State of New Jersey Consolidated Debarment Search Results You Are Viewing an Archived Document from the New Jersey State Library

State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. State of New Jersey Consolidated Debarment Search Results

Your search generated 2326 matches.

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This data was last updated on 8/20/2014.

Firm and/or Individual Category/Reason Action/By Effective Expiration

ABARCA, CHERYL R., L.P.N. Medical Suspension 06/20/05 528 3RD STREET Other NEWARK, NJ 07107 Human Services Medical Assistance (Medicaid)

ABDELGANI, AMIR Medical Disqualification 11/26/01 Permanent ALLENWOOD USP Criminal Offense WHITE DEER, PA 17887 Human Services Medical Assistance (Medicaid)

ABDELGANI, FADIL Medical Disqualification 11/26/01 Permanent TERRE HAUTE USP Criminal Offense TERRE HAUTE, IN 47808 Human Services Medical Assistance (Medicaid)

ABDELHAMID, MANAL, R.P. Medical Debarment 03/15/01 Permanent 7100 BOULEVARD EAST, 11G Other GUTTENBERG, NJ 07093 Human Services Medical Assistance (Medicaid)

ABDOLLAHI, MITRA DMD Medical Disqualification 11/05/07 02/04/16 646 N. SARATOGA DRIVE Other MOORESTOWN, NJ 08057-3834 054 Medical Assistance (Medicaid)

ABERBACH, STEVEN, RP Medical Debarment 12/19/03 23 STONEGATE DRIVE Other WATCHUNG, NJ 07069-5470 Human Services Medical Assistance (Medicaid)

ABOOD, ABDOL MAJID S. Medical Suspension 05/07/97 64 BEVAN STREET Criminal Offense JERSEY CITY, NJ 07306 Human Services Medical Assistance (Medicaid)

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. ABOUELHODA, AHMED RPH Medical Suspension 09/20/05 33-17 60TH ST. APT. 1 Other WOODSIDE, NY 11377 Human Services Medical Assistance (Medicaid)

ABRAHAMSEN, SVEND, DPM Medical Disqualification 04/20/94 Permanent 101 CHESTNUT RIDGE ROAD Criminal Offense SADDLE RIVER, NJ 07458 Human Services Medical Assistance (Medicaid)

ABRAMS, IRVING, R.PH Medical Suspension 04/27/00 5 LORGENE WAY Other MORGANVILLE, NJ 07551 Human Services Medical Assistance (Medicaid)

ABUSEF, ELSAYED, K. Medical Disqualification 05/20/99 Permanent 814 74TH STREET Other NORTH BERGEN, NJ Human Services Medical Assistance (Medicaid)

ACOSTA PEDRO Medical Disqualification 05/02/08 5815 43RD AVENUE Other QUEENS, NY 11377 Human Services Medical Assistance (Medicaid)

ACOSTA, PEDRO E. Medical Disqualification 09/16/11 5815 43RD AVENUE 1ST FL Criminal Offense WOODSIDE, NY 11377- 054 0018

ACOSTA, PEDRO Medical Suspension 04/13/08 5815 43RD AVENUE Other QUEENS, NY 11377 Human Services Medical Assistance (Medicaid)

ACQUAIRE, FLORENCE Medical Suspension 04/20/06 EMCF PO BOX 08809 Other CLINTON, NJ 08809 Human Services Medical Assistance (Medicaid)

ACQUAITE, FLORENCE Medical Suspension 04/20/06 EMCF PO BOX 08809 Other CLINTON, NJ 08809 Human Services Medical Assistance (Medicaid)

ACQUAYE, EDWARD Medical Suspension 04/19/07 10 BERWICK CIRCLE Other NORTH BRUNSWICK, NJ 08902 Human Services Medical Assistance (Medicaid)

ACQUILANTE, JOHN C., R.P. Medical Disqualification 09/23/83 Permanent

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. 27 ROCKLEDGE PLACE Industry Law CEDAR GROVE, NJ 07009 Violation Human Services Medical Assistance (Medicaid)

ACZON, FERDINAND B. MD Medical Disqualification 09/20/11 204 SUMMIT ROAD Criminal Offense MOUNT LAUREL, NJ 08054 054 0018

ADAIR, LISA, LPN Medical Suspension 09/19/02 206 LAKEHURST AVE., APT.B Other NATIONAL PARK, NJ 08063 Human Services Medical Assistance (Medicaid)

ADAMS, JAIME, L., CHHA Medical Suspension 06/19/03 911 W. HAND AVE Other CAPE MAY CT. HS, NJ 08210 Human Services Medical Assistance (Medicaid)

ADAMSHICK, WILLIAM R.P. Medical Suspension 07/14/05 03/21/12 2516 HURRY ROAD. Other FORKED RIVER, NJ 08731 054 Medical Assistance (Medicaid)

