2018 |
5/17/2022 |
LEE, CHANG HO (MD) 535A 7TH STREET PALISADES PARK, NJ 07650
NPI-1679795181 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/20/2015 |
|
LEE, DAVID (MD) 46 CONSTITUTION DRIVE SOUTHAMPTON, NJ 08088
NPI-1275633562 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/22/2016 |
Permanent |
LEE, HOE Y. (MD) 30 MOHAWK ROAD, APT 1 SHORT HILLS, NJ 07078
NPI-1043344377 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/5/2023 |
Permanent |
LEE, LAURA 7280 LEMINGTON AVENUE PITTSBURGH, PA 15206
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
LEE, PAMELA (CNM) 141 RED HILL ROAD PRINCETON, NJ 08540
NPI-1558779413 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/6/2024 |
|
LEE, STEVE Y. (DDS) 1219 MAIN AVENUE CLIFTON, NJ 07111
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
7/19/2001 |
|
LEE, SYLVIA S. (MD) 27 SUNSET PLACE EMERSON, NJ 07630
NPI-1275518490 |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
8/26/2013 |
|
LEEDS, GARY (MD) 77 WEST 15TH STREET, APT. 6-H NEW YORK, NY 10011
NPI-1316005036 |
Medical Antitrust/Anti-Kickback Acts |
Debarment Human Services Medical Assistance (Medicaid) |
11/21/2016 |
|
LEEDS, GARY (MD) 16 ELIZABETH LANE RIVERSIDE, CT 06878
NPI-1316005036 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/24/2017 |
|
LEIBER, CHARLES 5804 BOARDWALK, APT. 104 VENTOR, NJ 08406
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/22/2007 |
|
LEIBMAN, JOSEPH B. (MD) PO BOX 1005 PORT JERVIS, NY 12771
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
6/22/2000 |
Permanent |
LEISER, SHAUL (RN) 14 HICKORY HILL ROAD JACKSON, NJ 08527
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
12/7/2018 |
6/8/2021 |
TAU Associates Plumbing & Mechanical LLC 91 Graham St Jersey City, NJ 07307Lek Tauthong, Owner 91 Graham St Jersey City, NJ 07307
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
12/18/2013 |
12/17/2016 |
LEKWAUWA, CHIKWUEKE (RN) 1643 PARK STREET RAHWAY, NJ 07065
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
8/28/2017 |
6/4/2019 |
Lemere, Devin 300 Mamaroneck Ave. #733 White Plains, NY 10605
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
6/30/2015 |
6/29/2018 |
LEMPERT, SELWYN 240 FOOD CENTER DRIVE BRONX, NY 10474
NPI- |
Vendor Criminal Offense |
Suspension Treasury Treasury Purchase Bureau |
9/7/2000 |
|
Lenec, Michael 300 Mamaroneck Ave. #733 White Plains, NY 10605
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
6/30/2015 |
6/29/2018 |
LEON, JACK 2991 E.CHESTNUT AV UN H80 VINELAND, NJ 08360
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
2/22/2000 |
Permanent |
LEON SCD UNLIMITED 1071 E. LANDIS AVENUE VINELAND, NJ 08360LEON, JACK 1071 E. LANDIS AVENUE VINELAND, NJ 08360
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
6/29/1998 |
|
LEONARD, BARRY A. (MD) 15 DARIEN DRIVE CHERRY HILL, NJ 08003
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/13/1996 |
Permanent |
LEONARD, JUDITH (RPH) 70 LAUREL DRIVE LITTLE SILVER, NJ 07739
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
2/20/2005 |
|
LEONARD, KEREN (RN) 44 COCHISE CIRCLE MEDFORD, NJ 08055
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/25/2023 |
|
LEONARD, TROY (COUNSELOR) 999 COLONIAL ROAD FRANKLIN LAKES, NJ 07417
NPI-1851691448 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/22/2016 |
Permanent |
Roncone Construction, L.L.C.Roncone Construction, L.L.C. 192 Emmet St. Newark, NJ 07105Leonardo Marques Roncone, Managing Member 275 Chestnut St Store B #113 Newark, NJ 07714
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
2/3/2015 |
02/02/2018 |
LEPKO, ERVIN (MD) 18 JANE DRIVE ENGLEWOOD CLIFF, NJ 07632
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/20/2002 |
|
LERNER, ELIZABETH GLEN RAY ROAD, BOX A ALDERSON, WV 24910
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
7/20/2008 |
|
LERNER, JOEL (DPM) 654 BROADWAY BAYONNE, NJ 07002
NPI-1073540001 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/2023 |
|
LERNER, MARVIN H. (MD) 1321 WASHINGTON STREET HOBOKEN, NJ 07030
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/5/2002 |
Permanent |
LESLIE, GLENN (DO) FMC-LEXINGTON, PO BOX 14500 LEXINGTON, KY 40512
NPI-1285712950 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/9/2016 |
|
LESLIE, GLENN (DO) 10 FRANKLIN TURNPIKE MAHWAH, NJ 07430
NPI-1285712950 |
Medical Antitrust/Anti-Kickback Acts |
Suspension Human Services Medical Assistance (Medicaid) |
4/3/2014 |
11/20/2015 |
LESLIE, GLENN (DO) 10 FRANKLIN TURNPIKE MAHWAH, NJ 07430
NPI-1285712950 |
Medical Antitrust/Anti-Kickback Acts |
Debarment Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
LETREN, DENISE (CHHA) 916 MADISON AVENUE UNION , NJ 07083
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/15/2021 |
|
LEVELL, CRYSTAL (LPN) 143 N 12TH STREET NEWARK, NJ 07107
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/20/2001 |
7/23/2012 |
LEVIN, HARVEY M. (MD) 510 NORTH KINGS HIGHWAY CHERRY HILL, NJ 08034
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
Permanent |
LEVINE, EDWARD J. (MD) 7 GREEN HILL ROAD COLTS NECK, NJ 07722
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
6/22/1999 |
7/21/2020 |
LEVY, EDWARD (DDS) 108-34 67TH AVENUE FOREST HILLS, NY 11375
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
12/29/2011 |
|
LEVY, RICHARD S. (DPM) 177 MAIN ST. SUITE 235 FORT LEE, NJ 07024
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
12/20/2001 |
|
LEWANDOWSKI, KENNETH (DO) 100 ATLANTIC AVENUE CAMDEN, NJ 08101
NPI-1114070398 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
8/28/2014 |
|
LEWANDOWSKI, KENNETH (DO) 35 TATUM DRIVE MIDDLETOWN, NJ 07748
NPI-1114070398 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
6/30/2016 |
|
LEWANDOWSKI, KENNETH (DO) 35 TATUM DRIVE MIDDLETOWN, NJ 07748
NPI-1114070398 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
LEWIN, TASHEIKA (CHHA) 139 B 14TH AVENUE ELMWOOD PARK, NJ 07407
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/14/2017 |
8/21/2018 |
LEWIS, ERICA (CHHA) 1098 PENNSYLVANIA AVENUE FRANKLINVILLE, NJ 08322
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/29/2018 |
|
LEWIS, TOLIA (CHHA) 391 ISABELLA AVENUE IRVINGTON, NJ 07111
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/19/2017 |
|
LEYBA, ROGELIO 24 WEBSTER STREET NEWARK, NJ 07104
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/11/2016 |
|
LEYKIN, ERIC (owner) 2612 WEST 2ND STREET BROOKLYN, NY 11223
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
2/13/2023 |
|
LEYSON, JOSE (MD) 6 RANNEY ROAD LONG VALLEY, NJ 07853
NPI-1528169539 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/30/2018 |
Permanent |
LEYSON, JOSE (MD) 6 RANNEY ROAD LONG VALLEY, NJ 07853
NPI-1528169539 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/3/2019 |
|
LI, STAN (MD) 16 SECRETARIO WAY HAMILTON, NJ 08690
NPI-1386631794 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/18/2015 |
Permanent |
LI, STAN (MD) 16 SECRETARIO WAY HAMILTON, NJ 08690
NPI-1386631794 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/20/2015 |
Permanent |
LIBERTOFF, STUART 4901 GLENWOOD ROAD BROOKLYN, NY 11234
NPI- |
Vendor Criminal Offense |
Suspension Treasury Treasury Purchase Bureau |
9/7/2000 |
|
LIBRIZZI, MICHELLE H. (LPN) 5 BELLIS CT. RINGOES, NJ 08551
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/18/2001 |
Permanent |
LICKFIELD, KEVIN J. (DO) 524 JUSTICE DRIVE MARLTON, NJ 08053
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
3/3/2003 |
|
LIEBOWITZ, LEONARD J. (MD) 5 POE COURT MORGANVILLE, NJ 07741
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
8/18/2001 |
Permanent |
LIEF, BRUCE (MD) 4641 E ROOSEVELT BLVD PHILADELPHIA, PA 19124
NPI-1134228794 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/20/2019 |
|
LILLO, CHRISTOPHER T. (DMD) 191 HIGHWAY 37 WEST TOMS RIVER, NJ 08755
NPI-1720150675 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
12/20/2012 |
|
LIMIDO, GLEN CARL (RPH) 1 EAST PLEASANT AVENUE MAYWOOD, NJ 07607
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/19/2006 |
|
LIMONGELLI, WILLIAM (DDS) 679 SO ORANGE AVE NEWARK, NJ 07106
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
10/30/1986 |
Permanent |
LINDER, NORBERT (MD) 4711 BERGENLINE AVENUE UNION CITY, NJ 07087
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
3/23/1977 |
Permanent |
LINK, TIMOTHY (MD) 904 SYCAMORE AVENUE TINTON FALLS, NJ 07724
NPI-1477767705 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/16/2022 |
|
LINK, TIMOTHY (MD) 63 MONMOUTH PARKWAY MONMOUTH BEACH, NJ 07750
NPI-1477767705 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/5/2018 |
2/23/2022 |
LIPMAN, CLIFFORD R. (MD) 26 UNION AVENUE FREEHOLD, NJ 07728
NPI-1083676670 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
1/16/2015 |
5/30/2018 |
LIPPIELLO, JENNIE A. (DC) 2920 RT. 23 SOUTH NEWFOUNDLAND, NJ 07435
NPI-1366605966 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
4/19/2001 |
|
LIPSON, PHILIP A. (DO) 38 W. NORTON DRIVE SOUTHHAMPTON, PA 18966
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/19/2005 |
|
LIRIANO, ANGELA (CHHA) 79 CLINTON AVENUE, APT. #2 JERSEY CITY, NJ 07306
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/22/2017 |
Permanent |
LIRIANO, ANGELA (CHHA) 79 CLINTON AVENUE, APT. #2 JERSEY CITY, NJ 07306
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/14/2017 |
|
LIRIANO, ANGELA (CHHA) 79 CLINTON AVENUE, APT. #2 JERSEY CITY, NJ 07306
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/19/2018 |
|
LIVSHITS, BORIS 1935 83RD STREET, APT E6 BROOKLYN, NY 11214
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/1/2009 |
|
LIZIK, MICHELLE (LPN) 451 FULLERTON AVENUE CAMBRIDGE SPRINGS, PA 16403
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
LLANOS, LATOYA (CHHA) 433 W. QUINCE STREET VINELAND, NJ 08360
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
3/29/2002 |
|
LOAIZA, ERIKA (CHHA) 206 COVENTRY LANE SOMERSET, NJ 08873
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
LOBO, ANGEL R. (MD) 661 14TH AVENUE PATERSON, NJ 07504
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
6/11/2002 |
|
LOBO, ANGEL R. (MD) 398 STEWART AVENUE GARDEN CITY, NY 11530
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/20/2007 |
|
LOBO, MERCY 22 HELEN PLACE CLIFTON, NJ 07011
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/23/2007 |
|
LOCK, ABRAHAM J. (MD) 1801 AVENUE J BROOKLYN, NY 12230
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
2/25/2001 |
Permanent |
LOCURATOLO, LUIS R. (MD) 104-01 ROOSEVELT AVENUE CORONA, NY 11368
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
12/1/1995 |
Permanent |
LOGAN, JEANETTE E. (RN) 12 ARAGON COURT TRENTON, NJ 08628
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/20/2004 |
|
LOLL-VAN SICKLE, PATRICIA (RN) 416 SALEM STREET ELMER, NJ 08318
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
4/20/2000 |
|
LOMBARDI, ALAN 26 WHISPERING WAY BERKLEY HEIGHTS, NJ 07922
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
12/9/2014 |
10/8/2017 |
LOPEZ, ALFREDO (MD) 10701 E 96TH STREET INDIANAPOLIS, IN 46256
NPI-1518958040 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2019 |
|
LOPEZ, JOHN J. 428 N 16TH STREET KENILWORTH, NJ 07033
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
12/11/2001 |
|
FAMILY DIAGNOSTIC CENTER 293 MONROE STREET PASSAIC, NJ 07055LOPEZ, JOSE A. (MD) 24 WOODLAND ROAD BLOOMFIELD, NJ 07003
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
11/20/2006 |
|
LOPEZ, JULIANA (CHHA) 236 GRAND AVENUE CAMDEN, NJ 08105
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
LOPEZ-FALCONE, JUAN ANTONIO 8385 SW 43RD STREET MIAMI, FL 33155
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
5/2/2003 |
|
LOPRESTI, JACQUELINE A. (DO) FPC ALDERSON ALDERSON, WV 24910
NPI-1043348220 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
3/20/2014 |
|
LOPRESTI, JACQUELINE A. (DO) 568 RIDGE ROAD FAIR HAVEN, NJ 07704
NPI-1043348220 |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
12/20/2011 |
|
LOTTERMAN, RANDEE (RN) 6 JUNIATA STREET WEST MILFORD, NJ 07480
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/15/2017 |
|
LOUIS-BAPTISTE, GUERLINE (CHHA) 51 LINCOLN STREET EAST ORANGE, NJ 07017
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/20/2017 |
|
LOUISSAINT, PARACLET (MD) 669 ELIZABETH AVENUE NEWARK, NJ 07112
NPI-1164519179 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
1/1/2001 |
1/11/2017 |
LOUKHNATI, RAJAA (CHHA) 5 COLGATE DRIVE CHERRY HILL, NJ 08034
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
2/20/2017 |
|
LOVETT, BETTIE (CHHA) 212 SENACA TRAIL BROWNS MILLS, NJ 08064
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
5/28/2013 |
|
LOWREY, RODNEY 88 3RD AVE ATLANTIC HIGH, NJ 07716
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
|
Permanent |
LU, CHEH S. (DO) 3 DORIS DRIVE WEST CHERRY HILL, NJ 08003
NPI-1144370057 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/20/2023 |
Permanent |
LU, KANG (MD) 5753 HIGHWAY 85 N #2442 CRESTVIEW, FL 32536
NPI-1467602953 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/18/2022 |
|
LUCA, BONNIE J. 1016 WASHINGTON GARDEN AP WASHINGTON, NJ 07882
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
6/10/2007 |
Permanent |
LUCA, NICOLE 12 RED FOX RUN MANALAPAN, NJ 07726
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
3/18/2015 |
3/17/2018 |
LUCAS, KATINA (RN) 126 LAGUARDIA AVENUE STATEN ISLAND, NY 10314
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/19/2006 |
|
LUCAS, MARK OWNER 31 GLASSBORO ROAD MONROEVILLE, NJ 08343
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
10/12/2012 |
10/11/2015 |
LUDDEN, JAMES W. (DPM) 23 SOCIETY HILL WAY TINTON FALLS, NJ 07724
NPI-1720054935 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/19/2016 |
|
LUDDEN, JAMES W. (DPM) 23 SOCIETY HILL WAY TINTON FALLS, NJ 07724
NPI-1720054935 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/8/2007 |
|
LUDWICK, DONNA (RN) 7 DEER VALLEY LANE, UNIT 12 VERNON, NJ 07462
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/22/2019 |
|
, LUDWIKOWSKI, MICHAEL (RPH) FCI LORETTO, PO BOX 1000 CRESSON, PA 16630
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/14/2021 |
|
MAIN PHARMACY, LLC. 80 SOUTH MAIN ROAD, SUITE 112 VINELAND, NJ 08360LUDWIKOWSKI, MICHAEL (RPH) 113 DIXONTOWN ROAD MEDFORD, NJ 08055
NPI-1861705873 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/13/2018 |
|
OLD MEDFORD PHARMACY 639 STOKES ROAD, SUITE 101 MEDFORD, NJ 08055LUDWIKOWSKI, MICHAEL (RPH) 113 DIXONTOWN ROAD MEDFORD, NJ 08055
NPI-1619148632 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/13/2018 |
|
Caslo Drywall Corp. 644 East 2nd St Unit 2 Plainfield, NJ 07060Luis Oliveras, Owner 644 East 2nd St Unit 2 Plainfield, NJ 07060
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
4/23/2014 |
04/22/2017 |
Resco, LLCHallmark Electric, LLC 13 Poppy Ave. Neptune, NJ 07753Luis Riano, President 13 Poppy Ave Neptune, NJ 07753
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
2/26/2015 |
02/25/2018 |
L and Y Roofing, LLC 291 Jefferson St Paterson, NJ 07522Luis Vargas, Owner 183 Belmont Ave Haledon, NJ 07522
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
3/17/2014 |
03/16/2017 |
LUNDY, HOWARD 1 MALKE DRIVE OCEAN, NJ 07712
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
4/4/2015 |
|
LYNCH, CHRISTOPHER (MD) 1719 PENN CROSSING ALLENTOWN, PA 18104
NPI-1407813975 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
LYNCH, KATHRYN (LPN) 33 STEVEN TERRACE SOUTH PLAINFIELD, NJ 07080
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/7/2019 |
|
LYONS, DANA (LPN) 245 4TH AVENUE ROEBLING, NJ 08554
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
2/20/2002 |
|
LYONS-VALENTI, ASHLEY (APN/RN) 119 PALMER PLACE SWEDESBORO, NJ 08085
NPI-1275715179 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/4/2020 |
Permanent |
LYVAN, KIM (DDS) 199 CANAL STREET #201 NEW YORK, NY 10013
NPI-1346458965 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
11/27/2000 |
|
MAAT, THOMAS P. (LPN) 2311 4TH AVE. TOMS RIVER, NJ 08753
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
3/18/2004 |
|
MABRY, MYRA ANN CUMMINGS (MD) GLEN RAY ROAD, BOX A ALDERSON, WV 24910
NPI-1306070719 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/20/2021 |
|
MACH, PHILIP C. (MD) PO BOX 1000 LORETTO, PA 15940
NPI-1770562993 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/9/2008 |
|
MACH, PHILIP C. (MD) 30 DANIEL DRIVE FRANKLIN PARK, NJ 08823
NPI-1770562993 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/7/2008 |
|
MACH, PHILIP C. (MD) 17 SHELDON ROAD PEMBERTON, NJ 08068
NPI-1770562993 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
10/30/2018 |
Permanent |
MACIAS, ERICK (DC) 111 E. DEWEY AVENUE, APT. 254 WHARTON, NJ 07885
NPI-1215311329 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/24/2020 |
|
Madara, John H. 319 Terrace Street Rahway, NJ 07065
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
5/8/2015 |
5/7/2018 |
MADDOX, CALISA (CHHA) 42 TRITON TERRACE NEWARK, NJ 07104
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/20/2019 |
|
MADDOX, PEARL V. (CHHA) KINSLEY ROAD PEMBERTON, NJ 08068
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
9/25/2007 |
|
MADUR, MATUS, MANAGING MEMBER 75 HART STREET SAYREVILLE, NJ 08872
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
3/26/2012 |
3/25/2015 |
Magda Zamprogno, Other
,
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
10/17/2013 |
10/16/2016 |
MAGGIONCALDA III, EUGENE C. (RN) 15 ABBINGTON LANE SEWELL, NJ 08080
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/25/2023 |
|
MAHAJAN, SHYAM S. (MD) 7624-A BRISLIN RD #7 STROUDSBURG, PA 18360
NPI-1144496449 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/1/1998 |
Permanent |
MAHARAJ, GANGARAM (RPH) 72 VAN REIPEN AVENUE JERSEY CITY, NJ 07306
NPI-1326323106 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/22/2017 |
|
MAHER, PATRICIA (RN) 26 PROSPECT STREET RAMSEY, NJ 07446
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/7/2019 |
|
LA INVALID COACH 1995 JFK BLVD. NO. 14 JERSEY CITY, NJ 07305MAHGOUB, ADAM 1995 JFK BLVD. NO. 14 JERSEY CITY, NJ 07305
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/17/2002 |
|
MAHMOOD, SHAHID 228 GRAND STREET JERSEY CITY, NJ 07302
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
3/30/2010 |
|
MAHMUD, ASIF (MD) 2024 W. 13TH ST. BROOKLYN, NY 11223
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
3/18/2004 |
|
MAIGUE, LLEWELYN (RN) 6 CRYSTAL AVENUE W. ORANGE, NJ 07052
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
4/19/2001 |
|
MAIORANO, JOHN (RPH) 123 EAST END AVENUE ISLAND HEIGHTS, NJ 08732
NPI-1659492940 |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
4/18/2002 |
|
MAIO'S MEDICINE CHEST 345 UNION HILL ROAD ENGLISHTOWN, NJ 07726MAIORANO, JOHN (RPH) 345 UNION HILL ROAD ENGLISHTOWN, NJ 07726
NPI-1659492940 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
7/11/2000 |
Permanent |
MAIS, JENNIFER C. (PA) 22 NEW STREET HILLSDALE, NJ 07642
NPI-1801035084 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/30/2015 |
|
MAJURI, WILLIAM 14 OAK AVENUE BERLIN, NJ 08009
NPI- |
Vendor Criminal Offense |
Suspension Treasury Treasury Purchase Bureau |
8/27/2001 |
|
MAKILING, REY (LPN) 202 FLATBUSH AVENUE EGG HARBOR TOWNSHIP, NJ 08234
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2024 |
|
MAKKER, RAM S. (MD) 52 SNAPDRAGON LANE ROSLYN HEIGHTS, NY 11577
NPI-1538117213 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/20/2010 |
|
MALADY, SUSAN AKA MAWHINNEY-BRIGNOLA, SUSAN (RN) PO BOX 468 BLAIRSTOWN, NJ 07825
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/20/2001 |
|
ORIENT EXPRESS 177 SARGEANT AVE. CLIFTON, NJ 07013MALAMUD, YAFIM 177 SARGEANT AVE. CLIFTON , NJ 07013
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
8/8/2003 |
|
MALDONADO, CHEYENNE (PHARM TECH) 3 DUKE DRIVE TOMS RIVER, NJ 08757
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
1/5/2017 |
8/30/2023 |
MALDONADO, SANDRA (CHHA) 2808 CONGRESS ROAD CAMDEN, NJ 08104
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/6/2018 |
|
MALDONADO, TOSHIRA (CHHA) 4648 THELMA AVENUE MAYS LANDING, NJ 08330
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
1/20/2017 |
8/11/2022 |
MALIK, ATIF #62539-037 (MD) FCI LORETTO, PO BOX 1000 LORETTO, PA 15940
NPI-1386-63-1869 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/1/2019 |
|
MALIK, MOHAMMAD S. 146 OLD COURT HOUSE RD. MANHASSETT, NY 11040
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/20/2002 |
|
MALIK, MOHAMMAD S. 146 OLD COURTHOUSE ROAD MANHASSETT, NY 11400
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
9/22/2000 |
|
MALLOY, TIFFANY (APN/RN) 34 VUBURNUM COURT LAWRENCEVILLE, NJ 08648
NPI-1790910503 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
8/28/2017 |
|
MALLOZZI, DEBORAH (RN) 1603 PERSHING AVENUE FORKED RIVER, NJ 08731
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/28/2017 |
|
MALONE, THOMAS F. 16192 COASTAL HIGHWAY LEWES, DE 19958
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
5/14/2013 |
5/13/2016 |
Malpere, Michael 8 Mansion Terrace Cranford, NJ 07016
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
6/9/2015 |
6/8/2018 |
MANALO, JERICHO (RN) 22 PINE STREET BLOOMFIELD, NJ 07109
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/13/2017 |
|
MANCILLA, MARIA (CHHA) 284 REDMOND STREET NEW BRUNSWICK, NJ 08873
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/14/2007 |
|
MANCINI PHARMACY INC SKEET & DIXONTOWN ROAD MEDFORD, NJ 08055MANCINI, ANGELO D. (RPH) SKEET & DIXONTOWN ROAD MEDFORD, NJ 08055
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
7/1/1985 |
Permanent |
MANDERSCHEID, DAVID L. 310 NORTH HIGH STREET WEST CHESTER, PA 19380
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
11/18/2011 |
11/17/2014 |
MANFORD, ROSE AKA ACQUAH, ROSE (CHHA) 5507 WARNER VIEW LANE WESTVILLE, OH 43081
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
7/13/2018 |
|
MANFRE, MARIA (LPN) 262 N. MIDDLESEX COURT THOROFARE, NJ 08086
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/5/2017 |
|
MANGIONE, MICHELE (RN) 35 LONGVIEW DRIVE WALDWICK, NJ 07363
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/20/2004 |
Permanent |
MANIN, LAWRENCE 611 BURLINGTON MT HOLLY, NJ 08060
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
4/12/1993 |
Permanent |
MANION, WILLIAM (MD) 33 MEADOW ROAD WOODSTOWN, NJ 08098
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/8/2018 |
|
MANJO, EUNICE AKA GUANMESIA, EUNICE (RN) 128 FIELDBROOK DRIVE MAGNOLIA, DE 19962
NPI-1811443815 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/3/2019 |
|
MANKOFF, BERNARD GREEN GROVE ROAD NEPTUNE, NJ 07753
NPI- |
Professional Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
|
Permanent |
MANNAVA, VENKATA SRINIVAS (RPH) 3300 EAST WEST HIGHWAY, APT 206 HYATTSVILLE, MD 20782
NPI-1356478895 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/30/2016 |
|
MANNING, LUTHER 586 WEST SCOTT AVENUE RAHWAY, NJ 07065
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/20/2008 |
|
MANNO, MICHAEL (DC) PO BOX 1000 CAMP FORT DIX, NJ 08640
NPI-1356704738 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/20/2003 |
|
MANSOUR, ALI (MD) 225 DEMOTT LANE SOMERSET, NJ 08873
NPI-1346225885 |
Medical Antitrust/Anti-Kickback Acts |
Debarment Human Services Medical Assistance (Medicaid) |
12/20/2014 |
10/25/2019 |
PER Construction LLC 194 Monmouth Ave Keyport, NJ 07735Manuel Pereira, Owner 67 State Route 36 Suite #4 West Long Branch, NJ 07764
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
10/17/2014 |
10/16/2017 |
M.E. Group, LLC 164 Polk Street - Apt 1 Newark, NJ 07105Manuel Quito, Member 164 Polk Street - Apt 1 Newark , NJ 07105
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
6/30/2015 |
06/29/2018 |
MANZE, PATRICK (MD) 53 GARDNER AVENUE CHATHAM, NJ 07928
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
2/20/2005 |
DECEASED |
MANZELLA, JOHN (DO) 680 BROADWAY AVENUE PATERSON, NJ 07514
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
6/28/2014 |
|
MANZI, JOHN J. (RPH) 6 TEMPLE ROAD APT 22 C VINELAND, NJ 08360
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
Permanent |
MANZONI, JANET M. (DC) 52 TENNET ROAD MORGANVILLE, NJ 07751
NPI-1851497168 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
2/3/1998 |
|
MANZONI, JANET M. (DC) 9 KILMER DRIVE MANALAPAN, NJ 07726
NPI-1851497168 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/20/2009 |
|
MARC, DAMILOLA (LPN) 165 FULTON AVENUE, APT. 3 JERSEY CITY, NJ 07305
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/23/2019 |
|
MARCELL, JOSEPH A. 305 MAIN ST RIDGEFIELD PARK, NJ 07660
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
|
Permanent |
MARCHAND, ANTHONY (MD) 19 DEXTER DRIVE NORTH BASKING RIDGE, NJ 07920
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/19/2003 |
|
MARCHETTA, LEONARD (PA) FCI-FORT DIX, PO BOX 2000 JOINT BASE MDL, NJ 08640
NPI-1720196140 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/3/2016 |
|
MARCOS, FRANCISCO (RPH) 777 CHARNWOOD DRIVE WYCKOFF, NJ 07481
NPI-1699158063 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
9/20/2011 |
4/5/2017 |
MARCUS, ALAN L. (DC) 789 CLIFTON AVENUE CLIFTON, NJ 07013
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/25/2001 |
Permanent |
Metropolitan Stone & Tile, LLC 30 Monsisnor Deluca Plaza Nutley, NJ 07110Margaret Farina, Owner 102 Richards Ave Dover, NJ 07801
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
9/24/2015 |
09/23/2018 |
CPS Mechanical Contractors, Inc. 203 Woods Ave Bergenfield, NJ 07621Margaret Sherman, President 203 Woods Avenue Bergenfield, NJ 07621
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
12/16/2014 |
12/15/2017 |
Perfection Erectors, LLCPerfection Erectors, LLC 349 W. Prospect Avenue Keyport, NJ 07735Marianne Cammarata, Manager 349 West Prospect Ave Keyport, NJ 07735
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
2/24/2016 |
02/23/2019 |
Everest Masonry Constructors, Inc. 523 Hamilton Ave Kingston, PA 18704Mark Rodrigues, President 1 Orinet Way Suite 226 Rutherford, NJ 07070
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
11/9/2015 |
11/08/2018 |
MARKOFF, MORTON (DO) 908 FRANCINE DRIVE CHERRY HILL, NJ 08003
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
11/7/1997 |
DECEASED |
MARKOS, MARYAM (CHHA) 95 WINDING WOOD DRIVE, APT. 3B SAYREVILLE, NJ 08872
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/4/2023 |
|
MARKOSOVA, GRETA (CHHA) 2301 WESTMINSTER BOULEVARD PARLIN, NJ 08859
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/31/2017 |
|
MARKOWSKI, TOMASZ 2026 HIMROD ROAD RIDGEWOOD, NY 11385
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
4/19/2012 |
4/18/2015 |
MARON, ANDREW (DDS) 326 BROAD STREET RED BANK, NJ 07701
NPI-1215035134 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/21/2015 |
|
MARON, ANDREW (DDS) 326 BROAD STREET RED BANK, NJ 07701
NPI-1215035134 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/1/2019 |
|
MARONPOT, BARBARA (DDS) 281 MENDHAM ROAD BERNARDSVILLE, NJ 07924
NPI-1821203696 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
3/17/2015 |
|
MARQUEZ, MANUEL S. (MD) 112 DOWNING COURT MT. LAUREL, NJ 08054
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/5/1997 |
DECEASED |
MARQUEZ, OLGA (COUNSELOR) 2827 LINCOLN AVENUE CAMDEN, NJ 08105
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
4/29/2003 |
|
MARRAZZO-TALLIA, CHRISTAL (RPH) 406 HARDING ROAD FAIRHAVEN, NJ 07704
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/19/2006 |
|
MARSH, TIFFANY 146 CHESTNUT STREET WEST ORANGE, NJ 07052
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
10/10/2023 |
|
MARSH, TIFFANY P.O. BOX 27137 FORT WORTH, TX 76127
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
12/20/2023 |
|
MARSHALL, HAROLD 1800 EVA STREET AUSTIN, TX 78704
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
5/11/2014 |
5/10/2017 |
MARSON-FRANCIS, JAVON (CHHA) 7810 CORBETT ROAD PENNSAUKEN, NJ 08109
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/18/2017 |
|
MARTIN, ANDRE (COUNSELOR) 127 N. DERBY AVENUE VENTNOR, NJ 08406
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
5/24/1999 |
Permanent |
MARTIN, BENNIE M. (COUNSELOR) 476 CLIFTON AVENUE CLIFTON, NJ 07011
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
5/15/2003 |
|
MARTIN, CHERYL LEE a.k.a. JOHNSTON, CHERYL ANDERSON (RN) 600 PACIFIC AVENUE, APT B203 ATLANTIC CITY, NJ 08401
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/18/2021 |
|
MARTIN, ELLIOTT (DPM) 5 HOLLIS ROAD E. BRUNSWICK, NJ 08816
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
4/22/1991 |
DECEASED |
MARTIN, MARGARET (LPN) 207 HEGGEN AVENUE EGG HARBOR TOWNSHIP, NJ 08234
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/8/2017 |
Permanent |
MARTIN, PATRICK 51 HENRY STREET SUCCASUNNA, NJ 07876
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
MARTIN, SUSAN C. (RN/LPN) 3421 BRIGHTON STREET PHILADELPHIA, PA 19149
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/20/2005 |
|
MARTINEZ, CINTYA (CHHA) 61 CONCORD STREET, APT. 3A JERSEY CITY, NJ 07306
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2017 |
|
MARTINEZ, ELIEZER (COUNSELOR) 215 SOUTH BURLINGTON ROAD BRIDGETON, NJ 08302
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
2/20/2006 |
|
MARTINEZ, MELISSA (CHHA) 211A LOIS LANE, APT. A LAKEWOOD, NJ 08701
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/19/2023 |
|
MARTINEZ, NATASHA (CHHA) 87 N. 7TH STREET, APT. 1 PATERSON, NJ 07522
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/26/2018 |
|
MARTINEZ, RENATO F. (MD) 199 BROAD ST., SUITE 1-A BLOOMFIELD, NJ 07003
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/5/1997 |
|
MARTINIQUE, BURTON (OD) 2 SHEFFIELD DRIVE WILLINGBORO, NJ 08046
NPI-1942370945 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
4/18/2016 |
|
MARTINIZEZ, SUZETTE (CHHA) 52 FOREST GLEN DRIVE HIGHLAND PARK, NJ 08904
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/31/2017 |
|
MARTINS, ANTONIO 215 PRINCETON ROAD PARLIN, NJ 08859
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
1/14/2013 |
1/13/2016 |
MARTINS, MANUEL 15 CENTER STREET SOUTH RIVER, NJ 08882
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
1/14/2013 |
1/13/2016 |
MARTINS, ROGERIO 46 GROVE STREET SOUTH RIVER, NJ 08882
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
1/14/2013 |
1/13/2016 |
MARTIROSOV, ALEKSANDR (DO) 1084 BRIAR WAY FORT LEE, NJ 07024
NPI-1700931185 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2017 |
5/30/2018 |
MARTORANO, JOSEPH (RPH) 1248 STANWOOD STREET PHILADELPHIA, PA 19100
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
Permanent |
MARUCCI, DONATO (MD) 14 FRANKLIN STREET BELLEVILLE, NJ 07109
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
9/28/1999 |
Permanent |
MARURI, NAGESWARA REDDY (RPH) 8 REDWOOD AVENUE WEST ORANGE, NJ 07052
NPI-1083932495 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/1/2016 |
|
Marvin Ardon Painting 52 S. Jefferson St. Orange, NJ 07070Marvin Alexander Ardon, Owner 52 S Jefferson St Orange, NJ 07050
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
12/4/2013 |
12/03/2016 |
MASCOLO, JOSEPHINE (RN) 1814 KENNEDY BLVD. UNION CITY, NJ 07087
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
4/7/2004 |
|
MASHALI, FATHALLA #86065-038 (MD) FMC DEVENS, PO BOX 879 AYER, MA 01432
NPI-1386609907 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/20/2018 |
|
MASI, JAMES (COUNSELOR) 631 OCEAN AVENUE, APT.304 BRADLEY BEACH, NJ 07720
NPI-1518046226 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
2/20/2013 |
|
MASON, JAMES I. 702 SUNSHINE LAKES DRIVE VOORHEES, NJ 08043
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
2/23/2000 |
|
MASON, SYDELLE 702 SUNSHINE LAKES DRIVE VOORHEES, NJ 08043
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
2/23/2000 |
|
MASOOD, MARUK 1 CHESTERFIELD DRIVE WARREN, NJ 07059
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2012 |
|
MASOOD, YOUSUF (MD) PO BOX 8000 BRADFORD, PA 16701
NPI-1235343138 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2012 |
|
MASOUD, MARIAM (CHHA) 194 CORNELISON AVE, APT 200 KEARNY, NJ 07032
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/17/2023 |
|
MASRI, NASSER M. 360 GETTY AVENUE PATERSON, NJ 07503
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/19/2000 |
2/15/2019 |
MASSARO, DONNA M. (THERAPIST) 205 RIVA DRIVE APT 24 HACKETTSTOWN, NJ 07840
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
11/20/2008 |
|
MASTRANGELO, MARTHA (LPN) 12 NORTH 28TH AVENUE LONGPORT, NJ 08403
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
Permanent |
MASTRIA, ERNEST (PSYCH) 213 9TH AVE BELMAR, NJ 07719
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/18/2011 |
|
MASTROKOSTAS, ANTHANASIOS (RPH) 11 EQUINOX LANE FREEHOLD, NJ 07728
NPI-1861769481 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
10/15/2009 |
2/15/2019 |
MATALON, VIVIENNE (MD) 1 NORTH SYRACUSE DRIVE CHERRY HILL, NJ 08034
NPI-1396858635 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/19/2016 |
|
MATALON, VIVIENNE (MD) 1 NORTH SYRACUSE DRIVE CHERRY HILL, NJ 08034
NPI-1396858635 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
10/31/2016 |
|
MATHEW, REX (MD) 131 WEST PARKWAY POMPTON PLAINS, NJ 07444
NPI-1336164862 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/2/2017 |
|
MATHEW, REX (MD) 17608 PRINCE EDWARD DRIVE OLNEY, MD 20832
NPI-1336164862 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/4/2018 |
|
MATRISS, JOSEPH P. (DDS) 337 HENRY STREET HASBROUCK HEIGHTS, NJ 07604
NPI-1700013554 |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
10/9/2007 |
|
MATRISS, JOSEPH, P. (DDS) 337 HENRY STREET HASBROUCK HEIGHTS, NJ 07604
NPI-1700013554 |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
9/18/2003 |
|
MATTERN, JILL (MD) 20 WILSON TERRACE, APT 1 STATEN ISLAND, NY 10304
NPI-1669514253 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
11/29/2015 |
|
Matthew Ettere, Vice-President 8 Brookside Drive Warren, NJ 07059
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
1/5/2016 |
1/4/2019 |
MATTHEWS, BHA'SHEER (CHHA) 16 HEMLOCK WALK CAMDEN, NJ 08104
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/18/2017 |
|
MATURA, DENISE (RN) 1001 LINDEN AVENUE BRICK, NJ 08723
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
10/26/1999 |
7/20/2012 |
MATURA, WILLIAM (DC) PO BOX 7000 FORT DIX, NJ 08640
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
12/20/2006 |
|
MATZ, RODNEY S. (MD) 43 MACDONALD DRIVE WAYNE, NJ 07470
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/29/1995 |
Permanent |
MAUGLE, BARBARA (DPM) 800 HILLSIDE AVENUE WESTFIELD, NJ 08901
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/10/2001 |
Permanent |
MAUIRI, SANDY (LPN) 34 FRANKLIN PL. TOTOWA, NJ 07512
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/20/2005 |
|
Advantage Sport USA, Inc. 1 Tigan Street Winooski, VT 05404Maurice Guarigilia, Owner / Officer 494 North Barbor Road Colchester, VT 05446
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
1/20/2016 |
01/19/2019 |
Interstate Home Service Inc.Interstate Home Service Inc. 105 Heights Ave Fair Lawn, NJ 07410Maurice Rolando, Owner 165 Heights Ave Fair Lawn, NJ 07410
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
8/17/2015 |
08/16/2018 |
MAWHINNEY-BRIGNOLA, SUSAN AKA MALADY, SUSAN (RN) PO BOX 468 BLAIRSTOWN, NJ 07825
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/20/2001 |
|
MAXIMOUS, HEBA (CHHA) 274 MONTICELLO AVENUE JERSEY CITY, NJ 07306
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/17/2023 |
|
