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: 5/4/2025 5:42:44 AM.
Records returned: .
Data was last updated: 5/4/2025 12:01:09 AM.

Provider NameLicense NumberNPI NumberProvider TypeExclusion Effective DateSSN/FEIN
AKHTER SHEMUCDPAP Aide04/20/2025Verify
ALZADON JOSE WENCESLAO V MD AKA/DBA ALZODON00202350Physician04/16/2025Verify
BERETSKY OLEG00443456Registered Nurse04/10/2025Verify
BRADLEY MADISONTeachers Aide04/20/2025Verify
BRONX MEDICAL HEALTH PROVIDER PC001236351093352874Medical Practice04/10/2025Verify
CARR CORYDay Service Coordinator 04/20/2025Verify
CARRANZA YOLANY MEJIADentist-Unlicensed04/10/2025Verify
CHAUDHARI MANSINH AKA/DBA MONSI KOOVAOwner-Consulting Company04/10/2025Verify
CODINGTON RACHELLEDirect Support Professional04/10/2025Verify
COUNTRYMAN SHANNONChief Financial Officer04/22/2025Verify
CRAWFORD STEVENCounselor-Alcoholism and Substance Abuse 04/10/2025Verify
DAVIS JEROMEDirect Support Professional04/10/2025Verify
FADHEL ARKANTransportation Company Owner04/10/2025Verify
FUHRMANN DAVIDSales Director04/22/2025Verify
GOLD COAST DENTAL1093179574Dental Practice04/20/2025Verify
GONZALEZ MARIELALaundry Attendant04/20/2025Verify
HASAN MDCDPAP Aide04/29/2025Verify
HERTZBERG SUSAN L.Chief Executive Officer04/16/2025Verify
JACKSON CHRISTINE ALICECaregiver04/22/2025Verify
KATES JUSTINCare Technician04/10/2025Verify
KHATUN, NAHIDACDPAP Aide04/29/2025Verify
KREMEN JENYABilling Manager for Homecare Agency04/28/2025Verify
LAFEMINA SALVATORE F000407401942383625Licensed Clinical Social Worker04/20/2025Verify
LENABURG SIAVONH000103851316429400Licensed Mental Health Counselor04/28/2025Verify
LUDWIG ARTHUR00009783Massage Therapist04/28/2025Verify
MCGEE, JOSEPHDirect Support Professional04/16/2025Verify
METZLER RONALDTransportation Driver04/10/2025Verify
MITCHELL CHRISTOPHERDirect Support Professional 04/10/2025Verify
OBEST INC.Billing Services04/16/2025Verify
PASTINA IRINAHomecare Agency Payroll Manager04/28/2025Verify
PEREZ TALLEENMedical Assistant04/16/2025Verify
PERSAUD JULIE M1235723941Case Manager04/28/2025Verify
QUEEN CITY TRANSPORTATION INCTransportation Provider04/10/2025Verify
SERRANO NATHANIELDirect Support Professional 04/20/2025Verify
SEYENA-SUSU THEODORE DDS000503981316082464Dentist04/20/2025Verify
SMITH SHARODFood Service Worker04/22/2025Verify
TAYLOR YUSRAResident Counselor04/28/2025Verify
VALMONT MARVENCommunity Instructor04/20/2025Verify
WAKEFIELD COURTNEYChild Care Worker 04/20/2025Verify
YEN CINDYAssociate Psychologist04/20/2025Verify
ZAVALA JOSHUAMedical Assistant04/28/2025Verify