| Provider Name | License Number | NPI Number | Provider Type | Exclusion Effective Date | SSN/FEIN |
| 88 PHARMACY INC | | 1518404623 | Pharmacy | 09/26/2024 | Verify |
| A1 CLASS CAR INC | | | Transportation | 10/02/2024 | Verify |
| ABRAZI RICHARD | | | Business Owner | 09/18/2024 | Verify |
| AGUSTIN ERIE TAPIA | 00196473 | 1407892144 | Physician | 09/23/2024 | Verify |
| AHMED FARHANA | 00266900 | 1649521774 | Physician | 09/19/2024 | Verify |
| AHMED RIZWAN | | | Other | 09/19/2024 | Verify |
| ALL COUNTY TRANSPORT INC AKA/DBA ALL COUNTY TRANSPORTATION INC | | | Medical Transportation Company | 10/02/2024 | Verify |
| AMUMC/AMERICAN MEDICAL CTRS | 7001100R | | Diagnostic And Treatment Center | 09/18/2024 | Verify |
| APOLLO TRANSPORTATION NY CORP | | | Transportation Company | 09/18/2024 | Verify |
| BALLENER LYN JONSON | 00032523 | 1710314984 | Physical Therapist | 09/26/2024 | Verify |
| BLACK KAREN | 00605257 | | Registered Professional Nurse | 09/19/2024 | Verify |
| CALHOUN AMBERLYNN MARIE | 00326091 | | Licensed Practical Nurse | 09/19/2024 | Verify |
| CALLIS ALEXANDER | | | Peer Advocate | 09/09/2024 | Verify |
| CESAR SAMANTHA | | | House Counselor | 09/09/2024 | Verify |
| DAVIS JOLENE SHENNEN RUTH | 00266688 | | Licensed Practical Nurse | 09/09/2024 | Verify |
| DYD UNIVERSE INC | | | Transportation Company | 10/02/2024 | Verify |
| EMPIRE TRANS NY INC | | | Transportation Company | 09/18/2024 | Verify |
| FASASI LISA | | | Direct Support Professional | 09/09/2024 | Verify |
| FLOREK JOANNE M | 00252243 | | Licensed Practical Nurse | 09/15/2024 | Verify |
| GO FLEX PHYSICAL THERAPY P.C. | 00122615 | | Physical Therapy Practice | 09/23/2024 | Verify |
| GOUZOS JOHN | | | Medicaid Transportation Provider | 09/18/2024 | Verify |
| HARRIS JULIO | | | Direct Support Professional | 09/16/2024 | Verify |
| HASIL DONNA E | 00324887 | 1346271962 | Registered Professional Nurse | 09/15/2024 | Verify |
| HOJO DETAIL CENTER INC | | | Transportation Company | 09/23/2024 | Verify |
| ISKANDAROVA NIGINA | | | Transportation Company Owner | 10/02/2024 | Verify |
| JOHNSON NICHOLAS | | | Security Hospital Treatment Assistant | 09/19/2024 | Verify |
| KAMARA ABRAHIM | | | Direct Support Professional | 09/16/2024 | Verify |
| KEVIN H WEINER M D P C | | 1083926976 | Physician Business | 09/09/2024 | Verify |
| KHAN FARHAN | | | Transportation Provider | 10/02/2024 | Verify |
| LAMD MEDICAL GROUP AND MULTI SPECIALTY | | 1992160758 | Physician Group | 09/23/2024 | Verify |
| LONG ISLAND HEALTH RIDE LLC | | | Transportation Company | 09/18/2024 | Verify |
| MARTIN TIMOTHY WILLIAM | 00315093 | | LPN | 09/16/2024 | Verify |
| MARTIN WILSON | | | Bus Driver | 09/19/2024 | Verify |
| MEDI CAB CORP | | | Transportation Company | 09/23/2024 | Verify |