MAXIMOUS, MARSA (CHHA) 110 BALDWIN AVENUE, APT 5 JERSEY CITY, NJ 07306
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/17/2023 |
|
MAXVITAT, KATHLEEN E. (PHARM TECH) 200 W. MERCHANTS STREET AUDUBON, NJ 08106
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
4/20/2011 |
|
INDEPENDENCE MEDICAL TRANS. 3 PARKWOOD DRIVE SOUTH AMBOY, NJ 08879MAXYMIV, NICOLAI 3 PARKWOOD DRIVE SOUTH AMBOY, NJ 08879
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/10/2003 |
|
MAYER, BARRY PO BOX 239 AVERNE, NY 11692
NPI- |
Vendor Criminal Offense |
Suspension Treasury Treasury Purchase Bureau |
9/7/2000 |
|
MAYER, FREDRICK G. (DC) 610 WOODLAND AVENUE AVON BY THE SEA, NJ 07717
NPI-1811082894 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/20/2000 |
9/21/2011 |
MAYS, CYNTRICE (CHHA) 98 OAK STREET CLEMENTON, NJ 08021
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/19/2017 |
|
MAYS, ROBERT E. 6133 HANLON STREET CAPITAL HEIGHTS, MD 20743
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/31/2017 |
|
MAZOUZ, SANAA (CHHA) 10 N COAL STREET SHAMOKIN, PA 17872
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/19/2023 |
|
MAZUR, BONNIE (DMD) 210 E. SEAVIEW AVENUE LINWOO, NJ 08221
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
1/27/1998 |
|
MCAFEE, JORDAN (CHHA) 13 FAIRWAY COURT MARLTON, NJ 08053
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/20/2017 |
|
MCAULAY-LEVESQUE, BARBARA (LPN) 141 BRUNSWICK AVENUE BLOOMSBURY, NJ 08804
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/27/2019 |
Permanent |
MCCABE, LAUREN AKA BARSH, LAUREN (RN) 9 FIELDCREST WAY HAZLET, NJ 07730
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/30/2019 |
|
MCCABE, VALERIE A. (LPN) 830 CHESTNUT STREET KEARNY, NJ 07032
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/20/2004 |
Permanent |
MCCAFFERTY, ASHLEY (RN) 245 ATLANTIC AVENUE, APT. 115 LONG BRANCH, NJ 07740
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/29/2019 |
|
MCCAGG, CAROLINE (MD) 1415 MARTINE AVENUE PLAINFIELD, NJ 07060
NPI-1346261849 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/18/2019 |
Permanent |
MCCALL, ELDORA (CHHA) OLD CRANBURY ROAD CRANBURY, NJ 08512
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/20/2007 |
|
MCCANN, DAVID 16 LAFAYETTE PLACE LYNDHURST, NJ 07071
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
10/3/2019 |
|
MCCARVILLE, MICHAEL (MD) 1020 IRVING AVENUE ENDICOTT, NY 13760
NPI-1871666321 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
MCCASKILL, CAMMY 6518 BOBOLINK PLACE PHILADELPHIA, PA 19142
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
MCCASKILL, JACQUELINE (CHHA) 34 36 12TH AVENUE PATERSON, NJ 07524
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/15/2004 |
|
MCCOLGAN, PETER (DMD) RR 1, PO BOX 29 TANNERSVILLE, PA 18372
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/19/2001 |
|
MCCOLGAN, PETER (DMD) 35 OLD WOLFE ROAD BUDD LAKE, NJ 07828
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
5/13/1999 |
Permanent |
MCCREA, NIOME (CHHA) 63 VILLAGE DRIVE BARNEGAT, NJ 08005
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/26/2017 |
|
MCDANIELS, HOLLY (RN) 111 COUNTRYSIDE DRIVE MYRTLE BEACH, SC 29579
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/28/2017 |
|
MCDONALD, JOSEPH (MD) 2052 MORRIS AVENUE UNION, NJ 07083
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
9/21/1999 |
Permanent |
MCDONALD, KEITH (THERAPIST) 2220 MEADOW LANE, APT.D26 SECAUCUS, NJ 07094
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2001 |
Permanent |
MCDONALD, RHONDA (RN) 962 GROVE STREET IRVINGTON, NJ 07111
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
1/18/2007 |
|
MCDONALD-HASWELL, EVERSLEY 52 ELM STREET MONTCLAIR, NJ 07042
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
4/18/2002 |
|
MCDOWELL, SHASHAWN (CHHA) 25 WILLIAM STREET, 2ND FLOOR LITTLE FALLS, NJ 07424
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
12/6/2017 |
|
MCELROY, DONALD J. (DDS) 14 RESEVOIR AVENUE DOVER, NJ 07801
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/1983 |
Permanent |
MCFADDEN, SCOTT 3 VICTORY LANE BRICK, NJ 08723
NPI- |
Vendor Criminal Offense |
Debarment Law and Public Safety 1020 |
1/6/2016 |
1/6/2021 |
MCFADDEN, TIKEYA (CHHA) 526 RAND STREET CAMDEN, NJ 08105
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
MCGAVIN, CAMERON LINDSAY (PSYCH) 417 BOYD STREET TURTLE CREEK, PA 15145
NPI-1760408041 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/27/2015 |
|
MCGEE, ELIZABETH (RN) 51 VAN DUYNE AVE WAYNE, NJ 07470
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
2/20/2002 |
|
MCGEE, GEORGE, PRESIDENT 99 HILLSIDE TERRACE PARSIPPANY, NJ 07054
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
2/7/2013 |
2/6/2016 |
MCGEE, JOHN (MD) 1160 KENNEDY BOULEVARD BAYONNE, NJ 07002
NPI-1811991284 |
Medical Wage & Hour Violation |
Debarment Human Services Medical Assistance (Medicaid) |
9/6/2016 |
|
MCGILL, WINSTON (MD) 258 CENTRAL AVENUE ORANGE, NJ 07050
NPI-1093810749 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
10/16/2014 |
|
MCGINNIS, GEORGE J. 119 ADELINE ST TRENTON, NJ 08611
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
10/16/1986 |
Permanent |
MCGINTY, JAMIE (RN) 251 DEVON ROAD TWP. OF WASHINGTON, NJ 07676
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/22/2017 |
|
MCGLONE, CARL (RN) 10 MILLS BROOK LANE SHAMONG, NJ 08088
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/11/2019 |
|
MCGLOSTER, CARL L. (DDS) 90 TIFFANY BOULEVARD NEWARK, NJ 07104
NPI-1962517839 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/20/2007 |
|
MCGRATH, HELEN J. (RN) 6 BLAIR RD. KEDALL PARK, NJ 08824
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/20/2005 |
|
MCGRATH, ROBERT (DO) 3411 KENWOOD COURT MAYS LANDING, NJ 08330
NPI-1912110636 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/13/2020 |
Permanent |
MCGRATH, ROBERT (DC) FORT DIX FCI, PO BOX 2000 JOINT BASE MDL, NJ 08640
NPI-1417989864 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/20/2018 |
|
MCGRATH, ROBERT (DO) #70889-050 CANAAN USP, PO BOX 300 WAYMART, PA 17837
NPI-1912110636 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/5/2019 |
|
McHUGH, JANE E. (RN) 172 ORIENT STREET, APT 2 BAYONNE, NJ 07002
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/12/2022 |
|
MCINTYRE, JOHN G. (DDS) 1301 PENN AVENUE WYOMISSING, PA 19610
NPI-1487740718 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
6/22/2002 |
12/2/2011 |
MCKEAN JR., JOSEPH (MD) 2601 MEADOW VIEW ROAD EDMOND, OK 73013
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/15/2000 |
Permanent |
MCKEITHAN, SHAVONNE (LPN) 259 SECOND STREET HACKENSACK, NJ 07601
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/5/2017 |
|
MCKNIGHT, BOBBY 4543 NORTH GRATZ STREET PHILADELPHIA, PA 19140
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
MCLAUGHLIN, KELLY M. (LPN) SANDYBROOK ROAD MANALAPAN, NJ 07726
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/20/2008 |
|
MCLAY, WILLIAM (MD) 1150 GEORGIA AVENUE CAPE MAY CH, NJ 08210
NPI-1033133970/1659585438 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/16/2018 |
Permanent |
MCLEAN, EDWARD 506 MONTICELLO COURT MARLTON, NJ 08053
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
7/18/2002 |
|
MCLEISH, FREDERICK (RPH) 5 WINDSOR DRIVE EGG HARBOR TOWNSHIP, NJ 08234
NPI-1447461504 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/19/2017 |
Permanent |
MCLEOD, MEGHAN AKA WHITE, MEGHAN (CHHA) 271 SERPENTINE DRIVE BAYVILLE, NJ 08721
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/8/2019 |
|
MCMAHON, THOMAS (MD) 121 WARWICK ROAD HADDONFIELD, NJ 08033
NPI-1952309742 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
2/15/2016 |
Permanent |
McMILLION, VIRGIL WAID (DO) 232 SANTORINI AVENUE MORGANTOWN, WV 26508
NPI-1073520466 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/15/2022 |
11/16/2023 |
MCMURTRY-BURRELL, DIANE (RPH) MDC BROOKLYN, PO BOX 329002 BROOKLYN, NY 11232
NPI-1609015015 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/20/2015 |
|
MCMURTRY-BURRELL, DIANE (RPH) MDC BROOKLYN, PO BOX 329002 BROOKLYN, NY 11232
NPI-1609015015 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
MCNUTLEY, GEORGE, PRESIDENT 125 EAST BROADWAY LONG BEACH, NY 11561
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
2/9/2016 |
|
MCPHERSON, KIMBERLY (CHHA) 110 THOMAS AVENUE LAWNSIDE, NJ 08045
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
6/16/2022 |
MCPHERSON, LEEANNE (RPH) 269 HAMPTON STREET BRIDGETON, NJ 08302
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
3/7/2008 |
|
MCQUEEN, BRITTANY (CHHA) 807 N. INDIANA AVENUE ATLANTIC CITY, NJ 08401
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/23/2018 |
|
MCRAE, CHANEL (CNA) 448 RAILROAD BLVD. RICHLAND, NJ 08350
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/23/2006 |
|
MEDVEDIK, YELENA 2 HICKORY HILLS COURT HOLMDEL, NJ 07733
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
10/3/2013 |
|
MEDVEDOVSKY, ANDREW (MD) 11 AUTUMN DRIVE MOORESTOWN, NJ 08057
NPI-1649431594 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/4/2020 |
|
MEEHAN, KATHLEEN AKA MEEHAN-KIERMIER, KATHLEEN (DMD) 1116 BENNETT DRIVE WOODBURY, NJ 08096
NPI-1245445931 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/26/2018 |
4/9/2019 |
MEHTA, MAHESH (MD) 157 RUTGERS PLACE NUTLEY, NJ 07110
NPI-1396859385 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/2/2020 |
|
MEISHER, VLAD A. (PSYCH) HILLSIDE TERR. FAIR LAWN, NJ 07410
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
8/10/2007 |
Permanent |
MEISHER, VLAD A. (PSYCH) 15-07-PLAZA ROAD APT. A FAIRLAWN, NJ 07410
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/1/2009 |
|
MELENDEZ, JUANITA (COUNSELOR) NORTH 35TH STREET CAMDEN, NJ 08105
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
4/29/2003 |
|
MELENDEZ, LIZZADY (CHHA) 602 SOUTH 4TH STREET CAMDEN, NJ 08103
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/26/2018 |
|
MELKER, NEIL L. (DMD) 219 VALLEY ROAD PRINCETON, NJ 08540
NPI-1053443705 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/23/2009 |
|
MELTZER, SCOTT M. (DMD) 70 WELLESLEY WAY FREEHOLD, NJ 07728
NPI-1366561425 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/17/2014 |
5/21/2020 |
MELTZER, SCOTT M. (DMD) 70 WELLESLEY WAY FREEHOLD, NJ 07728
NPI-1366561425 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
5/3/2013 |
5/21/2020 |
MELYNYK, ARTEM, MEMBER 8653 GLENLOCH ST. #2 PHILADELPHIA, PA 19136
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
11/16/2012 |
11/15/2015 |
MEMBER, BERNARD J. (MD) 12335 S. ANNA DRIVE ROCKVILLE, MD 23146
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/20/2004 |
|
MENA, DANIEL 1002 TAUNTON AVE WEST BERLIN, NJ 08091
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
11/16/2012 |
11/15/2015 |
MENDEL, RICHARD 701 SOUTH HOWARD AVENUE, SUITE 106 TAMPA, FL 33606
NPI-1306939202 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/29/2015 |
|
MENDEZ, EDELFONSO (DO) SMITH AVENUE NORTH BERGEN, NJ 07047
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/20/2008 |
|
MENDEZ, NORMA (CHHA) 60 BALDWIN STREET, #2 NEW BRUNSWICK, NJ 08901
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2017 |
|
MENSAH, ENOCK 532 WINDSOR COMMON BLDG 5 EAST WINDSOR, NJ 08512
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
10/10/2023 |
|
MENSAH-NARH, STEVEN (RPH) WEDGEWOOD DRIVE NORTHBRUNSWICK, NJ 08902
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2007 |
|
MEO, JOHN 149 BOWNE ROAD WAYSIDE, NJ 07712
NPI-1427086818 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/27/2009 |
|
MERLINO, WILLIAM (MD) 4630 SOMERS POINT ROAD MAYS LANDING, NJ 08330
NPI-1992802557 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
8/16/2023 |
|
MERLINO, WILLIAM (MD) 4360 SOMERS POINT ROAD MAYS LANDING, NJ 08330
NPI-1992802557 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2023 |
|
MERVIL, DARLENE (CHHA) 122 ROSSITER AVENUE PATERSON, NJ 07502
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
5/31/2018 |
|
MESA, NELSON (PCA) 964 GROVE STREET, APT. A ELIZABETH, NJ 07202
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/17/2017 |
|
MESSICK, PAULA (LPN) 105 SUMMIT AVENUE EWING, NJ 08628
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/18/2009 |
|
MESSO, RALPH #67159-050 (MD) FCI FORT DIX, PO BOX 2000 JOINT BASE MDL, NJ 08940
NPI-1184798621/1255309175 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
12/26/2018 |
|
MESSO, RALPH (MD) 2 RICHMONDE COURT COLTS NECK, NJ 07722
NPI-1184798621/1255309175 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
5/28/2015 |
|
METTEAUX, IYANNAH (CHHA) 46 N. ARLINGTON AVENUE EAST ORANGE, NJ 07017
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
METZ, DANIEL FCI OTISVILLE #66799-050 OTISVILLE, NY 10963
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/20/2015 |
2/16/2022 |
MEYER, CYNTHIA (RN) 8200 KENNEDY BOULEVARD NORTH BERGEN, NJ 07047
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2018 |
|
MEYER, GLORIA KINGS HIGHWAY MIDDLETOWN, NJ 07748
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
Permanent |
MEYER, JOSEPH KINGS HIGHWAY MIDDLETOWN, NJ 07748
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
Permanent |
MEYERLE, GISELA (RN) 705 SUNFLOWER AVENUE LANGHORNE , PA 19047
NPI-1356538169 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/28/2018 |
|
MEYERLE, GISELA (RN) 705 SUNFLOWER AVENUE LANGHORNE , PA 19047
NPI-1356538169 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/25/2019 |
|
MEZERENEZ, MARIA (CHHA) 33 ASPEN PLACE PASSAIC, NJ 07055
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/6/2018 |
|
MGBEME, FESTUS (RPH) 882 BROAD STREET NEWARK, NJ 07114
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/8/2001 |
Permanent |
AB Contracting & Develpement LLC 191 Central Ave 2nd Floor Newark, NJ 07101Michael Santos, President 988 Johnson Place Apt 4 Union, NJ 07083
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
11/27/2013 |
11/27/2013 |
A.V. Construction, Inc. 12 Verduci Drive Newtown, PA 18940Michael Verduci, President 12 Verduci Drive Newtown, PA 18940
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
5/26/2015 |
05/25/2018 |
Michael, Lenec, Partner 300 Mamaroneck Avenue, #733 White Plains, NY 10605
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
6/30/2015 |
06/29/2018 |
MICHAIL, MEDHAT (DDS) 848 BERGEN AVENUE JERSEY CITY, NJ 07306
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
4/29/1998 |
|
Trinity Paving, LLC 115 Millstone Way Monroeville, NJ 08343Michele Doyle, Member 245 Clayton Rd Monroeville, NJ 08343
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
10/21/2014 |
10/20/2017 |
Griffin Sign, Inc. 12 Pendleton Court Medford, NJ 08055Michelle Angerame, President 464 North Randolph Avenue Cinnaminson, NJ 08077
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
3/14/2016 |
03/13/2019 |
MIKHAIL, PETER (RPH) 48 FALLON AVE. ELMONT, NY 11003
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/18/2004 |
Permanent |
MIKOS, KRISTEN (RN) 211 PRINCETON AVENUE PHILADELPHIA, PA 19149
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/2/2017 |
|
MIKSIS, MARY E. (RN) 126 WINSTEAD DRIVE WESTAMPTON, NJ 08060
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/17/2004 |
|
MIL, PAUL USP LEWISBURG #65099-050, PO BOX 1000 LEWISBURG, PA 17837
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/9/2017 |
|
MILANCE, HADZIC 164 MERLINE AVENUE WOODLAND PARK, NJ 07424
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
4/3/2014 |
4/2/2017 |
MILLER, DEBBIE (DO) 94 EAST WATER ST TOMS RIVER, NJ 08753
NPI-1750561866 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
4/26/2002 |
DECEASED |
MILLER, DEIDRE 20 PERENNIAL LANE WILLINGBORO, NJ 08046
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/19/2001 |
Permanent |
MILLER, DEIDRE, T. 92 RITTENHOUSE DRIVE WILLINGBORO, NJ 08046
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
3/29/2000 |
Permanent |
MILLER, JOSEPH M. (DO) 9 VICTORIA CIRCLE JACKSON, NJ 08527
NPI-1255307856 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/20/2015 |
|
MILLER, JUSTIN (PSYCH) 616 DALE COURT WEST RIVERVALE, NJ 07675
NPI-1952594921 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/2/2017 |
Permanent |
MILLER, RANDALL (DO) 1015 VAN HOUTEN AVE CLIFTON, NJ 07013
NPI-1740342575 |
Medical Wage & Hour Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
1/1/2001 |
4/6/2017 |
MILLER, ROY C. 703 WEST SHORE TRAIL LAKE MOHAWK, NJ 07871
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
Permanent |
MILLER, SANDRENE (MD) 50 UNION AVE., SUITE 401 IRVINGTON, NJ 07111
NPI-1912192527 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
2/25/1998 |
|
MILLER, SANDRENE A. (MD) 202 ELMWYND DRIVE ORANGE, NJ 07050
NPI-1912192527 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
7/22/1999 |
|
MILLET, CYNTHIA (CHHA) 104 ROUTE 46 EAST ELMWOOD PARK, NJ 07407
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
8/24/2017 |
|
MILMAN, BORIS 655 AMBOY AVENUE WOODBRIDGE, NJ 07095
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/11/2001 |
Permanent |
MILORADOVICH, VADIM (MD) 58 MERCER AVENUE HARTSDALE, NY 10530
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2013 |
|
MILVIHILL, CHELSIE (CHHA) 501 MAPLE STREET LAKEHURST, NJ 08733
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
12/18/2017 |
|
MIMS, CAROLE 1058 WILLOW STREET NORRISTOWN, PA 19401
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
MINATEE, SHERAI (LPN) 509 WARWICK ROAD LAWNSIDE, NJ 08045
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/15/2018 |
|
MINNOW, MARY (CHHA) 9 WINDINGWOOD DRIVE SAYERVILLE, NJ 08872
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/25/2001 |
Permanent |
MIRAGLIA, ROBERT (LCSW) 254 VOSE AVENUE SOUTH ORANGE, NJ 07079
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/9/2002 |
|
MIRANDA, MEREDITH (RPH) 3204 BLUE MOUNTAIN LANE NAZARETH, PA 18064
NPI-1053740993 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/25/2016 |
|
MIRASSOL, ISIDRO, PRESIDENT 20 CHERRY HILL LN. APT D OLD BRIDGE, NJ 08857
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
2/28/2012 |
2/27/2015 |
MIRILASHVILI, MOSHE B. (MD) PO BOX 350146 BROOKLYN, NY 11235
NPI-1427081223 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/17/1999 |
Permanent |
MIRZA, MUHAMMAD A. (MD) 11 ROOSEVELT AVENUE FANWOOD, NJ 07023
NPI-1841227121 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
10/13/2021 |
|
MIRZA, MUHAMMED (MD) 145 GARRISON AVENUE JERSEY CITY, NJ 07306
NPI-1467450262 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
5/8/2019 |
11/18/2019 |
MISHRA ARUNA (MD) 63 WEST BROADWAY SALEM, NJ 08079
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/4/1997 |
Permanent |
MISHRA, ARUNA (MD) 217B AUBURN ROAD PILESGROVE, NJ 08098
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
1/3/2000 |
Permanent |
MISTRY, BHAVESH (PT) 76 GARDEN COURT SAINT AUGUSTINE, FL 32092
NPI-1588788376 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/15/2022 |
|
MITRA, RANJIT (PSYCH) 2366 ST. GEORGES AVENUE RAHWAY, NJ 07065
NPI-1417096942 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
10/12/2014 |
|
MITRA, RANJIT (PSYCH) 300 WOODBINE COURT APT1T RIDGEWOOD, NJ 07450
NPI-1417096942 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/20/2015 |
|
MITRESKI, IGOR (MD) 10 IVY LANE WALLINGTON, NJ 07057
NPI-1629305255 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/26/2015 |
|
MITSUI, MASAO (MD) 9 BRIARWOOD ROAD JERSEY CITY, NJ 07305
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
12/20/2001 |
|
MIXI, NATACHA JEAN LOUIS (CHHA) 2119 ALDRIN ROAD APT 4B OCEAN, NJ 07712
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/14/2022 |
|
MOCKOVIAK, PATRICIA (LPN) 5 BEECH STREET EDISON, NJ 08817
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
2/19/2004 |
|
MODICA, JOSEPH (CHHA) 82 JEFFERSON STREET SOUTH BOUND BROOK, NJ 08880
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/31/2017 |
|
MOHAMED, ASHLI (CHHA) 10-4 FOUNTAIN AVENUE TRENTON, NJ 08618
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/31/2017 |
|
MOHAMED, ASHLI (CHHA) 10-4 FOUNTAIN AVENUE TRENTON, NJ 08618
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
11/6/2018 |
|
A & H MEDICAL TRANSPORT. PO BOX 8332 JERSEY CITY, NJ 07308MOHAMED, HASHIM H. P. O. BOX 8332 JERSEY CITY, NJ 07308
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
4/12/1994 |
Permanent |
MOHAMMAD, AKIKUR REZA (MD) 7018 ELMSBURY LANE WEST HILLS, CA 91307
NPI-1306956271 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2023 |
|
MOHAMMAD, OMAR (RPH) 15 GRISTMILL LANE UPPER SADDLE RI, NJ 07458
NPI-1053580068 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
9/20/2012 |
5/17/2018 |
MOHAMMAD, OMAR (RPH) 15 GRIST MILL LANE UPPER SADDLE RI, NJ 07458
NPI-1053580068 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
1/20/2012 |
5/17/2018 |
MOHAPELOA, GUGU (MD) 6 CORNELL ROAD PARLIN, NJ 08859
NPI-1306952635 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/3/2019 |
Permanent |
MOJICA, MARIA (CHHA) 108 BEECH STREET PATERSON, NJ 07501
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/31/2017 |
|
MOLDAVER, INNA 32 BEACHWOOD AVENUE EDISON, NJ 08837
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
2/17/2016 |
|
MOLINA, DANIEL (RPH) 320 EAST 42ND STREET, APT. 618 NEW YORK, NY 10017
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/28/2017 |
|
MONACO, STEVEN 21 JAMIE DRIVE SEWELL, NJ 08080
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
4/19/2022 |
|
MONDELO, BARBARA AKA DOMINICO, MARIA AKA BARBARA TAYLOR J. KENTWOOD BLVD BRICK, NJ 08724
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
10/24/2008 |
|
MONFORTO, CHRISTINE (RN) 2620 HAMILTON DRIVE VOORHEES, NJ 08043
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/29/2015 |
|
MONICA, JULIANNE H. (DC) 509 ESSEX AVENUE SPRING LAKE, NJ 07762
NPI-1235372608 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
2/20/2002 |
|
MONK, SHENISE (LPN) 416 CHAMBERS AVENUE CAMDEN, NJ 08103
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/24/2018 |
|
MONSUL, ROBERT W. (MD) 301 NORTH MAIN STREET MANVILLE, NJ 08835
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
5/10/1990 |
Permanent |
MONTE, LYDA (MD) 430 W. BROWNING ROAD, APT. M2 BELLMAWR, NJ 08031
NPI-1114068236 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
12/4/2018 |
Permanent |
MONTE, LYDA (MD) 430 W. BROWNING ROAD, APT. M2 BELLMAWR, NJ 08031
NPI-1114068236 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
10/3/2019 |
|
MONTES, NANCY (CHHA) 17-20 WELL DRIVE FAIR LAWN, NJ 07410
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/1/2017 |
|
MONTGOMERY, FRANK 42 BRYANT ROAD WARETOWN, NJ 08758
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
7/10/2014 |
7/9/2017 |
MONTORIO, JENNIFER (CHHA) 110 OUTER DRIVE DINGMANS FERRY, PA 18328
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/11/2019 |
|
MOON, RASHIKA (RN) 2 JASON CIRCLE PENNS GROVE, NJ 08069
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/28/2017 |
|
MOONEY, MARY MELISSA (LPN) 777 CHERRY TREE ROAD ASTON, PA 19014
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/23/2007 |
|
MOOR, JEAN (RN) 100 COLONIAL WAY ALIQUIPPA, PA 15001
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
MOORE, BRITTANY (CHHA) 141 BORDEN AVENUE ASBURY PARK, NJ 07712
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/14/2017 |
|
MOORE, HANEEFAH (CHHA) 48 MONTROSE TERRACE IRVINGTON, NJ 07111
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/3/2018 |
|
MOORE, JANE A. (RN) 235 KINGS ROAD MADISON, NJ 07940
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/19/2005 |
|
MOORE, JONATHAN R. (MD) 19 N. PEARL STREET BRIDGETON, NJ 08302
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/19/1997 |
Permanent |
MOORE, LILLIE R. 353 S. CENTER ST., APT 19 ORANGE, NJ 07050
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/20/2002 |
|
MOORE, LYNDA A. (LPN) 10719 JUREL CT. W. APT B LAKEVILLE, MN 55044
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
1/19/2005 |
|
MOORE, MONICA AKA OZERY, TZIPORA 27 FIRETOWER ROAD BUDD LAKE, NJ 07828
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
9/15/2017 |
|
MOORJANI, KAMAL (RPH) 217 VAN BUREN STREET LYNDHURST, NJ 07071
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/2010 |
|
MOORMANN, BARBARA ANN (CHHA) 2467 BREATHSTONE DRIVE POWELL, OH 46065
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2017 |
|
MORALES SR., OSVALDO 78 W. 180TH STREET BRONX, NY 10453
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
9/16/2011 |
|
MORALES SR., OSVALDO 78 W. 180TH STREET 2ND FL BRONX, NY 10453
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
4/13/2008 |
|
MORALES, ARLENE 254 NORTH 7TH STREET NEWARK, NJ 07107
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/19/2002 |
|
MORALES, CHRISTINO PO BOX 26883 PHILADELPHIA, PA 19134
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
7/2/2003 |
|
MORALES, CHRISTINO 328 MARKET STREET CAMDEN, NJ 08102
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/5/2000 |
|
MORALES, FERNANDO (CNA) 346 S. MAIN STREET PHILLIPSBURG, NJ 08865
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
12/21/2004 |
|
MORALES, JAMES (MD) 2319 CRYSTAL MILE COURT TOMS RIVER, NJ 08755
NPI-1386649507/1013940006 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
1/11/2016 |
4/11/2016 |
MORALES, JAMES (MD) 16 WOODVIEW DRIVE HOWELL, NJ 07731
NPI-1386649507/1013940006 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
4/11/2016 |
|
MORALES, JAMES (MD) 16 WOODVIEW DRIVE HOWELL, NJ 07731
NPI-1386649507/1013940006 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/30/2017 |
|
MORALES, JUSTINA (CHHA) 62 HIGH STREET WOODBURY, NJ 08096
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
MORALES, SOLANGE (CHHA) 871 RADIO ROAD LITTLE EGG HARBOR TOWNSHIP, NJ 08087
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/2/2023 |
|
MOREL, MARIA (CHHA) 735 TWENTY SECOND STREET PATERSON, NJ 07504
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/14/2017 |
|
MORELAND, CHARLOTTE (CHHA) 121 A PROSPECT VILLAGE TRENTON, NJ 08618
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/29/2008 |
|
MORELAND, CHARLOTTE (CHHA) 121 PROPECT VILLAGE, APTA TRENTON, NJ 08618
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/20/2008 |
|
MORELLI, TIMOTHY J. (RPH) 801 BUTLER PIKE MERCER, PA 16137
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/19/2005 |
|
MORELOS, LISA A. (RN) 162 SHENANDOAH BLVD. TOMS RIVER, NJ 08753
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/19/2003 |
|
MORENO, BARTOLO (COUNSELOR) 2221 38TH STREET PENNSAUKEN, NJ 08110
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
4/29/2003 |
|
MORERA, JESSICA (CHHA) 116 DALTON STREET ROSELLE PARK, NJ 07204
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
MORGANSTEIN, HENRY (DO) 774 CARTERET COURT MT. LAUREL, NJ 08054
NPI-1689730343 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
11/23/2010 |
|
MORGANSTEIN, HIRAM N. (OD) 5618 BERGENLINE AVENUE WEST NEW YORK, NY 07093
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
2/22/2001 |
Permanent |
MORIARTY, JACK 312 GRANDE RIVER BLVD. TOMS RIVER, NJ 08755
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
4/8/1999 |
Permanent |
MORIZZO, SANDRA (MEMBER) 311 HOLYOKE BEACH HAVEN, NJ 08008
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
12/20/2012 |
12/19/2015 |
MORRIS, CANDICE (CHHA) 154 NORTH SPRING STREET, UNIT B BLOOMFIELD, NJ 07003
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/22/2018 |
Permanent |
MORRIS, CHRISTINE (CHHA) 323 KAIGHN AVENUE CAMDEN, NJ 08103
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/16/2018 |
|
MORRIS, JOHN 70 TUCKERTON ROAD MEDFORD, NJ 08055
NPI- |
Vendor Criminal Offense |
Suspension Treasury Treasury Purchase Bureau |
8/27/2001 |
Permanent |
MORRISON, JAMES C. (MD) RADIO RD AT EAST BOAT TUCKERTON, NJ 07087
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
Permanent |
MORTON, MARION (RPH) 2321 SPRUILL AVE, APT 917 NORTH CHARLESTON, SC 29405
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
2/6/2012 |
|
MOSHKOVITCH, VASIL (MD) 41 NAUTILUS DRIVE MANAHAWKIN, NJ 08050
NPI-1326116419 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/22/2016 |
Permanent |
MOSHKOVITCH, VASIL (MD) 41 NAUTILUS DRIVE MANAHAWKIN, NJ 08050
NPI-1326116419 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/3/2017 |
Permanent |
MOSKOWITZ, MYRON (DPM) 705 RIDGE DRIVE UNION, NJ 07083
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
11/20/2006 |
|
MOSS, ALBERT H. (MD) 28 BARTLE ROAD SOMERSET, NJ 08873
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/19/2005 |
|
MOSS, ROBERT H. (DPM) 244 N. MAIN STREET MULLICA HILL, NJ 08062
NPI-1881716348 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
11/2/2011 |
|
MOSS, ROBERT H. (DPM) 244 NORTH MAIN STREET MULLICA HILL, NJ 08062
NPI-1881716348 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2013 |
|
MOSS, ROBERT H. (DPM) 244 NORTH MAIN STREET MULLICA HILL, NJ 08062
NPI-1881716348 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
MOSSAVI, AHMAD (MD) 7 MALKE DRIVE OCEAN, NJ 07712
NPI-1629046248 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
2/23/2012 |
|
MOTA, KAESHA (CHHA) 433 N. 7TH STREET CAMDEN, NJ 08102
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/14/2017 |
|
MOTT, TARA (RN) 3557 SHARON ROAD WEST MIDDLESEX, PA 16159
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
MOULDER, DARIA (PHARM TECH) 2715 BAYSHORE ROAD VILLAS, NJ 08251
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/20/2010 |
|
MOURACHOV, PAVEL 3917 WEST ROAD, SUITE 137 LOS ALAMOS, NM 87544
NPI-1083711121 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/29/2015 |
|
MOWERY, SHAWN F. 1A MAPLE LEAF DRIVE HOLMDEL, NJ 07723
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
3/12/2013 |
3/11/2016 |
MOZULAY, MARK J. (MD) 512 TOWNSHIP LANE BLUE BELL, PA 19422
NPI-1669631719 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
12/1/1998 |
|
MUHAMMAD, ABDUL B. (MD) 284 BROADWAY NEWARK, NJ 07104
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/8/2004 |
Permanent |
MUHAMMAD, DIAMONNIQUE (CHHA) 354 7TH AVENUE WEST NEWARK, NJ 07107
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/14/2017 |
|
MUID, JANNAH 671 LINCOLN AVE ORANGE, NJ 07050
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
11/18/2010 |
5/25/2023 |
MUISE, NICOLLETE (CHHA) 172 FRANKLIN ROAD DENVILLE, NJ 07834
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/8/2017 |
|
MUKHTAR, JUNAID 114 BALDWIN AVENUE JERSEY CITY, NJ 07306
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
6/5/1997 |
|
MULLANGI, KUMAR R. (MD) SOUTH BROADWAY STREET BURLINGTON, IA 52601
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/20/2008 |
|
MULLER JR., RAYMOND E. PRES. 75 WEST 3RD AVE. PINE HILL, NJ 08021
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
2/7/2012 |
2/6/2015 |
MULLIGAN, RACHEL M. 241 HAWAII DRIVE BRICK, NJ 08723
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/11/2008 |
|
MULTANI, GURMEET (PSYCH) 1055 CALLE DE LAS PALM REDLANDS, CA 92373
NPI-1528225406 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/9/2011 |
|
MUNGEN, JONETTA V. (CHHA) 34 VERMONT AVENUE NEWARK, NJ 07106
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/20/2001 |
|
MUNN, DONIELLE (CHHA) 150 HOME AVENUE, FL. 2 TRENTON, NJ 08611
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
MUNOZ BALBUENA, YUDY (CHHA) 220 NEW YORK AVENUE BERGENFIELD, NJ 07621
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/5/2023 |
|
MUNOZ, GUILLERMO (DO) 395 SPRING STREET UNION, NJ 07083
NPI-1023071669 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
11/25/2015 |
5/13/2016 |
MUNOZ, JULIO ANTHONY 4 NORMAL AVENUE UPPER MONTCLAIR, NJ 07043
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
10/26/2006 |
|
MUNSIF, ANAND (MD) 127 E. NORTHFIELD ROAD LIVINGSTON, NJ 07039
NPI-1982879805 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
11/7/2011 |
|
MUNZEL, GREGORY THOMAS 140 WAPPOO CREEK DRIVE CHARLESTON, SC 29412
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
4/22/2012 |
|
MURATORE JR., FRANK J. 1828 HERBERT BOULEVARD WILLIAMSTOWN, NJ 08094
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
10/10/2012 |
10/9/2015 |
MURRAY, LAKIRAH (LPN) 1311 NE 77TH AVENUE GAINESVILLE, FL 32609
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
1/5/2018 |
12/19/2023 |
THE EXCEL CENTER, INC. 104 WINDSOR COURT PALM BEACH, FL 33480MURRY JR., TOMMIE 2697 RAVEN ROAD CINNAMINSON, NJ 08077
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
5/25/1999 |
Permanent |
THE EXCEL CENTER, INC. 104 WINDSOR COURT PALM BEACH, FL 33480MURRY JR., TOMMIE 2697 RAVEN ROAD CINNAMINSON, NJ 08077
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
1/5/2001 |
Permanent |
THE EXCEL CENTER, INC. 104 WINDSOR COURT PALM BEACH, FL 33480MURRY JR., TOMMIE 2697 RAVEN ROAD CINNAMINSON, NJ 08077
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
10/20/2002 |
|
MUSCARRA, GERALD C. (DMD) 525 WASHINGTON AVENUE HOBOKEN, NJ 07030
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
|
Permanent |
MUSCIO, ROBERT (MD) 333 BROAD STREET RED BANK, NJ 07701
NPI-1578510723 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
3/19/2015 |
6/15/2023 |
MUZZIO JR., WILLIAM 597 LYMAN AVENUE WOODBRIDGE, NJ 07095
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
1/15/2013 |
1/14/2016 |
MYERS, HOWARD (MD) 103 FAIRWAY TERRACE DOWNS, NJ 08054
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/1/1998 |
Permanent |
MYNDIUK, JAROSLAW (MD) 96 TUXEDO PARKWAY NEWARK, NJ 07106
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
2/27/1988 |
DECEASED |
MYSZKA, KENNETH C. PRESIDENT 7095 SHAFFER DRIVE DOWNS, IL 61736
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
2/28/2012 |
2/27/2015 |
n/a 300 Mamaroneck Ave. #733 White Plains, NY 10605n/a
,
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
6/30/2015 |
6/29/2018 |
NAEEM, MOHSIN A. (RPH) FCI BUTNER MEDIUM I P.O. BOX 1000 BUTNER, NC 27509
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
10/19/2023 |
|
NAGLE, BRITTANY (RN) 709 NORTH VICTORIA AVENUE VENTNOR CITY, NJ 08406
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/25/2016 |
|
NAIMOLI, DANIELLE 824 HOLIDAY COURT TOMS RIVER, NJ
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/30/2005 |
|
NAKHLA, FEBE (CHHA) 100 GLENWOOD AVE. JERSEY CITY, NJ 07306
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/31/2023 |
|
NALBONE, PHILLIP C. (RN) 24 RUNNING BROOK ROAD TRENTON, NJ 08638
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/17/2004 |
|
NANDI, ANINDITA (MD) 127 HIGHLAND AVENUE JERSEY CITY, NJ 07306
NPI-1669563995 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/12/2018 |
|
NAPENAS, VICTOR 14 SPRUCE LANE PISCATAWAY, NJ 08854
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
5/20/2012 |
|
NAPENAS, VICTOR T. 14 SPRUCE LANE PISCATAWAY, NJ 08854
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
11/17/2011 |
|
NARAYAN, PRITHVI (MD) 33 COOPER AVENUE, UNIT 213 LONG BRANCH, NJ 07740
NPI-1982699823 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/25/2021 |
Permanent |
NARO, MARYANN (LPN) 23 DOWNING ROAD HAMILTON, NJ 08690
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/25/2019 |
|
NASH, JENNIFER (RN/APN) 621 ASTER LANE RIVERVALE, NJ 07675
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
7/3/2016 |
|
NASH, LEONARD TALL OAKS CT. FRANKLIN LAKES, NJ 07417
NPI- |
Vendor Criminal Offense |
Suspension Treasury Treasury Purchase Bureau |
9/27/2000 |
|
NASR, WAFDIA (CHHA) 11990 BEACH BLVD., APT. 44 JACKSONVILLE, FL 32246
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/5/2023 |
