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



Exclusions Short List


Search Again

You searched for: Short List
List Execution Date: 6/2/2025 11:58:58 AM.
Records returned: .
Data was last updated: 6/2/2025 12:01:08 AM.

Provider NameLicense NumberNPI NumberProvider TypeExclusion Effective DateSSN/FEIN
BALDWIN HILARY E MD001634531962496265Physician05/26/2025Verify
BEANEY NEILDirect Support Professional05/14/2025Verify
BENJAMIN NEILTeacher Assistant05/14/2025Verify
BRADLEY TIMOTHYCounselor05/08/2025Verify
CAROTENUTO KRISTEN AKA/DBA KRISTEN M. DALMAN00659663Registered Nurse05/14/2025Verify
COMMUNITY CNSLG SVC W NASSAUP77040001033279963Diagnostic and Treatment Center05/06/2025Verify
CREW ALIKA LAUREL000536891609915354Dentist 05/26/2025Verify
DAGOSTINO TONYA00245248Licensed Practical Nurse05/14/2025Verify
DOVLATYAN VARUZHAN MD002078901811928369Physician05/26/2025Verify
EDEL WILLIAM ALTON004980011265752471Registered Nurse05/06/2025Verify
FLEURIMONT GLORIANDE002060881649357039Physician05/06/2025Verify
FORONDA FELIPE HOYOSUnlicensed Surgeon 05/14/2025Verify
GALLO ALYSSADirect Support Professional05/08/2025Verify
GARRELL-HALL JASONTeachers Aide 05/14/2025Verify
HARRELL MARIAHChild Care Worker05/14/2025Verify
HARRIS PHILLIPCertified Nurse Aide05/26/2025Verify
HIRDT ALBERT P001685411396792636Physician05/14/2025Verify
HOWARD KEITH00000992Physician Assistant05/06/2025Verify
Happy Family Social Adult Daycare Inc.Adult Day Care05/08/2025Verify
MALPICA MARCO000993251871043349Licensed Master Social Worker05/08/2025Verify
MCGRATH CRISTINCustodian05/14/2025Verify
NAIMAN HILLEL BRUCE001640371821147760Physician05/08/2025Verify
NICKERSON ALFRED00348949Licensed Practical Nurse05/26/2025Verify
NY BE WELL MEDICAL PC001197541215402870Medical Practice05/26/2025Verify
OLANDER JOHN00031065Massage Therapist05/08/2025Verify
RITZ LYNN M00269793Licensed Practical Nurse05/08/2025Verify
ROSE ELIZABETH00449279Registered Nurse05/06/2025Verify
RUSSELL SARA RPA AKA/DBA SARA DUNNE000156131053671859Physicians Assistant05/26/2025Verify
SCHWARTZ JOSEPHOwner05/26/2025Verify
SHAW DARINA MARIE003247381427510288Licensed Practical Nurse05/14/2025Verify
SMITH DARRYL CURTIS002725211245494533Physician05/08/2025Verify
SPENCER QUINTONDirect Support Professional 05/06/2025Verify
SUTTELL RACHAEL000181321114326865Occupational Therapist05/08/2025Verify
SYAMAPRASAD SANJAI0000625Polysomnographic Technologist05/14/2025Verify
WOOD QUADIACustodian05/14/2025Verify
WOODALL LATISHADirect Support Professional 05/08/2025Verify