Office of the Medicaid Inspector General
Medicaid Exclusions
Medicaid Exclusions Short List



Exclusions Short List


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You searched for: Short List
List Execution Date: 10/5/2024 3:02:15 PM.
Records returned: .
Data was last updated: 10/5/2024 12:01:11 AM.

Provider NameLicense NumberNPI NumberProvider TypeExclusion Effective DateSSN/FEIN
88 PHARMACY INC1518404623Pharmacy09/26/2024Verify
A1 CLASS CAR INCTransportation10/02/2024Verify
ABRAZI RICHARDBusiness Owner09/18/2024Verify
AGUSTIN ERIE TAPIA001964731407892144Physician09/23/2024Verify
AHMED FARHANA002669001649521774Physician09/19/2024Verify
AHMED RIZWANOther09/19/2024Verify
ALL COUNTY TRANSPORT INC AKA/DBA ALL COUNTY TRANSPORTATION INCMedical Transportation Company10/02/2024Verify
AMUMC/AMERICAN MEDICAL CTRS7001100RDiagnostic And Treatment Center09/18/2024Verify
APOLLO TRANSPORTATION NY CORPTransportation Company 09/18/2024Verify
BALLENER LYN JONSON000325231710314984Physical Therapist09/26/2024Verify
BLACK KAREN00605257Registered Professional Nurse09/19/2024Verify
CALHOUN AMBERLYNN MARIE00326091Licensed Practical Nurse09/19/2024Verify
CALLIS ALEXANDERPeer Advocate09/09/2024Verify
CESAR SAMANTHAHouse Counselor09/09/2024Verify
DAVIS JOLENE SHENNEN RUTH00266688Licensed Practical Nurse09/09/2024Verify
DYD UNIVERSE INCTransportation Company10/02/2024Verify
EMPIRE TRANS NY INCTransportation Company09/18/2024Verify
FASASI LISADirect Support Professional09/09/2024Verify
FLOREK JOANNE M00252243Licensed Practical Nurse09/15/2024Verify
GO FLEX PHYSICAL THERAPY P.C.00122615Physical Therapy Practice09/23/2024Verify
GOUZOS JOHNMedicaid Transportation Provider09/18/2024Verify
HARRIS JULIODirect Support Professional 09/16/2024Verify
HASIL DONNA E003248871346271962Registered Professional Nurse09/15/2024Verify
HOJO DETAIL CENTER INCTransportation Company09/23/2024Verify
ISKANDAROVA NIGINATransportation Company Owner10/02/2024Verify
JOHNSON NICHOLASSecurity Hospital Treatment Assistant09/19/2024Verify
KAMARA ABRAHIMDirect Support Professional 09/16/2024Verify
KEVIN H WEINER M D P C1083926976Physician Business09/09/2024Verify
KHAN FARHANTransportation Provider10/02/2024Verify
LAMD MEDICAL GROUP AND MULTI SPECIALTY1992160758Physician Group09/23/2024Verify
LONG ISLAND HEALTH RIDE LLCTransportation Company 09/18/2024Verify
MARTIN TIMOTHY WILLIAM00315093LPN09/16/2024Verify
MARTIN WILSONBus Driver09/19/2024Verify
MEDI CAB CORPTransportation Company09/23/2024Verify
MEDITRANS NY INCTransportation Company09/23/2024Verify
MIDDLEBROOK MELISSA LEE001078391265065908Licensed Master Social Worker09/19/2024Verify
MILLER TRENITYDirect Support Professional09/09/2024Verify
MINES COURTNEY00578593Registered Nurse09/09/2024Verify
MOORE DAVIDTransportation 10/02/2024Verify
MORGAN WENTWORTHDay Habilitation Specialist09/19/2024Verify
MORRIS SOPHIADirect Support Professional09/16/2024Verify
MTUI PHILLIPOwner of Transportation Company 10/02/2024Verify
NEIGHBOUR STANLEYResidence Counselor09/26/2024Verify
NEILY KATHY00717701275705568Clinical Social Worker09/16/2024Verify
NEW YORK HEALTH RIDE LLCTransportation Company 09/18/2024Verify
NOBLE LISA A. AKA/DBA LISA PRYNNOffice Manager 10/02/2024Verify
NUNES MARIO PAUL000836951518204585LCSW09/15/2024Verify
PHINALIZ COMMUNICATIONS LLCTransportation Company 10/02/2024Verify
PREWITT ROBERTResidential Aide09/19/2024Verify
PRICE ANDREW00774111194917583License Clinical Social Worker 09/16/2024Verify
QUEENS WOUND & MEDICAL CARE PC1144653072Physician Group09/23/2024Verify
RECKWERDT SEAN ALEXANDER000025091639819584Creative Arts Therapist09/09/2024Verify
ROSS MIKAELA MARY000338341982012282Physical Therapist09/15/2024Verify
SCOPINO SHERRY KAY LPN001551301124338538LPN09/19/2024Verify
SEHL RICHARDMedicaid Transportation Provider09/23/2024Verify
SIDDIQUI SALMAN ANIS000538801528380284Pharmacy09/19/2024Verify
SILVER CARE PHARMACY INC1023586658Pharmacy10/02/2024Verify
SUNRISE TAXI SERVICE LLCTransportation Company09/18/2024Verify
Smith Julie Anne AKA/DBA JULIE ANNE SHARLOW00586408Registered Nurse09/09/2024Verify
Strubert Devon00801950Registered Nurse09/09/2024Verify
TALTY BRIDGET LEIGH005808211790196673RN09/09/2024Verify
TRANSPORTATION SOLUTION NY CORP00040687Transportation Company 09/18/2024Verify
TRISTATE EXPRESS NY INCTransportation Company10/02/2024Verify
UP SERVICES INC AKA/DBA ALLIANCE LABORATORIES OF WESTCHESTER000045891376645135Laboratory09/23/2024Verify
WANG AO000052591427558378Acupuncture09/19/2024Verify
WEINER KEVIN H MD002021651124040530Physician09/09/2024Verify
WILMART TRACY AKA/DBA TRACY WILLMARTDirect Support Professional09/09/2024Verify
YULDASHEV DAMIRTransportation Company Owner09/09/2024Verify