|
NASSAR, MANAR (CHHA) 229 ACADEMY STREET JERSEY CITY, NJ 07306
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/31/2023 |
|
NASSERY, MOHAMMAD (MD) 59 TREELINE DRIVE MARSTON MILLS, MA 02648
NPI-1992763510 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/9/2016 |
|
NATALE, JOSEPH 216 NORTH AVENUE E STE2 CRANFORD, NJ 07016
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
1/24/2014 |
|
NATHAN, MICHAEL (MD) 1 PROSPECT LANE OKATIE, SC 29909
NPI-1578593422 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
8/1/2017 |
|
NATOVICH, BORIS 996 PINE TERRACE FRANKLIN LAKES, NJ 07417
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
9/18/2003 |
|
NATOVICH, LEV 996 PINE TERRACE FRANKLIN LAKES, NJ 07417
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
9/18/2003 |
|
MKM NURSING HOME SPEC.INC 1368 BRENTWOOD ROAD YARDLEY, PA 19067NAVAZIO, DAVID 1368 BRENTWOOD ROAD YARDLEY, PA 19067
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/7/2000 |
1/5/2018 |
NAYLOR, KIM M. (PHARM TECH) 1504 TAMIAMI ROAD FORKED ROAD, NJ 08731
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
9/19/2011 |
|
NAZARIO, JULISSA (CHHA) 210 ROSEVILLE AVENUE, APT. C-1 NEWARK, NJ 07107
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2017 |
|
NEAL, LAYONA (CHHA) 545 E. TOILE COURT BURLINGTON, NJ 08016
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/13/2018 |
|
NEALS, SHERRY (CHHA) 63 DALES AVE, APT. 1124 JERSEY CITY, NJ 07306
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/20/2001 |
|
NEGRI, MARY JANE (DC/RN) 514 LAFAYETTE ROAD SUITE F SPARTA, NJ 07871
NPI-1063594836 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/20/2015 |
|
NEGRON, JOANNA (CHHA) 1343 LANDSDOWNE AVENUE CAMDEN, NJ 08104
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/2/2017 |
|
Nelson DeOliveira, President 276 Highland Ave KEARNEY, NJ 07032
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
8/12/2014 |
8/11/2017 |
NELSON, SIDNEY (MD) 4517 BERGENLINE AVENUE UNION CITY, NJ 07087
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
9/13/1999 |
Permanent |
NESSMAN, LAWRENCE (DO) 143 GREENRALE AVENUE WAYNE, NJ 07470
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/24/1997 |
Permanent |
NDA & Construction, LLC 161 Thomas St Unit 1 Newark, NJ 07114Nester Torres, Owner 161 Thomas St Unit 1 Newark, NJ 07114
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
12/11/2014 |
12/10/2017 |
NEUMAN, JOSEF 144 SHADY LANE DRIVE LAKEWOOD, NJ 08701
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
8/22/2023 |
|
NEWBY, YVONNE (CHHA) 38 WINANS STREET, APT. 3 EAST ORANGE, NJ 07018
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/29/2017 |
|
NEWMAN, ALEXANDER (PHD) 372 N. WOODLAND STREET ENGLEWOOD, NJ 07631
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
3/10/1999 |
Permanent |
NEWMAN, MICHAEL J. (DMD) 192 GABRIEL TERRACE SOUTH AMBOY, NJ 08879
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/18/2001 |
Permanent |
NEWMARK, MALINDA (RN) 38 STONY HILL ROAD,APT101 MONROE TOWNSHIP, NJ 08831
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/19/2005 |
|
NEWMARK, THOMAS (MD) 225 CHAPEL AVENUE CHERRY HILL, NJ 08002
NPI-1740380997 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/19/2016 |
Permanent |
NEWMARK, THOMAS (MD) 4700 CITY AVENUE, APT. 11307 PHILADELPHIA, PA 19131
NPI-1740380997 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/17/2017 |
Permanent |
NEWSOME, DORITA (DDS) 163 CHAPEL STREET ORANGE, NJ 07050
NPI-1306063235 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/23/2009 |
|
NEWTON, ANDREW (PSYCH) 129 EAST 5TH STREET MOUNT CARAMEL, PA 17851
NPI-1154349330 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
5/17/2022 |
NEYMET, ALLA (CHHA) 127 GARDEN TERRACE EDISON, NJ 08817
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/29/2018 |
|
NGOAJIA, MARK 403 WILLOW POINT DRIVE JACKSON, NJ 08527
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
12/16/2015 |
|
NGUYEN, TONY (MD) 10294 GREENSPIRE DRIVE OAKTON, VA 22124
NPI-1083872675 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/28/2017 |
|
NIAZ, ASIM P.O. BOX 420 FAIRTON, NJ 08320
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
8/19/2010 |
|
NICHOLS, LEE 505 HARDING ROAD RED BANK, NJ 07704
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
8/22/2023 |
|
NICHOLSON, BEVERLY (CNA) 139 HOLLYWOOD AVENUE EAST ORANGE, NJ 07108
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/13/2006 |
|
NICKELS, JOHN HARVEY aka NICKELS, JOHN HARVEY II aka NICKELS, JOHN HARVEY III (MD) 165 BURIWCK ROAD CLEVELAND, OH 44143
NPI-1629181490 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2020 |
|
NT&P Construction Inc. 4 Camelot Ave Monroe Township, NJ 08831Nicola Pengue, President 105 White Oak Lane Old Bridge, NJ 08857
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
11/23/2015 |
11/22/2018 |
Terra-Tech Construction, Inc. 12 Red Fox Run Manalapan, NJ 08857Nicole Lucas, President 265 Woodward Rd Manalapan, NJ 07726
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
3/18/2015 |
03/17/2018 |
NICOLL, DAVID G. 312 BOULEVARD MOUNTAIN LAKES, NJ 07046
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
1/21/2015 |
7/4/2019 |
NICOLL, DAVID G. #65321-050 USP CANAAN, PO BOX 300 WAYMART, PA 18472
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/4/2019 |
|
NICOLL, SCOTT R. 120 BUNKER HILL ROAD WAYNE, NJ 07470
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
1/21/2015 |
|
NICOSIA, BETTY LOU 204 CIRCLE DRIVE STEUBEN, OH 43953
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/29/2015 |
|
NIELSON, STEVEN C. (DPM) 845 DAWN AVENUE EPHRATA, PA 17522
NPI-1538595772 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
3/23/2009 |
|
NIETO, NICOLE (RN) 11 WATTS AVENUE BARNEGAT, NJ 08005
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/11/2023 |
|
NIGALAN, MANUEL (MD) 8 MIMI COURT NORTHFIELD, NJ 08225
NPI-1497809909 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
10/14/2010 |
|
NII, ROBERT (PA) 34 MILL BROOK ROAD PISCATAWAY, NJ 08854
NPI-1124254107 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/21/2016 |
Permanent |
NINOS, DIANE E. 569 E. 33RD STREET PATERSON, NJ 07613
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/28/2001 |
Permanent |
NISBETT, MELVIN (CHHA) 205 LA CASCATA CLEMENTON, NJ 08021
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
NISIVOCCIA, CHARLES (DC) 260 MAIN STREET LITTLE FALLS, NJ 07424
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/20/2006 |
|
NISLER, JANIS (RN) 127 WEST WOODBRIDGE AVENUE ISELIN, NJ 08830
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/24/2019 |
11/22/2022 |
NOBLES, MARITZA (CHHA) 34 CENTER OAK AVENUE LAWNSIDE, NJ 08045
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
NOBORE, ABIEYUWA (CHHA) 776 SOUTH 13TH STREET NEWARK, NJ 07108
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
2/20/2017 |
|
Noe's Concrete Inc 30 Euclid Ave Medford, NY 11753Noe Alatorre, Owner 30 Euclid Ave Medford, NY 11763
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
6/7/2013 |
06/06/2016 |
Chanez Landscaping, LLC PO Box 5646 New Brunswick, NJ 08903Noe Chanez, Principal 55 Miller Ave. Somerset, NJ 08873
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
9/24/2014 |
09/23/2017 |
NOE, ALATORE 30 EUCLID AVENUE MEDFORD, NJ 11753
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
6/7/2013 |
6/6/2016 |
NOEL, EDWARD (LPN) 469 E. 93RD STREET, APT. 6 BROOKLYN, NY 11212
NPI- |
Medical Wage & Hour Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
10/25/2019 |
|
NOLASCO, THERESA (RN) 19 BANTA ROAD KINNELON, NJ 07405
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/14/2022 |
|
NONCENT, JENNIFER (CHHA) 949 CARTERET AVENUE UNION, NJ 07083
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
NONZIATO, CHARLES G. (DO) 247 CENTER STREET TRENTON, NJ 08611
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
11/13/1991 |
DECEASED |
NOOR, FARID A. (MD) 5 GITHERS LANE MEDFORD , NJ 08055
NPI-1770751513 |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
4/12/2004 |
|
NOOR, FARID A. (MD) 596 ANDERSON AVENUE CLIFFSIDE PARK, NJ 07010
NPI-1770751513 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
1/30/2015 |
|
NOOR, FARID A. (MD) 350 A DELANCEY PLACE MOUNT LAUREL, NJ 08054
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/19/2008 |
|
NORDMAN, CRAIG J. 4 ERNA PLACE WHIPPANY, NJ 07981
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
1/21/2015 |
|
NORDMAN, CRAIG J. FCI SCHUYLKILL, PO BOX 759 MINERSVILLE, PA 17954
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/18/2019 |
|
NOWINSKI, VANESSA AKA AMATO, VANESSA A. (RN) 65 LOCUST AVENUE N. ARLINGTON, NJ 07031
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/19/2003 |
|
NSIAH, KENNETH (CHHA) 827 S. 17TH STREET, 2ND FLOOR NEWARK, NJ 07108
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
7/14/2017 |
|
NTSHONA, NOKUZOLA S. (MD) 113-15 34TH AVE, #4B CORONA, NY 11368
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
1/12/2000 |
Permanent |
Cunhas Construction Inc. 35 Carmen Ct Floor 1 Newark, NJ 07105Nuno Cunha, Owner 35 Carmen Ct Floor 1 Newark, NJ 07105
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
10/23/2014 |
10/22/2017 |
NURIK, BARUCH APT 9C PARKVIEW & MADISON LAWRENCE HARBOR, NJ 08879
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
4/30/1995 |
Permanent |
NUSSBAUM, ABRAHAM (MD) 91 MONTGOMERY STREET RHINEBECK, NY 12572
NPI-1578598082 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
1/15/2001 |
11/12/2013 |
NUTT, TRACY (RN) 27 OVERLOOK DRIVE MOUNT LAUREL, NJ 08054
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/11/2019 |
|
NWANKWO, FESTUS (RPH) 154 BLOOMFIELD AVENUE NEWARK, NJ 07104
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
11/18/1998 |
Permanent |
NWANKWO, FESTUS (RPH) 306 ARDSDALE TERRACE UNION, NJ 07083
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
2/18/1999 |
Permanent |
PARK AVENUE PHARMACY 278 PARK AVENUE NEWARK, NJ 07107NWANKWO, RAPHAEL 278 PARK AVENUE NEWARK, NJ 07107
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/19/1999 |
Permanent |
O'CALLAGHAN, TERESE (RN) 5122 ORCHARD WAY, NJ 08109
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/20/2002 |
|
OCANSEY, DONNA (RN) 7 WISINA COURT MEDFORD, NJ 08055
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
4/22/2012 |
7/19/2019 |
OCCEAN, NERLANDE (CHHA) 811 DILL AVENUE LINDEN, NJ 07036
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
OCHOA, MARTHA IVETTE (CHHA) 1717 MYRTLE AVENUE PLAINFIELD, NJ 07063
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/31/2023 |
|
O'CONNELL, MARK (MD) 18 CENTER STREET, REAR RUMSON, NJ 07760
NPI-1669514253 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
11/9/2015 |
|
O'CONNELL, TOM OWNER 499 GRACE HILL ROAD MONROE, NJ 08831
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
2/11/2013 |
2/10/2016 |
ODEH, MOHD, OWNER OFFICER 234 BATHGATE AVE. FRANKLIN, NJ 08873
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
1/19/2012 |
1/18/2015 |
ODOMS, TIFFANY E. 926 TILGHMAN STREET CHESTER, PA 19013
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/18/2008 |
|
O'DONNELL, KATHERINE 141 MAIN STREET METUCHEN, NJ 08840
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/30/2005 |
|
O'DONNELL, LISA (RN) 845 BROADWAY BAYONNE, NJ 07002
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/15/2018 |
|
O'DONNELL, WILLIAM (DC) 7 NINEBARK LANE OXFORD, NJ 07863
NPI-1659601177 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/28/2019 |
|
ODUNZEH, UCHE 3565 LAUREL FORTE MEADE RD., APT. 41 LAUREL, MD 20724
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
ODUSUSI, ABIMBOLA (CHHA) 311 GOLDSMITH AVENUE NEWARK, NJ 07112
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/31/2023 |
|
OFFOR, CHINWE (MD) 15 CHABLIS DRIVE DIX HILLS, NY 11746
NPI-1508811019 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/12/2019 |
|
OFFOR, CHINWE (MD) 15 CHABLIS DRIVE DIX HILLS, NY 11746
NPI-1508811019 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/11/2019 |
|
OGANDO, ERNESTINA (CHHA) 943 SHERIDAN AVENUE ELIZABETH, NJ 07208
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
4/18/2017 |
6/28/2018 |
OGBEIDE-SIMMS, RACHEL (CHHA) 15 MAPES PLACE, APT. 2 NEWARK, NJ 07112
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
OGON, BERNARD (MD) 520 PRATT PL LINDEN , NJ 07036
NPI-1255509873 |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
1/6/2022 |
|
OGORODOVA, GANNA (CHHA) 310 BROMLEY PLACE EAST BRUNSWICK, NJ 08816
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2017 |
|
OGUNBOWALE, OLAITAN ADEKUNBI (CHHA) 238 MOUNT PLEASANT AVENUE, APT. 3 NEWARK, NJ 07104
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/19/2023 |
|
OGUNTUASE, EBENEZER (PSYCH) 10 DOCKSIDE DRIVE EGG HARBOR, NJ 08234
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/20/2009 |
|
O'HERN, DANIEL (MD) 18 FLEETWOOD DRIVE GOSHEN, NY 10924
NPI-1144369554 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/3/2017 |
Permanent |
OJIKYTU, SIMBIAT T. (CHHA) 51 LEXINGTON BLVD BARNEGAT, NJ 08005
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/2/2014 |
|
OJO, RICHARD O. 346 FIELDCREST AVENUE NEW EGYPT, NJ 08533
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
2/24/2009 |
|
OKANTAH, MARGARET (CHHA) 1854B MANOR DRIVE UNION, NJ 07083
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
7/30/2005 |
|
HEALTHCORE PHARMACY 289 GEORGE STREET NEW BRUNSWICK, NJ 08901OKOYE, GOODWIN S. (RPH) 289 GEORGE STREET NEW BRUNSWICK, NJ 08901
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
1/12/2001 |
Permanent |
HEALTHCORE PHARMACY 289 GEORGE STREET NEW BRUNSWICK, NJ 08901OKOYE, PATRICK C. (RPH) 289 GEORGE STREET NEW BRUNSWICK, NJ 08901
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
1/12/2001 |
Permanent |
OKREM, JANINE (RN) 1112 HARKER AVENUE WEST DEPTFORD, NJ 08096
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/12/2018 |
10/4/2023 |
OLADUNJOYE, ZINAB (CHHA) 254 MAGNOLIA AVENUE SMYRNA, DE 19977
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/19/2023 |
|
OLEJNIOK, ROMAN PRESIDENT 1882 PUTNAM AVENUE RIDGEWOOD, NY 11385
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
3/26/2012 |
3/25/2015 |
Olga Conteras, Vice-President 677 Old Highway 64 Etowah, NC 28729
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
10/20/2015 |
10/19/2018 |
OLIVEIRA JR., MARIO (OD) 170 EAST KINNEY STREET NEWARK, NJ 07105
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
4/28/2005 |
|
OLIVER, ANDREA AKA SCHLEMBACH, ANDREA (APN/RN) 70 COHANSEY STREET BRIDGETON, NJ 08302
NPI-1780630418 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/12/2016 |
5/21/2020 |
OLIVER, HOWARD WALLACE P.O. BOX 600, HOUSING UNIT DJH1056 CHINO, CA 91708
NPI-1518911742 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
7/20/2022 |
|
OLIVER, JAMES (DDS) 167 MAIN STREET METUCHEN, NJ 08840
NPI-1134314594 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
8/13/1999 |
Permanent |
OLIVERA, PABLO R. (DPM) 2 CEDAR STREET NEWARK, NJ 07102
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/20/2001 |
|
OLIVERA, SMIRNA (LPN) 33 REMSEN AVENUE NEW BRUNSWICK, NJ 08901
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/20/2002 |
|
OLIVEROS, APRIL (LPN) 233 SMOKERISE LANE TOMS RIVER, NJ 08755
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/5/2017 |
|
OLIYNYK, OKSANA (CHHA) 591 MARLBORO ROAD OLD BRIDGE, NJ 08857
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
2/20/2017 |
|
OLUWA, WURAOLA (CHHA) 241 S. 7TH STREET NEWARK, NJ 07103
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/19/2023 |
|
OLUWOLE, OLAKUNLE K. (MD) 379 OLD TAPPAN ROAD OLD TAPPAN, NJ 07675
NPI-1932177144 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/20/2023 |
|
MUGAHID MEDICAL SHUTTLE 1116 ANNE STREET ELIZABETH, NJ 07201OMAR, HATIEM AKA HATIM 1116 ANNE STREET ELIZABETH, NJ 07201
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/10/1999 |
Permanent |
EMPIRE STATE MEDICAL SVCS 144 ELMORE AVENUE, SUITE 204 ELIZABETH, NJ 07201OMAR, MUGAHID 7-11 TONNELE AVENUE JERSEY CITY, NJ 07306
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
3/14/1998 |
Permanent |
OMAR, MUGAHID O. 7-11 TONNELLE AVE-2MN JERSEY CITY, NJ 07306
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
4/10/1997 |
Permanent |
ONAFOWAKAN, OLAYINKA (CHHA) 96 TRACEY AVENUE NEWARK, NJ 07108
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/2/2023 |
|
O'NEILL - RYAN, LISA ANNE (COUSELOR) 415 LYNDALE STREET PHILLIPSBURG, NJ 08865
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/9/2008 |
|
O'NEILL-RYAN, LISA ANN (COUNSELOR) 415 LYNDALE STREET PHILLIPSBURG, NJ 08865
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/17/2008 |
|
ONYEKAHA, EBERE (RPH) 13 HIGHLAND AVENUE MAPLEWOOD, NJ 07040
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/1/1998 |
Permanent |
ONYENSO, CHIKEZIE (MD) 552 MAIN STREET CHATHAM, NJ 07928
NPI-1578605812 |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
2/15/2012 |
5/6/2021 |
ONYENSO, CHIKEZIE (MD) 18 EDINBURGH DRIVE RANDOLPH, NJ 07869
NPI-1578605812 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
3/19/2015 |
5/6/2021 |
OPOKU, BISMARK (CHHA) 2468 ANGLER ROAD COLUMBUS, OH 43224
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/6/2018 |
|
OPPONG-DWAMENA, SETH 15 UNIVERSITY PLACE EAST BRUNSWICK, NJ 08816
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
1/10/2020 |
Permanent |
OPRZADEK, KRZSTOF 19 WOODVILLE ROAD HOPEWELL, NJ 08525
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
2/11/2015 |
2/10/2018 |
OQUENDO, BASHIRAH (CHHA) 87 MANNING AVENUE PLAINFIELD, NJ 07060
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
O'REILLY, MARGARET (RN) 38 REILEY MOUNTAIN ROAD CUDDEBACKVILLE, NY 12729
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/25/2019 |
|
O'REILLY, RAYMOND B. 188 ALEXANDRIA DR APTS HACKETTSTOWN, NJ 07840
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
Permanent |
OREM, SUSAN (RN) 140 VALERIE DRIVE #488 MANVILLE, NJ 08835
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/20/2006 |
|
ORIA, CONRAD (RN) 525 BLOOMFIELD AVENUE CALDWELL, NJ 07006
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
6/5/2017 |
|
ORQUIZA III, CLODUALDO S (MD) 2103 ZION ROAD NORTHFIELD, NJ 08225
NPI-1326040155 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
9/1/2021 |
|
ORT II, CHARLES C. (PA) P.O. BOX 481 HACKETTSTOWN, NJ 07840
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/18/2004 |
Permanent |
ORTEGA, ANA (CHHA) 14 PALM STREET MONMOUTH JUNCTION, NJ 08852
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
ORTEGA, VICTOR GUAYNBO- PO BOX 2147 SAN JUAN, PR 00922
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
7/18/2002 |
|
ORTELL, CARL (RPH) 221 TINDERBOX LANE MARLTON, NJ 08053
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
12/5/1983 |
Permanent |
OSAIGBOVO, ASHLEY (CHHA) 130 PAMPHYLIA AVENUE, APT. #70 BRIDGETON, NJ 08302
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/19/2017 |
|
OSA-OMORUYI, ENANIGHO (CHHA) 25 OSBORNE TERRANCE # 1 NEWARK, NJ 07108
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/19/2023 |
|
OSAWE, ADREMI (CHHA) 739 S 12TH STREET, APT. 1 NEWARK, NJ 07103
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/19/2023 |
|
OSEI, CALVIN (RPH) 2 SYSLO COURT SAYREVILLE, NJ 08872
NPI-1497931794 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
9/4/2012 |
6/12/2018 |
OSEI, FRANCIS (LPN) 50 N. EVERGREEN ROAD, APT. 170M EDISON, NJ 08837
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/24/2017 |
|
OSEI, PASCAL 9 SOUTH GROSSER PLACE SOMERSET, NJ 08873
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
7/17/2009 |
7/17/2014 |
OSHADIPE, ADERINSOLA (CHHA) 28103 CANYON WREN DRIVE KATY, TX 77494
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/19/2023 |
|
OSIFO, BAHEEJAH (CHHA) 530 PARK AVENUE ORANGE, NJ 07050
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
OSMANOFF, GARY (DDS) NETTER COURT MARLBORO, NJ 07746
NPI-1710188073 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/23/2008 |
|
OSMANOFF, GARY (DDS) 317 MARINE AVENUE BROOKLYN, NY 11209
NPI-1710188073 |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
12/17/2008 |
|
OSTERGAARD, PAUL (MD) 230 WEST PARKWAY POMPTON PLAINS, NJ 07444
NPI-1962504753 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
12/16/2015 |
|
OSTERGAARD, PAUL (MD) 230 WEST PARKWAY POMPTON PLAINS, NJ 07444
NPI-1962504753 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
2/21/2014 |
|
OSTERGAARD, PAUL (MD) 15 MOUNTAIN AVENUE POMPTON PLAINS, NJ 07444
NPI-1962504753 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/11/2016 |
|
OSTROSKIE, JOAN (LPN) 424 FLORENCE STREET NEW MILFORD, NJ 07646
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
1/19/2003 |
|
OSTWALD, ALICE (LPN) 11 RAILROAD LANE WHITEHORSE , NJ 08889
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/20/2006 |
|
OSUJI, PAUL FCI FORT DIX PO BOX 2000 FORT DIX, NJ 08640
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/20/2009 |
|
OSWARI, DANIEL (MD) 35 ALLEGHENY LANE BORDENTOWN, NJ 08505
NPI-1265506489 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/30/2020 |
|
OTI, CHUCK B. 676 PARK AVE., BLDG. 14B EAST ORANGE, NJ 07017
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
1/31/2000 |
Permanent |
OTOO, LOVE (CHHA) 555 ELIZABETH AVENUE NEWARK, NJ 07112
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
OTTENSTEIN, ALAN (MD) 3100 PRINCETON PIKE LAWRENCEVILLE, NJ 08648
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
3/1/2009 |
|
OTTENSTEIN, ALAN (MD) 173 MOUNT EYRE RD. WASHINGTON CROS, PA 18977
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/19/2005 |
|
OWUSU, NICHOLAS (CHHA) 6063 HAMPSTEAD DRIVE W COLUMBUS , OH 43229
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/27/2017 |
Permanent |
OWUSU-ANSAH, GRACE (CHHA) 97-22 57TH AVENUE CORONA, NY 11368
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/17/2018 |
|
OXMAN, REED S. (MD) 226 W. RITTENHOUSE SQUARE PHILADELPHIA, PA 19103
NPI-1649575473 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
3/16/2012 |
|
OYEFESO, ABIDEMI (CHHA) 357 S 8TH STREET NEWARK, NJ 07102
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/19/2023 |
|
OYELEKE, AMINAT (CHHA) 8600 S COURSE DRIVE HOUSTON, TX 77099
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/19/2023 |
|
OYENUSI, ADEBOWALE (RPH) 90 WASHINGTON STREET EAST ORANGE, NJ 07017
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
10/14/2000 |
Permanent |
OZERY, TZIPORA AKA MOORE, MONICA 27 FIRETOWER ROAD BUDD LAKE, NJ 07828
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
9/15/2017 |
|
PABBATHI, RAMMOHAN 3 AMY COURT HOWELL, NJ 07731
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
7/8/2005 |
|
GLV PARKE WARNER PHCY 481 EDWARD H ROSS DRIVE ELMWOOD PARK, NJ 07407PACHECO, ALVARO R. 59 EDGEHILL COURT WEST ORANGE, NJ 07052
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
Permanent |
PACHECO, MICHAEL (PHARM TECH) 84 LAFAYETTE AVE. PASSAIC, NJ 07055
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
7/18/2003 |
|
PADUANO JR., FRANCIS P. (RPH) 2020 BALMORAL AVE. UNION, NJ 07083
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
9/16/1986 |
Permanent |
PADVA-GERMAN, ANNA (DDS) 446 DUBLIN PLAZA SECAUCUS, NJ 07094
NPI-1043382039 |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
12/14/2009 |
3/24/2021 |
PADVA-GERMAN, ANNA (DDS) 446 DUNLIN PLAZA, 446H SECAUCUS, NJ 07094
NPI-1043382039 |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
10/15/2014 |
3/24/2021 |
PAGANO, NICOLE (RN) 531 PARKWAY AVENUE TRENTON, NJ 08618
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/20/2009 |
|
PAGONZAGA, GLORIA (CHHA) 313 OLD BERGEN ROAD, APT. 2 JERSEY CITY, NJ 07305
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2017 |
|
PAKETT, NEIL (DMD) 777 WEST GERMANTOWN PIKE, APT. 530 PLYMOUTH MEETING, PA 19462
NPI-1184934663 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
PALMER, AMANDA (LPN) 14 E. MAIN STREET, APT. 4 CLINTON, NJ 08809
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/13/2019 |
|
PALMER, THOMAS #14570-003 (RN) FPC PENSACOLA, PO BOX 3949 PENSACOLA , FL 32516
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/29/2017 |
|
PAMIKIMUKKALA, VIJAY (RPH) 3 PENROSE COURT EDISON, NJ 08820
NPI-1598087272 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/13/1999 |
|
PANCELLI, JOHN M. (MD) WEST JERSEY HOSPITAL CAMDEN, NJ 08104
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/1/1998 |
DECEASED |
PANEZAI, FAZAL (MD) 431 FAWNS RUN MORGANVILLE, NJ 07751
NPI-1710069760 |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
3/4/2024 |
|
PANGANIBAN, ARMANDO (RN) CYPRESS RD. TOMS RIVER, NJ 08753
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/11/2007 |
Permanent |
PANICHELLA, ANTHONY G. (COUNSELOR) 739 S. WHITE HORSE PIKE, AUDUBON, NJ 08106
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
7/20/2006 |
|
PANITCH, EDWIN (RPH) 8 POINT OF WOODS DRIVE NORTH BRUNSWICK, NJ 08902
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
Permanent |
PANJWANI, HARRY K. (MD) EAST 42 FAIRVIEW TERRACE PARAMUS, NJ 07652
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
5/24/1999 |
Permanent |
PANOS, SPYROS (MD) #69361-054 USP CANAAN, PO BOX 300 WAYMART, PA 18472
NPI-1497753149 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
PAPANDREA, JANICE, PRESIDENT 1065 JOHNSON DRIVE WATCHUNG, NJ 07060
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
4/19/2012 |
4/18/2015 |
PAPPALARDO, PETER S. (MD) 4 SOUTH AIRMONT RD SUFFERN, NY 10901
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
Permanent |
PARADISO, NINO 57 POPLAR DRIVE MORRIS PLAINS, NJ 07950
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/9/2016 |
|
PARASHOS, LINDA (RN) 514 9TH AVENUE LINDENWOLD, NJ 08021
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/20/2001 |
|
PARCHMENT, ALFRED (MD) 1140 BURNT TAVERN ROAD BRICK, NJ 08724
NPI-1073587242 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/25/2016 |
|
PAREKH, CHANDRAKANT (DDS) 6529 GERMANTOWN AVENUE PHILADELPHIA, PA 19119
NPI-1144386178 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
PARIDA, SAROJ K. USP LEWIS-PO BOX 1000 LEWISBURG, PA 17837
NPI-1013975549 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
8/20/2013 |
|
PARIKH, BIPIN (MD) 224 LAFAYETTE STREET WILLISTON PARK, NY 11596
NPI-1962555193 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
11/20/2010 |
|
PARIKH, BIPIN J. (MD) 224 SOUTH LAFAYETTE STREET WILLISTON PARK, NY 11596
NPI-1962555193 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
7/9/2008 |
|
PARIKH, MANUPRASAD (RPH) 209 STOKES FARM ROAD FRANKLIN LAKES, NJ 07417
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
7/20/2004 |
9/5/2017 |
PARKOFF & HAMMER P A 253 ROSEVILLE AVE NEWARK, NJ 07107PARKOFF, MICHAEL A. (DMD) 68 MAPLEWOOD BLVD SUFFERIN, NY 10901
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
8/7/1984 |
Permanent |
PARQUER, HORACE T (LPN) 1402 ROUTE 9 SOUTH CAPE MAY COURT HOUSE, NJ 08210
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/29/2022 |
|
PASCUCCI, LAVERNE (CHHA) 160 JAMES STREET TOMS RIVER, NJ 08753
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
PASSAFIUME, DANIEL J. 42 SPRUCE STREET JAMESBURG, NJ 08831
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/20/2022 |
|
PATANKAR, SANJIV (MD) 61 HARDWICK DRIVE KENDALL PARK, NJ 08824
NPI-1255429361 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
12/19/2017 |
|
PATEL, ANILKUMAR K. (CHHA) 8 WOODSTONE LANE BURLINGTON, NJ 08016
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/25/2023 |
Permanent |
PATEL, ARUNA S. (MD) 725 NORTH BROAD STREET ELIZABETH, NJ 07208
NPI-1770568610 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/26/2008 |
|
PATEL, ASHOKKUMAR R. YARDLEY STREET EDISON, NJ 08820
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
8/10/2007 |
Permanent |
PATEL, BELA (RPH) 1701 COTTMAN AVENUE PHILADELPHIA, PA 19111
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
4/9/2015 |
|
PATEL, BHARAT KUMAR (RPH) 140 RIVERSIDE BLVD. NEW YORK, NY 10069
NPI-1962729731 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
4/20/2014 |
|
CLIN-MED LABORATORIES INC 40 GALESI DRIVE WAYNE, NJ 07470PATEL, CHANDRAKANT 40 GALESI DRIVE WAYNE, NJ 07470
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
3/28/2000 |
12/12/2007 |
PATEL, CHIRAG 16 SNEIDER ROAD WARREN, NJ 07059
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
4/2/2012 |
|
PATEL, CHIRAG J. 16 SNEIDER ROAD WARREN, NJ 07059
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/20/2015 |
|
PATEL, DINESH R. (MD) 3 BRIGHTON COURT LIVINGSTON, NJ 07039
NPI-1285702829 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/27/2017 |
3/14/2023 |
PATEL, DINESH R. (MD) 3 BRIGHTON COURT LIVINGSTON, NJ 07039
NPI-1285702829 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
3/17/2012 |
3/14/2023 |
PATEL, DINESH R. (MD) 835 CLINTON AVENUE NEWARK, NJ 07108
NPI-1285702829 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2014 |
3/14/2023 |
PATEL, HARISH AKA HARRIS, PAUL (MD) GB-46 PO BOX 26010 BEAUMONT, TX 77720
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
11/20/2006 |
|
PATEL, MAHESH (MD) 3 PINE VALLEY WAY FLORHAM, NJ 07932
NPI-1942202841 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/26/2015 |
11/9/2020 |
PATEL, MEHMOOD (MD) 201 MIDDLETON ROAD LAFAYETTE, LA 70503
NPI-1225074859 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
2/26/2010 |
|
PATEL, PARESH R. (DMD) 295 MAIN STREET METUCHEN, NJ 08840
NPI-1134106511 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
5/22/2014 |
11/10/2023 |
PATEL, PARESHCHANDRA 8 NOTTINGHAM ROAD EDISON, NJ 08820
NPI-1306073200 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
11/21/2016 |
|
PATEL, PRAVIN K. (MD) 904 #35 IVY RIDGE RD SYRACUSE, NY 13210
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
12/19/2002 |
4/1/2022 |
PATEL, RAMBEN D. (LPN) 505 WEST MINISTER BLVD. PARLIN, NJ 08859
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/20/2000 |
|
PATEL, RAMESH SHANKER BHAI (RN) PO BOX 5564 OLD BRIDGE, NJ 08857
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/20/2001 |
|
PATEL, RITA (RPH) 4 HAUSER LANE MATAWAN, NJ 07747
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
3/20/2017 |
10/19/2017 |
PATEL, RITA (RPH) 4 HAUSER LANE MATAWAN, NJ 07747
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
3/10/2016 |
2/17/2017 |
PATEL, RITA (RPH) 4 HAUSER LANE MATAWAN, NJ 07747
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/19/2017 |
|
PATEL, SANJAY (RPH) 16 SPLIT ROCK ROAD UPPER SADDLE RIVER, NJ 07458
NPI-1316335961 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
4/26/2016 |
|
PATEL, SANJAY I. (RPH) 63 HEATHERDELL ROAD ARDSLEY, NY 10502
NPI-1316335961 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
4/20/2006 |
|
PATEL, SAURABH (MD) 56 ROANOKE STREET WOODBRIDGE, NJ 07095
NPI-1790795227 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
2/13/2023 |
|
PATEL, SHIRJAY (CHHA) 703 NEW DOVER ROAD EDISON, NJ 08820
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2017 |
|
PATEL, VIJAY 65 W. LINCOLN AVENUE ROCKAWAY, NJ 07866
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2016 |
|
PATEL, VITTHAL I. (RPH) ST. GEORGE AVE, APT. 141 AVENEL, NJ 07001
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/20/2004 |
Permanent |
PATHAK, VINEETA (MD) 533 LEAWOOD AVENUE TOMS RIVER, NJ 08755
NPI-1104922939 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/29/2019 |
|
PATHARKAR, MANOJ (MD) 16 LINDA COURT LAURENCE HARBOR, NJ 08879
NPI-1598808339 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/19/2016 |
Permanent |
PATIN, YURY (MD) 45 BEVERLY ROAD SUMMIT, NJ 07901
NPI-1548325400 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
2/26/2009 |
|
Elevator Medic Corporation 55 Brookview Drive Woodcliff Lake, NJ 07677Patrick DellAquila, President 55 Brookview Drive Woodcliff Lake, NJ 07677
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
2/25/2014 |
02/24/2017 |
Ideal Elevator ServicesPatrick Dell'Aquila 55 Brookview Dr Woodcliff Lake, NJ 07677Patrick Dell'Aquila, President 55 Brookview Drive Woodcliff Lake, NJ 07677
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
2/25/2014 |
02/24/2017 |
PATTERSON JR., ARTHUR (DC) 8 FELLOWWOOD WAY HOLMDEL, NJ 07733
NPI-1164628822 |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
7/18/2014 |
|
PATTERSON, KELEE (RN) 577 EAST ROAD BELFORD, NJ 07718
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/28/2017 |
|
PATTERSON, KRISTIN LEA (RN) 1405 EXPOSITION DRIVE WILLIAMSTOWN, NJ 08094
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/20/2023 |
|
PATTI, JAMES OWNER 2700 HAMILTON BLVD. #169 S. PLAINFIELD, NJ 07080
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
1/14/2013 |
1/13/2016 |
Paul F. Roscitt Electric, Inc. 262 Harmon Ave Fort Lee, NJ 07024Paul F Roscitt, President 262 Harmon Ave Fort Lee, NJ 07024
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
11/9/2015 |
11/08/2018 |
Area Fuel 207 Butler Ave Staten Island, NY 10307Paul Grillo, Owner 207 Butler Ave Staten Island, NY 10307
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
2/18/2015 |
02/17/2018 |
Paul Sexton 462 10 th Ave Paterson, NJ 07510Paul Sexton, Owner 462 10th Ave Paterson, NJ 07510
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
7/11/2014 |
07/10/2017 |
PAUL, DAVID M. (MD) 434 RAHWAY AVENUE WOODBRIDGE, NJ 07095
NPI-1124355250 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
3/22/2002 |
|
PAYANO, VIANNE AKA AMPARO, VIANNE (CHHA) 710 EAST 18TH STREET PATERSON, NJ 07501
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/31/2017 |
|
PEACOCK, DENISE (RN) 9331 GLENLOCH STREET PHILADELPHIA, PA 19114
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
PEARSON, KATIE (LPN) 229 SNOOKS HILL RD. LEWISTOWN, PA 17044
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
PEARSON, SHAMERA (CHHA) 2824 N. BAMBREY STREET PHILADELPHIA, PA 19132
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/16/2019 |
Permanent |
PEART, HAROLD (LCSW) 3 HARRISON PARK LANE BURLINGTON, NJ 08016
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
3/17/2000 |
|
PEART, HAROLD (LCSW) 415 KEIM BOULEVARD BURLINGTON, NJ 08016
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/20/1999 |
|
MARVIN PECK'S PHARMACY 335 GEORGE STREET NEW BRUNSWICK, NJ 08901PECK, MARVIN (RPH) 335 GEORGE STREET NEW BRUNSWICK, NJ 08901
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
Permanent |
PECKLER, MYLES (RN) 112 W 4TH STREET CLIFTON, NJ 07011
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/27/2022 |
|
PELAEZ, LORELEY (CHHA) 58 S. VALLEY ROAD WEST ORANGE, NJ 07052
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/5/2023 |
|
PELIZZARI, JOHN J. (DO) 16 MOONBEAM DRIVE LEWISTOWN, PA 17044
NPI-1235190638 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/30/2022 |
|
PELLEGRINO, TAMMY (RN) 2423 SHADY LANE APT P ATCO, NJ 08004
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
2/20/2003 |
|
PELLICANO, PAUL J. (MD) 120 MILLBURN AVE. STE M1 MILLBURN, NJ 07041
NPI-1316282783 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/1/1998 |
Permanent |
PEMBERTON, COLIN (MD) 500 ORANGE STREET NEWARK, NJ 07107
NPI-1891935557 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/28/2017 |
4/26/2018 |
PEMBERTON, COLIN (MD) 2 DEVONSHIRE TERRACE WEST ORANGE, NJ 07052
NPI-1891935557 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/8/2019 |
|
PENA, CARMEN F. (DDS) 800 76TH ST., 2ND FLOOR NORTH BERGEN, NJ 07047
NPI-1871750166 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/20/2000 |
9/15/2015 |
