Provider Name | License Number | NPI Number | Provider Type | Exclusion Effective Date | SSN/FEIN |
ABBOUD WAFA | | | Executive Director | 03/03/2024 | Verify |
ALAMUR GILBERT | 00336588 | | LPN | 03/20/2024 | Verify |
ALFARO LUIS H. | 00302902 | 1174993083 | LPN | 03/19/2024 | Verify |
ALZHEIMER DANIEL ROBERT | 00297596 | 1235134438 | Physician | 03/14/2024 | Verify |
APPOLON VANELIE | 00763251 | 1164912382 | RN | 03/20/2024 | Verify |
BAILEY MARCELLE | | | Business Owner | 03/03/2024 | Verify |
BASHER MOTAZ | | | Direct Support Professional | 03/27/2024 | Verify |
BILLINS KELLIANNE MARIE | 00258913 | | LPN | 03/12/2024 | Verify |
BRACZYNSKI ALEX | | | Addictions Counselor Assistant | 03/03/2024 | Verify |
BRYAN STACEY ANN LATOYA | 9597291 (FL) | | RN | 03/20/2024 | Verify |
CADESTY MARJORIE | | | Direct Support Professional | 03/12/2024 | Verify |
CARAZAS-PINEZ SANDY | | | Teacher | 03/12/2024 | Verify |
CARDENAS JOSMARY AKA/DBA YASMINE AFTAB HUSSAIN | | | Pharmacy Owner | 03/05/2024 | Verify |
CAROSELLI LAINE | 00187941 | | LPN | 03/20/2024 | Verify |
CHINYAMA IVONNE TENDAI | 00769727 | | RN | 03/20/2024 | Verify |
DAVIDSON LORELEI S | 00206144 | 1205883857 | Physician | 03/03/2024 | Verify |
DEVITO JACQUELYN M | 00338002 | 1073951000 | Nurse Practitioner- Family Health | 03/20/2024 | Verify |
EBADY HAFIZULLAH | | | Other | 03/19/2024 | Verify |
FRANK ZHAN BEST PHYSICAL THERAPY PC | | 1801089370 | Physical Therapy Practice | 03/26/2024 | Verify |
FRUSCI CHRISTOPHER A | | | OTHER | 03/20/2024 | Verify |
GALAXY RX INC | 00038674 | 1346834835 | Pharmacy | 03/12/2024 | Verify |
GAVRIELOF JONATHAN | | | OTHER | 03/12/2024 | Verify |
GEDEON SCHNYDA | 00764907 | | RN | 03/20/2024 | Verify |
GORDON ZAQUAWN M | | | Home Health Aide | 03/03/2024 | Verify |
GULKAROV ALEXANDER | | | Other | 03/07/2024 | Verify |
HANVEY ARTHUR | | | Dental Technician | 03/05/2024 | Verify |
HERRERA HILARIO AKA/DBA HILARIO MANUAL PRIETO HERRERA | 00783591 | 1447898200 | RN | 03/20/2024 | Verify |
IKE AUGUSTA NKEM | 00321501 | 1134508153 | LPN | 03/20/2024 | Verify |
JPS MEDICAL PC | | 1316349095 | Physican Group | 03/03/2024 | Verify |
KARLEWICZ ERIC | | | Business Owner | 03/05/2024 | Verify |
KHAIMOV PETER | | | Other | 03/19/2024 | Verify |
LAHAI SCARLEDY | 00806235 | | RN | 03/20/2024 | Verify |
LECORPS BETINA BAZILE | 00312113 | | LPN | 03/20/2024 | Verify |
MAGARIAN DEVIN ANTHONY | | | OTHER | 03/27/2024 | Verify |
MANGO SARAH | | | Direct Support Aide | 03/27/2024 | Verify |
MARTINIS FRANCIS GERARD | 00193479 | 1952345373 | Physician | 03/27/2024 | Verify |
MARTINIS JESSICA | | | Non medical | 03/27/2024 | Verify |
MATHIEU MYRTHEL ANTONICA | 00331420 | 1699270876 | LPN | 03/20/2024 | Verify |
MILLETT BRYCEN | | | Other | 03/19/2024 | Verify |
MITTAL NIRANJAN KUMAR | 00162509 | 1083680003 | Physician | 03/12/2024 | Verify |
MULHALL SARAH J | 00096037 | 1306382981 | Clinical Social Worker | 03/27/2024 | Verify |
NEW YORK PET IMAGING CENTER LLC | | 1053564781 | Other | 03/26/2024 | Verify |
NIRANJAN K MITTAL PHYSICIAN PLLC | | 1811939465 | OTHER | 03/12/2024 | Verify |
O'ROURKE SEAN P MD | 00196786 | 1255303947 | Physician | 03/20/2024 | Verify |
PATEL MANISHKUMAR | | | Other | 03/05/2024 | Verify |
PAYANO ANTONIO | | | Other | 03/24/2024 | Verify |
PETIT NALINE | RN9551000 | | RN | 03/20/2024 | Verify |
PIERRE BRADLEY | | | Other | 03/19/2024 | Verify |
POLVANOVA IRINA | | | Other | 03/07/2024 | Verify |
PRIME ANDREW | | | OTHER | 03/27/2024 | Verify |
QUATORZE REGINE | 00770858 | | RN | 03/20/2024 | Verify |
SANTAMARIA ANTHONY | | | Other | 03/19/2024 | Verify |
SHAMALOV ROMAN | | | Other | 03/05/2024 | Verify |
SKY MEDICAL SUPPLY INC | | 1821131541 | Other | 03/26/2024 | Verify |
SUDBERG JORDAN | 00272774 | 1053577312 | Physician | 03/03/2024 | Verify |
SUTTON MARY KELLY | 00150168 | 1770672230 | Physician | 03/20/2024 | Verify |
TALBOT YASMIN | 00597852 | | Nurse | 03/27/2024 | Verify |
TSIKMAN HERSHEL | | | Other | 03/19/2024 | Verify |
VEDA MEDICAL | | | Other | 03/26/2024 | Verify |
WAHAB AAMIR A | 00054708 | 1861529091 | Dentist | 03/20/2024 | Verify |
WOOD SANDRA LEA | 00265001 | | LPN | 03/20/2024 | Verify |
Wisnicki Robert | | | Other | 03/19/2024 | Verify |
YAGUDAYEV ALBERT | | | Other | 03/19/2024 | Verify |
ZHU RUIBING | | | Other | 03/19/2024 | Verify |