| MEDITRANS NY INC | | | Transportation Company | 09/23/2024 | Verify |
| MIDDLEBROOK MELISSA LEE | 00107839 | 1265065908 | Licensed Master Social Worker | 09/19/2024 | Verify |
| MILLER TRENITY | | | Direct Support Professional | 09/09/2024 | Verify |
| MINES COURTNEY | 00578593 | | Registered Nurse | 09/09/2024 | Verify |
| MOORE DAVID | | | Transportation | 10/02/2024 | Verify |
| MORGAN WENTWORTH | | | Day Habilitation Specialist | 09/19/2024 | Verify |
| MORRIS SOPHIA | | | Direct Support Professional | 09/16/2024 | Verify |
| MTUI PHILLIP | | | Owner of Transportation Company | 10/02/2024 | Verify |
| NEIGHBOUR STANLEY | | | Residence Counselor | 09/26/2024 | Verify |
| NEILY KATHY | 0071770 | 1275705568 | Clinical Social Worker | 09/16/2024 | Verify |
| NEW YORK HEALTH RIDE LLC | | | Transportation Company | 09/18/2024 | Verify |
| NOBLE LISA A. AKA/DBA LISA PRYNN | | | Office Manager | 10/02/2024 | Verify |
| NUNES MARIO PAUL | 00083695 | 1518204585 | LCSW | 09/15/2024 | Verify |
| PHINALIZ COMMUNICATIONS LLC | | | Transportation Company | 10/02/2024 | Verify |
| PREWITT ROBERT | | | Residential Aide | 09/19/2024 | Verify |
| PRICE ANDREW | 0077411 | 1194917583 | License Clinical Social Worker | 09/16/2024 | Verify |
| QUEENS WOUND & MEDICAL CARE PC | | 1144653072 | Physician Group | 09/23/2024 | Verify |
| RECKWERDT SEAN ALEXANDER | 00002509 | 1639819584 | Creative Arts Therapist | 09/09/2024 | Verify |
| ROSS MIKAELA MARY | 00033834 | 1982012282 | Physical Therapist | 09/15/2024 | Verify |
| SCOPINO SHERRY KAY LPN | 00155130 | 1124338538 | LPN | 09/19/2024 | Verify |
| SEHL RICHARD | | | Medicaid Transportation Provider | 09/23/2024 | Verify |
| SIDDIQUI SALMAN ANIS | 00053880 | 1528380284 | Pharmacy | 09/19/2024 | Verify |
| SILVER CARE PHARMACY INC | | 1023586658 | Pharmacy | 10/02/2024 | Verify |
| SUNRISE TAXI SERVICE LLC | | | Transportation Company | 09/18/2024 | Verify |
| Smith Julie Anne AKA/DBA JULIE ANNE SHARLOW | 00586408 | | Registered Nurse | 09/09/2024 | Verify |
| Strubert Devon | 00801950 | | Registered Nurse | 09/09/2024 | Verify |
| TALTY BRIDGET LEIGH | 00580821 | 1790196673 | RN | 09/09/2024 | Verify |
| TRANSPORTATION SOLUTION NY CORP | 00040687 | | Transportation Company | 09/18/2024 | Verify |
| TRISTATE EXPRESS NY INC | | | Transportation Company | 10/02/2024 | Verify |
| UP SERVICES INC AKA/DBA ALLIANCE LABORATORIES OF WESTCHESTER | 00004589 | 1376645135 | Laboratory | 09/23/2024 | Verify |
| WANG AO | 00005259 | 1427558378 | Acupuncture | 09/19/2024 | Verify |
| WEINER KEVIN H MD | 00202165 | 1124040530 | Physician | 09/09/2024 | Verify |
| WILMART TRACY AKA/DBA TRACY WILLMART | | | Direct Support Professional | 09/09/2024 | Verify |
| YULDASHEV DAMIR | | | Transportation Company Owner | 09/09/2024 | Verify |