NICK PENACHIO CO., INC. 240 FOOD CENTER DRIVE BRONX, NY 10474PENACHIO, NICHOLAS A. 240 FOOD CENTER DRIVE BRONX, NY 10474
NPI- |
Vendor Criminal Offense |
Suspension Treasury Treasury Purchase Bureau |
9/7/2000 |
|
PENALES, AMANDO D. BAYSIDE PRISON PO BOX F-1 LEESBURG, NJ 08327
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
5/9/2014 |
|
PENALVER, FAITH (RN) 4 MAPLE COURT ROOSEVELT, NJ 08555
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/19/2005 |
|
PENFIELD, JOHN (DO) 25 POCONO ROAD DENVILLE, NJ 07834
NPI-1528078839 |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
3/6/2014 |
3/2/2018 |
PENFIELD, JOHN (DO) 25 POCONO ROAD DENVILLE, NJ 07834
NPI-1528078839 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
3/2/2018 |
PENICO, PETER (MD) 300 MAIN STREET MILLVILLE, NJ 08332
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
8/24/1978 |
DECEASED |
PENNANT GRAY, SONIA (CHHA) 491 PARK AVENUE EAST ORANGE, NJ 07017
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/26/2019 |
Permanent |
PENQUE, NICOLA 4 CAMELOT AVENUE MONROE, NJ 08831
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
11/23/2015 |
11/22/2018 |
PEPE, ANTHONY 111 E. MIAMI AVENUE CHERRY HILL, NJ 08034
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
7/1/2019 |
|
PERALTA, ARELY (CHHA) 737 PINE STREET NORTH BRUNSWICK, NJ 08902
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/19/2023 |
|
PERERA, SANTUSHT (MD) 7 GREENHILL ROAD KINNELON, NJ 07405
NPI-1942311147 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/22/2016 |
Permanent |
PEREZ, JORGE (MD) 213 14TH STREET PALISADES PARK, NJ 07650
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
3/18/2004 |
|
PEREZ, JUANA (CHHA) 510 25TH STREET UNION CITY, NJ 07087
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2017 |
|
PERLMAN, BERNARD (MD) 42 OAKMONT ROAD YARMOUTH PORT, MA 02675
NPI-1477579456 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
1/3/2000 |
9/12/2017 |
PERRIN, DOUGLAS M. (CHHA) 1801 LAURAL ROAD LINDERWOLD, NJ 08021
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/20/2002 |
|
PERRY, ELSWETTA (CHHA) 291 NORTH PARK STREET, 1ST FLOOR EAST ORANGE, NJ 07017
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/12/2018 |
|
PESCIOTTA, BARBARA ANN (RPH) 992 VAUGHN AVENUE TOMS RIVER, NJ 08753
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
5/18/2006 |
|
PESCIOTTA, ROY THOMAS (RPH) 992 VAUGHN AVENUE TOMS RIVER, NJ 08753
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
5/18/2006 |
|
Metroplex Products Co. Inc. 164 South Moetz Drive Milltown, NJ 08850Peter Herring, President 377 Deans Rhode Hall Rd Monroe, NJ 08831
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
1/7/2015 |
01/06/2018 |
Peter Vincent 129 Highland Ave Jersey City, NJ 07306Peter Vincent, Owner 129 Highland Ave Jersey City, NJ 07306
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
4/27/2015 |
04/26/2018 |
PETERS, MEAGHAN (RN) 707 BUCHANAN STREET, APT. 2 TOMS RIVER, NJ 08753
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/29/2019 |
|
PETERSON, PETHINA (CHHA) 289 MLK DRIVE JERSEY CITY, NJ 07305
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/20/2004 |
|
PETIT, MADELINE (CNA) 228 70TH STREET 2ND FL. GUTTENBERG, NJ 07093
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/7/2008 |
|
PETRUCELLI, SALVATORE (MD) 201 LYONS AVENUE NEWARK, NJ 07112
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
2/2/2000 |
Permanent |
PETTERSON, LINDA A. (RN) 700 PARK BLVD. CHERRY HILL, NJ 08002
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/20/2002 |
|
PFAUTZ, JOANNA (LPN) 1595 BREAKERS DRIVE, #A MANAHAWKIN, NJ 08050
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/2/2018 |
|
PFLUGER, FRANK 118 MINERVA AVENUE ALBION, NJ 08009
NPI- |
Vendor Criminal Offense |
Suspension Treasury Treasury Purchase Bureau |
8/27/2001 |
|
PFUND, SUSAN (RN) 90 W 56TH STREET BAYONNE, NJ 07002
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/25/2023 |
Permanent |
PHARES, ALYSSA (RN) 21 WOODLAND WAY DAYTON, NJ 08810
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/19/2002 |
|
PHILEMON, MENAHEM (CHHA) 265 KING VILLAGE BUDD LAKE, NJ 07869
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/18/2018 |
|
PHILIPPE, ADELINE (CHHA) 61 CLEVELAND STREET, APT. 2E ORANGE, NJ 07050
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/12/2018 |
|
PHILIPPE, IRLANDE (RN) 29 ELM STREET WEST ORANGE, NJ 07052
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/22/2017 |
|
PHILLIPS, RONALD (DO) 718 HAVEN PLACE LINDEN, NJ 07026
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
1/8/1999 |
Permanent |
PHIPPS JR., ERNEST (MD) 130 FORD ROAD HOWELL, NJ 07731
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/20/2004 |
|
PIACENTILE, JOSEPH (MD) 578 BIG OAK ROAD YARDLEY, PA 19067
NPI-1265607410 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/17/1995 |
Permanent |
PIAZZA, GARY G. (DO) 7 CARRIAGE PLACE EDISON, NJ 08820
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/20/1998 |
Permanent |
PICARIELLO, JOSEPH 1202 FOX CHASE LANE WHIPPANY, NJ 08981
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/9/2000 |
6/1/2016 |
PICKNEY, BRANSON, OWNER 408 W. 129TH ST., APT. 7 NEW YORK, NY 10027
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
1/14/2013 |
1/13/2016 |
PIERCE, JACQUELINE (CHHA) 1066 NORTH 28TH STREET CAMDEN, NJ 08105
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
7/14/2017 |
|
PIERCE, LESLIE (CHHA) 511 1ST AVENUE, APT. #3-W ASBURY PARK, NJ 07712
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
3/6/2018 |
|
PIERRE, OTILIEN (CHHA) 454 SOUTH OLDEN AVENUE TRENTON, NJ 08609
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2017 |
|
PIERSON, GEORGE T. (DO) 5 RAINBOW TRAIL SPARTA, NJ 07871
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
4/2/1988 |
DECEASED |
PIETRUSZEWSKI, WILLIAM 5 E. ELK DRIVE OAK RIDGE, NJ 07438
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
10/19/2023 |
|
PILATE, MICHAEL 1309 MULBERRY LANE WILLIAMSTOWN, NJ 08904
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2022 |
|
PIMPONG, SWANZELLA (RN/LPN/CHHA) 14 3RD STREET, FLOOR 1 NEWARK, NJ 07107
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/3/2017 |
|
PINEDA, FRANCISCA 151 TRAILS END NEW CITY, NY 10956
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/18/2001 |
|
PINHO, FERNANDO F. 66 6TH AVENUE LONG BRANCH, NJ 07740
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
7/30/2012 |
7/29/2015 |
PINKERTON, MARION (LPN) 410 THOMAS AVENUE RIVERTON, NJ 08077
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/19/2003 |
|
PINNAMARAJU, VENKATA (RPH) 5324 FOX RIDGE ROAD ROANOKE, VA 24018
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/24/2017 |
|
PIOTROWSKI, DENISE (CHHA) 100 EAST MAIN STREET MARLTON, NJ 08053
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
7/31/2017 |
|
PIRLAMARLA, JYOTI (MD) 77 JACKSON MILLS ROAD FREEHOLD, NJ 07728
NPI-1952349425 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/21/2016 |
|
PIRMISASHVILLI (CHHA) 43 LINDEN STREET FORDS, NJ 08863
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2017 |
|
PIROVOLAS, NICHOLAS (RPH) 30 DWIGHT DRIVE WEST DEAL, NJ 07712
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
9/16/2000 |
|
PIROVOLOS, NICHOLAS (RPH) 30 DWIGHT DRIVE OCEAN, NJ 07712
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/20/2002 |
|
PISANI, LOUIS (RPH) 2 E. FRANKLIN COURT GARDEN CITY, NY 11530
NPI-1215250709 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/19/2000 |
|
PISANI, LOUIS (RPH) PO BOX 737513 ELMHURST, NY 11373
NPI-1215250709 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/3/2016 |
|
PIUCK, CHARLOTTE L. (MD) 593 RAMAPO VALLEY ROAD OAKLAND, NJ 07436
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/25/2001 |
Permanent |
PIZZARELLI, ANGELA D. 1111 BOND STREET ASBURY PARK, NJ 07712
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
7/18/2001 |
Permanent |
PLANT, CHINIA 2013 LOGAN STREET HARRISBURG, PA 17102
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
PLINIO, STEVEN (DC) 655 AMBOY AVENUE WOODBRIDGE, NJ 07095
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
9/30/1999 |
DECEASED |
PLOTNIK, PETER J. (MD) 276 COLERIDGE STREET BROOKLYN, NY 11235
NPI-1407019813 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
5/23/2000 |
Permanent |
PLOTTS, LISA AKA FROSCH, LISA (RN) 111 BEECHWOOD AVENUE OAKLYN, NJ 08107
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/18/2001 |
|
PLUCINSKI, PATRICIA (LPN) 201 HAEGELE PLACE MOUNT ROYAL, NJ 08061
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
12/20/2009 |
Permanent |
POBER, JOSEPH (MD) 126 LINDEN STREET RIDGEWOOD, NJ 07450
NPI-1194948703 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
12/14/2019 |
|
POET, ALBERT (MD) EAST BAY AVENUE MANAHAWKIN, NJ 08050
NPI-1134270903 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
8/10/2007 |
Permanent |
POFF, SHIABON (LPN) 48 CHESTNUT STREET WARETOWN, NJ 08758
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/22/2017 |
|
POGGIOLI, STEPHAN 431 ACADEMY TERRACE LINDEN, NJ 07036
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/18/2004 |
|
SUN REHAB, INC. BILLINGS AVENUE, APT. 619A PAULSBORO, NJ 08062POH-EIKOM, VICKI BILLINGS AVE., APT. 619A PAULSBORO, NJ 08062
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
1/11/2000 |
Permanent |
POH-EIKOM, VICKI BILLINGS AVE., APT. 619A PAULSBORO, NJ 08062
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
12/29/1999 |
Permanent |
POLANSKY, IRVING (RPH) 260 MAIN ST KEANSBURG, NJ 07734
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
7/9/1985 |
Permanent |
POLISE, VINCENZO (RPH) 33 HARRISON ROAD KINNELON, NJ 07405
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
12/31/2015 |
|
POLISHUK, ANDRIJ A. 649 PULHAM COURT #A MANCHESTER, NJ 08759
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
3/8/2008 |
|
POLLACK, EARL T. (DMD) 171 N. LANSDOWNE AVE. LANSDOWNE, PA 19050
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
11/7/1986 |
Permanent |
POLLACK, JOSEPH (DPM) P. O. BOX 11401 YARDVILLE, NJ 08628
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
9/30/1982 |
9/30/1987 |
POLLEN, PHILIP 245 ROUTE 9 MORGANVILLE, NJ 07751
NPI-1245341924 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
10/28/2013 |
|
V. PONTE & SONS, INC. 511 CANAL STREET NEW YORK, NY 10013PONTE, ANGELO J. 511 CANAL STREET NEW YORK, NY 10013
NPI- |
Vendor Organized Crime Control Act |
Suspension Treasury Treasury Purchase Bureau |
1/9/1996 |
|
PONTE, ANGELO J. 111 PATERSON AVENUE HOBOKEN, NJ 07030
NPI- |
Vendor Organized Crime Control Act |
Suspension Treasury Treasury Purchase Bureau |
1/9/1996 |
|
POOLE, JAMES (RN) 34 SOUTH 2ND STREET, APT. 5 DEQUESNE, PA 15110
NPI-1639367972 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
POOLE, KENDRA (CHHA) 222 COOLIDGE AVENUE TRENTON, NJ 08618
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/23/2018 |
|
POPICK, ALAN (DO) 1532 CREEKSIDE ROAD WHITEHALL, PA 18052
NPI-1194789214 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/11/2016 |
|
POROGER, EMMA (DO) 59 LINWOOD ROAD STATEN ISLAND, NY 10308
NPI-1669572368 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/12/2016 |
|
PORTNOY, BARRY 1300 INDUSTRIAL BLVD #5 SOUTHAMPTON, PA 18966
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
1/30/2012 |
1/29/2015 |
PORTWOOD, ROBERT (MD) 11006 GENOA AVENUE LUBBOCK, TX 79424
NPI-1740519628 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/15/2022 |
|
POSNER, ROBERT S. (DDS) 53 WESTFIELD AVENUE CLARK, NJ 07066
NPI-1740518992 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/23/1999 |
Permanent |
POTACCO, PHILIP (DC) 54 CHURCH STREET SOUTH ORANGE, NJ 07079
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
2/20/2003 |
|
POTTER, DIANE (LPN) 215 FAIRFIELD LANE KING WILLIAM, VA 23086
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/20/2009 |
|
POWELL, WILLIE (MFT) 2130 MILLBURN AVENUE MAPLEWOOD, NJ 07040
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/12/2016 |
Permanent |
POWLETT, NORMAN, OWNER 133 MILL STREET, 2R MT. HOLLY, NJ 08060
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
12/29/2011 |
12/28/2014 |
PRAVETZ, MICHAEL (MD) 531 GATES STREET PHILADELPHIA, PA 19128
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
3/5/2001 |
Permanent |
PRENSKY, JOSHUA (DMD) 28-10 HIGH STREET FAIRLAWN, NJ 07410
NPI-1578761961 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
7/17/2009 |
|
PRENSKY, JOSHUA (DMD) 2810 HIGH ST. BERGEN, NJ 07410
NPI-1578761961 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
5/29/2013 |
|
PRESILLA, ALEJANDRO (MD) 15 FULTON STREET WEEHAWKEN, NJ 07086
NPI-1902835747 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
4/30/2010 |
4/30/2013 |
PRESS, STUART M. (MD) 1525 E. PUTNAM AVE #206 OLD GREENWICH, CT 06870
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/1/2009 |
|
PRESSLEY, CAMOMILE D. (LPN) 174B WILLOW TURN MOUNT LAUREL, NJ 08054
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/20/2023 |
|
PRINTZ, BRUCE I. (DO) 400 GILL LANE ISELIN, NJ 08830
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
6/6/2004 |
|
PRITCHARD, JOSEPH 69 TALLWOOD DRIVE MEDFORD, NJ
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
5/9/2002 |
12/10/2014 |
CUSTOM SHOE SERVICE 218 HALSEY STREET NEWARK, NJ 07102PROSKUROVSKY, BORIS 218 HALSEY STREET NEWARK, NJ 07102
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/25/1998 |
|
CUSTOM SHOE SERVICE 218 HALSEY STREET NEWARK, NJ 07102PROSKUROVSKY, BORIS 218 HALSEY STREET NEWARK, NJ 07102
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/4/1997 |
Permanent |
PROTAS, OLEG (CHHA) 407 LIBERTY LANE MARLTON, NJ 08053
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/26/2017 |
|
PROVOST, LAURIE (LPN) 10 BALTIMORE BLVD SEA GIRT, NJ 08750
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
1/24/2014 |
|
PRZADOWSKA-KOKINDA, ELIZABETH M. (RN) 1106 PARKSIDE AVENUE TRENTON, NJ 08618
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
4/20/2005 |
|
PUCCI, BRIAN M. (RPH) 14 RAND RD. PINE BROOK, NJ 07058
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/20/2005 |
9/19/2014 |
PUCCIO, MATTHEW 17 TRADE WINDS DRIVE RANDOLPH, NJ 07869
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
10/25/2023 |
|
PUCCIO, MATTHEW R. P.O. BOX 1000 OTISVILLE, NY 10963
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
12/20/2023 |
|
PUENTES, ELENA (CHHA) 374B HAMILTON STREET SOMERSET, NJ 08873
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/14/2007 |
|
PUGLIESE, GIROLAMO (MD) 103 MAIN STREET KEYPORT, NJ 07735
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
2/22/1999 |
DECEASED |
PUIG, TAYLOR (CHHA) 21 OVERVIEW COURT, APT. 21 BAYVILLE, NJ 08721
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/16/2021 |
|
PUIG, TAYLOR (PHARM TECH) 21 OVERVIEW COURT, APT. 21 BAYVILLE, NJ 08721
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/23/2021 |
|
PULVIRENTI, FRANCESCA M. 212 8TH STREET SURF CITY, NJ 08008
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/29/2005 |
|
PURNESS, TIFFANY (CHHA) 105 BLACKWOOD-CLEMONTON ROAD #704 LINDENWOLD, NJ 08021
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/26/2018 |
|
PURPERA, FRANK CRAIG (MD) FCI GILMER P.O. BOX 600 GLENVILLE, WV 26351
NPI-1194957761 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/20/2019 |
|
QAYYUM, ABDUL (RPH) 960 COUNTRY CLUB DRIVE TEANECK, NJ 07666
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
4/27/2000 |
Permanent |
QUARTARARO, LOUIS (MD) 37 WEST CENTURY ROAD PARAMUS, NJ 07652
NPI-1467460089 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/5/2019 |
|
QUEEN, RYSHAUN (CHHA) 6 KINGSBURY SQUARE, APT. #1-D TRENTON, NJ 08611
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/10/2018 |
|
QUEST, BRITTANY (CHHA) 379 SANFORD AVENUE NEWARK, NJ 07106
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
QUIJADA, CARLOS (COUNSELOR) 106 SPRING VALLEY AVE, #1 HACKENSACK, NJ 07601
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
12/20/2012 |
4/9/2019 |
QUINN, JOHN C. (RN) 437 HARRISTOWN ROAD GLEN ROCK, NJ 07452
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/20/2006 |
|
QUINONES, ANEL 48 GRAND STREET GARFIELD, NJ 07026
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/11/2001 |
Permanent |
QUINONES, ELIZABETH (CHHA) 210 BOND STREET ELIZABETH, NJ 07206
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
QURESHI, SHAMS (MD) 1084 MAIN AVENUE CLIFTON, NJ 07011
NPI-1194743377 |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
1/27/2012 |
|
RAAB, TERRI A. (LPN) 3 MILL ROAD JAMESBURG, NJ 08831
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
1/20/2004 |
|
RABAH, MOHAMMAD (DMD) 55 ENCLOSURE STREET NUTLEY, NJ 07110
NPI-1669684114 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
3/3/2017 |
8/23/2019 |
RAC, EDWARD P. 109 BERNARD DRIVE MANAHAWKIN, NJ 08050
NPI- |
Professional Industry Law Violation |
Disqualification Treasury Treasury Purchase Bureau |
10/12/2004 |
|
Rachel Frasca, Owner 326 Coles Mill Road Williamstown, NJ 08094
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
1/7/2014 |
1/6/2017 |
RADICS JR., ALEXANDER (LPN) 13 WHITE HAVEN PLACE BLOOMINGDALE , NJ 07403
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/30/2019 |
Permanent |
RADOWITZ, MARK A. (DC) 76 CHICHESTER ROAD MONROE TOWNSHIP, NJ 08831
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/4/2007 |
|
Everest Masonry Construction, Inc. 129 Cantello Street Union City, NJ 07087Rafael Ramos, President 163 E. Main Street Suite 311 Little Falls, NJ 07424
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
11/9/2015 |
11/08/2018 |
RAFLA, MAGDY 3 KULESSA COURT EAST BRUNSWICK, NJ 08816
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
8/22/2011 |
|
RAHMAN, RONALD (MD) 20 SUSSEX AVENUE VOORHEES, NJ 08043
NPI-1437378502 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
5/29/2013 |
|
RAHMAN, SAHID (CHHA) 29 ROBIN COURT PISCATAWAY, NJ 08854
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/29/2018 |
|
RAIA, JOSEPH (MD) 56 GRAFTON AVENUE NEWARK, NJ 07104
NPI-1225126717 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
7/28/2014 |
|
RAINFORD, JOHN, CHAIRMAN 239 CLIFTWOOD ROAD OAKHURST, NJ 07755
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
2/1/2012 |
1/29/2015 |
RAJA, ABDUL, H. 53 FULHAN LANE HOLBROOK, NY 00741
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
1/29/2003 |
Permanent |
RAJU, SRINIVASA (RPH) 115 RIVERWALK WAY D2 CLIFTON , NJ 07014
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/20/2017 |
|
RAMACHANDRA, NANDAVAR (MD) 741 ROUTE 18 S. EAST BRUNSWICK, NJ 08816
NPI-1235219809 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
4/18/2014 |
11/5/2018 |
RAMACHANDRA, NANDAVAR (MD) 165 SALEM ROAD NORTH BRUNSWICK, NJ 08902
NPI-1235219809 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/21/2020 |
|
RAMACHANDRA, NANDAVAR K (MD) 120 AMBERLY DR, UNIT K MANALAPAN, NJ 07726
NPI-1235219809 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/20/2021 |
|
RAMANADHAM, ARUNA R. (MD) 9 MOUNTAINVIEW DRIVE LIVINGSTON, NJ 07039
NPI-1609157692 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
1/12/2000 |
Permanent |
RAMAS, EDWIN L. (LPN) 789 MITCHEL AVE. UNION, NJ 07083
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
7/17/2009 |
7/17/2014 |
RAMIREZ, MARIELA (CHHA) 775 EAST 3RD AVENUE, APT. A ROSELLE , NJ 07203
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
1/9/2018 |
|
RAMOS, JEANETTE (CHHA) 234 WILMONT AVENUE CAMDEN, NJ 08105
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/2/2017 |
|
RAMOS, REYNALDO 52 ABINGTON CT. MAYS LANDING, NJ 08330
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
8/12/2013 |
|
RAMOS, ROLANDO 85 SHERMAN AVENUE TEANECK, NJ 07666
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2004 |
|
RAMPERSAD, LAKSHMINARINE 11 APPLETREE LANE LANDING, NJ 07850
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
12/20/2000 |
|
RAND, DOV (MD) 667 EAGLE ROCK AVENUE WEST ORANGE, NJ 07052
NPI-1043311145 |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
2/15/2012 |
|
RAND, DOV (MD) 667 EAGLE ROCK AVENUE WEST ORANGE, NJ 07052
NPI-1043311145 |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
9/3/2013 |
|
RAND, DOV (MD) 840 STONEWALL CT G FRANKLIN LANES, NJ 07417
NPI-1043311145 |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
5/7/2014 |
|
RAND, ELIAS 1401 OCEAN AVENUE BROOKLYN, NY 11230
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
Permanent |
JD Scaffold Inc. 13353 NE 17th Ave North Miami, FL 33181Randy Garciga, Owner 13353 NE 17th Ave North Miami, FL 33181
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
8/25/2014 |
08/24/2017 |
JTG Scaffolding & Hoisting LLC 13353 NE 17th Ave Miami, FL 33181Randy Garciga, Owner 309 West Elizabeth Avenue Linden, NJ 07036
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
10/23/2014 |
10/22/2017 |
RAO, MALINI (MD) 444 WASHINGTON BOULEVARD JERSEY CITY, NJ 07310
NPI-1649456005 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/12/2016 |
|
RASCHID, SOHAEL (MD) 1126 KENNEBEC DRIVE CHAMBERSBURG, PA 17201
NPI-1104851369 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
RASLAN, SALMA (CHHA) 1165 US HIGHWAY 22, APT. 46 NORTH PLAINFIELD, NJ 07060
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/5/2023 |
|
RASNER, STEVEN (DMD) 1055 NORTH PEARL ST BRIDGETON, NJ 08401
NPI-1114022803 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
10/16/1984 |
4/5/2018 |
RASOULINEJAD, ZEHRAH T. (DDS) P.O. BOX1217 ALPINE, NJ 07620
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/20/2003 |
|
RATCHFORD, WILLIAM B. (MD) PO BOX 2063 GLENVIEW, IL 60025
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
6/4/1998 |
|
RAUH-BRIGHAM, SUSAN (RN) 4 BRECKENRIDGE DRIVE SHAMONG, NJ 08088
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/20/2001 |
|
RAVAL, KAWU 600 PAVONIA AVENUE JERSEY CITY, NJ 07306
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
12/1/1998 |
|
RAVIN, JOHN M. (MD) 9600 STERLING RIDGE AVE. LAS VEGAS, NV 89129
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
2/19/2004 |
|
RAY, DEBRA (RN) 32 KAYWIN AVENUE HAWTHORNE, NJ 07506
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
2/19/2004 |
|
Van Peenen Landscape Contractors, Inc.Van Peenen Landscape Contractors, Inc. 3 Gates Place Wayne, NJ 07470Raymond Van Peenen, President 555 Preakness Ave Suite 210 Totowa, NJ 07512
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
11/23/2015 |
11/22/2018 |
RAYNOR, MARCELLA 660 BROAD STREET, APT. 811 HARRISBURG, PA 17102
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
RAZIQ, RAFIK NORTHERN STATE PRISON NEWARK, NJ 07115
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/1/2002 |
Permanent |
REA, MICHAEL (MD) 444 MANSFIELD AVENUE HADDONFIELD, NJ 08033
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
3/11/2001 |
DECEASED |
REATH, ERIN R. (RN) 7705 SABRE DRIVE KNOXVILLE, TN 37919
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/18/2005 |
|
REAVES, LORI A. (MD) FPC ALDERSON - GLEN RAY RD ALDERSON, WV 24910
NPI-1417959503 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
3/7/2014 |
|
REBA, GARY J. (DDS) TITUS LANE PLAINSBORO, NJ 08536
NPI-1285852541 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
12/20/2007 |
|
Rebecca Adika, Secretary
,
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
7/21/2014 |
7/20/2017 |
REBER-MADENYIKA, EDITH (RN) 216 HALE STREET PENNINGTON, NJ 08534
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
4/7/2022 |
|
RECK, FRANZ (DMD) 17 CENTER STREET HIGHLANDS, NJ 07732
NPI-1528248457 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/1/2019 |
7/21/2020 |
REDDEN, DAYJA (CHHA) 1822 SOUTH 7TH STREET CAMDEN, NJ 08104
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/23/2018 |
|
REDDY, PRANATHI (DMD) 6207 SPRUCE MILL DRIVE MORRISVILLE, PA 19067
NPI-1538321583 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/23/2019 |
7/21/2020 |
REDNOR, GERALD B. 101 KENSINGTON AVENUE TRENTON, NJ 08618
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
Permanent |
REDONDO, ILEANA (MD) 2421 ROSETTE STREET FORT LEE, NJ 07024
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/23/2002 |
Permanent |
REED, DAVID, PRESIDENT 195 AIRPORT ROAD SELINGSGROVE, PA 17870
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
1/14/2013 |
1/13/2016 |
REED, JUDY 233A MUHAMMAD ALI AVE NEWARK, NJ 07108
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/15/2005 |
|
REED, STEPHAN NILS (DC) 4722 EAST DELL RD PHOENIX, AZ 85026
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
DECEASED |
REEVES, WILBURN C. CREEK ROAD BRICK, NJ 08724
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
8/10/2007 |
Permanent |
REEVES,THOMAS 1145 DRAGSTON ROAD, PO BOX 528 PORT NORRIS, NJ 08349
NPI- |
Professional Industry Law Violation |
Debarment Treasury Treasury Purchase Bureau |
2/28/2017 |
2/28/2020 |
REEVES,TODD 1474 WEST MAIN ST., PO BOX 427 PORT NORRIS, NJ 08349
NPI- |
Professional Industry Law Violation |
Debarment Treasury Treasury Purchase Bureau |
2/28/2017 |
2/28/2020 |
REGO, RAMON (MD) 6701 BERGENLINE AVENUE WEST NEW YORK, NJ 07093
NPI-1033227459 |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
3/19/2012 |
2/16/2017 |
REHAN, MOHAMMAD 280 MARIN BLVD., APT. 10R JERSEY CITY, NJ 07302
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
2/23/2024 |
|
REHAN, ZAHEER, A. 280 HENDERSON STREET JERSEY CITY, NJ 07302
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/10/1999 |
Permanent |
REHMAN, FAROOQ (MD) 225 MAY STREET, SUITE D EDISON, NJ 08837
NPI-1467581827 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
4/20/2016 |
2/9/2017 |
REHMAN, FAROOQ (MD) 225 MAY STREET, SUITE D EDISON, NJ 08837
NPI-1467581827 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
11/13/2015 |
|
REID, PEACHES (CNA) 11 RUTGERS STREET IRVINGTON, NJ 07111
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/1/2002 |
|
REINHARD, BARBARA 704 REED COURT FLEMINGTON, NJ 08822
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/9/2007 |
|
REINHART, JENNIFER (LPN) 70 ROSS AVENUE HACKENSACK, NJ 07601
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/23/2019 |
|
REITER, RAYMOND D. (MD) 405 MURRAY HILL PKWY#1023 E. RUTHERFORD, NJ 07073
NPI-1841447380 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/22/2001 |
Permanent |
RENNER, ALLISON 1210 OAK ROAD MANASQUAN, NJ 08736
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/28/2017 |
11/3/2023 |
RENNER, CARL (MD) 61 WALDRON AVENUE GLEN ROCK, NJ 07452
NPI-1346205705 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/25/2019 |
Permanent |
RENZI, CAROLINE M. (DO) 247 CENTER ST TRENTON, NJ 08611
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
12/4/1991 |
Permanent |
REVAN-LEWIS, CHAUNDREL (CHHA) 26 NANCY LANE PISCATAWAY, NJ 08854
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
REYES, BRIANNA (CHHA) 220 WEST BRANCH AVENUE, APT. 111 PINE HILL, NJ 08021
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/5/2019 |
|
REYES, DANNIELL (DC) 5262 HAMILTON S SAYLORSBURG, PA 18353
NPI-1124053905 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
REYES, MARIA (CHHA) 1207 ATLANTIC AVENUE CAMDEN, NJ 08104
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
8/29/2017 |
|
REYES-ARIAS, ARCADIO 286 SUSSEX AVENUE NEWARK, NJ 07107
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/11/2016 |
|
REZNIKOVA, YELENA (CHHA) 73 MADISON GARDENS OLD BRIDGE, NJ 08857
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
6/12/2017 |
|
RHODES, SARE MAE (DMD) 161 BRIDGE STREET TUNKHANNOCK, PA 18657
NPI-1750572996 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/29/2015 |
|
RIACHI, LABIB (MD) 128 SOUTH EUCLID AVENUE WESTFIELD, NJ 07090
NPI-1801846597 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/9/2017 |
|
RIACHI, LABIB (MD) 42 RUTGERS AVENUE COLONIA, NJ 07067
NPI-1801846597 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
2/9/2018 |
|
RICCIARDI, JUDE (CHHA) 1452 45TH NORTH BERGEN, NJ 07047
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/20/2002 |
|
RICCIO, PETER (RPH) 17 CASALE DRIAVE, APT R2 WARREN, NJ 07059
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/12/2016 |
|
RICH, LEO CEDAR LANE TEANECK, NJ 07666
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
Permanent |
Apex Tower Services, Inc. 245 Sharp Road Marlton, NJ 08053Richard Pluese, Vice-President 66 E Cedar Avenue Marlton, NJ 08053
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
2/10/2016 |
02/09/2019 |
RICHARDS, AARON (COUNSELOR) 23 WYCOFF STREET DEAL, NJ 07723
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
2/20/2001 |
|
RICHARDSON, RUTH (CHHA) 555 E. 27TH STREET, APT. 11 PATERSON, NJ 07514
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/22/2019 |
|
RICHARDSON, YALONDA (CHHA) 52 2ND AVENUE TOMS RIVER, NJ 08757
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2017 |
|
RICHLINE, AMANNDA (DPM) 4 GREENWICH STREET BELVIDERE, NJ 07823
NPI-1013040435 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
7/22/2017 |
|
RICHMAN, HOWARD P. (DPM) 502 N BLACK HORSE PIKE WILLIAMSTOWN, NJ 08053
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
4/15/1993 |
Permanent |
RICHSTONE, GEOFFREY (MD) PO BOX 38, FCI FORT DIX, NJ 08640
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/20/2002 |
|
RIENZO, FRANCIS (MD) 2164 HIGHWAY 35 STE 2 SEA GIRT, NJ 07850
NPI-1003887068 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
12/17/2021 |
|
RIGGI, JOSEPH (MD) 36 VARDON WAY FARMINGDALE, NJ 07727
NPI-1265436638 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
12/9/2015 |
4/9/2019 |
RIGO, BLADIMIR FCI-FORT DIX, PO BOX 2000 JOINT BASE MDL, NJ 08640
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/12/2016 |
|
RILEY, BRIDGETT (PHARM TECH) 1801 EGG HARBOR ROAD LINDENWALD, NJ 08021
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
3/20/2003 |
|
RIMERMAN, VALERY (MD) 43 DEMAREST AVENUE CLOSTER, NJ 07624
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
12/20/2006 |
DECEASED |
RIOS, GUSTAVO ERNESTO (MD) 127 TWEED DRIVE JACKSONVILLE, NC 28540
NPI-1780648295 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
10/11/2011 |
|
RIOS, JOSE (MD) 175 SUMMER AVENUE NEWARK, NJ 07104
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
5/14/1998 |
Permanent |
RIPPS, DANIEL (DDS) 1330 CALHOUN STREET TRENTON, NJ
NPI-1124293659 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
12/1/1995 |
Permanent |
RITA, ELANA L. (RN) 73 CHATHAM PLACE SOUTHAMPTON, NJ 08088
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/18/2022 |
|
RIVERA, ANGELA 114-120 32ND STREET, APT 30 UNION CITY, NJ 07087
NPI- |
Vendor Other |
Debarment Law and Public Safety 1020 |
|
Permanent |
RIVERA, DAISY (CHHA) 329 LINE STREET CAMDEN, NJ 08103
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/29/2018 |
|
RIVERA, HECTOR RICHARD 1 KEVIN ROAD SCOTCH PLAINS, NJ 07076
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
1/9/2012 |
1/8/2015 |
RIVERA, JACQUELINE (CHHA) 418 12TH STREET, APT. #1 UNION CITY, NJ 07087
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/23/2018 |
|
RIVERA, JOSSELIN 251 MT. VERNON ST. CAMDEN, NJ 08103
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/27/2006 |
|
RIVERA, KAREN (CHHA) 209 NILES STREET, APT. 1 ELIZABETH, NJ 07202
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
2/20/2017 |
|
RIVERA, MARIA (RN) 39 JOHNS WAY BRIDGETON, NJ 08302
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/30/2019 |
|
RIVERA, NICOLE AKA CRESTA, NICOLE (RN) 2009 KICKAPOO TERRACE VINELAND, NJ 08361
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/28/2017 |
|
RIVERA, VIVIANIS (CHHA) 519 BRUNSWICK AVENUE TRENTON, NJ 08638
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/20/2017 |
|
RIYAZ, FARHAAD (MD) 1145 19TH STREET NW, STE. 301 WASHINGTON, DC 20036
NPI-1063855286 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/15/2022 |
|
RIZK, MOHAMED (CHHA) 77 TWIN OAKS OVAL SPRINGFIELD, NJ 07081
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/28/2023 |
|
RIZVI, SAIYID (PHD) 100 CRAIG ROAD, SUITE 104 MANALAPAN, NJ 07726
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
4/18/1997 |
|
Rizzo New York Inc.Rizzo New York Inc. 9157 97th St Wood Haven, NY 11421Rizwan Ahmad, President 109-02 Jamaica Avenue Richmond Hill, NY 11418
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
1/20/2016 |
01/19/2019 |
RIZZO, KENNETH (RPH) 110 WELLS FARM ROAD GOSHEN, NY 10924
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/19/2005 |
|
RIZZUTO, MARY F. (LCSW) 16 HOLLY DRIVE TOMS RIVER, NJ 08753
NPI-1851499891 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
4/22/2012 |
|
ROBACK, MARY (LPN) 2517 DUNKSFERRY ROAD, APT. L203 BENSALEM, PA 19020
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/20/2018 |
|
ROBALINO, JOFFRE (MD) PO BOX 1000 CUMBERLAND, MD 21501
NPI-1770634404 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
5/28/2013 |
|
ROBBERSON JR., KENNETH 3404 SHORELINE DRIVE WALL TOWNSHIP, NJ 07719
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/16/2017 |
|
ROBBINS, GORDON J. 447 UNION AVENUE PATERSON, NJ 07522
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
4/30/1987 |
Permanent |
ROBBINS, RICHARD G. (MD) 551 MILLBURN ACE. SHORT HILLS, NJ 07078
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
2/19/2004 |
|
Robert M. Mesmer, LLC 24 Sand Bridge Rd. Elmer, NJ 08318Robert Mesmer, Managing Member 24 Sand Bridge Road Elmer, NJ 08318
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
12/12/2014 |
12/11/2017 |
ROBERT, ELIANE (CHHA) 380 PARK AVENUE, APT. C5 ORANGE, NJ 07050
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/14/2017 |
|
ROBERTS, JAMES (RN) 235 PENN AVENUE DOVER, NJ 07801
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/22/2017 |
|
ROBERTSON, TANAYE (CHHA) 1200 EAST STATE STREET, APT. 1405 CAMDEN, NJ 08105
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/10/2018 |
|
ROBINSON, CHRISTINA (CHHA) 81 ABBLETT VILLAGE CAMDEN, NJ 08105
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/22/2019 |
|
ROBINSON, KIM 594 WALNUT STREET ELIZABETH, NJ 07201
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
2/3/2003 |
|
ROBINSON, TRENNAJIA (CHHA) 89 FOURTH STREET, APT. #43 PASSAIC, NJ 07055
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/2/2017 |
|
ROBINSON, VINCENT 62 MAPLE AVE. IRVINGTON, NJ 07111
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
3/13/2009 |
3/13/2014 |
ROBINSON, WANDA 150 MELROSE AVE. IRVINGTON, NJ 07111
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
9/4/1986 |
Permanent |
RODENBERG, THOMAS (MD) DESOTO ANNEX, 13617 SOUTHEAST HWY 70 ARCADIA, FL 34266
NPI-1720280183 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/29/2015 |
|
RODRIGUEZ, ARACELY (CHHA) 1039 NORTH 35TH STREET CAMDEN, NJ 08105
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
5/31/2018 |
|
RODRIGUEZ, BEATRIZ 109 GREENBRIAR AVE BOX157 RICHLAND, NJ 08350
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/18/2001 |
|
RODRIGUEZ, CHRISTIAN (CHHA) 2 W. PARK AVENUE PENNS GROVE, NJ 08069
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/5/2019 |
|
RODRIGUEZ, DARIELI (CHHA) 545 NEWTON LAKE DRIVE COLLINGSWOOD, NJ 08107
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/26/2017 |
|
RODriguez, Eddy 1100 W. 7th St., Apt. 9 Plainfield, NJ 07060
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
5/14/2015 |
5/13/2018 |
RODRIGUEZ, FERNANDO (MD) 122 S. MONTFORT DRIVE BELLE MEAD, NJ 08502
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
4/6/2004 |
|
RODRIGUEZ, JAZMIN (CHHA) 214 48TH STREET UNION CITY, NJ 07087
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/10/2018 |
|
RODRIGUEZ, LEONELA (CHHA) 1032 N. 21ST STREET CAMDEN, NJ 08105
