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: 9/6/2025 12:29:16 PM.
Records returned: .
Data was last updated: 9/6/2025 12:01:09 AM.

Provider NameLicense NumberNPI NumberProvider TypeExclusion Effective DateSSN/FEIN
ADVANCED PSYCHOTHERAPY AND BEHAVIOR1316271554Psychotherapy Business09/02/2025Verify
ASAP 2 CAB COMPANYTransportation08/11/2025Verify
BAVIS MEGANInpatient Counselor 09/01/2025Verify
BERG ERIKOther09/01/2025Verify
BK PSYCHOTHERAPY LCSW SERVICES PC1285903138Psychotherapy Business09/02/2025Verify
BROOKLYN PSYCHOTHERAPY LCSW SERVICE1134788540Psychotherapy Business09/02/2025Verify
BULLOCK CRAIG NICHOLAS00003032Mental Health Counselor08/11/2025Verify
CAMPANARO-CUMMINGS VICKIJO00003082Mental Health Counselor08/11/2025Verify
COLLYMORE STEFON000284831114698651Massage Therapist08/11/2025Verify
CONZO THOMASPharmacy Owner08/18/2025Verify
DURINKA JOEL BREMER002960641144541343Physician08/18/2025Verify
ESTRELLA WILKINSHospital Clerk 09/02/2025Verify
FIGLIOZZI KENNETH JOSEPH000096691821279472Massage Therapist08/11/2025Verify
GOULD AMANDA00607317Registered Nurse09/01/2025Verify
ISENHART PATRICKClinical Coordinator09/02/2025Verify
KALRA RITESH MD002433551043436348Physician08/18/2025Verify
LAKESIDE TAXI AND MEDICAL TRANSPORTTransportation Company09/02/2025Verify
LAM EVECaregiver08/18/2025Verify
MAK HONG YUEN AKA/DBA JOE MAK003064221437568383Nurse Practitioner-Adult Health08/18/2025Verify
MANAEV BORIS00781489Registered Nurse08/18/2025Verify
MARTE CHARLENEOther09/02/2025Verify
NZONE PHARMACY LLC1013394659Pharmacy08/18/2025Verify
OCH MOHAMAD MD1629098496Physician09/01/2025Verify
ONOUFRIENKO JASONOwner-Durable Medical Equipment Business08/18/2025Verify
PERLIN MARTIN MD001311631326062597Physician09/02/2025Verify
POLISHCHUK VADIM00723322Registered Nurse09/01/2025Verify
RENWICK EDWARDDevelopmental Assistant09/01/2025Verify
WALKER LARRYBehavioral Health Technician09/01/2025Verify
WOODS MICHAELDirect Support Assistant09/01/2025Verify