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
7/10/2018 |
|
RODRIGUEZ, MELENYS (CHHA) 18 WINDING WOOD DRIVE SAYREVILLE, NJ 08872
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/29/2017 |
|
RODRIGUEZ, NICOLE (CHHA) 658 DELSEA DRIVE PITMAN, NJ 08071
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
4/6/2018 |
|
RODRIGUEZ, RAMON R. 100 MANHATTAN AVENUE JERSEY CITY, NJ 07307
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
3/17/1986 |
DECEASED |
RODRIGUEZ, RONALD (LPN) 7 EASTERN LANE WILLINGBORO, NJ 08046
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
12/20/2006 |
|
RODRIGUEZ, RONALD (LPN) 7 EASTERN LANE WILLINGBORO, NJ 08046
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
7/11/2018 |
|
RODRIGUEZ, ROSEMARIE (CHHA) 1510 GROSS AVENUE PENNSAUKEN, NJ 08110
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/20/2021 |
|
ROGERS, JAMES G. 49 WESTERN PARKWAY IRVINGTON, NJ 07111
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
4/11/2006 |
Permanent |
ROHAUS, ROBERT (LAB. EMPL) 301 LILAC COURT BRIDGEWATER, NJ 08807
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
8/25/2000 |
|
ROHE, PAUL (DPM) 24 FAIRWAY DRIVE GREEN BROOK, NJ 08812
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
11/20/2006 |
|
ROLON JR., ORLANDO 1239 DUPONT STREET CAMDEN, NJ 08105
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
11/12/2009 |
|
ROMANAZZI, THOMAS 612 MYRTLE AVE MANASQUAN, NJ 08786
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
|
Permanent |
ROMAN-CISSE, DENISE (PHARM TECH) 9 SECOND AVE NEWARK, NJ 07104
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
4/12/2012 |
|
ROMANOWSKI, STEVEN PO BOX 1011 UNION, NJ 07083
NPI- |
Medical Poor Performance |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1985 |
Permanent |
ROMERO, IVAN (RPH) USP CANAAN - PO BOX 300 WAYMART, PA 18472
NPI-1003089343 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
8/8/2011 |
|
ROMILLO, JOSE (MD) 954 FISCHER BOULEVARD TOMS RIVER, NJ 08753
NPI-1467544155 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/16/2011 |
|
ROMITA, MAURO (MD) 6 JACKSON DRIVE CRESSKILL, NJ 07626
NPI-1639243603 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
2/6/2024 |
|
RONAN, KATHLEEN (RN) 17 HENRY STREET SAYERVILLE, NJ 08872
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/18/2001 |
|
RONCAL JR., MARIO 901 RIFLE CAMP ROAD WOODLAND PARK, NJ 07424
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
8/20/2014 |
|
RONE, FELICIA (CHHA) 2702 SHETLAND WAY WESTVILLE, NJ 08093
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/14/2017 |
|
ROQUE, JOSE RAMON (MD) 317 60TH STREET W. NEW YORK, NJ 07903
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/1/1996 |
Permanent |
ROSA, EDDIE (MD) 796 MT. PROSPECT AVE NEWARK, NJ 07104
NPI-1215045869 |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
2/15/2012 |
|
ROSA, EDDIE (MD) 117-119 3RD AVE 2 NEWARK, NJ 07104
NPI-1215045869 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
1/26/2015 |
|
ROSA, EDDIE (MD) 796 MT. PROSPECT AVENUE NEWARK, NJ 07104
NPI-1215045869 |
Medical Antitrust/Anti-Kickback Acts |
Debarment Human Services Medical Assistance (Medicaid) |
11/21/2016 |
|
ROSA, EDDIE (MD) 796 MT. PROSPECT AVENUE NEWARK, NJ 07104
NPI-1215045869 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
9/17/2013 |
|
ROSADO, EDITH (CHHA) 326 GREGORY AVENUE PASSAIC, NJ 07055
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
ROSANIA, NICHOLAS G. (DC) 1 COBBLESTONE LANE LONG VALLEY, NJ 07853
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/20/2003 |
|
ROSARIO, JASON (CHHA) 133 RUTGERS PLACE NUTLEY, NJ 07110
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
11/1/2017 |
|
ROSE, RADCLIFFE (RN/PHARM TECH) 99 GROVE AVENUE MAYWOOD, NJ 07607
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/21/2018 |
Permanent |
ROSEN, BURTON (DDS) 1939 ROUTE 70 EAST CHERRY HILL, NJ 08003
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
5/24/1999 |
Permanent |
ROSEN, JAY 3 HIDDEN ACRES DRIVE VOORHEES, NJ 08043
NPI-1720139736 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/22/2016 |
Permanent |
ROSENBERG, MARK (RN/APN) 19 BRANDYWINE DRIVE MARLTON, NJ 08052
NPI-1407829096 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/21/2016 |
|
ROSENBLIT, ERIN (RN/APN) 654 8TH STREET ABSECON, NJ 08201
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
6/5/2018 |
|
ROSENFARB, ANDREW (ACUPUNCTURIST) 332 SOUTH AVENUE EAST WESTFIELD, NJ 07090
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
3/20/2005 |
|
ROSENSWEET, MARTIN (DPM) FORT DIX FCI, PO 38 FORT DIX , NJ 08640
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
7/18/2002 |
|
ROSERO, BENITO (MD) 107 E. MANTUA AVENUE WEHONAH, NJ 08090
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
2/2/1998 |
|
ROSERO, BENITO (MD) 109 AMBLER ROAD CHERRY HILL, NJ 08002
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
1/6/1999 |
|
ROSPOS,THOMAS 6 INLET TERRACE BELMAR, NJ 07719
NPI- |
Vendor Criminal Offense |
Debarment Law and Public Safety 1020 |
2/25/2016 |
2/25/2026 |
ROSS, BERNARD (MD) 30 E. PASSAIC STREET MAYWOOD, NJ 07607
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
10/5/1999 |
Permanent |
ROSS, CLAYTON 18 SOUTH TERRACE MAYWOOD, NY 12524
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
12/2/2013 |
12/1/2016 |
ROSS, DOUGLAS AKA SHAW, RICKY 123 N 19TH STREET EAST ORANGE, NJ 07017
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/14/2005 |
|
ROSS, JONATHAN (MD) 11 TEAK COURT CHERRY HILL, NJ 08003
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/19/2000 |
Permanent |
ROSS, JOSIE B. (RN) 25 GRAND AVE. HACKENSACK, NJ 07601
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
7/20/2004 |
|
ROSS, RUBY (LPN) 149 RIDGE AVENUE ASBURY PARK, NJ 07712
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/5/2017 |
|
ROSSI, ANGELA (LPN) 813 HAZELTON AVENUE LANOKA HARBOR, NJ 08734
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/5/2017 |
|
ROSSNICK, GERALD (DDS) 868 BROADWAY BAYONNE, NJ 07002
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
12/1/1988 |
Permanent |
ROTHENBERG, HOWARD (DMD) 11 OAK SPRING ROAD WEST NYACK, NY 10994
NPI-1437223898 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/29/2017 |
|
ROTHSTEIN, JEFFREY (DMD) 326 BROAD STREET, SUITE 1 RED BANK, NJ 07701
NPI-1366677544 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/20/2017 |
9/22/2017 |
ROTWEIN, PAUL S. (DDS) 220 E. 63RD ST, APT 8F NEW YORK, NY 10021
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
4/20/2003 |
|
ROUGH, JAMES 12767 VAN HORNE ROAD MEADVILLE, PA 16335
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
3/22/2013 |
3/21/2016 |
ROUNTSEV, ANATOLI AKA ROUNTSEZ, TONY (CHHA) 406 RIVERVIEW DRIVE TOTOWA, NJ 07512
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/11/2016 |
|
ROUNTSEV, ANATOLI AKA ROUNTSEZ, TONY (CHHA) 409 RIVERVIEW DRIVE TOTOWA, NJ 07512
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
11/4/2014 |
|
ROUNTSEZ, ANATOLI AKA ROUNTSEV, TONY (CHHA) 409 RIVERVIEW DRIVE TOTOWA, NJ 07512
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
11/4/2014 |
|
ROUNTSEZ, ANATOLI AKA ROUNTSEV, TONY (CHHA) 406 RIVERVIEW DRIVE TOTOWA, NJ 07512
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/11/2016 |
|
ROUSE, JODY (LPN) 189 BROWNIES RD. SHIPPENVILLE, PA 16254
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
ROUSSIS, NICHOLAS (MD) 4735 HYLAN BOULEVARD STATEN ISLAND, NY 10312
NPI-1497749089 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
7/1/2017 |
|
ROWE, ELIZABETH (LPN) 6 WINDING WOOD DRIVE, APT. 1B SAYREVILLE, NJ 08872
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
6/28/2018 |
|
R & B Construction 2008 Carmel Road Millville, NJ 08332Roxanne Lloyd, President 2008 Carmel Road Millville, NJ 08332
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
6/11/2015 |
06/10/2018 |
New Jersey State Flooring, Inc. 109 Greentree Road Brick, NJ 08724Roy C. Apgar, President 109 Greentree Road Brick, NJ 08724
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
2/11/2016 |
02/10/2019 |
ROYSTER, TAHNESHA (CHHA) 30 RIDGE AVENUE NEPTUNE, NJ 07753
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
8/24/2017 |
|
ROZO, GLADYS 374B HAMILTON STREET SOMERSET, NJ 08873
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/14/2007 |
|
ROZVAGA, NADEZHDA 155 ALEXAUKEN CREEK ROAD LAMBERTVILLE, NJ 08530
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/20/2009 |
|
RUANE, JOSEPH T. (DC) 314 WILLOW DRIVE LITTLE SILVER, NJ 07739
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
1/8/1997 |
|
RUBBANI, MARIAM (LPN) 280 SOUTH HARRISON STREET EAST ORANGE, NJ 07017
NPI-1801939723 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/12/2018 |
|
RUBINSTEIN, CHARLES (RPH) 45 LAUREL AVENUE LINWOOD, NJ 08221
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/20/2006 |
|
RUCHELMAN, TRINA (DDS) 2120 ROUTE 70 MANCHESTER, NJ 08759
NPI-1356425474 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/20/2019 |
|
RUDOLPH, HERBERT (MD) 317 EAST MAIN STREET TUCKERTON, NJ 08087
NPI-1871633370 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
9/14/2016 |
2/19/2020 |
RUFFIN, SHARALYN (CHHA) OAKDALE VILLAGE TRAILER #52 CRANBURY, NJ 08512
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
RUGGIERO, PAULA E. (RN) 29 PARKWAY DRIVE WESTVILLE, NJ 08093
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/18/2001 |
|
RUIZ, DANIEL AKA DANILE (OWNER) 596 ELM STREET KEARNY, NJ 07032
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
11/25/2011 |
11/24/2014 |
RUIZ, DORIS 909 WEST 7TH STREET PLAINFIELD, NJ 07063
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/14/2007 |
|
RUIZ, JENNIFER 38 S. BRIDGEBORO STREET DELRAN, NJ 08075
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/21/2016 |
|
RUIZ, LORRAINE (CHHA) 1131 N. 19TH STREET CAMDEN, NJ 08105
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/5/2019 |
|
RULDAN, THOMAS (LPN) 301 OHIO AVENUE PHILLIPSBURG, NJ 08865
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/20/2001 |
|
RUMMA, CHRISTINE DONNA 164 STARBOARD STREET FORKED RIVER, NJ 08731
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
5/26/2000 |
Permanent |
RUSH, DALE (LPN) 182 PRESTON ROAD, APT. H2 MILFORD, NJ 08848
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/11/2019 |
|
RUSH, DAVID A. 5755 PFEIFER CIRCLE GERMANSVILLE, PA 18053
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
4/19/1999 |
Permanent |
RUSH, DAVID A. 5755 PFEIFER CIRCLE GERMANSVILLE, PA 18053
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
10/11/2000 |
Permanent |
RUSHING, GARY (DC) 70 BROAD STREET, SUITE B MATAWAN, NJ 07747
NPI-1538315478 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
1/20/2002 |
|
RUSSELL JR., BERTRAM R. (MD) USP HAZELTON, BOX 2000 BRUCETON MILLS, WV 26525
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
12/28/2014 |
|
RUSSELL, FERNESE D. (CNA) 666 E. 26TH STREET PATERSON, NJ 07504
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
3/24/2002 |
|
RUSSELL, ROBERT J. (DC) 1645 B-BLACKWOOD CLEMENTN BLACKWOOD, NJ 08012
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/2/1995 |
Permanent |
RUSSO, GRACE (RN) 17 MAPLE PLACE KEYPORT, NJ 07735
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/30/2019 |
|
RUSSOMANNO, RAYMOND (MD) BLOOMFIELD AVENUE BLOOMFIELD, NJ 07003
NPI-1093702532 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
11/28/2007 |
|
RUTA, EUGENIO (DC) 189 6TH AVENUE LONG BRANCH, NJ 07740
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
7/21/2008 |
|
RUTHNASWAMY, ROMESH 1136 BLUEBIRD CIRCLE MAYS LANDING, NJ 08330
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/18/2023 |
|
RUTIGLIANO, MICHAEL (MD) 1 SEARS DRIVE PARAMUS, NJ 07652
NPI-1740348077 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/19/2016 |
|
RYAN, GERALDINE (RN) 228 RIDGE AVENUE LAKEWOOD, NJ 08701
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
2/20/2002 |
|
RYAN, JAMES 267 SEACLIFF AVE SEACLIFF, NY 11579
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
4/1/1996 |
4/1/2004 |
RYAN, MICHELE K. (LPN) 656 WHITE HORSE PIKE HAMMONTON, NJ 08037
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
3/20/2002 |
|
RYAN, THOMAS D17-25 HUNTS POINT CORP BRONX, NY 10474
NPI- |
Vendor Criminal Offense |
Suspension Treasury Treasury Purchase Bureau |
9/7/2000 |
Permanent |
RYBALOV, SEMEN BERGEN COUNTY JAIL, PO BOX 0369 HACKENSACK, NJ 07601
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/28/2015 |
|
RYTEL, SYLVIA (LPN) 634 INDIANA AVENUE TRENTON, NJ 08638
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/3/2019 |
|
SAADY, JACK R. (RPH) 281 ROUND HILL DRIVE FREEHOLD, NJ 07728
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
7/11/2000 |
Permanent |
SABA-KHALIL, ROSALY (MD) 531 SUMMIT AVENUE FRANKLIN LAKES, NJ 07417
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
7/10/1995 |
Permanent |
SABATE, NEONITA (RN) PO BOX 4004 CLINTON, NJ 08809
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/27/2001 |
Permanent |
SABBAGHZADEH, ANDREW A. 108 BRANDON ROAD EAST SYRACUSE, NY 13057
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
3/20/2012 |
|
SABIDO, BENJAMIN A. (MD) 805 11TH STREET UNION CITY, NJ 07087
NPI-1720159916 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/26/2015 |
|
SACCA, COLLEEN (RN) 310 GARFIELD AVENUE PALMYRA, NJ 08065
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/20/2004 |
|
SACHER, PHILIP 558 ANDERSON AVE CLIFFSIDE PARK, NJ 07010
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
5/6/1986 |
Permanent |
SADARANGANI, BHAGWAN (MD) 240 LYNCREST ROAD ENGLEWOOD CLIFF, NJ 07632
NPI-1386790665 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
2/28/2011 |
|
SADLER, RUFUS (MD) 2 LAWRENCE STREET MOUNT VERNON, NY 10552
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/3/2016 |
|
FINNEGANS PLAZA PHARMACY 11507 FINNEGANS LANE NEW BRUNSWICK, NJ 08902SAEED,MOHAMMED 1507 FINNEGANS LANE NEW BRUNSWICK, NJ 08902
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/16/1998 |
Permanent |
SAFIER, GARY (DO) 8 QUARRY COURT RANDOLPH, NJ 07869
NPI-1558478529 |
Medical Antitrust/Anti-Kickback Acts |
Debarment Human Services Medical Assistance (Medicaid) |
4/1/2016 |
|
SAHNI, HARSHA R. (MD) 781 SYCAMORE AVENUE RED BANK, NJ 07701
NPI-1467547232 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
10/5/2023 |
|
SALAAM, ABDUL J. (MD) 1153 SOUTH ORANGE AVE NEWARK, NJ 07103
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/7/1997 |
Permanent |
SALAGA, JENNIFER (RN) 248 WARD AVENUE BORDENTOWN, NJ 08505
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/28/2017 |
|
SALAMI, ADEMOLA T. HARVARD AVENUE HILLSIDE, NJ 07205
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
9/15/2008 |
|
BETHEL PHARMACY 112 POND LANE LINWOOD , NJ 08221SALARTASH, KHASHAYAR (MD) 112 POND LANE LINWOOD, NJ 08221
NPI-1457376006 |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
10/27/2009 |
10/7/2011 |
SALCEDO, CESAR E. (LPN) 31 LAMBERT STREET WASHINGTON, NJ 07882
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/30/2023 |
|
SALEMA, JOSEPH 101 EAST ELM STREET WENONAH, NJ 08090
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/4/1998 |
Permanent |
SALITA, CONRAD C. (MD) 1 N. VALLEY AVENUE VINELAND, NJ 08360
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
12/29/1995 |
Permanent |
SALKIND, SCOTT A. (DO) 611 KINGS CROFT CHERRY HILL, NJ 08034
NPI-1750401949 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/14/2000 |
|
SALOMONE, JOSEPH (DC) 53 COLLURA LANE 39 CLIFTON, NJ 07012
NPI-1609019140 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/20/2015 |
|
SALUJA, DHANBIR (MD) 230 JEFFERSON STREET NEWARK, NJ 07105
NPI-1023045010 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
8/24/2013 |
|
SALUJA, DHANBIR (MD) 230 JEFFERSON STREET, FL 1 NEWARK, NJ 07105
NPI-1023045010 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/3/2016 |
|
G.F.I. Siteworks, Inc.G.F.I. Siteworks, Inc. 362 Friendship Road Clarksboro, NJ 08020Salvatore A Casella III, President PO Box 296 Clarksboro, NJ 08020
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
2/3/2016 |
02/02/2019 |
SALVATORE JR., THOMAS 201 HAMILTON AVE TRENTON, NJ 08609
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
|
Permanent |
SAMAN, AIAD L. 47 CENTER PLACE STATEN ISLAND, NY 10306
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/25/2009 |
|
SAMI, ASHRAF 64 CARUTH AVENUE, APT. 66 ELMWOOD PARK, NJ 07407
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/24/2017 |
|
SAMILLAN, HANS (CHHA) 3-3 SYDNEY WAY LONG BRANCH, NJ 07740
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
SAMUEL, DELORIS AKA SOUFFRONT P.O. BOX 4004 CLINTON, NJ 08809
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/2/2008 |
|
SANCHEZ, MAURICE 243 PROSPECT AVENUE NORTH ARLINGTON, NJ 07031
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
1/1/2011 |
4/30/2012 |
SANCHEZ, MELISSA (CHHA) 45 FRANKLIN PLACE TOTOWA, NJ 07515
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/10/2018 |
|
SANDERLIN, KATHLEEN (RN) 824 SANIKAN TRAIL SOUTHAMPTON, NJ 08088
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/18/2001 |
|
SANDERS, DENISE (PHARM TECH) 4 DREXEL COURT SAYERVILLE, NJ 08021
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/12/1995 |
Permanent |
SANDERS, MICHAEL (THERAPIST) 4 CHERRY ROAD NEWTOWN, NJ 07860
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/19/2006 |
|
SANDERSON, LYNN (LPN/RN) 120 GATES MILL COURT TRENTON, NJ 08690
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/20/2005 |
|
SANDHU, PARMINDERJEET S. (MD) 174 NAUGHRIGHT ROAD LONG VALLEY, NJ 07853
NPI-1033298252 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
3/20/2022 |
|
SANDIEGO, NARDO (MD) 4 HEATHER HILL LANE SUFFERN, NY 10901
NPI-1578508115 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
10/8/2013 |
|
SANFORD, CHRISTINE M. (CNA) 1818 LINCOLN AVENUE, FL 2 ATLANTIC CITY, NJ 08401
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/10/2022 |
Permanent |
SANGALANG, ALEX (RN) 21 LISA DRIVE HAZLET, NJ 07730
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/5/2017 |
|
SANGAVARAM, KRISTAPPA (MD) 6 BERKSHIRE PLACE ENGLEWOOD CLIFFS, NJ 07632
NPI-1376635722 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
8/28/2021 |
|
SANGAVARAM, KRISTAPPA (MD) 6 BERKSHIRE PLACE ENGLEWOOD CLIFFS, NJ 07632
NPI-1376635722 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/19/2023 |
|
SANGHERA, ANIL 105 PHEASANT FIELD LANE MOORESTOWN, NJ 08057
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/20/2009 |
|
SANICO, ELAINE D. (DPM) 122 BRIGHT ST., #1W JERSEY CITY, NJ 07302
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
11/19/1997 |
|
SANKIN, GENE (MD) 82 ADMIRALTY LOOP STATEN ISLAND, NY 10309
NPI-1992971469 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
9/11/2021 |
|
SANTA MARIA, DONNA L. (RN) 618 CINDER ROAD EDISON, NJ 08820
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/18/2001 |
Permanent |
SANTAN, ALICIRIO JOSE 141 ROUTE 130 SOUTH CINNAMINSON, NJ 08077
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
4/23/2014 |
4/22/2017 |
SANTANA, SONIA (CHHA) 569 E. 33RD STREET PATERSON, NJ 07613
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/28/2001 |
Permanent |
SANTANGELO, FRANK (MD) 705 HAMBURG TURNPIKE WAYNE, NJ 07470
NPI-1881785293 |
Medical Antitrust/Anti-Kickback Acts |
Disqualification Human Services Medical Assistance (Medicaid) |
11/22/2016 |
|
SANTANGELO, FRANK (MD) FCI-FORT DIX, PO BOX 2000 JOINT BASE MDL, NJ 08640
NPI-1881785293 |
Medical Antitrust/Anti-Kickback Acts |
Disqualification Human Services Medical Assistance (Medicaid) |
3/13/2017 |
|
SANTANIELLO, RICHARD J. 5 BUGLE COURT HOWELL, NJ 07731
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
3/20/2002 |
|
SANTIAGO JR., EDDIE (MD) 300 SECOND AVENUE LONG BRANCH, NJ 07740
NPI-1497796973 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/1/2014 |
8/22/2019 |
SANTIAGO, HEDBERTO (CNA) 3265 S. US HIGHWAY 1, LOT 6 FORT PIERCE, FL 34982
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/12/2020 |
|
SANTIAGO, RANALDO GIBBSBORO RD. LINDENWOLD, NJ 08021
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
8/10/2007 |
Permanent |
SANTIAGO, REYNALDO (MD) 1502A MARCY PLACE PHILADELPHIA, PA 19115
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/16/1997 |
Permanent |
SANTIAGO, RUTH M. (CHHA) 289 BROADWAY, APT. E NEWARK, NJ 07104
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
7/19/2001 |
|
SANTIAGO, VANESSA 35 AMHERST ROAD SOUTH TOMS RIVE, NJ 08757
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
5/31/2006 |
|
SANTIAGO-JIMINEZ, HERIBERTO 396 WOODLAND AVENUE SOUTH AMBOY, NJ 08879
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
9/19/2011 |
|
SANTOS - ARIAS, SIMON (MD) 10305 NW 7TH COURT PLANTATION, FL 33324
NPI-1497721062 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
8/18/2016 |
|
SANTOS DE DECENA, SONIA M. (CHHA) 318 LAFAYETTE AVENUE PASSAIC, NJ 07055
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/25/2023 |
|
SANTOS, MARIA HAZEL P. aka DAVENPORT, MARIA HAZEL P. (CHHA) 7 LAIDLAW AVENUE JERSEY CITY, NJ 07306
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/25/2023 |
|
SANTOS, MICHAEL 988 JOHNSON PLACE UNION, NJ 07083
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
11/27/2013 |
11/26/2016 |
SAPERSTEIN, ALAN 30 HIGHLAND RD-DIX HILLS LONG ISLAND, NY 11746
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
3/1/1987 |
Permanent |
SARKODIE, ALEX (MD) 516 YORKTOWN ROAD UNION , NJ 07083
NPI-1598870271 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/14/2016 |
|
SARKODIE, ALEX (MD) 516 YORKTOWN ROAD UNION, NJ 07083
NPI-1598870271 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
6/5/2017 |
|
SARVAIYA, RAMESH (MD) 26 EASTWOOD DRIVE VOORHEES, NJ 08043
NPI-1578558748 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/14/2021 |
|
SATCHER, WILLIAM 558 ANDERSON AVENUE CLIFFSIDE PARK, NJ 07010
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
|
Permanent |
SAUCHELLI, FRANCIS (MD) 151 BLOOMFIELD AVENUE, APT. 502 VERONA, NJ 07044
NPI-1124586326 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
9/13/2019 |
|
SAUL, STEPHEN L. (DPM) 9 SEASIDE COURT MARGATE CITY, NJ 08402
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/12/2016 |
Permanent |
SAUL, STEPHEN L. (DPM) 76 W. JIMMIE LEEDS ROAD ABSECON, NJ 08201
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/18/2001 |
Permanent |
SAVINO, THOMAS (MD) 65 BUTTONWOOD ROAD STATEN ISLAND, NY 10304
NPI-1821087305 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/10/2018 |
|
SAVINO, THOMAS (MD) FCI FORT DIX, PO BOX 2000 JOINT BASE MDL, NJ 08640
NPI-1821087305 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/18/2019 |
|
SAYED, SAQUIB (MD) 4 TURTLE HOLLOW COURT SICKLERVILLE, NJ 08051
NPI-1609054360 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
4/29/2016 |
|
SAYED-BAKHATY, ABDEL (MD) 403 HARMON TOWERS SECAUCUS, NJ 07094
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
4/26/1995 |
|
SAYEGH, RICKY (MD) 4 FOWLER AVENUE YONKERS, NY 10701
NPI-1346274966 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/19/2016 |
|
SAYEGH, RICKY (MD) 390 FORT HILL ROAD SCARSDALE, NY 10583
NPI-1346274966 |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
11/20/2017 |
|
SBARRA, SAMUEL PARK AVENUE NUTLEY, NJ 07110
NPI-1205913100 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/20/2008 |
1/20/2015 |
SCARPITTA, JANET 92 PEABODY PLACE NEWARK`, NJ 07104
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/15/2001 |
Permanent |
SCERBO, ERNEST J. (MD) 26 01 BROADWAY SUITE 103 FAIR LAWN, NJ 07410
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
DECEASED |
SCHECHTER, MARVIN (OD) 100 YORKTOWN DR MT LAUREL, NJ 08054
NPI-1063420453 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
Permanent |
SCHEIN, HERBERT W. (MD) 1027 HOOPER AVENUE TOMS RIVER, NJ 08753
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
5/30/1991 |
DECEASED |
SCHEINER, DAVE E. (DPM) 910 BONAPARTE COURT PHILADELPHIA, PA 19107
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
7/22/1999 |
|
SCHENKEL, CATHERINE (RN) 87 IRVING AVENUE APT. 3 LIVINGSTON, NJ 07039
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/20/2009 |
|
SCHENKEL, CATHERINE (RN) 87 IRVING AVENUE APT. 3 LIVINGSTON, NJ 07039
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
5/30/2010 |
|
SCHIVAO, JOHN 6 JUSTA LANE CHERRY HILL, NJ 08003
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
1/13/2014 |
1/12/2017 |
SCHLACHTER, ANDREA 42 WEST HOLLY STREET CRANFORD, NJ 07016
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
11/20/2006 |
|
SCHLEIDER, ALEXANDER 299 ALBERT AVENUE LAKEWOOD, NJ 08701
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
12/26/2023 |
|
SCHLEMBACH, ANDREA AKA OLIVER, ANDREA (APN/RN) 70 COHANSEY STREET BRIDGETON, NJ 08302
NPI-1780630418 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/12/2016 |
5/21/2020 |
SCHLISSERMAN, HERMAN 300 48TH STREET UNION CITY, NJ 07087
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
|
Permanent |
SCHMIDT, NORINE (RN) 78 S. ROOSEVELT SQUARE ENGLEWOOD, NJ 07631
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/12/2018 |
|
SCHMOLK, DERICK (RN) 11 BEVIS LANE CAPE MAY COURT HOUSE, NJ 08210
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/25/2019 |
|
SCHMUCKER-KARPOW, CELESTE (MD) 50 MAPLE AVENUE MORRISTOWN, NJ 07960
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/27/1995 |
DECEASED |
SCHNEIDER, BRUCE J. (DDS) 520 CLIFFORD AVENUE, E8 MATAWAN, NJ 07747
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
7/20/2006 |
|
SCHOBERT III, WILLIAM B. 25 WELLINGTON DRIVE, #D LUMBERTON, NJ 08048
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/20/2009 |
7/14/2014 |
SCHRAGER, KENNETH J. (MD) FCI - OTISVILLE, PO BOX 600 OTISVILLE, NY 10963
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/19/2001 |
|
SCHROEDER, PETER (RN) 18 PILGRIM WAY HAMILTON, NJ 08620
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/11/2017 |
|
SCHULTZ, STEVEN (MD) 1495 EAST 92ND STREET #2 BROOKLYN, NY 11236
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/9/1999 |
Permanent |
SCHUMN, OTTO 678 BURKE STREET WESTWOOD, NJ 07670
NPI- |
Professional Industry Law Violation |
Disqualification Law and Public Safety Consumer Affairs Board of Architects |
6/1/1993 |
Permanent |
SCHUTT, CHARLES HARDEN 21 PARMLEY ROAD TINTON FALLS, NJ 07724
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
3/8/1978 |
Permanent |
INDUS. PRESCR. SVCS. INC. 60 SIP AVENUE JERSEY CITY, NJ 07306SCHWARTZ, EDWARD R. (RPH) 60 SIP AVENUE JERSEY CITY, NJ 07306
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
8/6/1998 |
RETIRED |
SCHWARTZ, EDWARD R. (RPH) 720 HARMON COVE TOWERS SECAUCUS, NJ 07094
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
1/17/2001 |
RETIRED |
SCHWARTZ, EDWARD R. (RPH) 1021 HERALD STREET REDLANDS, CA 92374
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
12/20/2000 |
RETIRED |
SCHWARTZ, GEORGE ROBERT PO BOX 1806 SANTA FE, NM 87504
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
12/19/2007 |
|
SCHWARTZ, JADE (LPN) 97 SHORELAND CIRCLE SOUTH AMBOY, NJ 08879
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/21/2018 |
|
SCHWARTZ, MARK L. (MD) 308 CHELSEA MANOR PARK RIDGE, NJ 07656
NPI-1164436325 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
11/16/2018 |
|
SCHWARTZ, MURRAY (DO) 5 AUTUMN COURT CHERRY HILL, NJ 08003
NPI-1063573012 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
1/23/2013 |
|
SCHWARTZ, MURRAY (DO) 5 AUTUMN COURT CHERRY HILL, NJ 08003
NPI-1063573012 |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
12/5/2013 |
|
SCHWARZ, DENISE (DPM) 1729 PAMMEL PARK ROAD WINTERSET, IA 50273
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
2/20/2002 |
|
SCIUBBA, ALFRED 3 CHADWICK DR. VOORHEES, NJ 08043
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
10/22/2013 |
10/21/2016 |
SCOPELLITI, ALDO R. (DC) 107 MONMOUTH ROAD W. LONG BRANCH, NJ 07764
NPI-1568524049 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/12/2000 |
|
Blue Skies Electric L.L.C. 326 Coles Mill Road Williamstown, NJ 08094Scott Frasca, Manager 326 Coles Mill Road Williamstown, NJ 08094
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
1/7/2014 |
01/06/2017 |
SCOTT, DEBRA 2751 S. OCEAN DRIVE HOLLYWOOD, FL 33019
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/20/2004 |
|
SCOTT, GLENN (RN) 70 POLIFLY RD. APT. 105 HACKENSACK, NJ 07601
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/18/2001 |
|
SCOTT, MARVELL (MD) 41 FIDDLERS WAY SPARTA, NJ 07871
NPI-1144417478 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
8/12/2020 |
|
SCOTT, MCKENZIE (LPN) 457 REDBANK ROAD TEMPLETON, PA 16259
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
SCOTT, MELVIN 42 HIGHLAND TERRACE IRVINGTON, NJ 07111
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/3/2001 |
|
SCULLION, FRANCES (RN) 20 BREAKNECK ROAD OAKLAND, NJ 07436
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
7/13/1988 |
Permanent |
SCURKO, RAYMOND E. 12 TOMAHAWK TRAIL DENVILLE, NJ 07834
NPI- |
Vendor Industry Law Violation |
Suspension Treasury Treasury Purchase Bureau |
10/12/2004 |
|
SCURRY, MARSHAYA (PHARM TECH) 1500 GARDEN DRIVE OCEAN, NJ 07712
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
1/4/2017 |
6/26/2018 |
SEAMAN, VIVIAN (RN) 823 TENTH STREET UNION BEACH, NJ 07735
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/12/2016 |
|
SEDEHI, AHMAD (DMD) 31 JANE DRIVE ENGLEWOOD CLIFFS, NJ 07632
NPI-1063634640 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
7/1/2017 |
|
SEGLIN, MARK (PSYCH) 89 LAPIS CIRCLE WEST ORANGE, NJ 07052
NPI-1184754632 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/1/2017 |
|
Segundo E. Llivicota, Member
,
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
6/30/2015 |
6/29/2018 |
SEHGAL, GAUTAM (MD) 8 WINDERMERE COURT LIVINGSTON, NJ 07039
NPI-1497801740 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/2/2016 |
|
SEHGAL, SHASHIBALA (MD) 630 FT. WASHINGTON AVENUE NEW YORK, NY 10040
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
12/31/2000 |
10/17/2018 |
HANAN PHARMACY, INC. 47 NORWOOD AVENUE CLIFTON, NJ 07011SELIM, HANAN (RPH) 47 NORWOOD AVENUE CLIFTON, NJ 07011
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
5/30/2000 |
|
SELLITTI, PAT 870 LAMONT AVENUE STATEN ISLAND, NY 10309
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
4/16/2020 |
4/15/2020 |
22225902200 PATIENT COACH MED TRANSP 724 GROVE ST IRVINGTON, NJ 07111SEMPLE, IVRY 724 GROVE ST IRVINGTON, NJ 07111
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
12/24/1985 |
Permanent |
SEMPLE, IVRY 472 LAKESIDE AVE. ORANGE, NJ 07050
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
8/14/1986 |
Permanent |
SENAPE, SAVERIO (MD) 215 WEST 92ND STREET 15A NEW YORK, NY 10025
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
8/5/1998 |
Permanent |
SENATORE, SALVATORE (DC) 342 LINCOLN DRIVE KENILWORTH, NJ 07033
NPI-1073653366 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/19/2010 |
|
SENDER, PAUL (MD) 30A WEST MAPLE AVENUE MONSEY, NY 10952
NPI-1124321286 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
11/20/2006 |
12/22/2014 |
SENQUIZ, LUZ (COUNSELOR) 471 HIGHLAND AVE., APT.A COLLINGSWOOD, NJ 08108
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
4/29/2003 |
|
SENTILLES, JEAN (MD) 150 W 56TH ST NO 509 NEW YORK, NY 10019
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
2/27/1992 |
Permanent |
SEPAHBODY, CYRUS (DDS) 507 SUMMERFIELD AVENUE, APT. 2 ASBURY PARK, NJ 07712
NPI-1487706305 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/18/2019 |
5/31/2023 |
SERENO, PATRICIA (RN/LPN) 18 SECRETARIAT STREET HOWELL, NJ 07731
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/20/2001 |
|
SERPE, JOSEPH (RN) 459 MAIN STREET STATEN ISLAND, NY 10307
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/5/2017 |
|
SERRANO, KRISTINA (CHHA) 59 ARCADIA PLACE, #B VINELAND, NJ 08360
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
SESAY, CHERYL (LPN) 12 AVA AVENUE SOMERDALE, NJ 08083
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/20/2002 |
|
SESSOMS, VALERIE 29 STRATFORD PLACE,APT 6J NEWARK, NJ 07108
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
9/20/2012 |
|
SEUFERT, ANNA MARIE (CHHA) 5139 LAKE WORTH ROAD GREEN ACRES, FL 33463
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/19/2014 |
|
SEVUMYANTS, RUBEN 3 BRETON COURT MARLBORO, NJ 07746
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
2/6/2024 |
|
SEXTON, JILL (RN) 5460 ROUTE 100 PLYMOUTH, VT 05056
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
9/12/2016 |
|
SHACK, DANIEL (RPH) 2 GRACEHILL COURT, APT. TITUSVILLE, NJ 08560
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/20/2006 |
|
SHAH, JAYEN C. (MD) MEADOWLANDS PARKWAY SECAUCUS, NJ 07096
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/26/1996 |
Permanent |
SHAH, SATISH (MD) 401 CLARKSTOWN ROAD MAYS LANDING, NJ 08330
NPI-1730129826 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/1/2024 |
Permanent |
SHAHINE, AYMAN (MD) 334 86TH STREET BROOKLYN, NY 10024
NPI-1235341850 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/1/2019 |
|
SHAKARJIAN, CARNIG C. (DPM) MEADOWLANDS PARKWAY EMERSON, NJ 07630
NPI-1720007743 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
6/25/2013 |
|
SHARIF, MUDASSAR (MD) 308 MOUNTAIN ROAD BASKING RIDGE, NJ 07920
NPI-1366509903 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
12/16/2015 |
|
SHARIM, IRADJ (MD) 1208 BIRCH AVENUE YARDLEY, PA 19067
NPI-1790739423/1588610851 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/14/2020 |
Permanent |
Turf Services Express LLC 11 Mulrfield Court Medford, NJ 08056Sharleen Poppalardo, Managing Member 26 North Broad Street Medford, NJ 08056
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
3/27/2015 |
03/26/2018 |
SHARMA, RAVINDER (MD) 3 MARTIN COURT MARTINSVILLE, NJ 08836
NPI-1306947999 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
1/22/2016 |
1/3/2019 |
ADVANCED OPTICAL CENTER 168 HAMILTON AVENUE TRENTON, NJ 08609SHARMA, YOGENDRA P. (OD) 17 VAHLSING WAY ROBBINSVILLE, NJ 08691
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
2/28/2000 |
Permanent |
SHAROW, RALPH (DMD) PO BOX 1000- CAMP FORT DIX, NJ 08640
NPI-1679670038 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
7/20/2003 |
|
SHAW, RICKY AKA ROSS, DOUGLAS 123 N 19TH STREET EAST ORANGE, NJ 07017
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/14/2005 |
|
Chalmers Construction LLC. 435 Minnisink Road Totowa, NJ 07512Shawn Chalmers, Owner 337 Crown Street Brooklyn, NY 11211
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
11/21/2013 |
11/20/2016 |
SHEA, ANN M. (RN) 706-08 ZLOTKIN CIRCLE FREEHOLD, NJ 07728
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/18/2001 |
|
SHEIKH, IMTIAZ A. (MD) 1008 BRAINARD PLACE BRIELLE, NJ 08730
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/1/1998 |
Permanent |
SHEIKH, MOHAMMAD 59-07 71ST AVENUE RIDGEWOOD, NY 11385
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
10/20/2003 |
|
SHEIKH, NAFEESA 516 BLOOMFIELD AVE. NUTLEY, NJ 07110
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
11/20/2003 |
|
Nicola Matera & Sons L.L.C. 7 Ginkgo Court Upper Saddle River, NJ 07458Sheila Vlasich, Managing Member 48 Old Jacksonville Rd Towaco, NJ 07082
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
10/21/2013 |
10/20/2016 |
SHELCHKOV, DMITRY A. ANATOLEVICH (MD) 3000 BRIGHTON 12TH STREET, APT A9 BROOKLYN, NY 11235
NPI-1023128402 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/20/2023 |
|
SHELLROCK LLC D/B/A REEVES BROTHERS
,
NPI- |
Professional Industry Law Violation |
Debarment Treasury Treasury Purchase Bureau |
2/28/2017 |
2/28/2020 |
SHER, JOHN 8097 FULTON AVENUE MARGATE CITY, NJ 08402
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
11/28/2023 |
|
SHER, JOHN P.O. BOX 1000 LEWISBURG, PA 17837
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
12/20/2023 |
|
SHER, THOMAS 224 ROOSEVELT AVENUE NORTHFIELD, NJ 08225
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
10/25/2023 |
|
SHER, THOMAS P.O. BOX 2000 JOINT BASE MDL, NJ 08640
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
12/20/2023 |
|
SHERANI, TAHIR S. 215 N. WYOMING STREET S. ORANGE, NJ 07079
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
2/7/2000 |
Permanent |
Sheree Severini-Fittin, Member
,
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
2/24/2016 |
2/23/2019 |
SHERMAN, HENRY M. (MD) 141 S. HARRISON STREET EAST ORANGE, NJ 07018
NPI-1922334457 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
2/5/1997 |
12/14/2011 |
SHIELDS, HEATHER (LPN) 100 ROLLING ACRES SLIPPERY ROCK, PA 16057
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
SHIPMAN, BRYAN LEE 1210 CHERSONESE ROUND MOUNT PLEASANT, SC 29464
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
3/20/2012 |
|
SHKLOVER, TOBIAS (MD) 2611 W. 2ND STREET BROOKLYN, NY 11223
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/20/2007 |
|
SHMIDMAN-HOROWITZ, MIRIAM 8215 ABINGTON ROAD KEW GARDENS, NY 11478
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
|
Permanent |
SHRAMOWIAT, MICHAEL (MD) 1158 46TH STREET, APT. A VIENNA, WV 26105
NPI-1568485233 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/14/2021 |
|
SHROPE, CATHY, L. 175 COUNTY ROUTE 519 S. BELVIDERE, NJ 07823
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
7/22/2002 |
|
SHROUT, WILLIAM PO BOX 280 FAIRTON, NJ 08320
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/20/2001 |
|
SHTINDLER, EDUARD 150 CUMBERLAND COURT PARAMUS, NJ 07093
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
9/30/2019 |
|
SHULMAN, JONATHAN (RN) 11945 NE 19TH DRIVE, APT. 1 NORTH MIAMI, FL 33181
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/18/2019 |
|
SHUSTER, LARRY B. (RPH) 3136 GUILFORD STREET PHILADELPHIA, PA 19152
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
3/9/2008 |
6/26/2017 |
SIAM, NABIL A. 67 HIGHWAY 37, PO BOX 193 TOMS RIVER, NJ 08754
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
12/1/1999 |
Permanent |
SIBERT, SCOTT L. (MD) 43 WOODLAND AVENUE WOODBURY, NJ 08096
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
11/15/1985 |
DECEASED |
SIDDIQUI, AFTAB A. (MD) 504 LIVINGSTON STREET NORWOOD, NJ 07648
NPI-1073527545 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/19/1998 |
|
SIDDIQUI, NURUL HASAN 4912 BERGENLINE AVENUE WEST NEW YORK, NJ 07093
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/12/1996 |
Permanent |
SIDDIQUI, SHAKIR H. 619 SCHUYLER AVENUE KEARNEY, NJ 07032
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
3/10/1998 |
|
SIDDIQUI, SHOAIB H. 9 TOWER DRIVE EAST HANOVER, NJ 07936
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
7/19/2001 |
|
SIEGEL, JONATHAN B. (DPM) 4772 HIGHWAY 9 SOUTH HOWELL, NJ 07731
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
9/11/2000 |
Permanent |
SIGLE, EDWARD CRANBURY SOUTH RIVER ROAD MONROE TWP., NJ 08831
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
5/29/2007 |
Permanent |
SILK, EMILY ANN (RN) 250 N PEARL STREET, APT 306 DENVER, CO 80203
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/19/2023 |
|
SILMAN, ALEXANDER (DDS) 3 CLARK PLACE MARLBORO, NJ 07746
NPI-1629319751 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/22/2010 |
1/5/2018 |
SILVA, SANDY (COUNSELOR) 2208 HILLCREST AVENUE PENNSAUKEN, NJ 08110
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
4/29/2003 |
|
SILVERHARDT, STEPHEN (DDS) 1436 MARSHALL LANE MEADOWBROOK, PA 19046
NPI-1881821403 |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
2/16/1988 |
10/28/2022 |
SILVERMAN, HAROLD 529 BROAD STREET NEWARK, NJ 07102
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
|
Permanent |
SIMMONETTI, A'DAYJA AKA SIMONETH, A'DAYJA (CHHA) 711 CEDAR STREET LAKEHURST, NJ 08733
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/18/2017 |
|
SIMMONS, SHAMEKIA RIDGE AVENUE ASBURY PARK, NJ 07712
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/21/2008 |
|
K & S Fabrication & Welding, LLC 43 Fairview Ave Brergenfield, NJ 07621Simon Walcott, Owner 23 North Street Bergenfield, NJ 07821
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
1/13/2015 |
01/12/2018 |
SIMONE, RENEE CRIVELLO (RPH) 403 SCOTT COURT UNION, NJ 07083
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/22/2010 |
|
SIMONETH, A'DAYJA AKA SIMMONETTI, A'DAYJA (CHHA) 711 CEDAR STREET LAKEHURST, NJ 08733
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/18/2017 |
|
SIMONETTI, DAVID VICE PRESIDENT 8 HIGHTOR ROAD NEW CITY, NY 10956
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
2/8/2012 |
2/7/2015 |
SIMONETTI, DOMENICO, PRESIDENT 6 HANFORD PLACE TARRYTOWN, NJ 10591
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
2/8/2012 |
2/7/2015 |
SINGH, MANJIT (MD) 12 HARRISON MOUNT LAKE RD RINGWOOD, NJ 07456
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
11/24/2007 |
|
SINGH, MANJIT (MD) 21 LEHMAN STREET MAHWAH, NJ 07430
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
2/24/1998 |
|
SINGH, PARAMJIT J. (MD) 5919 STUMPH ROAD, UNIT 4 CLEVELAND, OH 44130
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
3/20/2022 |
|
SINGH, PRITPAUL (MD) 9 KIMBERLY COURT VOORHEES, NJ 08043
NPI-1164717807 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/27/2021 |
Permanent |
SINGH, SAGGOO (MD) 485 S. DOBSON RD, STE 202 CHANDLER, AZ 85224
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
11/20/1995 |
|
SINGH, SURINDER (MD) 288 SUMMIT AVENUE JERSEY CITY, NJ 07306
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/23/2007 |
Permanent |
SINGLETON, RUSSELL (DMD) 401 BROADWAY CAMDEN, NJ 08103
NPI-1912166133 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/9/2014 |
1/10/2018 |
SINGLETON, WANDRA (LPN) 86 MELROSE AVENUE IRVINGTON, NJ 07111
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/5/2017 |
|
SINHA, BINOD (MD) 3 HELENE AVENUE EDISON, NJ 08820
NPI-1932201662 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/3/2017 |
Permanent |
SINHA, BINOD (MD) 3 HELENE AVENUE EDISON, NJ 08820
NPI-1932201662 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/6/2017 |
Permanent |
SINVANY-NUBEL, AVIVA (RN/APN) 683 DONALD DRIVE NORTH BRIDGEWATER, NJ 08807
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/20/2005 |
|
SIRIPURAPU, PADMA (MD) 201 LYONS AVENUE NEWARK, NJ 07112
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
2/15/2012 |
12/3/2020 |
SIRIPURAPU, PADMA (MD) 1 SCENIC HILLS COURT BELLE MEAD, NJ 08502
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
12/30/2014 |
12/3/2020 |
SIROTA, ALEKSANDR PO BOX 2000 LEWISBURG, PA 17837
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
8/19/2010 |
|
SISON, JOSEPH (MD) 41 BROWNSTON WAY STE 218 ENGLEWOOD, NJ 07631
NPI-1730110149 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/2/2011 |
|
SIVAKANTHA, SIVAGNANALIN (PSYCH) P.O. BOX 5503 SOMERSET, NJ 08875
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/20/2011 |
|
SKAGGS, MATTHEW A. 2127 QUAETHEM DRIVE CHESTERFIELD, MO 63005
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
1/20/2012 |
|
SKOPAL, THOMAS P O BOX 638 EASTON, PA 18042
NPI- |
Construction Poor Performance |
Disqualification Transportation NJ Turnpike Authority |
6/1/1993 |
Permanent |
SKORUPSKI, THOMAS (DO) 3 WELSH DRIVE FLORHAM PARK, NJ 07932
NPI-1033163167 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
10/27/2022 |
|
SKURATON, JEFFREY (RPH) WINGED FOOT DRIVE LIVINGSTON, NJ 07039
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/19/2008 |
|
SLAKIE, CHRISTINE (RN) 103 EDGE LANE WILLINGBORO, NJ 08046
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/19/2003 |
|
SLATER, BARBARA A. (LPN) 7 POINT ROAD TOMS RIVER, NJ 08753
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/18/2001 |
|
SLOAN, BARRY (DO) P.O. BOX 1186 MORAVIA, NY 13118
NPI-1770578262 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
7/20/2022 |
|
SLOAN, BARRY (MD) 1561 LEMOINE AVENUE FORT LEE, NJ 07024
NPI-1770578262 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
7/31/2018 |
|
SLOAN, DEBRA 31 SCHAAF ROAD BLOOMSBURY, NJ 08804
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
8/12/2012 |
|
SLOTNICK, SINO 1556 RIVER ROAD TEANECK, NJ 07666
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
Permanent |
SLOVER, SHAYLA NORTH MAPLE AVE. MARLTON, NJ 08053
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/4/2007 |
Permanent |
SMITH III, RUSSELL (LPN) 33 ORCHARD AVENUE PENNINGTON, NJ 08534
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
4/19/2007 |
|
SMITH III, RUSSELL P. (LPN) 714 S. PENNSYLVANIA AVENUE MORRISVILLE, PA 19067
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/22/2007 |
|
SMITH, ALPHONSO (MD) 421 WESTWOOD DRIVE #U WOODBURY, NJ 08096
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
7/31/2002 |
|
SMITH, CHARLES 1825 67TH AVENUE PHILADELPHIA, PA 19126
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
SMITH, DAVID J. (MD) 8930 W. SUNSET ROAD, SUITE 350 LAS VEGAS, NV 89148
NPI-1811930357 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/4/2023 |
|
SMITH, DWAYNE 12-14 ELM STREET APT 6 MONTCLAIR, NJ 07042
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/23/2007 |
|
SMITH, GARY W. 584 ERIAL ROAD SICKLERVILLE, NJ 08081
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
4/18/2013 |
4/17/2016 |
SMITH, JENNIFER LYNN 428 GLENWOOD AVENUE WILLIAMSPORT, PA 17701
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
SMITH, JOHANNA (LPN/RN) 1507 ATLANTIC AVENUE, APT. 65 MANASQUAN, NJ 08736
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
11/27/2018 |
11/10/2023 |
SMITH, KHALILAH (LPN) 32 ELIZABETH STREET HACKENSACK, NJ 07601
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/27/2018 |
|
SMITH, LAKESIA (CHHA) 2030 RIVERSIDE DRIVE, APT. 10B TRENTON, NJ 08618
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2017 |
|
SMITH, LARRY 183 SOUTH HIGHLAND AVENUE, APT. 1 YORK, PA 17404
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
SMITH, LAURA (LPN) OLD FREEHOLD ROAD TOMS RIVER, NJ 08753
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/18/2007 |
|
SMITH, LISA L. 584 ERIAL ROAD SICKLERVILLE, NJ 08081
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
4/18/2013 |
4/17/2016 |
SMITH, MARK (RPH) 1510 OCEAN PARKWAY, #18F BROOKLYN, NY 11230
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
3/28/2017 |
|
SMITH, TAMMY (CHHA) 203 LAKEVIEW BOULEVARD BROWNS MILLS, NJ 08015
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
SMITH, WILLIAM RT 1 35 WHITE TAIL ROAD SAN MARCOS, TX 78666
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
|
Permanent |
SMITH-DORSEY, JULIA (RN) 37 WINFIELD DRIVE PARSIPPANY, NJ 07054
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
8/2/2017 |
8/22/2019 |
SMITH-RENSHAW, AISLING (RN) 25 EAST FOREST GLEN DRIVE MILLVILLE, NJ 08332
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/20/2022 |
|
SMOLEV, JOSEPH M. (MD) 158 HAMILTON AVE PASSAIC, NJ 07055
NPI- |
Medical Poor Performance |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
Permanent |
SMOLIN, STEVE (RPH) 228 KINGS HIGHWAY BROOKLYN, NY 11223
NPI-1124184619 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/7/2001 |
Permanent |
SMUTEK, MICHELLE M. (LPN) 2115 FLORENCE AVENUE HAZLET, NJ 07735
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
10/20/2002 |
|
SNELL, PHILIP (MD) 217 PAULISON AVENUE PASSAIC, NJ 07055
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
Permanent |
SODANO, MICHAEL 708 FOREPEAK AVE BEACHWOOD, NJ 08722
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
Permanent |
SODANO, MICHAEL J. 708 FOREPEAK AVENUE BEACHWOOD, NJ 08722
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
1/6/1999 |
|
SOHN, YOUNG (PSYCH) 63 CARLOUGH ROAD U. SADDLE RIVER, NJ 07458
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/20/2000 |
|
SOKALSKY, BRIAN (DO) 11 BAYCREST DRIVE MARGATE CITY, NJ 08402
NPI-1881872828 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
7/11/2023 |
|
SOKHA, BORIS FCI FORT DIX FORT DIX, NJ 08640
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/20/2009 |
|
SOLARZ, LAUREN 1133 THACKERY CIRCLE VOORHEES, NJ 08043
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
7/19/1999 |
|
SOLBERG, BYRNE (MD) 103 FOXHALL LANE NARBERT, PA 19072
NPI-1710996871 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
SOLBERG, BYRNE (MD) 107 PENN STREET RIVERTON, NJ 08077
NPI-1710996871 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
11/21/2018 |
|
SOLIMANDO, LISA (LPN) 41 LONG VALLEY ROAD LODI, NJ 07644
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/28/2017 |
9/23/2022 |
SOLOMON, JENNIFER 142 BROAD STREET NEWARK, NJ 07104
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/25/2002 |
|
SOLOMON'S INVALID COACH 142 BROAD STREET NEWARK, NJ 07104SOLOMON, MARCUS 142 BROAD STRET NEWARK, NJ 07104
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/25/2002 |
|
SOLOMONOV, MIKHAIL (MD) 9 HAMILTON DRIVE SOUTH NORTH CALDWELL, NJ 07006
NPI-1225095672 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/17/2019 |
|
SOMERSET, WILLARD F. (RPH) 1123 BROAD ST NEWARK, NJ 07114
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
1/1/1988 |
Permanent |
SONG, KI I. (MD) 62 COTTAGE STREET JERSEY CITY, NJ 07306
NPI-1720138936 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
4/7/2011 |
Permanent |
SONG, YO-JUN (MD) 1857 DIAMOND HEAD DRIVE CASTLE ROCK, CO 80104
NPI-1982657540 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/28/2017 |
Permanent |
SONG, YOUNG 37 DEANNA DRIVE EAST HANOVER, NJ 07936
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
7/19/2010 |
7/19/2015 |
SONI, HARDIK (MD) 90 BEAUVOIR AVENUE SUMMIT, NJ 07901
NPI-1750498028 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/22/2017 |
|
SONZA, PATRICIO A. (MD) 8 CONSTITUTION WAY FLEMINGTON, NJ 08822
NPI-1316974850 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
11/20/2010 |
|
SORBELLO, TANYA J. (LPN) 460 NEW STREET EAST GLASSBORO, NJ 08028
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
2/19/2004 |
|
SORONGON, MARCELINO (MD) 192 SURREY COURT RAMSEY, NJ 07446
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/18/2000 |
|
SOSTOWSKI, RICHARD M. (MD) 250-1 BROOK HOLLOW LANE BERNARDSVILLE, NJ 07924
NPI-1003038951 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
11/20/2014 |
5/16/2016 |
SOTO, GREGORIO 153 LEWIS STREET PERTH AMBOY, NJ 08861
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
3/18/2015 |
|
SOYFER, ALEXANDER 104 MAPLE HILL DRIVE WOODBRIDGE, NJ 07095
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/20/2001 |
|
A & B INVALID COACH 655 AMBOY AVENUE WOODBRIDGE, NJ 07095SOYFER, ALEXANDER 655 AMBOY AVENUE WOODBRIDGE, NJ 07095
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/21/2002 |
Permanent |
SPADORA, BREKKE (RN) 35 WOODROW AVENUE FRANKLIN, NH 03235
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2018 |
|
SPAIN, ANTHONY B. (DMD) 113 CRESCENT AVENUE PLAINFIELD, NJ 07060
NPI-1437316098 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
5/28/2002 |
|
SPANIER, CYNTHIA (PSYCH) 530 BROOKDALE DRIVE PITTSBURGH, PA 15215
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
SPANO, ANTHONY (THERAPIST) 176 EVERGREEN STREET HILLSDALE, NJ 07642
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
11/20/2003 |
|
SPAVLIK, LAURIE (RDA) 200 EAST GRANT AVENUE SOMERDALE, NJ 08083
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
4/19/2001 |
|
SPEDALIERE, CARMINE (MD) 1601 KENNEDY BLVD. NORTH BERGEN, NJ 07407
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/19/1999 |
Permanent |
SPEKTOR, IOSIF G. (MD) 54 INDIAN DRIVE WOODCLIFF LAKE, NJ 07675
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/20/2000 |
|
SPIGNER, AKOSUA (RPH) 941 LINCOLN AVENUE GLEN ROCK , NJ 07452
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
5/15/2014 |
3/3/2020 |
SPINAPOLICE, JOSEPH (DO) 811 WASHINGTON ROAD PARLIN, NJ 08859
NPI-1063678670 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/1/2016 |
Permanent |
SPINELLI, PAULA (CHHA) 94 FAIR STREET HACKENSACK, NJ 07601
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/19/2017 |
|
SPIVEY, DEBRA (RN) 644 STUYVESANT AVENUE, APT. 2 TRENTON, NJ 08611
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/28/2017 |
|
SPLITTER, SAMUEL R.(MD) 1742 MARYLAND AVENUE CAPE MAY, NJ 08204
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/4/1998 |
Permanent |
SPYRIDON-MARKER, KAREN 25 ELKINTON ROAD ALLOWAY, NJ 08001
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
10/20/2002 |
|
ST. PETER, LISA PO BOX 2000 BRUCETON MILLS, WV 26525
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
11/17/2008 |
|
STANCH, JAMES (PSYCH) 160 S. LAKESHORE DRIVE MANAHAWKIN, NJ 08050
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/3/2006 |
Permanent |
STANCH, JAMES M. (PSYCH) FCI PO BOX 350 BEAVER, WV 25813
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
11/20/2008 |
|
Stanislaw Dziuba, Vice-President
,
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
2/11/2015 |
02/10/2018 |
STANKO-STRACK, MARY ELIZABETH (RN) 1348 MILLENNIUM COURT TOMS RIVER, NJ 08753
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/20/2010 |
|
STANKOVIC, VESNA (LPN) 25 GRAPHIC BLVD. BERGENFIELD, NJ 07621
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/5/2023 |
|
STANLEY, JAMES R. PO BOX 38, FCI FORT DIX, NJ 08640
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
12/20/2001 |
|
STANTON, FRANCIS X. (MD) 1327 CAMINITO BATEA LA JOLLA, CA 92037
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
10/18/2001 |
|
STARKMAN, MOISHE (MD) 2206 YELLOWSTONE ROAD CINNAMINSON, NJ 08077
NPI-1871609149 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/11/2017 |
Permanent |
STARR, MARTIN, OWNER 247 RARITAN BLVD. CLIFFWOD BEACH, NJ 07735
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
2/28/2012 |
2/27/2015 |
STAVITSKI, MICHAEL (RPH) 419 FAWNS RUN MORGANVILLE, NJ 07751
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
7/12/2002 |
|
STEEL, BURTON B. (MD) 1 ROUND HILL ROAD WASHINGTONVILLE, NY 10992
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
6/14/1984 |
DECEASED |
STEELE, JESSICA (RN) 8 SWEETBRIAR LANE LEVITTOWN, PA 19055
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/25/2019 |
|
STEFANELLI, DANETTE 91 EAGLE ROCK AVENUE, APT. A ROSELAND, NJ 07068
NPI-1831245760 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/28/2015 |
|
STEFANELLI, LEONARD (RPH) 11 DOGWOOD LANE EAST HANOVER, NJ 07936
NPI-1285958645 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
11/14/2014 |
Permanent |
STEFANELLI, LEONARD (RPH) 11 DOGWOOD LANE EAST HANOVER, NJ 07936
NPI-1285958645 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/29/2017 |
Permanent |
STEFANELLI, LEONARD (RPH) MDC BROOKLYN 80 29TH STREET BROOKLYN, NY 11232
NPI-1285958645 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/20/2015 |
Permanent |
STEFFEN, PAUL H. 4305 APPLE LANE PAULSBORO, NJ 08066
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/20/2001 |
|
STEFFENS, PAUL 1778 CALICO LANE TOMS RIVER, NJ 08753
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
4/23/2003 |
|
STEG, CHAIM CHARLES 1191 COUGHLIN STREET LAKEWOOD, NJ 08625
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
12/20/2022 |
|
STEGMULLER, JOSEPH (MD) 15 POINT DRIVE SOMERS POINT, NJ 08244
NPI-1093793911 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/7/2019 |
|
STEIG, HENRY S. (DPM) 827 CHARNWOOD DRIVE FRANKLIN LAKES, NJ 07417
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/19/1999 |
Permanent |
STEIN, MARSHA J. (MD) 5936 HOWE STREET PITTSBURGH, PA 15232
NPI-1831191022 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
3/27/2015 |
|
STEIN, MICHAEL P. (MD) FMC LEXINGTON LEXINGTON, KY 40512
NPI-1174607782 |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
8/20/2012 |
|
STEIN, MICHAEL P. (MD) 400 RTE. 10 WEST RANDOLPH, NJ 07869
NPI-1174607782 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/5/1999 |
|
STEINBRECHER, DEBRA (RN) 2302 WIMBLEDON WAY BLACKWOOD, NJ 08012
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
2/26/2010 |
|
STEINMAN, ARTHUR C. (DO) 301 MADISON AVE LAKEWOOD, NJ 08701
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
11/11/1991 |
Permanent |
STEPASCENKO, SVETLANA (CHHA) 100 STONE HILL ROAD, APT D-12 SPRINGFIELD, NJ 07081
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
1/22/2016 |
|
STEPHENS, ALICIA (PHARM TECH) 5322 RIVERSIDE STATION BL SECAUCUS, NJ 07094
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
11/20/2010 |
|
STEPHENS, GERALYN C. (CHHA) 16119 APRIL RIDGE DRIVE HOUSTON, TX 77083
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/28/2023 |
|
STEPHENS, JEFFREY 411 JAROB COURT POINT PLEASANT, NJ 08742
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
3/20/2007 |
|
STERNE, RICHARD (NP) 1492 NEWTON STREET PORT CHARLOTTE, FL 33952
NPI-1649673252 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/20/2022 |
|
Crider Americas Solar LLC 6063 FM 535 Cedar Creek, TX 78612Steven Crider, Member 507 Pressler Street Apt 2128 Austin, TX 78703
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
5/12/2014 |
05/11/2017 |
Testa Corp. 6 North Hill Dr Lynnfield, MA 01940Steven D. Testa, Owner 360 Audubon Rd Wakefield, MA 01880
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
5/28/2014 |
05/27/2017 |
Petric & Associates, Inc. 1162 Greenpond Road Newfoundland, NJ 07435Steven Petric, Vice-President 1162 Greenpond Rd Newfoundland, NJ 07435
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
6/8/2015 |
06/07/2018 |
STEVENS, FELICIA (LPN) 56 WERT AVENUE HAMILTON, NJ 08610
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
3/15/2018 |
|
STEVENS, TRACY M. (RN) 501 S. BERLIN AVE. EGG HARBOR CITY, NJ 08215
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
4/20/2003 |
Permanent |
STEWART, SANDRA J (RN)
,
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
3/30/2022 |
|
STEWART, SHANTE (CHHA) 16B WHITE HORSE PIKE WATERFORD WORKS, NJ 08089
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/22/2018 |
|
STIER, ERIC G. (DO) 891 OLENTANGY ROAD FRANKLIN LAKES, NJ 07417
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
3/6/2000 |
Permanent |
STILL, DAWN AKA ATKINS, DAWN (CHHA) 697 EVERETT STREET CAMDEN, NJ 08104
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/6/2018 |
|
STILLWAGON-AHLERS, DAWN (COUNSELOR) SUNSET LAKE ROAD HARDWICK, NJ 07825
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/20/2008 |
|
STILWELL, MELISSA (CHHA) 419 CATHERINE STREET SOMERVILLE, NJ 08876
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
2/19/2004 |
|
STIMMEL-KEAY, LINDA 5 DRAYTON PLACE WAYNE, NJ 07470
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
1/1/2014 |
|
STOKELBERG, SHOSHANA AKA KAUFMAN, SHOSHANA (LCSW) 349 JESTER COURT OLD BRIDGE, NJ 08857
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
7/15/2009 |
11/7/2014 |
STOKES, RONALD L. (CHHA) 124 6TH AVENUE LONG BRANCH, NJ 07740
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/19/2003 |
Permanent |
STOKLEY, TWANDA (CHHA) 1372 SPRINGFIELD AVENUE, APT. 1 IRVINGTON, NJ 07111
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/18/2017 |
|
STONE, MARY (RN) 132 CORBIN COURT LAKEWOOD, NJ 08701
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/19/2006 |
|
STONER-WISE, CHANDRA D. (LPN) 549 W. FRANKLIN ROAD GLASSBORO, NJ 08028
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/5/2023 |
|
STOUDEN, ELENA (DDS) EAST 83RD ST. NEW YORK, NY 10028
NPI-1619199882 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/19/2008 |
|
STOVEKEN, ANDREW 27-11 RAVENS CREST DRIVE PLAINSBORO, NJ 08536
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
5/15/2005 |
|
STRASHNOV, ALEKSANDR (CHHA) 4816 GONIAK DRIVE PARLIN, NJ 08859
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/18/2017 |
|
STRASSMAN, ALLAN 5 ROANOKE AVENUE ROCKAWAY, NJ 07886
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
12/1/1998 |
Permanent |
CARE-A-VAN WEST, INC. 120 SOUTH 20TH STREET IRVINGTON, NJ 07111STRASSMAN, ALLAN 5 ROANOKE AVENUE ROCKAWAY, NJ 07866
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
11/16/1998 |
|
CARE-A-VAN WEST, INC. 120 SOUTH 20TH STREET IRVINGTON, NJ 07111STRASSMAN, CAROL (PRES) 120 S. 20 TH STREET IRVINGTON, NJ 07111
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
3/16/1995 |
|
CARE-A-VAN WEST, INC. 120 SOUTH 20TH STREET IRVINGTON, NJ 07111STRASSMAN, WAYNE 2 NEW COUNTRY ROAD SECAUCUS, NJ 07094
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
3/5/1998 |
Permanent |
STRINE JR., WALTER M. 173 ROSE VALLEY RD. MEDIA, PA 19063
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
7/11/2001 |
6/15/2023 |
STROBECK, JOHN (MD) 12 PINE TREE DRIVE SADDLE RIVER, NJ 07458
NPI-1215936299 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/6/2016 |
|
STROGOV, EMILIA (DPM) COOPER ROAD SCOTCH PLAINS, NJ 07076
NPI-1225115801 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
3/24/1995 |
|
STRUM, MORTON W. 1360 ARBORDALE ROAD PHILADELPHIA, PA 19151
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
|
Permanent |
SUGGS, SHANTAYA (CHHA) 115 HALSTED STREET EAST ORANGE, NJ 07018
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
12/26/2017 |
|
SUH, JEFFREY (ACCUPUNCTURIST) FORT DIX FCI, PO BOX 2000 JOINT BASE MDL., NJ 08640
NPI-1336523497 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/23/2016 |
|
SULAIMON, TANFEEK (CHHA) 321 GARFIELD AVENUE TRENTON, NJ 08629
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/22/2018 |
|
SULIMENKO-HOFFMAN, KATHLEEN AKA HOFFMAN, KATHLEEN (LPN) 99 CREEK ROAD BRICK, NJ 08724
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/13/2018 |
|
SULLIVAN, CYNTHIA AKA CRITCHFIELD, CYNTHIA (RPH) PIN OAK COURT SHAMONG, NJ 08088
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
4/20/2008 |
6/15/2017 |
SULLIVAN, JOHN M. PO BOX 2000 LEWISBURG, PA 17837
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/30/1998 |
Permanent |
SULLIVAN, NOELLE (CHHA) H-9 HUNTER HILLS APARTMENTS FLEMINGTON, NJ 08822
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/14/2017 |
|
SUN, KENNETH (MD) 382 EPPS STREET WIND GAP, PA 18091
NPI-1881693109 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/3/2017 |
|
SUN, KENNETH (MD) 15 MOUNTAIN TOP ROAD WIND GAP, PA 18091
NPI-1881693109 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2018 |
|
SUNG, KYUNG EUN (DDS) 428 RUSSELL AVENUE EDGEWATER, NJ 07020
NPI-1215122205 |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
9/20/2012 |
2/19/2020 |
SURECK, MORRIS M. (OD) 12 NORTH 4TH AVENUE HIGHLAND PARK, NJ 08904
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
7/5/1988 |
Permanent |
SUSSMAN, GERALD (DO) 6 EAST FIRST AVENUE RUNNEMEDE, NJ 08708
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/20/1998 |
|
SUTTON, DEJA (CHHA) 802 MAIN STREET 1-3 TOMS RIVER, NJ 08753
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/2/2017 |
|
SVERDLOV, GREGORY 269 SHEFFIELD ST. MOUNTAINSIDE, NJ 07092
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/7/1998 |
Permanent |
SWAIN, CHERIE (CHHA) 2217 NORTH 43RD STREET PENNSAUKEN, NJ 08110
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
3/6/2018 |
|
SWARAY, MAYANGBE (CHHA) 314 MORRIS AVENUE NEWARK, NJ 07103
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/14/2014 |
|
SWEITZER, JANET 950 ORCHARD AVENUE, LOT 28 CAMP HILL, PA 17011
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
SYED, ABID 7 JANE STREET EAST HANOVER, NJ 07936
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
5/2/2023 |
|
SZARSZEWSKI, MARK A. (RPH) 6 MARIGOLD CT. EDISON, NJ 08820
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/20/2005 |
5/25/2023 |
SZTYBEL, ELVIRA 35 PEACHTREE ROAD OAKHURST, NJ 07755
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/18/2001 |
Permanent |
TABBY, DAVID S. (DO) 217 SPRINGHOUSE LANE MERION STATION, PA 19004
NPI-1346292901 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/4/2022 |
|
TABOTABO, ARMANDO (MD) 12 WQEST FRONT STREET KEYPORT, NJ 07735
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
4/12/2001 |
Permanent |
TADROS, AMIR (RPH) 6 ALEXANDER CT. JERSEY CITY, NJ 07305
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/30/2010 |
2/5/2018 |
TADROS, AMIR (RPH) 6 ALEXANDER COURT, APT 6N JERSEY CITY , NJ 07305
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
12/20/2012 |
2/5/2018 |
CITILAB CORPORATION 333 NORTH BROAD STREET ELIZABETH, NJ 07028TAFT, ARNOLD (PHD/LAB DIR) 333 NORTH BROAD STREET ELIZABETH, NJ 07028
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
7/21/1997 |
|
TAMILY, H. & VIRZI, J. P.O. BOX 164 JAMESBURG, NJ 08831
NPI- |
Vendor Organized Crime Control Act |
Suspension Treasury Treasury Purchase Bureau |
1/9/1996 |
|
TANDLER, ROBERT (OD) 792 GREEN LANE UNION, NJ 07083
NPI-1104812924 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
4/29/2016 |
10/27/2017 |
Victor Construction , Inc 4615 N. Front St 2nd Floor Philadelphia, PA 19140Tania Felix-Claudio, Owner 4615 N. Front St 2nd Floor Philadelphia, PA 19140
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
4/23/2014 |
04/22/2017 |
Tania Gaga, Vice-President
,
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
3/18/2015 |
03/17/2018 |
TAORMINA, PHILIP (MD) 1 APPLETREE LANE SEWELL, NJ 08080
NPI-1689810723 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/5/2018 |
|
TAPPER, FREDERIC S. (DO) 39 BROOKSIDE DRIVE WARREN, NJ 07059
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
8/21/2000 |
Permanent |
TAPPIA, YEALESEH (CHHA) 941 IVORIE COURT BURLINGTON, NJ 08016
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
TARA, HAROLD H. (MD) 48 BROOKWOOD DR WAYNE, NJ 07470
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
DECEASED |
TARANTO, SHERRY L. (DENTAL HYGIENTIST) 26 COOMES STREET NORWICH, NY 13815
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
12/2/2012 |
|
TARASEVICH, LISA AKA ADAIR, LISA (LPN) 206 LAKEHURST AVE., APT.B NATIONAL PARK, NJ 08063
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/19/2002 |
|
TARKAS, SURBHI 8 CARLTON COURT EAST BRUNSWICK, NJ 08816
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
6/23/2004 |
|
TARTE, DEWAYNE (LPN) 4014 HAMILTON DRIVE VORHEES, NJ 08043
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/17/2019 |
|
TARVER, JOLYCE (CHHA) 15 HEATHWOOD AVENUE JACKSON, NJ 08527
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/22/2017 |
|
TASCA, ANTHONY J. (RN) 11 SAWGRASS COURT BLACKWOOD, NJ 08012
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/20/2003 |
|
TASSAGLOY, GEORGE 105 CEDAR AVE WOODLYNNE, NJ 08107
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
2/19/2013 |
2/18/2016 |
TAUSCHEK, JENNIFER L. (CHHA) 154 MAPLE AVENUE TUCKERTON, NJ 08087
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/20/2005 |
|
TAVERA, CESAR 812 LONGWOOD AVENUE CHERRY HILL, NJ 08002
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/11/2017 |
|
TAVERA, MARIA 812 LONGWOOD AVENUE CHERRY HILL, NJ 08002
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/11/2017 |
10/3/2019 |
TAVERA, MARIA 812 LONGWOOD AVENUE CHERRY HILL, NJ 08002
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/3/2019 |
|
TAYLOR, BARBARA J. AKA MONDELO, BARBARA AKA DOMINICO, MARIA KENTWOOD BLVD BRICK, NJ 08724
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
10/24/2008 |
|
TAYLOR, JANICE (CHHA) 66 DUFFIELD DRIVE SOUTH ORANGE, NJ 07079
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
TAYLOR, KANIKA (CHHA) 17 HUNTINGTON TERRACE, FLOOR 2 NEWARK, NJ 07112
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/10/2019 |
|
TAYLOR, STEVEN R. (RN) 25 SYLVAN LANE WILLINGBORO, NJ 08046
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/20/2017 |
|
TAYLOR, THOMAS VINCENT (MD) 1402 CASTLE COURT HOUSTON, TX 77006-5704
NPI-1356454292 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/1/2017 |
|
TAYLOR, TIANN (RN) PO BOX 4004 CLINTON, NJ 08809
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
6/20/2006 |
|
TJD ConstructionTed Dobrzanski 138 Stonehenge Dr Toms River, NJ 08753Ted Dobrzanski, CEO 138 Stonehenge Dr Toms River, NJ 08753
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
2/25/2014 |
02/24/2017 |
TEDESCO, MATTHEW 218 BELHAVE AVENUE LINWOOD, NJ 08221
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
7/11/2023 |
|
TEDESCO, NICHOLAS 309 FOREST DRIVE LINWOOD, NJ 08221
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
7/11/2023 |
|
TEJADA, LEYDA TORREZ (CHHA) 12 KOSSUTH STREET NEWARK, NJ 07105
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/31/2023 |
|
TELANG, FRANK W. (MD) 1030 N. KINGS HGHWY CHERRY HILL, NJ 08034
NPI-1497798706 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
8/28/2014 |
|
TELANG, FRANK W. (MD) 1030 W. KINGS HIGHWAY CHERRY HILL, NJ 08034
NPI-1497798706 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/5/1997 |
Permanent |
TELGHEDER, MARGARET (LAB) 75 SPRING VALLEY RD MONTVALE, NJ
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/20/2002 |
|
TENDENCIA, CHONA (RN) 72 MANCHESTER COURT, APT D FREEHOLD, NJ 07728
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
2/19/2023 |
|
TENSLEY, SHENEQUA 364 EAST MOORE STREET NORRISTOWN, PA 19401
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
TERCHIO, GAETANO FRED 104 E PALISADE BLVD PALISADE PARK, NJ 07650
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
|
Permanent |
TERPENNING, CLARENCE (PHD) 303 CARTER ROAD PRINCETON, NJ 08540
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
11/19/1986 |
Permanent |
TERWILLIGER, KRISTINE (RN) 1 DUANE STREET JAMESBURG, NJ 08831
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/25/2016 |
|
TESCHNER, TERRI (PHARM TECH) 300 NORTH BLACK HORSE PIKE, APT. B1 RUNNEMEDE, NJ 08078
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/26/2016 |
|
THAMES, DOUGLAS A. (MD) 218 WEST AVENUE PITMAN, NJ 08071
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
3/20/2001 |
|
T. Fiore Demolition, Inc.same 9 Silver Spring Court East Hanover, NJ 07936Theodore Fiore, Owner 457 Wilson Ave Newark, NJ 07105
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
4/3/2014 |
04/02/2017 |
THEUNE, CHRISTOPHER (DO) 5678 BERKSHIRE VALLEY RD. OAK RIDGE, NJ 07438
NPI-1639141583 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
10/15/2012 |
10/15/2015 |
THEUNE, CHRISTOPHER (DO) 32 WARNER ROAD NEWTON, NJ 07860
NPI-1639141583 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/5/2017 |
|
THILLAINATHAN, ANANTHAKUMAR (MD) 5 CAMDEN PLACE NEW HYDE PARK, NY 11040
NPI-1285900621 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/15/2023 |
|
Thomas Clark Fiberglass, LLC 145 Old Halfway Rd Barnegat, NJ 08005Thomas Clark, Owner / Officer 145 Old Halfway Rd Barnegat, NJ 08005
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
10/23/2014 |
10/22/2017 |
Fittin Construction, LLC 2243 Edgar Rd Point Pleasant Beach, NJ 08742Thomas Fittin, Owner / Officer 2243 Edgar Rd Point Pleasant Beach, NJ 08742
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
2/24/2016 |
02/23/2019 |
THOMAS, ERIC (MD) 8460 EVERGREEN DRIVE HELENA , MT 59602
NPI-1528378072 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/22/2018 |
Permanent |
THOMAS, GWENDOLYN (LPN) 48 ROANOKE STREET WOODBRIDGE, NJ 07095
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/3/2017 |
|
THOMAS, LISA M. (CHHA) 402 UNION AV, APT. #3 IRVINGTON, NJ
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
4/20/1999 |
Permanent |
THOMAS, TANIQUE (CHHA) 447 PREAKNESS AVENUE PATERSON, NJ 07502
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/17/2018 |
|
THOMAS-MCNAIR, GLORIA 590 BELLVUE AVENUE TRANTON, NJ 08618
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/21/1999 |
|
THOMPSON, ARTHUR V. 855 THORNHILL COURT LAKEWOOD, NJ 08701
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
1/19/2010 |
|
THOMPSON, DAPHNE (CNA) 2247 HIGH STREET ORANGE, NJ 07050
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
3/29/2002 |
|
THOMPSON, DEBORAH (LPN) 1006 COLLINGS AVE. CAMDEN, NJ 08102
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/19/2003 |
|
THOMPSON, KENNETH H. (EMT) 408 SADDLE COURT FLEMINGTON, NJ 08822
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
4/28/2003 |
|
THOMPSON, LORNA (MD) 20 OAK POINT DRIVE SO. BAYVILLE, NY 11709
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/20/2000 |
|
THOMPSON, SHAKEEMA (CHHA) 1034 ANNA STREET ELIZABETH, NJ 07201
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/26/2018 |
7/12/2022 |
THOOMPALLY, SRINATH (RPH) 18 LAFAYETTE CIRCLE TOTOWA, NJ 07512
NPI-1235381443 |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
12/5/2013 |
12/17/2015 |
THOTTEMPUDI, VENKATTA 13 VINCENT BEHAN BLVD EDISON, NJ 08837
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
4/12/2012 |
|
THOTTEMPUDI, VENKATTA 13 VINCENT BEHAN BLVD EDISON, NJ 08837
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
9/9/2013 |
|
THUMMEL, HOPE (LPN) 246 WEST BROAD STREET PAULSBORO, NJ 08066
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/9/2019 |
|
TICE, LINDSEY (LPN) 20 PARVINS MILL ROAD BRIDGETON, NJ 08302
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/20/2005 |
|
TIDD, MILES (LPN/RN) 26 CORAL TREE CT. TRENTON, NJ 08648
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/20/2005 |
1/9/2012 |
TIGHE, GERALD 20 SOUTH ARLENE DRIVE WEST LONG BRANCH, NJ 07764
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
12/26/2018 |
|
TIMMONS, JAWANNA (CHHA) 609 FOURTEENTH AVENUE, 1ST FL PATERSON, NJ 07504
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/10/2018 |
|
TJB Air Conditioning And Heating 2305 Garry Rd Suite A Cinnaminson, NJ 08077Timothy Babbitt, Owner 2305 Garry Rd Suite A Cinnaminson, NJ 08077
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
3/1/2016 |
02/28/2019 |
Wallmasters Modular Inc. 2745 SR668N Junction City, OH 43748Timothy Morrison, President 226 Mutual Avenue Winchester, KY 40391
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
7/29/2014 |
07/28/2017 |
TISCORNIA, KIMBERLY (RN) 18 TORNE MOUNTAIN ROAD WEST MILFORD, NJ 07480
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/20/2005 |
|
TITUS, AJEEB JOHN (MD) 354 CLICKO LANE EAST STROUDSBURG , PA 18301
NPI-1124065966 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2023 |
|
TOBACK, BARRY (RPH) 1375 RIVER RD. EDGEWATER, NJ 07020
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/19/2003 |
Permanent |
Todd Cable Construction, LLC P.o. Box 215 Newport, NY 13416Todd E. Warmingham, Owner 151 Old State Rd Newport, NY 13416
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
4/27/2015 |
04/26/2018 |
TOFANI, NANCY 114 COUNTY ROAD 513 PITTSTOWN, NJ 08867
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/14/2000 |
8/29/2022 |
TOMASELLO, JOHN J., PRESIDENT 140 RYANS RUN SICKLERVILLE, NJ 08081
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
6/27/2012 |
6/26/2015 |
TOMLIN, CANDICE (PHARM TECH) 38-19 FAIRLAWN AVENUE FAIRLAWN, NJ 07410
NPI-1255517934 |
Medical Wage & Hour Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
9/9/2016 |
3/16/2023 |
TOMLIN, TERESA L. (DPM) 232 KRISTINE AVENUE MANAHAWKIN, NJ 08050
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
3/5/2008 |
|
TOMPKINS, AMBER (LPN) 17 LEHIGH ROAD PARLIN, NJ 08859
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/15/2018 |
|
TONG, DARLENE M. (RPH) 108 LOWER LANDSDOWN ROAD ANNADALE, NJ 08801
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
11/12/2009 |
|
TORCHIA, LEONARD, MEMBER 5 LUCY COURT POMPTON PLAINS, NJ 07444
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
1/9/2012 |
1/8/2015 |
TORCHIA, MARYJO AKA LONISIN, MARYJO PO BOX 1033 WEST CALDWELL, NJ 07007
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
1/9/2012 |
1/8/2015 |
TORIBIO, ANTHONY (X-RAY TECH) 11 BYRON DRIVE LOPATCONG, NJ 08865
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/28/2001 |
|
TORNARI, VINCENT 637 HARRISON DRIVE NORTHFIELD, NJ 08225
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
7/11/2023 |
|
TORO, NORMARY (CHHA) 1173 ATLANTIC AVENUE, APT. B CAMDEN, NJ 08104
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
TORPPEY, JONI (LPN) 28 CHURCH ROAD NEWTON, NJ 07860
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/5/2017 |
|
TORRES, FRANCES 437 STUYVESANT AVENUE APT IRVINGTON, NJ 07111
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/27/2007 |
|
TORRES, JAIME 14 STREET, U-25 VILLARICA BAYAMO, PR 00959
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/7/2000 |
|
TORRES, MANUEL G. ST. 18 ATE, PRADERA TOA BAJA, PR 00940
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/7/2000 |
|
TORRES, MILESTY (CHHA) 407 NORTH 31ST STREET CAMDEN, NJ 08105
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/31/2017 |
|
TORRES, NELLY (CHHA) 119 WEST GRAPE STREET VINELAND, NJ 08360
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/2/2023 |
|
TORRESS, KRISTINA (CHHA) 53 STEGMAN STREET, APT. #4 JERSEY CITY, NJ 07305
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/24/2018 |
|
TOSCANO, SYLVIA 13 NORTHGATE WAY TOMS RIVER, NJ 08753
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
8/12/2013 |
11/14/2018 |
TOTH, TEREZIA M. (MD) 9 N 2ND AVE. HIGHLAND PARK, NJ 08904
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/6/2006 |
|
TOUSSAINT, VALENTINA 240 WEST 104TH STREET NEW YORK, NY 10025
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2006 |
|
TOY, SUSAN 727 SUMMIT ROAD UNION, NJ 07083
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/9/2017 |
|
TRACY, DORIS (RN) 90 CITADEL DRIVE JACKSON, NJ 08527
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2024 |
|
TRASTER, LAWRENCE 19 BRAEMAR DRIVE WAYNE, NJ 07470
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
9/21/1983 |
Permanent |
TRAVERSO, JOSEPH L. (MD) 5 OLD SALEM ROAD W. ORANGE, NJ 07052
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/20/2005 |
|
TRAYNOR, PATRICK 2314 WOODLAND ROAD ABINGTON, PA 19001
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
12/5/2003 |
|
TREGO-CAMPION, ANITA (RPH) 136 S. FELLOWSHIP ROAD MAPLE SHADE, NJ 08052
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/20/2005 |
|
TREMO, GREGORY (RPH) 13276 WHIPPINGHAM PARKWAY NEW CARROLTON, VA 23314
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
11/20/2006 |
|
TRENTACOSTA, GREG S. (DC) 1565 RATZER RD. WAYNE, NJ 07470
NPI-1720293079 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/20/2005 |
|
TRINIDAD, TITO B. (MD) PO BOX 1000 #10912-068 LEWISBURG, PA 17837
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
11/10/1996 |
|
TRIVEDI, AMRITAL (PHD) 20 CYPRESS ROAD BURLINGTON, NJ 08016
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
5/2/1978 |
Permanent |
TROLLINGER, ROBERT J. (MD) 212 ROUTE 541 NORTH MEDFORD, NJ 08055
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
10/10/2001 |
Permanent |
, TSIRKINA, NATALIA 13675 PHILMONT AVENUE PHILADELPHIA, PA 19116
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
TUCHMAN, ALAN P. (DPM) WEST MAIN STREET FREEHOLD, NJ 07728
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
4/21/2008 |
8/29/2011 |
TUCKER, APRIL (CHHA) 193 BENNER AVENUE NEWARK, NJ 07112
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/14/2017 |
|
TUCKER, BURT A. (DDS) 530 BRICK BLVD BRICKTOWN, NJ 08723
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
12/31/1999 |
DECEASED |
TUCKER, KAREN, E. (DPM) 1 ERYNWOOD AVENUE MARLTON, NJ 08053
NPI-1992052930 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
7/20/2002 |
7/15/2016 |
TUCKER, SUZANNE (RN) 127 GAYWOOD AVENUE COLONIA, NJ 07067
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/20/2001 |
|
TULSANIA, NITAN 40 BROOKSIDE ROAD EDISON, NJ 08817
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
4/27/2004 |
|
TUMAS, MARY (DC) 537 FISK AVENUE BRIELLE, NJ 08730
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/28/2014 |
|
TUMIWA, ARNOLD (RN) 44 CIRCLE PLACE LAKEWOOD, NJ 08701
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/2/2018 |
|
TUNG, MING C. (DPM) MITCHELL AVENUE EAST BRUNSWICK, NJ 08816
NPI-1043387608 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/24/2007 |
|
TURTON, IAN (LPN) 52 BAY SHORE DRIVE TOMS RIVER, NJ 08753
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/24/2018 |
|
TWEED, DONNA (RN) 60 BAYSHORE ROAD CAPE MAY, NJ 08204
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/30/2019 |
Permanent |
TYER, DOUGLAS D. 175 1ST STREET APT. 16L NEWARK, NJ 07102
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/22/2005 |
|
TYRELL, MARK N. (RPH) 58 HAVERHILL AVE. LITTLE FALLS, NJ 07424
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/19/2004 |
|
TYSHKOV, MICHAEL (MD) 87 SHREWSBURY ROAD LIVINGSTON, NJ 07039
NPI-1902882038 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/8/2019 |
Permanent |
UDEOKORO, IKECHUKWU 19-21 AGATE PLACE, SUITE 1A NEWARK, NJ 07104
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
2/7/2023 |
|
UHLIG, CYNTHIA 204 WYOMING STREET WESTFIELD, NJ 07090
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/20/2006 |
|
UHUNMWANGHO, OZIEGBE (CHHA) 818 SOUTH 18TH STREET NEWARK, NJ 07108
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/12/2017 |
|
Uju A. Obiorah, President 358 Broadway Suite 202 Newark, NJ 07104
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
5/16/2014 |
5/15/2017 |
UKO, BRIDGET (CHHA) 47 HEMPSTEAD DRIVE SOMERSET, NJ 08873
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/14/2017 |
Permanent |
UMSTEAD, LINDA (CHHA) 143 NORTHUMBERLAND DRIVE TOMS RIVER, NJ 08757
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/9/2018 |
|
URVINA, GINA (CHHA) 169 JACKSON STREET, APT. 3 PASSAIC, NJ 07055
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/31/2017 |
|
VACCARINO, ROBERT A. (MD) 27 BEACH 220TH STREET BREEZY POINT, NY 11697
NPI-1922086354 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
7/25/2023 |
|
VACCARINO, ROBERT A. (MD) 27 BEACH 220TH STREET BREEZY POINT, NY 11697
NPI-1922086354 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/20/2023 |
|
TNT MEDICAL SUPPLIES 135 HAZEL STREET, APT. 65 CLIFTON, NJ 07011VALDES JR., ALFREDO 135 HAZEL STREET, APT. 65 CLIFTON, NJ 07011
NPI-1780644427 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
1/29/2018 |
|
VALENCIA, RAFAEL (MD) 146 LAKEVIEW DRIVE GIBBSBORO, NJ 08026
NPI-1518045525 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/9/2017 |
Permanent |
VALENTINO, STEVEN JOHN (DO) 406 WILLIAMSON ROAD GLADWYNE, PA 19035
NPI-1366400798 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
5/18/2023 |
|
VALENZUELA, ROGER (CHHA) 517 LINCOLN STREET UNION CITY, NJ 07087
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
VALLEJOS, ANA (CHHA) 943 NORTH BROAD STREET ELIZABETH, NJ 07208
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/14/2007 |
|
VALMON, CAMILLE (CHHA) 1106 SUMMER WIND DRIVE JONESBORO, GA 30236
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
VANDYK, TRICIA 1412 ISABELLE COURT BRICK, NJ 08724
NPI- |
Medical Criminal Offense |
Disqualification Health & Senior Services Medical Assistance (Medicaid) |
8/11/2012 |
8/10/2014 |
VANSCIVER, SUZANNE (RN) 1187 NESHAMINY VALLEY DRIVE BENSALEM, PA 19020
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/28/2017 |
|
VARGAS, IRCANIA (RN) 618 HILLTOP DRIVE APT B9 TRENTON, NJ 08621
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
8/31/2023 |
|
VARSOS, ARISTIDES G. (MD) 28 47 37TH ST ASTORIA, NY 11103
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
2/24/1986 |
DECEASED |
INDEPENDENCE MEDICAL TRAN 3 PARKWOOD DRIVE SOUTH AMBOY, NJ 08879VASKO, OLGA 3 PARKWOOD DRIVE SOUTH AMBOY, NJ 08879
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/10/2003 |
11/18/2019 |
VASOYA, PRAVIN #41549-050 (MD) METROPOLITAN DETENTION CN BROOKLYN, NY 11232
NPI-1770665135 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/1/2009 |
|
VASSERMAN, ALEKSANDR (PARAMEDIC) 851 RED LION ROAD PHILADELPHIA, PA 19115
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
VASSERMAN, IRINA 851 RED LION ROAD PHILADELPHIA, PA 19115
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
VASTEY, GARDY (DC) 1144 USTLER ROAD APOPKA, FL 32712
NPI-1114148806 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/28/2017 |
|
VASWANI, VIJAY 9 TYNEMOUTH DRIVE LUMBERTON, NJ 08048
NPI-1194785956 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
2/15/2016 |
|
VAZQUEZ, AIDA I. (CHHA) 1464 PRINCESS AVENUE, APT. 2 CAMDEN, NJ 08103
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/28/2023 |
|
VECCHIONE, JOHN (DDS) 2 LORRAINE DRIVE PARK RIDGE, NJ 07656
NPI-1710926076 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
8/31/2016 |
|
VECCHIONE, JOHN (DDS) 1 CAROL DRIVE ENGELWOOD CLIFFS, NJ 07632
NPI-1710926076 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2017 |
|
VEGA, DEBORAH 2409 BOOKER AVENUE UPPER CHICHESTER, PA 19014
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
VEKEMAN, JEFFREY DENNIS (RN) 114 KARENLYNN DR FRANKINVILLE, NJ 08322
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/24/2023 |
|
VELEZ, MAXIMINA (CHHA) 119 19th STREET UNION CITY, NJ 07087
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/31/2023 |
|
VELOSO, CESAR (MD) 532 AMSTERDAM AVENUE RIDGEWOOD, NJ 07450
NPI-1104800333 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/20/2018 |
|
VENANZI, ENZO (DO) 107 NORTH BROAD STREET WOODBURY, NJ 08096
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
9/9/1996 |
Permanent |
VENKATRAM, PRABHAKAR (MD) 3305 VILLAGE DRIVE AVANEL, NJ 07001
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
11/28/1998 |
Permanent |
VENTURA, MARIA (CHHA) 135 BELMONT STREET #204 JERSEY CITY, NJ 07304
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/22/2017 |
|
VERBARO, DENNIS (DC) 384 MAIN STREET CHESTER, NJ 07930
NPI-1558426122 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/1/1998 |
Permanent |
VERCHIO, ROXANNE 820 BOWERS AVENUE RUNNEMEDE, NJ 08078
NPI- |
Vendor Criminal Offense |
Suspension Treasury Treasury Purchase Bureau |
8/27/2001 |
|
VERDELL, CLARENCE (MD) 107 WHITEHALL DRIVE VOORHEES , NJ 08043
NPI-1649206376 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/20/2018 |
|
Verduci, Michael 12 Verduci Drive Newtown, PA 08940
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
5/26/2015 |
5/25/2018 |
VERGARA, NATALIE (LPN) 2413 FEDERAL STREET, UNIT 11 PHILADELPHIA, PA 19146
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/30/2023 |
|
VERRONE, BILL (OWNER) 57 WEINNEMANNS BLVD. WAYNE, NJ 07470
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
2/16/2012 |
2/15/2015 |
VICENTI, CARMILLA C. (MD) 40-15 QUAIL RIDGE RD. PLAINSBORO, NJ 08536
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
3/18/1999 |
|
VICIOSO, MARGARITA (MD) 7801 BUSTLETON PIKE PHILADELPHIA, PA 19152
NPI-1922058932 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/29/2015 |
|
VIGGIANO, DIANE (RN) 188 COACHMAN DRIVE N FREEHOLD, NJ 07728
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/22/2017 |
5/17/2022 |
VILLAMOR, MANUEL (THERAPIST) 9030 SW 29TH TERRACE MIAMI, FL 33155
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
3/20/2005 |
|
COMPACTION SYS. OF CONN. 1200 OAK POINT AVENUE BRONX, NY 10474VILLANI, BENNY 51 EAGLE RIM ROAD UPPER SADDLE RI, NJ 07458
NPI- |
Vendor Organized Crime Control Act |
Suspension Treasury Treasury Purchase Bureau |
12/26/1996 |
|
VILLANI, BENNY 51 EAGLE RIM ROAD UPPER SADDLE RV, NJ 07458
NPI- |
Vendor Organized Crime Control Act |
Suspension Treasury Treasury Purchase Bureau |
12/26/1996 |
|
VILLANUERA, GABRIEL 392 SIP AVENUE #2 JERSEY CITY, NJ 07306
NPI- |
Vendor Other |
Debarment Law and Public Safety 1020 |
|
Permanent |
VILLARE, ANTHONY (MD) 560 MANTUA AVENUE PAULSBORO, NJ 08066
NPI-1114954054 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/15/2022 |
|
VILLARE, ANTHONY (MD) 560 MANTUA AVENUE PAULSBORO, NJ 08066
NPI-1114954054 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/30/2023 |
|
VILLARE, ANTHONY WILLIAM (MD) 53045 LAKESHORE PLACE BETHANY BEACH, DE 19930
NPI-1114954054 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/20/2023 |
|
VILLONE, MARY DUNMORE STREET THROOP, PA 18512
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
5/4/2005 |
|
VILSHTEYN, ROSTISLAV 50 PAMELA LANE STATEN ISLAND, NY 10304
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
10/31/2012 |
|
Vincent Frank Cammarata, Owner
,
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
2/24/2016 |
02/23/2019 |
Mattina Construction LLC 22 Toms River Rd Jackson, NJ 08527Vincent Mattina, Owner 22 Toms River Rd Jackson, NJ 08527
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
12/15/2014 |
12/14/2017 |
VINCI, JUDITH (RN) 202 BRUNSWICK AVENUE SPOTSWOOD, NJ 08884
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/19/2003 |
|
VINING, DONNA (DO) 33 1/2 PEMBROKE ROAD DANBURY, CT 06811
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
7/5/2001 |
Permanent |
VINUELA, ANDRES (MD) 1910 NE 27TH COURT, APT. 1 LIGHTHOUSE POINT, FL 33064
NPI-1649539479 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
7/15/2019 |
|
VIRZI, JOSEPH PO BOX 164 JAMESBURG, NJ 08831
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
1/9/1996 |
|
VISCOMI, DOMINIC A. (DDS) 926 DUCK POND ROAD NEWTON, NJ 07860
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
5/31/2001 |
Permanent |
VISCONTI, PAUL A. (DO) 120 OLD COMMACK ROAD KINGS PARK, NY 11754
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
6/27/2001 |
10/25/2013 |
SURF PHARMACY 17 CORNELL PLACE ENGLISHTOWN, NJ 07726VITALE, JACK (RPH) 17 CORNELL PLACE ENGLISHTOWN, NJ 07726
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
6/22/1999 |
Permanent |
VITALE, JACK (RPH) 17 CORNELL PLACE MANALAPAN, NJ 07726
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/2/2000 |
|
VITALI, JOHN (MD) 1 SHIRA LANE MANALAPAN, NJ 07726
NPI-1609829985 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
1/22/2016 |
4/5/2022 |
VITALI, JOHN (MD) 1 SHIRA LANE MANALAPAN, NJ 00726
NPI-1609829985 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/3/2016 |
4/5/2022 |
VOGEL III, FRANK (MD) 271 BELMONT PLACE MAHWAH, NJ 07430
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
8/28/2014 |
|
VOGEL, BARRY M. (MD) 200 HIGHLAND AVENUE GLEN RIDGE, NJ 07028
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
9/8/2000 |
Permanent |
VOROBYEV, LEONID (MD) PERRY STREET MORGANVILLE, NJ 07751
NPI-1245259431 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/20/2008 |
6/17/2014 |
VOUDOURIS, APOSTOLOS (MD) 3 HUNTERS CROSSING ROAD SOMERSET, NJ 08873
NPI-1801160767/0902842446/1235437534 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/16/2017 |
|
VOUDOURIS, APOSTOLOS (MD) 3 HUNTERS CROSSING ROAD SOMERSET, NJ 08873
NPI-1801160767/0902842446/1235437534 |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
12/3/2018 |
|
VOUDOURIS, APOSTOLOS (MD) FMC DEVENS, PO BOX 879 AYER, MA 01432
NPI-1801160767/0902842446/1235437534 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/18/2019 |
|
VOUDOURIS, APOSTOLOS (MD) 130 WADSWORTH AVENUE, APT. 62 NEW YORK, NY 10033
NPI-1902842446 / 1801160767 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/18/2019 |
|
VOYTENKO, CONSTANTINE (DC) 2780 WEST 5TH STREET, APT 12A BROOKLYN, NY 11224
NPI-1174556229 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/11/2016 |
|
VOZNYUK, PETRO (CHHA) 5 PULAWSKI AVENUE SOUTH RIVER, NJ 08882
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
4/18/2017 |
|
VOZNYUK, PETRO (CHHA) 5 PULAWSKI AVENUE SOUTH RIVER, NJ 08882
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2017 |
|
WACTOR, DONNA (RN) 71 FOREST STREET MONTCLAIR, NJ 07042
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/19/2003 |
|
WADE, ROBIN R. aka REATH, ROBIN R. (RN) 98 OAK STREET, APT 4007 LINDENWOLD, NJ 08080
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/11/2023 |
|
WAGERS, DAVID (OD) 540 OLD FARM ROAD PALMYRA, PA 17078
NPI-1710928239 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
WALDRON, JOHN F. 920 CEDARBRIDGE ROAD BRICKTOWN, NJ 08723
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/21/1979 |
Permanent |
WALKER, ASHLEY (RN/PA) 841 HILLTOP ROAD ERIE, PA 16509
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
WALKER, BARBARA (CHHA) 120 ORATON PARKWAY EAST ORANGE, NJ 07017
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/20/2002 |
|
WALKER, RUSSELL 910 MORNING GLORY COURT JACKSON, NJ 08527
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
1/10/2010 |
|
WALLER, ALFONSO (MD) 131 37TH STREET UNION CITY, NJ 07087
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
9/14/1983 |
Permanent |
WALLIS, JODIE (RN) 601 FAIRVIEW LANE WILLINGBORO, NJ 08046
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/18/2001 |
|
WARD, CARMEN 402 WILLOW COURT FLEMINGTON, NJ 08822
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
12/14/2022 |
5/25/2023 |
WARD, KEVIN (DDS) 27 FIRETOWER ROAD BUDD LAKE, NJ 07828
NPI-1487842647 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
9/15/2017 |
|
WARMINGTON, TODD E. P.O. BOX 215 NEWPORT, NY 13416
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
4/27/2015 |
4/26/2018 |
WASHINGTON JR., ANKOMO (CHHA) 174 EAST 6TH STREET CLIFTON, NJ 07011
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
WASHINGTON, JOHN 2 TUERS PLACE MONTCLAIR, NJ 07043
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
4/29/1997 |
|
WASHINGTON, WAH'TAYVIA (CHHA) 144 BIDWELL AVENUE JERSEY CITY, NJ 07305
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
WASHINGTON-BHAMRE, SHARON (RN) 166 MAPLE STREET, APT. 23 ROSELLE PARK, NJ 07204
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/2/2020 |
|
WASSEF, ADEL A. (MD) 123 SOUTH MUN AVENUE EAST ORANGE, NJ 07019
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
2/18/1998 |
Permanent |
WATSON, LORENZO 500 ADAMS LANE NORTH BRUNSWICK, NJ 08902
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/21/2016 |
|
WATSON, MARC C. (MD) 912 POMPTON AVE #9B1 CEDAR GROVE, NJ 07009
NPI-1578605929 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
4/1/2001 |
9/23/2022 |
WATSON, TRACEY L. (LPN) 1 GRUMMAN AVE. APT. 4F NEWARK, NJ 07112
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/23/2006 |
|
WATZMAN, HOWARD (MD) PO BOX 1000 LORETTO, PA 15940
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
8/30/2007 |
|
WEAH, JEROME P.O. BOX 190 AVENEL, NJ 07001
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
1/14/2011 |
|
WEATHERS, DAVID 4368 WILDER AVENUE BRONX, NY 10466
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
5/2/2023 |
|
WEBB, ALNESHA (CHHA) 328 IRVINE TURNER ROAD NEWARK, NJ 07108
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/29/2018 |
|
WEBB, CURTIS O. (RN) 110 CROSSHILL DR BANGOR, PA 18013
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
12/19/2002 |
|
WEBB, LATISA (CHHA) 1060 BROAD STREET, APT. 504 NEWARK, NJ 07102
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/9/2019 |
|
WEBER, MARC (DDS) 326 BROAD STREET RED BANK, NJ 07701
NPI-1609064062 |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
11/5/2009 |
9/30/2010 |
WEBER, MARGARET (LPN) 2920 STATE RTE. 23 NEWFOUNDLAND, NJ 07435
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
12/18/2003 |
|
WEIDER, ABE 3301 FOSTER AVENUE BROOKLYN, NY 11203
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
12/21/2001 |
|
WEIGAND, DAVID (RN) 310 VILLAGE DRIVE SOMERSET, NJ 08873
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
3/20/2001 |
|
WEIN, FRED R. (RPH) 111 TANGERINE DRIVE MARLBORO, NJ 07746
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/19/2005 |
|
WEINSTEIN, LEONARD (MD) 1 TRENT ROAD MONROE TWP., NJ 08831
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/20/2003 |
RETIRED |
WEINSTEIN, MARTIN H. (DPM) 601 2ND AVENUE LONG BRANCH, NJ 07740
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/19/2008 |
|
WEINTRAUB, FREDERICK (DPM) 17 HARVEY LANE UPPER SADDLE RIVER, NJ 07458
NPI-1225131550 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/15/2016 |
|
MANAGEMENT CORP. OF AMERI 8900 S.W. 61ST STREET MIAMI, FL 33156WEISELBERG, ALAN 8900 S.W. 61ST STREET MIAMI, FL 33156
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/5/2000 |
Permanent |
WEISS, CHERIE (PA) 801 ABBY ROAD MIDDLETOWN, NJ 07748
NPI-1861435828 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
12/16/2015 |
|
WEISS, MURRY 80 SKY MEADOW WHITE PLAINS, NY 10607
NPI- |
Professional Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
|
Permanent |
WELCH, SHIRLEY SCENIC DRIVE FREEHOLD, NJ 07728
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/20/2007 |
|
WELLES, ANTONNETTE (CHHA) 124 S. OLDEN AVENUE TRENTON, NJ 08609
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
WELLS, CHRISTOPHER W. (RPH) WARRENS WAY WANAQUE, NJ 07645
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
10/1/2007 |
|
WELLS, TAMARA (RN) 13 HENRY STREET BERGENFIELD, NJ 07621
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/8/2018 |
|
WELLS, WARREN (CHHA) 202 BEAR BROOK ACRES DRIVE MADISON TOWNSHIP, PA 15663
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
WERBIN, MARIS AKA WHITNEY, MARIS (RPH) 126 RIVER DRIVE LAKE HIAWATHA, NJ 07034
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/20/2006 |
|
WERTHEIM, HOWARD (RPH) 19 KNOB HILL ROAD HACKETTSTOWN, NJ 07840
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
12/20/2004 |
|
WERTHEIM, HOWARD (RPH) 696A FRIAR COURT MANCHESTER, NJ 08759
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/12/2016 |
|
WERTHEIM, MARC (DDS) 24 MERCHANTS WAY P.O. BOX COLTS NECK, NJ 07722
NPI-1306910427 |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
8/25/2009 |
|
WERTHEIM, MARC (DDS) 80 E. JOSEPH STREET MOONACHIE, NJ 07074
NPI-1306910427 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
1/20/2013 |
|
WESHNAK, NADIA (RN/LPN) 382 WOOD LAKE MANOR DR. LAKEWOOD, NJ 08701
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/20/2002 |
|
Beckett Enterprises, Inc. P.O. Box 334 Malaga, NJ 08328Wesley J. Beckett Jr., President 110 Oak Avenue Malaga, NJ 08328
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
1/6/2014 |
01/05/2017 |
WESLEY, JOSEPH W. (MD) 246 N FRANKLIN TPK RAMSEY, NJ 07446
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/19/2002 |
|
WESLEY, LACHAW'YA (CHHA) 732 OCEAN AVENUEM APT. 11 LONG BRANCH, NJ 07740
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/18/2017 |
|
WESLEY, NUEDAH 10 ROANOKE COURT WILLINGBORO, NJ 08046
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
5/28/2013 |
|
WESTON, MARC (OD) 16 BARNETT ROAD LAWRENCEVILLE, NJ 08648
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
Permanent |
WHARTON, AMANDA aka AMANDA HIENKEL (LPN) 601 HOWLAND AVENUE NORTH CAPE MAY, NJ 08204
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/17/2022 |
|
WHETSTONE, RHONDA (CHHA) 73 PEABODY PLACE NEWARK, NJ 07104
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/27/2017 |
|
WHITE, CAMEO (CHHA) 493 SUMMERS STREET, #1 PATERSON, NJ 07501
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/9/2018 |
|
WHITE, MEGHAN AKA MCLEOD, MEGHAN (CHHA) 271 SERPENTINE DRIVE BAYVILLE, NJ 08721
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/8/2019 |
|
WHITE, PHAEDRA J. (RN) 1107 N SALINA ST. #2 SYRACUSE, NY 132082
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
11/20/2008 |
Permanent |
WHITE, WAYNE (RPH) 11001 NORTHWEST 17TH AVENUE MIAMI, FL 33167
NPI-1366717514 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
WHITE, WENDELL (CHHA) 106B CHAUCER ROAD MOUNT LAUREL, NJ 08054
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
10/25/2003 |
|
WHITEHEAD, TARCHEEKA (CHHA) 1751 OLIVER STREET RAHWAY, NJ 07065
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
WHITEMAN, GERALD J. (DDS) RIVERGATE WAY LONG BRANCH, NJ 07740
NPI-1821191982 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/5/2007 |
8/22/2019 |
WHITEMORE, SHARON T. 51 DOVER ST., 2ND FLOOR NEWARK, NJ 07106
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
9/19/2002 |
Permanent |
WHITEMORE, SHARON T. 51 DOVER ST., 2ND FLOOR NEWARK, NJ 07106
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/15/2005 |
|
WHITNEY, MARIS AKA WERBIN, MARIS (RPH) 126 RIVER DRIVE LAKE HIAWATHA, NJ 07034
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/20/2006 |
|
WHITTAKER, MICHELLE (CHHA) 801 1/2 4TH AVENUE NEPTUNE, NJ 07753
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
8/29/2017 |
|
WIBLE, BETH (RN) 47 NARCUSSUS LANE LEVITTOWN, PA 19054
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/22/2019 |
|
WIJETILAKA, ROHAN (MD) FORT DIX FCI - P.O. BOX 2000 FORT DIX, NJ 08640
NPI-1821058694 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/20/2015 |
|
WIKLINSKI, STEPHEN L. (DC) C/O DEWOLF ROAD OLD TAPPAN, NJ 07675
NPI-1659454981 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/18/2001 |
|
WILKING, JULIE (RN) 415B WHITMAN DRIVE HADDONFIELD, NJ 08033
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/2/2017 |
|
WILKINSON, CHERICE (RN) 809 PASSAIC AVENUE SEWELL, NJ 08080
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/3/2019 |
|
WILKINSON, PHYLLIS (LPN) 8 WINDING RIDGE COURT NEPTUNE, NJ 07753
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/20/2006 |
|
WILLARD, VANCE (CHHA) 283 FORD AVENUE WESTWOOD, NJ 07675
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
1/25/2018 |
|
WILLER, MAURICE (MD) 631 NYE AVENUE IRVINGTON, NJ 07111
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
11/6/2000 |
Permanent |
Coons Construction, LLC 23178 Summer View Circle Three Springs, PA 17264William Coons, Owner 23178 Summer View Circle Three Springs, PA 17264
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
4/7/2015 |
04/06/2018 |
Highway Safety Systems Inc. 200 Pine Road Hammonton, NJ 08037William J. Doyle, President 200 Pine Road Hammonton, NJ 08037
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
12/17/2014 |
12/16/2017 |
OCM ConstructionOCM Construction, LLC 22 Greenwood Place Flemington, NJ 08822William Mitchell, Owner 203 Main Street #204 Flemington, NJ 08822
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
8/12/2014 |
08/11/2017 |
Team Equipment LLCWilliam Morrissary 59 Lynwood Rd Cedar Grove, NJ 07009William Morrissey, President 26 East Garden Place Pompton Plains, NJ 07307
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
7/3/2013 |
07/02/2016 |
William Vlasich, Managing Member
,
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
10/21/2013 |
10/20/2016 |
WILLIAMS JR., OTIS (MD) 106 W. PALISADE AV STE201 ENGLEWOOD, NJ 07631
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
7/27/1998 |
Permanent |
WILLIAMS JR., OTIS A. (MD) 293 CLASSON AVE., APT 2R BROOKLYN, NY 11205
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
2/2/1999 |
Permanent |
WILLIAMS, AMY (CNA) 1126 COLLINS ROAD CAMDEN, NJ 08104
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
7/15/2004 |
|
WILLIAMS, ARNISSA 256 1/2 SOUTH 19TH STREET NEWARK, NJ 07103
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/25/2006 |
Permanent |
WILLIAMS, BEATRICE (CHHA) 37 VIVIAN COURT HOWELL, NJ 07731
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/22/2002 |
|
WILLIAMS, BIANCO (CNA) 3139 SAUNDERS STREET CAMDEN, NJ 08105
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/1/2022 |
Permanent |
WILLIAMS, CONRAD D. (MD) 255 EASTERN PARKWAY APT A16 BROOKLYN, NY 11238
NPI-1841410701 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/20/2015 |
|
WILLIAMS, CRAIG (DMD) 175 CROSS KEYS ROAD BERLIN, NJ 08009
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
1/18/2007 |
|
WILLIAMS, DENEESHAH (CHHA) 133 WILLIAM STREET ROSELLE, NJ 07203
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
WILLIAMS, DESHAWNA (CHHA) 112 CORAL STREET PATERSON, NJ 07522
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/26/2017 |
|
WILLIAMS, DIONE (MD) 1787 SPRINGFIELD AVENUE MAPLEWOOD, NJ 07040
NPI-1356437693 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
12/16/2015 |
|
WILLIAMS, HELIEN 29 STRATFORD PLACE, APT2F NEWARK, NJ 07104
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
8/26/2013 |
|
WILLIAMS, JAMES (THERAPIST) 208 NORTH CHESTNUT STREET SCOTTDALE, PA 15683
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
WILLIAMS, JEWEL (CHHA) 944 MORTON STREET CAMDEN, NJ 08105
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
9/23/2014 |
|
WILLIAMS, JONKEMIA (CHHA) 7 MELLON STREET TRENTON, NJ 08618
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
WILLIAMS, MARCUS (MD) 1500 LOCUST STREET, APT. 3912 PHILADELPHIA, PA 19102
NPI-1619057734 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
WILLIAMS, MECCA (CHHA) 126 PARKER STREET NEWARK, NJ 07104
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
WILLIAMS, VINETTIA 418 SASSAFRAS STREET MILLVILLE, NJ 08360
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/20/2006 |
|
WILLIAMS-KLENA, JOAN 103 KOMORN ST NEWARK, NJ 07105
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/17/1987 |
Permanent |
WILLIAMSON, HELEN 41 ATLANTIC AVENUE MANAHAWKIN, NJ 08050
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
2/20/2008 |
|
WILLS, LAURA (LPN) 14 E. WIND TRAIL, #22 FAIRFIELD, PA 17320
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
WILSHIRE, GILBERT (MD) 1120 ROUTE 22 E BRIDGEWATER, NJ 08807
NPI-1386679298 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
12/3/1999 |
Permanent |
WILSON III, FRANKIE M. 395 NORTH GROVE STREET EAST ORANGE, NJ 07017
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
11/24/2007 |
|
WILSON, ELLEN (RN/APN) 42 THEO COURT BURLINGTON, NJ 08016
NPI-1144406620 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
10/27/2017 |
WILSON, EVELYN (LCSW) 209 W. HUDSON AVENUE ENGLEWOOD, NJ 07631
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/15/2007 |
|
WILSON, IAN 724 GROVE ST IRVINGTON, NJ 07111
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
12/24/1985 |
Permanent |
WILSON, TAKEALA (CHHA) 135 BERGEN AVENUE, APT. 2-E JERSEY CITY, NJ 07305
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/7/2017 |
|
WILSON, TASHA (CHHA) 124 YORK ST., APT.64 SALEM, NJ 08079
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/6/2006 |
|
WILTSEY, JEANNINE (RN) 237 LUCAN LN, APT 11 VOORHEES, NJ 08043
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/9/2023 |
|
WILTSHIRE, CHERIE M. aka MESSINA, CHERIE (LPN) 23 LILAC LANE LEVITTOWN, PA 19054
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/25/2023 |
|
WINDMILLER, EDWARD (DDS) 3731 WALNUT STREET, APT. A HARRISBURG, PA 17109
NPI-1871914036 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/29/2015 |
|
WINEGARDEN, ROBERT F. (DMD) 1 ROUTE 27, PARSONAGE RD EDISON, NJ 08820
NPI-1306056981 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/20/1999 |
|
WINEGRAD, ALBERT (MD) 3220 LENAPE DRIVE DRESHER, PA 19025
NPI-1972752855 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
WINTER, JESSICA (CHHA) 426 CATHERINE STREET BERGENFIELD, NJ 07621
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2017 |
|
WINTHER-GALIMORE, BETHANY 1152 W. US HIGHWAY 54 CAMDENTON, MO 65020
NPI-1134140601 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
9/20/2011 |
11/13/2023 |
WISCH, GLENN R. (DMD) 6-05 SADDLE RIVER ROAD FAIRLAWN, NJ 07410
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/29/1996 |
Permanent |
WISE, IESHA (CHHA) 3179 ROSEDALE AVENUE CAMDEN, NJ 08105
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/5/2019 |
|
WITEK JR., JOSEPH T. (MD) 3625 AVENIDA MADEIRA BRADENTON, FL 34210
NPI-1063606838 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
10/17/2000 |
Permanent |
WITHINGTON, PAMELA (RN) 5 CHERRYVILLE ROAD FLEMINGTON, NJ 08822
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/20/2005 |
|
WITMAN, LEEANN SCI CAMBRIDGE SPRINGS, 451 FULLERTON AVENUE CAMBRIDGE SPRINGS, PA 16403
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
WIXNER, PAIGE (LPN) 364 LUANE ROAD TOMS RIVER, NJ 08755
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/30/2023 |
|
Octagon ConstructionOctagon Construction 10 Jeanette Street Carteret, NJ 07008Wojciech Puchajda, Owner 10 Jeanette St Carteret, NJ 07008
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
3/3/2015 |
03/02/2018 |
WOLF, JEFFREY A. (DPM) 1100 CLIFTON AVENUE CLIFTON, NJ 07103
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/14/1997 |
Permanent |
WOLFE, JOSEPH ROUTE 24 MENDHAM, NJ 07945
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/1/1993 |
Permanent |
WOLFE, MARY (LPN) 2760 PINE GROVE RD. YORK, PA 17403
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
WOLFE, PATRICK 530 LILLIAN DRIVE MADEIRA BEACH, FL 33708
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
4/20/2022 |
|
WOLFE, WILLIAM (MD) 27 ROCKINGHAM DRIVE MARLTON, NJ 08053
NPI-1003872912 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/12/2016 |
10/18/2019 |
WOLFF, MICHAEL (LPN) 178 WHITES HILL ROAD ROCHESTER, PA 15074
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/29/2015 |
|
WOLFSON, STANLEY (MD) 5 CLUBWAY LANE HARTSDALE, NY 10530
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
4/19/2001 |
|
WOLLMAN, ROBERT (DDS) 461 CENTRAL AVENUE JERSEY CITY, NJ 07307
NPI-1659429421 |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
11/6/1987 |
Permanent |
WOMBU, MARIAN UCHE (CHHA) 2225 BENSON AVENUE BROOKLYN, NY 11214
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/31/2023 |
|
WOOD, FAYE, W. (CHHA) 33 WHITE OAK DRIVE PRINCETON, NJ 08540
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/25/2002 |
|
WOODS, CALEDA (CHHA) 158 GIRARD AVENUE TRENTON, NJ 08638
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
WOODS, ROBERT (PRESIDENT) 6384 TOLLGATE ROAD ZIONVILLE, PA 18092
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
1/15/2013 |
1/14/2016 |
WOODSON, BASSEY JUSTICE 32 DAYTON STREET 1B NEWARK, NJ 07114
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/13/2013 |
11/22/2022 |
WOROSILO, SHARON (MD) 1000 AVENUE OF PORT IMPERIAL WEEHAWKIN, NJ 07086
NPI-1619965811 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/8/2017 |
|
WOZUNK, GEORGE 1029 E. PARK AVENUE VINELAND, NJ 08360
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
3/10/2000 |
|
WREH-TOE, PALLEH 3401 MERLOT COURT YORK, PA 17404
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/29/2015 |
2/17/2023 |
WREIOLE, AUGUST (DO) 422 MORRIS AVENUE LONG BRANCH, NJ 07740
NPI-1942247333 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
7/8/2017 |
6/12/2019 |
WRENN, WALTER F III (MD) 6 PLAYERS LANE PINE HILL, NJ 08021
NPI-1114023009 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/19/2023 |
|
WRIGHT, CHRISTINE (LPN) 13-B ALPINE ROAD WHITING, NJ 08759
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/10/2022 |
|
WRIGHT, KIMBERLY A. (RN) 27 GLENSIDE AVENUE SUMMIT, NJ 07901
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/20/2002 |
|
WRIGHT, LYNN I. 84 PENN STREET BRIDGETON, NJ 08090
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/17/2008 |
|
WRIGHT, SALLY A. (PSYCH) GLEN RAY ROAD BOX A ALDERSON, WV 24910
NPI-1497769160 |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
9/19/2011 |
|
WRIGHT, SANDRA (CHHA) 4938 NORTH 8TH STREET PHILADELPHIA, PA 19120
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
WRIGHT, SHELLY L. (RN) MURTLAND STREET SPRINGDALE, PA 15144
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/23/2007 |
|
WRIGHT, SHONEYEH CLINTON AVENUE IRVINGTON, NJ 07111
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
10/5/2007 |
|
WRIGHT, SYDNEY (CHHA) 111 SHERWOOD AVENUE MAHWAH, NJ 07430
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/18/2017 |
7/12/2022 |
WUJACK, ALLISON (LPN) 308A SUNRISE BOULEVARD FORKED RIVER, NJ 08731
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/2/2017 |
|
WYLES, KIMBERLY (CHHA) 116 BLACKWOOD-CLEMENTON ROAD CLEMONTON, NJ 08021
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
3/5/2018 |
|
WYLIE, JOHN D. (RPH) 7306 WOODVIEW WAY MALVERN, PA 19355
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
7/20/2004 |
|
YAEGER, CHARLES BARKALOW AVENUE FREEHOLD, NJ 07728
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/5/2008 |
|
YAEGER, HOPE W. (RN) 1316 S. 10TH ST, APT 2 ALLENTOWN, PA 18103
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/20/2001 |
1/5/2018 |
YAHAV, ERIC (MD) 1720 DEVONSHIRE ROAD DRESHER, PA 19025
NPI-1013156686 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
1/1/2020 |
5/6/2021 |
YAKHNIS, ANNA (RN) 28 SAINT MICHAELS COURT CHURCHVILLE, PA 18966
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
YALE, DONNA APPEL (LPN) 49 ANGEL INN TRAILER CRT FARMINGDALE, NJ 07727
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/20/2000 |
|
YANGBEM PATIENCE (CHHA) 730 FRANKLIN STREET TRENTON, NJ 08610
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
YATES,N QIANNA (CHHA) 209 EUTAW STREET CAMDEN, NJ 08105
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/19/2018 |
|
YAW, GAYFORD 504 STEVENS ROAD LANDING, NJ 07050
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/20/2008 |
|
YAW, GAYFORD A. 504 STEVENS ROAD LANDING, NJ 07850
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/24/2008 |
|
YEHIA, SAFAA (CHHA) 60 GLENWOOD AVENUE JERSEY CITY, NJ 07306
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/4/2023 |
|
YELCICK, JOHN (MD) 635 WILLOW GREEN LITITZ, PA 17543
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
7/28/2014 |
|
YEN, YA-TANG (MD) 2 FAWN PATH HOLMDEL, NJ 07733
NPI-1952374530 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/21/2019 |
Permanent |
YEPES, LINA (CHHA) 2105 NEW YORK AVENUE, BSMT 3 UNION CITY, NJ 07087
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2017 |
|
YEPES-SANCHEZ, ONAIDA (CHHA) 1815 PALLISADE AVENUE UNION CITY, NJ 07086
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
Yitzhak Adika, Vice-President
,
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
7/21/2014 |
7/20/2017 |
YOON, TOL UNG (MD) 9 MALAGA DRIVE BRIDGETON, NJ 08302
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/1/1998 |
Permanent |
YOUNG, JULIA (CHHA) 2019 SOUTH 9TH STREET CAMDEN, NJ 08104
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2017 |
|
YOUNGER, ANTHONY 65 MAIDEN LANE LITTLE FERRY , NJ 07643
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
10/15/2008 |
|
YUHASZ, ANTONENE, PRESIDENT 4 GRANT DRIVE CREAM RIDGE, NJ 08514
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
2/19/2013 |
2/18/2016 |
YUHASZ, JAMES, VICE PRESIDENT 4 GRANT DRIVE CREAM RIDGE, NJ 08514
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
2/19/2013 |
2/18/2016 |
YULE, ROBERT C. (RN) 323 FLORENCE ROAD MIDDLETOWN, NJ 07748
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/19/2003 |
|
YUNATANOV, STEVE (DDS) 83-83 118 TH STREET KEW GARDENS, NY 11415
NPI-1366749962 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
7/20/2004 |
|
Natural View Landscapes LLC 5923 Pace Street Mays Landing, NJ 08330Zachary Kouhoupt, President 513 West Summer Ave Minolola, NJ 08341
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
1/6/2014 |
01/05/2017 |
ZAINELABDIN, AMID 126 CORBIN AVENUE JERSEY CITY, NJ 07306
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/21/2002 |
|
DELPHI INVALID COACH 1473 RIDGEWAY STREET UNION, NJ 07083ZAK, FELIX 825 E. 9TH STREET BROOKLYN, NY 11230
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/9/2001 |
Permanent |
V00005963 PACKETALK LLC 163 STUYVESANT AVENUE LYNDHURST, NJ 07071ZAKHARY, TAMER
,
NPI- |
Vendor Criminal Offense |
Suspension Law and Public Safety Criminal Justice |
2/29/2024 |
|
ZAMAN, TANVIR (PHARM TECH) 205 DAVIS AVENUE ABSECON, NJ 08201
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/18/2018 |
|
F & L MEDICAL TRANS., INC. 1474 RIDGEWAY STREET UNION, NJ 07083ZAMLOOT, PHILIP 150 PARK ROW NEW YORK, NY 10007
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
7/20/2005 |
|
ZANDLER, GUY (RN) 3406 HUDSON AVENUE UNION CITY, NJ 07087
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
2/8/2024 |
|
ZAPPALA, RICHARD 13 RIDGEWOOD COURT NORTHFIELD, NJ 08225
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
3/31/2023 |
|
ZARETZKY, SAMANTHA 30 DAWES WAY LANDING, NJ 07850
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
8/22/2023 |
|
ZARRELLI, MICHAEL #67206-050 FCI FORT DIX, PO BOX 2000 JOINT BASE MDL., NJ 08640
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/29/2017 |
|
ZASLOW, LAWRENCE 323 SOCIETY HILL BLVD., APT 1 CHERRY HILL, NJ 08003
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/25/2016 |
|
ZAWAHIR, MEEYAPILLAI 91 KNICKERBOCKER ROAD TENAGLY, NJ 07670
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/20/2006 |
|
ZAWAWI, ADNAN (MD) 154 ENFORD ROAD, APT 304 CAMP HILL, NJ 17011
NPI-1477538742 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/21/2022 |
|
Grab Heating and Air Conditioning, LLC. 35 Jersey Street East Rutherfor, NJ 07073Zbigniew Grabowski, Owner 35 Jersey Street East Rutherford, NJ 07073
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
5/15/2013 |
05/14/2016 |
ZELTSER, LAZAR 2333 MORRIS AVE, UNIT D3 UNION, NJ 07083
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/22/1998 |
|
L & Z TRANSPORTATION, INC 6 PLEASANT VALLEY WAY WEST ORANGE, NJ 07094ZELTSER, RAISA 6 PLEASANT VALLEY WAY WEST ORANGE, NJ 07079
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
9/14/2000 |
|
ZERKTI, HOUDA (CHHA) 72 KENNEDY BOULEVARD BAYONNE, NJ 07002
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/8/2017 |
|
ZHAO, MENGJIA (MD) 1831 YATES AVENUE BRONX, NY 10461
NPI-1871523852 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/20/2016 |
|
ZIBDIE, YOUSEF (MD) 163 WEBSTER DRIVE WAYNE, NJ 07470
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/20/2018 |
12/18/2023 |
ZIBDIE, YOUSEF (MD) 163 WEBSTER DRIVE WAYNE, NJ 07470
NPI- |
Medical Antitrust/Anti-Kickback Acts |
Debarment Human Services Medical Assistance (Medicaid) |
12/11/2017 |
12/18/2023 |
ZIELKE, ANDRZEJ KAZIMIERZ (MD) 3207 FOX RUN ROAD ALLISON PARK, PA 15101
NPI-1710929609 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/20/2022 |
|
ZIELONKA, IWONA (VP) 30 CAROLYN CT. E. HANOVER, NJ 07936
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
8/10/2012 |
8/9/2015 |
ZIELONKA, MARIUSZ (PRESIDENT) 30 CAROLYM CT. E. HANOVER, NJ 07936
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
8/10/2012 |
8/9/2015 |
ZIHALA, TERESA (RN) 148 MAIN STREET SPOTSWOOD, NJ 08884
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
9/19/2003 |
|
ZIMMERMAN, DANIEL J. (MD) 51 ROCKLEDGE ROAD HAWTHORNE, NJ 07506
NPI-1801919741 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
12/7/1999 |
9/5/2012 |
ZIMMERMAN, DANIEL J. (MD) 501 BARCLAY WALK CHERRY HILL, NJ 08034
NPI-1801919741 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/23/2016 |
|
Zimmerman, Jack 12 Riverside Dr., Apt. R CRANFORD, NJ 07016
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
6/1/2015 |
5/31/2018 |
ZIMMERMANN, CHRISTOPHER, PRESIDENT 2303 OWEN COURT TOMS RIVER, NJ 08755
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
2/12/2013 |
2/11/2016 |
ZIMNA, GRAZYNA (CHHA) 19 NEW JERSEY AVENUE CARTERET, NJ 07008
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2017 |
|
ZOHAK, KAREN 210 ORANGE AVENUE CRANFORD, NJ 07016
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
5/16/2014 |
5/15/2017 |
ZUBAIR, SAIRA 18 RAVENSWOOD LAKE SCOTCH PLAINS, NJ 07076
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
8/1/2017 |
|
ZUBERI, REHAN 144-09 LABURNUM AVENUE FLUSHING, NY 11355
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
2/18/1999 |
11/17/2011 |
ZUBERI, REHAN #000188813C MID-STATE CORRECTIONAL FACILITY, PO BOX 866 WRIGHTSTOWN, NJ 08562
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/28/2018 |
Permanent |
ZUCKERMAN, DAVID H. (DPM) 1803 COUNTRY CLUB DRIVE CHERRY HILL, NJ 08003
NPI-1124024435 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
9/20/2012 |
|
ZUCKERMAN, DAVID H. (DPM) 341 S. EVERGREEN AVENUE WOODBURY, NJ 08096
NPI-1124024435 |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
1/15/2012 |
|
ZUNIGA, GUISELLA (CHHA) 74B WEST SECOND STREET BOUND BROOK, NJ 08805
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/8/2018 |
Permanent |
ZWIERCAN, ANDREW (RPH) 601 BERGEN STREET SOUTH PLAINFIELD, NJ 07080
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/20/2016 |
|
1450 ASSOCIATES, LLC dba CENTER FOR DIAGNOSTIC IMAGING 1450 E. CHESTNUT AVENUE, BLDG 4 VINELAND, NJ 08361
NPI-1083660179 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/1/2024 |
Permanent |
2258 PHARMACY, INC. 2258 THIRD AVE. NEW YORK, NY 10035
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
7/20/2003 |
|
6522 VENTNOR AVE. PHARMACY, INC. 6522 VENTNOR AVE. VENTNOR, NJ 08406
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
|
Permanent |
A & H Contracting, Inc. 33 Eastwood Blvd. Manalapan, PA 07726
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
5/28/2014 |
05/27/2017 |
A & S ENTERPRISES 615 WAYSIDE ROAD NEPTUNE, NJ 07753
NPI- |
Vendor Criminal Offense |
Debarment Law and Public Safety Criminal Justice |
11/13/2020 |
11/13/2030 |
ABOODS MEDICAL LIVERY 64 BEVAN STREET JERSEY CITY, NJ 07306
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/22/1994 |
Permanent |
AC HOME NURSING SERVICES 2921 YOUNGSTOWN ROAD WARREN, OH 44484
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
ACADIAN DIAGNOSTIC LABORATORIES 11842 JUSTICE AVENUE BATON ROUGE, LA 70816
NPI-1316370950 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
1/22/2020 |
|
AIMS DIAGNOSTIC IMAGING SERVICES OF NEW JERSEY 1109 BEACON AVENUE MANAHAWKIN, NJ 08050
NPI-1710931852 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
5/18/2023 |
|
ALCALA PHARMACEUTICAL, INC. 3703 CAMINO DEL RIO SOUTH, SUITE 100A SAN DIEGO, CA 92108
NPI-1255656153 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/4/2023 |
|
ALLIANCE MEDICAL GROUP, PC 137 MOUNTAIN AVENUE HACKETTSTOWN, NJ 07840
NPI-1952465569 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/20/2022 |
|
ALLIED CLINICAL LAB, INC. 5199 S. GREEN STREET SALT LAKE CITY, UT 84123
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/18/1997 |
Permanent |
ALLIED CLINICAL LAB., INC 863 MCCALLIE AVE. CHATTANOOGA, TN
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/18/1997 |
Permanent |
ALLSTATE AMBULANCE CORP PO BOX 1011 UNION, NJ 07083
NPI- |
Medical Poor Performance |
Disqualification Human Services Medical Assistance (Medicaid) |
|
Permanent |
AMANA MEDICAL GROUP, INC. 871 MCBRIDE AVENUE, SUITE 1 WOODLAND PARK, NJ 07424
NPI-1548215411 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/20/2018 |
|
AMERICAN EXPRESS LOAN, INC. 13420 DAMAR DRIVE, SUITE C PHILADELPHIA, PA 19116
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
AMERICAN MED. TECH. INC. 1072 MADISON AVENUE LAKEWOOD, NJ 08701
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
4/14/1999 |
Permanent |
AMERICAN MEDICAL EXPRESS PO BOX 3093 WARMINSTER, PA 18974
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
AMIR FRIEDMAN MD PC 6928 PESCADO CIRCLE #5 RANCHO MURIETA, CA 95683
NPI-1447303623 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/15/2022 |
|
AVON PHARMACY 300 MAIN STREET AVON, NJ 07717
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
2/5/2003 |
|
BCA Trucking LLC 10 Pleasant Place Kearny, NJ 07032
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
8/5/2013 |
08/04/2016 |
BELMAR HOMETOWN PHARMACY 911 MAIN STREET BELMAR, NJ 07719
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
2/5/2003 |
|
BERKS PSYCHIATRY 146 SOUTH 5TH STREET READING , PA 19602
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
BEST MED SUPPLY 617 HILLTOP DRIVE APT B9 TRENTON, NJ 08620
NPI-1568972636 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/31/2023 |
|
BIODIAGNOSTIC LAB SERVICES, INC. 181 NEW STREET SUITE 307 PARSIPPANY, NJ 07054
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
1/21/2015 |
|
BIO-SCIENCE LAB., INC. 1000 WOOODBRIDGE CTR ST140 WOODBRIDGE, NJ 07095
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
3/20/2000 |
Permanent |
BLOOMFIELD PHARMACY, INC. 154 BLOOMFIELD AVENUE NEWARK, NJ 07104
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/31/2000 |
|
BMA MEDICAL LABORATORY 59-07 71ST AVENUE RIDGEWOOD, NY 11385
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/20/2003 |
|
BRACEWORKS PROF ORTHO(DO)NT 288 HIGHWAY 35 SOUTH EATONTOWN, NJ 07724
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/20/2003 |
|
BROADWAY MEDICAL GROUP 227 BROADWAY PATERSON, NJ 07501
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
|
Permanent |
CARDIOLOGY CENTER OF NEW JERSEY, LLC 32 CHELSEA DRIVE LIVINGSTON, NJ 07039
NPI-260849555 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/25/2023 |
|
CAREPOINT MEDICAL 4860 COX ROAD, SUITE 300 GLEN ALLEN, PA 23060
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
CENTRAL DIAGNOSTICS LAB 256 SMITH STREET PERTH AMBOY, NJ 08861
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
5/8/1989 |
Permanent |
CENTRAL JERSEY MENTAL CTR 525 PARK AVENUE PLAINFIELD, NJ 07067
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
|
Permanent |
CHILDREN'S DENTAL CENTER 3700 KENNEDY BOULEVARD UNION CITY, NJ 07087
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
9/15/2017 |
|
CITILAB CORPORATION 333 NORTH BROAD STREET ELIZABETH, NJ 07028
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
12/1/1998 |
|
CLIN-PATH LABORATORY, INC 626 N. 38TH STREET BELLEVILLE, IL 62223
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
6/4/1997 |
Permanent |
COOPER STREET PSYCHIATRIC GRP 301 COOPER STREET CAMDEN, NJ 08102
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
5/2/1990 |
Permanent |
DITA, INC. 500 ORANGE STREET NEWARK, NJ 07104
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
2/18/1998 |
|
DOSHI DIAGNOSTIC IMAGING
,
NPI- |
Other |
|
|
|
SERVICES OF NEW JERSEY, LLC 434 NEW JERSEY AVE ABSECON, NJ 08201
NPI-1710931852 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/15/2021 |
|
DOWNTOWN DENTAL CENTER PA 1 WEST BROADWAY PATERSON, NJ 07505
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/20/2001 |
Permanent |
DUNN MEADOW PHARMACY 1555 CENTER AVENUE, FIRST FLOOR FORT LEE, NJ 07024
NPI-1508222696 |
Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
8/3/2022 |
|
EASY DENTAL, PC 5616 GERMANTOWN AVENUE PHILADELPHIA, PA 19114
NPI-1093093585 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
EGYPTIAN INC. 19015 TOWN CENTER DRIVE APPLE VALLEY, CA 92308
NPI-1285959007 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/15/2021 |
|
EL MEDICAL, INC. 9105C OWENS DRIVE MANASSAS PARK, VA 20111
NPI-1295049815 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/24/2021 |
|
FAMILY ENRICHMENT INSTIT. 415 KEIM BOULEVARD BURLINGTON, NJ 08016
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/20/1999 |
|
FINE-TRANS MEDICAL TRANS 2824 KENNEDY BLVD. #465 JERSEY CITY, NJ 07306
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
6/14/1994 |
Permanent |
FINLAY MEDICAL LABORATORY 4912 BERGENLINE AVENUE WEST NEW YORK, NJ 07093
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/14/1998 |
Permanent |
FIRESPIRIT INC. 6612 TERRA DOLCE AVE, NW ALBUQUERQUE, NM 87114-1365
NPI- |
Medical Antitrust/Anti-Kickback Acts |
Disqualification Human Services Medical Assistance (Medicaid) |
6/23/2011 |
|
16117213300 FLO GO SYSTEMS, INC. 775 ENGLEWOOD AVE BUFFALO, NY 14223
NPI- |
Vendor Failure to Perform |
Debarment Treasury Treasury Purchase Bureau |
9/17/2010 |
9/17/2015 |
FRANKLIN MEDICAL ASSOC 14 FRANKLIN STREET BELLEVILLE, NJ 07109
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
10/15/1999 |
Permanent |
Gale Force Telecommunications Inc
,
NPI- |
Construction Wage & Hour Violation |
Debarment Labor Workplace Standards |
12/2/2013 |
12/01/2016 |
GEORGIA LUNG ASSOCIATES 3820 MEDICAL PARK AVENUE AUSTELL, GA 30106
NPI-1104989136 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
11/20/2015 |
|
GOLDEN HEALTHCARE, LLC
,
NPI- |
Other |
|
|
|
D/B/A GOLDEN HEALTHCARE PHARMACY
,
NPI- |
Other |
|
|
|
NPI-1427479344 |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
2/23/2024 |
|
GOLDIS GERIATRICS P.C. 119 EAST LAUREL ROAD STRATFORD, NJ 08084
NPI-1194921650 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/15/2021 |
|
HASHIM'S MEDICAL LIVERY P. O. BOX 930 NEW YORK, NY 10013
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
3/26/1994 |
Permanent |
HEALTH PHARMACY INC 3 POND RD PARSIPPANY, NJ 07054
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
|
Permanent |
HHCH HEALTH CARE C/O IRINA KRUTOYARSKY ALDERSON FEDERAL CAMP, GLEN RAY ROAD, BOX A ALDERSON, WV 24910
NPI-1639294812 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/24/2017 |
|
22215785600 HISPANIC ASSOC\OCEAN CTY. 111 CLIFTON AVENUE LAKEWOOD, NJ 08701
NPI- |
Vendor Other |
Disqualification Health & Senior Services Health & Senior Services |
4/15/1996 |
Permanent |
HOME CARE SOLUTIONS 16 COMMERCE DRIVE CRANFORD, NJ 07016
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
1/24/2014 |
|
I & I INVALID COACH, INC. D/B/A READY CARE CORPORATION 85 CENTRAL AVENUE CLIFTON, NJ 07015
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
2/19/2004 |
|
INFINITE CARE 6423 RISING SUN AVENUE PHILADELPHIA, PA 19111
NPI-1073549671 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/29/2015 |
|
J & S PHARMACY, INC. 214 SECOND STREET ELIZABETH, NJ 07207
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
7/11/1997 |
|
J & S PHARMACY, INC. 214 SECOND STREET ELIZABETH, NJ 07207
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/1/1998 |
Permanent |
JACKSON SURGICAL CENTER, LLC 27 S. COOKS BRIDGE ROAD, STE. L2 JACKSON, NJ 08527
NPI-1275930216 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
7/25/2023 |
|
JIMS TRANSPORTATION 49 WESTERN PARKWAY IRVINGTON, NJ 07111
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
4/11/2006 |
|
JITAN CARDIOLOGY CORP 2137 HIGHWAY 35 HOLMDEL, NJ 07733
NPI-1720144280 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
8/15/2022 |
|
JRMICK, INC. 911 MAIN STREET BELMAR, NJ 07719
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
1/16/2005 |
|
KADISHA, INC. 667 MT. PROSPECT AVENUE NEWARK, NJ 07104
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
5/14/1998 |
|
KINGS PHARM 716 MARKET ST GLOUCESTER, NJ 08030
NPI- |
Medical Poor Performance |
Disqualification Human Services Medical Assistance (Medicaid) |
12/29/2004 |
Permanent |
275192651 KWENYAN AND ASSOCIATES
,
NPI-1598196719; 1104260538; 1457878423 |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
12/14/2022 |
|
204080824 KWENYAN PROFESSIONAL HEALTH SERVICES, LLC
,
NPI-1003392374; 1205312766; 1285928457; 1629221239; 1609335736 |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
12/14/2022 |
|
LIFE CARE HOME SERVICES OF NORTHWESTERN PENNSYLVANIA 2127 NORTH 6TH STREET PHILADELPHIA, PA 19122
NPI-1972641496 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/29/2015 |
|
LIFE SUPPORT CORPORATION CI MOSHANNON VALLEY, 555 GEO DRIVE PHILLIPSBURG, PA 16866
NPI-1659699049 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/29/2015 |
|
LIVSHITZ PHARMACY INC 203 16TH AVENUE NEWARK, NJ 07103
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
5/21/1980 |
Permanent |
M & G LIVERY CO. INC. 6 PLEASANT VALLEY WAY WEST ORANGE, NJ 08052
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/19/2003 |
|
M & G TRANSPORTATION & LIVERY 269 SHEFFIELD STREET MOUNTAINSIDE, NJ 07092
NPI- |
Medical Criminal Offense |
Debarment Human Services Medical Assistance (Medicaid) |
10/31/2002 |
|
M & M MEDICAL LIVERY 64 BEVAN STREET JERSEY CITY, NJ 07306
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/31/1994 |
Permanent |
MATAWAN-ABERDEEN HEART AND MEDICAL CENTER, P.C. dba MATAWAN-ABERDEEN HEART AND MEDICAL CENTER 177 MAIN STREET MATAWAN, NJ 07747
NPI-1588997738 |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
3/4/2024 |
|
MAZZACCOS PHARMACY INC 427 PROSPECT STREET LONG BRANCH, NJ 07740
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
7/27/1983 |
Permanent |
MEDICAL CLINICAL LABOR. 373 LIVINGSTON AVENUE NEW BRUNSWICK, NJ 08901
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/29/1999 |
Permanent |
MEDICAL GROUP OF NORTH JERSEY, LLC 401 HALEDON AVENUE HALEDON, NJ 07508
NPI-1114972064 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/12/2023 |
|
MEDIPATH EXPRESS 666 PLAINSBORO ROAD PLAINSBORO, NJ 08536
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/14/2005 |
|
MEDISCOPE DIAG. LAB. INC. 1250 PARK AVENUE PLAINFIELD, NJ 07060
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
11/16/1998 |
|
METPATH LABORATORIES, INC. 322 US 46, SUITE 160W PARSIPPANY, NJ 07054
NPI-1174095459 |
Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
5/2/2023 |
|
METRO HEALTH PHARMACY LLC 5543 MYRTLE AVENUE RIDGEWOOD, NY 11385
NPI-1689951717 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/15/2021 |
|
MILAROLA CORP INC 57 BROADWAY NEWARK, NJ 07014
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
|
Permanent |
NASSAU PHARMACY 80 NASSAU STREET PRINCETON, NJ 08540
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
|
Permanent |
NATIONAL SPINE MEDICAL CENTERS PLLC 2103 GOLDEN POND DRIVE KINGWOOD, TX 77345-1644
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
4/20/2005 |
|
NORTH END FAMILY MEDICAL CARE, INC. 644 MOUNT PROSPECT AVENUE NEWARK, NJ 07104
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/20/2018 |
|
NORTHGATE COM. PHARMACY 156 COUNTRY FARM RD MARLTON, NJ 08053
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
3/6/2006 |
Permanent |
OJAH CORPORATION 42-44 SUSSEX AVENUE EAST ORANGE, NJ 07018
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
3/22/2006 |
Permanent |
OLD BRIDGE CENTER OF PHYSICAL THERAPY INC. 77 GARDEN COURT SAINT AUGUSTINE, FL 32092
NPI-159889479 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/15/2022 |
|
OLEG FRANK MD PC 40 FERRY STREET, STE A NEWARK, NJ 07105
NPI-1134454549 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/15/2022 |
|
ORANGE COMMUNITY MRI 345 HENRY STREET, STE102 ORANGE, NJ 07055
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
3/16/2012 |
|
OTISMED CORPORATION 1600 HARBOR BAY PARKWAY ALAMEDA, CA 94502
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/27/2015 |
|
OXFORD DIABETIC SUPPLY, INC. 53 FRONTAGE ROAD, SUITE 100 HAMPTON, NJ 08827
NPI-1700016045 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
12/8/2016 |
|
PARK MEDICAL LABORATORY 298 CLAIRMONT AVENUE MONTCLAIR, NJ 07042
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
8/20/1976 |
Permanent |
PARKWAY CENTRAL PHARMACY 185 CENTRAL AVENUE EAST ORANGE, NJ 07518
NPI-1285722702 |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
6/28/2022 |
|
593784830 PARTNERS FOR HOPE, PC 365 RIFLE CAMP ROAD, SUITE 201 WOODLAND PARK, NJ 07424
NPI-1689883001 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/17/2019 |
4/24/2019 |
PEOPLE CHOICE HOME CARE 430 MORRIS AVENUE ELIZABETH, NJ 07208
NPI-1851416069 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/24/2017 |
|
POINTE O' WOODS PHARMACY 999 US HIGHWAY ROUTE 9 HOWELL, NJ 07731
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
7/11/2000 |
Permanent |
PRECISE MEDICAL LAB., INC 1265 PATERSON PLANK ROAD SECAUCUS, NJ 07094
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
12/1/1998 |
Permanent |
QUICK SCRIPT PHARMACY 90 WASHINGTON STREET EAST ORANGE, NJ 07017
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
9/22/2000 |
|
R & M CORP. 156 COUNTRY FARM RD MARLTON, NJ 08053
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
|
Permanent |
RANCOCAS VALLEY ANESTHESI 700 U.S. 130 NORTH CINNAMINSON, NJ 08077
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/20/2003 |
|
RDx BIOSCIENCE, INC 629 SPRINGFIELD ROAD KENILSWORTH, NJ 07033
NPI-1073961108 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
3/9/2023 |
|
RECOVERY SYSTEMS INC. 476 CLIFTON AVE. CLIFTON, NJ 07011
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
5/8/2003 |
|
RESTORATION PHARMACY 1385 STUYVESANT AVENUE UNION, NJ 07083
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
1/16/2009 |
1/6/2012 |
RGN PHARMACY ELIZABETH AVENUE NEWARK, NJ 07108
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
8/17/2007 |
|
V00035610 ROOF MANAGEMENT, INC 1627 WYCOFF ROAD WALL, NJ 07727
NPI- |
Vendor Criminal Offense |
Debarment Law and Public Safety Criminal Justice |
11/12/2020 |
11/13/2030 |
RX 2000 PHARMACY, INC. 2125A KENNEDY BLVD JERSEY CITY, NJ 07305
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
1/2/2000 |
Permanent |
S. RESES APOTHOCARY 6522 VENTNOR AVE. VENTNOR, NJ 08406
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
|
Permanent |
SALT & PEPPER INC. 24 BRANFORD PLACE NEWARK, NJ 07102
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
5/9/1994 |
Permanent |
SANDFORD'S PHARMACY INC. 128 MAIN ST MATAWAN, NJ 07747
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
1/5/1999 |
Permanent |
SCHERING SALES CORPORATION 2000 GALLOPING HILL ROAD KENILWORTH, NJ 07033
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
10/20/2005 |
Permanent |
SCHNORBUS PHARMACY 351 NORTH WARREN STREET TRENTON, NJ 08618
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
8/19/1981 |
Permanent |
222110033-00 SIGMA ENGINEERING & CONSULTING ASSOCIATES, INC 14 WORLD'S FAIR DRIVE, UNIT F SOMERSET, NJ 08873
NPI- |
Vendor Criminal Offense |
Debarment Law and Public Safety Criminal Justice |
3/18/2021 |
3/18/2026 |
SINGER-ANDREINI PHARMACY 5532 BERGENLINE AVENUE WEST NEW YORK, NJ 07093
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
7/23/1998 |
|
22237073700 SKYLINE TOWER SERVICES, INC. 105 KEYSTONE DRIVE TELFORD, PA 18969
NPI- |
Vendor Failure to Perform |
Debarment Treasury Treasury Purchase Bureau |
3/15/2012 |
3/15/2017 |
SOUTHERN MED & SURGICAL 2230 S CROSKEY ST PHILA, PA 19145
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
4/19/1992 |
Permanent |
SOUTHERN OCEAN PEDIATRICS AND FAMILY MEDICINE 1100 ROUTE 72 WEST, SUITE 304 MANAHAWKIN, NJ 08050
NPI-1346664893 |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
1/27/2017 |
4/27/2017 |
SPECIALTY CLINICAL LAB. 299 ACADEMY STREET JERSEY CITY, NJ 07306
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
12/1/1998 |
Permanent |
22192666500 STAR OIL COMPANY 134 RT. 73 SO & BEECH AVE BERLIN, NJ 08009
NPI- |
Vendor Criminal Offense |
Suspension Treasury Treasury Purchase Bureau |
8/27/2001 |
|
STAT MRI, LLC 1801 NEW ROAD LINWOOD, NJ 08221
NPI-1558546085 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
7/15/2021 |
|
STATLINE AMBU. & MEDI-COACH P. O. BOX 2100 WEST PATERSON, NJ 07424
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
1/15/1987 |
Permanent |
STAVCO, INC. 300 MAIN STREET AVON, NJ 07717
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
1/11/2005 |
|
SYMED, INC. 2502 NORTH CLARK STREET SUITE 210 CHICAGO, IL 60614
NPI- |
Medical Other |
Disqualification Human Services 8/22/1920 |
7/29/2022 |
|
T&N PHARMACEUTICAL CO.INC 90 WASHINGTON STREET EAST ORANGE, NJ 07017
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
9/22/2000 |
|
TOUCH OF LIFE, LLC CHELSEA AVENUE NEWARK, NJ 07106
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
3/9/2008 |
|
TRILOGY DIAGNOSTICS LLC 2263 VALDINA STREET, STE 100 DALLAS, TX 75207
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/15/2022 |
|
TRI-STATE VISITING HOME PHYSICIANS 1303 VETERANS HIGHWAY BRISTOL, PA 19007
NPI-1245671015 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/20/2022 |
|
UNION CITY DIAGNOSTIC LAB 2201 BERGENLINE AVENUE UNION CITY, NJ 07007
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
6/10/2001 |
Permanent |
UNITED DENTAL CENTER 35 WALLINGTON AVE WALLINGTON, NJ 07057
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
9/18/2003 |
|
UNITED DIAGNOSTIC LAB INC. 100 CRAIG ROAD, SUITE 104 MANALAPAN, NJ 07726-8731
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
4/18/1997 |
|
UNITED PHARMACY 1347 SPRINGFIELD AVENUE IRVINGTON, NJ 07111
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
7/30/2005 |
|
UNIVERSAL MEDICAL LAB. 43 MOONACHIE ROAD HACKENSACK, NJ 07601
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
5/10/1999 |
Permanent |
UNIVERSAL MEDICAL TRANSP. 845 BERGEN AVE. #190 JERSEY CITY, NJ 07306
NPI- |
Medical Industry Law Violation |
Disqualification Human Services Medical Assistance (Medicaid) |
6/14/1994 |
Permanent |
US CLINICAL LAB., INC. 185 S. EUCLID ST, STE.111 PASADENA, CA 91101
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
4/22/1997 |
Permanent |
US DIAGNOSTIC SERVICES, INC. 185 6TH AVENUE, 2ND FLOOR PATERSON, NJ 07524
NPI-1649565219 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
10/13/2021 |
|
V.C. LABORATORY, INC. 9 COURTLAND AVENUE STATEN ISLAND, NY 10301
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
3/24/2003 |
Permanent |
VALUE-RITE PHARMACY, INC. 350 WEST MARKET STREET NEWARK, NJ 07107
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
4/29/1997 |
|
VASCULAR ACCESS OF MEMPHIS PLLC 5885 AIRLINE ROAD ARLINGTON, TN 38002
NPI-1700063930 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
2/11/2021 |
|
VENDETTI CLINICAL LAB INC 904 D OAK TREE ROAD S. PLAINFIELD, NJ 07080
NPI- |
Medical Other |
Debarment Human Services Medical Assistance (Medicaid) |
12/1/1999 |
Permanent |
VICTORY PHARMACY 1238 SPRINGFIELD AVENUE IRVINGTON, NJ 07111
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
2/1/2008 |
|
WALL PHARMACY 2510 BELMAR BLVD. WALL, NJ 07719
NPI- |
Medical Criminal Offense |
Suspension Human Services Medical Assistance (Medicaid) |
2/5/2003 |
|
WEST ORANGE PHARMACY 443 MAIN STREET WEST ORANGE, NJ 07052
NPI- |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
3/29/2017 |
Permanent |
WESTFIELD AVE PHARMACY 156 COUNTRY FARM RD MARLTON, NJ 08053
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
|
Permanent |
WILMINGTON ISLAND DME, INC. DBA WI MEDICAL 1260 WEST BAY DRIVE, SUITE F LARGO, FL 33770
NPI-1235362823 |
Medical Other |
Disqualification Human Services Medical Assistance (Medicaid) |
4/20/2022 |
|
WINGROVE DRUGS, INC. 634 DR. MARTIN L. KING BV NEWARK, NJ 07102
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
6/5/1997 |
|
WINKY, INC. 2510 BELMAR BLVD. WALL, NJ 07719
NPI- |
Medical Criminal Offense |
Disqualification Human Services Medical Assistance (Medicaid) |
1/11/2005 |
|
WOODY'S PALLETT, LLC 40 ENTERPRISE AVENUE TRENTON, NJ 08638
NPI- |
Vendor Failure to Perform |
Debarment Treasury Treasury Purchase Bureau |
4/10/2013 |
Permanent |
WOUND HEALING ASSOCIATES 203 3111 ROUTE 38 #11 MT. LAUREL, NJ 08054
NPI- |
Medical Other |
Suspension Human Services Medical Assistance (Medicaid) |
11/19/2005 |
|
WZ Test Item some street somewhere,
NPI- |
Other |
|
|
|
NPI- |
Other |
|
|
|
NPI- |
Other |
|
|
|