ADDISON, LECLERC MD Medical Disqualification 07/20/07 1482 SW 150TH TERRACE Other SUNRISE, FL 33326 Human Services Medical Assistance (Medicaid)

ADELMAN, NEIL, M.D. Medical Disqualification 12/01/98 Permanent 3023 PERRYTON PARKWAY Other PAMPA, TX 79065 Human Services Medical Assistance (Medicaid)

ADIKA, YITZHAK Construction Debarment 07/21/14 07/20/17 76 ALPINE DRIVE Wage & Hour CLOSTER, NJ 07624 Violation 062 Workplace Standards

ADISSON- MARTINEAU, LUNIC Medical Disqualification 03/14/08 14 WALTER PLACE #1 Other IRVINGTON, NJ 07111 Human Services Medical Assistance (Medicaid)

AGARAWAL, SHASHI K. MD Medical Debarment 02/28/14 FCI SCHUYLKILL, POBOX 759 Criminal Offense MINERSVILLE, PA 17954 054 0018

AGARWAL, SHASHI, K. MD Medical Suspension 02/22/12 198 CENTRAL AVENUE 1ST FL Criminal Offense EAST ORANGE, NJ 07018 054 0018

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. AGRAWAL, PANKAJ MD Medical Disqualification 03/11/06 3 E MEADOWBROOK CIRCLE Other SICKLERVILLE, NJ 08081-1669 054 0018

AGRESTA, RUDOLPH, MD Medical Suspension 02/19/04 P.O. BOX 7450 Other TRENTON, NJ 08628 Human Services Medical Assistance (Medicaid)

AGUIAR, SANDRA Medical Disqualification 06/18/09 605 KNICKERBOCKER ROAD Other TENAFLY, NJ 07670 Human Services Medical Assistance (Medicaid)

AGUILAR, RUBEN, R.PH. Medical Suspension 07/20/10 16 GOLDENROD DRIVE Criminal Offense BELLE MEAD, NJ 08502 054 0018

AHMAD, ABADULLAH Medical Suspension 02/19/09 Permanent 280 LUIS MARIN BLVD #15 Other JERSEY CITY, NJ 07302 054 0018

AHMAD, FAROOK Medical Suspension 11/08/94 300 EAST HALSEY ROAD Other PARSIPPANY, NJ 07054 Human Services Medical Assistance (Medicaid)

AHMED, AMIR E. Medical Suspension 05/30/97 Permanent 7-11 TONNELLE AVE - 2MN Criminal Offense JERSEY CITY, NJ 07306 054 Medical Assistance (Medicaid)

AHMED, KHALID H. Medical Disqualification 03/26/94 Permanent P. O. BOX 930 Criminal Offense NEW YORK, NY 10013 Human Services Medical Assistance (Medicaid)

AHMED, MOHAMED G. Medical Disqualification 08/20/10 5 WESTOVER TERRACE Other WEST ORANGE, NJ 07052 054 0018

AIRD, EILEEN, B. Medical Suspension 04/20/03 295 GRANDVIEW CIRCLE Other RIDGEWOOD , NJ 07450 Human Services Medical Assistance (Medicaid)

AKHTAR, NADEEM R.PH Medical Disqualification 09/20/12 15 GRISTMILL LANE Criminal Offense UPPER SADDLE RI, NJ 07458 054 0018

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. AKHTAR, NADEEM Medical Debarment 01/20/12 15 GRIST MILL LANE Criminal Offense UPPER SADDLE RI, NJ 07458 054 0018

AKINBILE, MORUFU O. Medical Disqualification 08/20/10 419 E. MOOREHAVEN DRIVE Other CARSON, CA 90746-1150 054 0018

AL SALIHI, FAROUK, MD Medical Suspension 05/01/11 1810 KENNEDY BLVD Other JERSEY CITY, NJ 07305 054 0018

AL-GHRAOUI, FADI, M.D. Medical Disqualification 11/18/04 Permanent P.O. BOX 23429 Other FORT LAUDERDALE, FL 33307-3429 Human Services Medical Assistance (Medicaid)

ALBERS, HENRY J., EMT Medical Disqualification 01/09/96 Permanent 3 QUEEN STREET Criminal Offense PARSIPPANY, NJ 07054 Human Services Medical Assistance (Medicaid)

ALBERT, ELIZABETH S. Construction Debarment 03/26/13 03/25/16 20 WILSON AVENUE Wage & Hour EAST HANOVER, NJ 07936 Violation 062 Workplace Standards

ALBERT, JOHN Construction Debarment 03/26/13 03/25/16 66 CHEROKEE ST. Wage & Hour ROCKAWAY, NJ 07866 Violation 062 Workplace Standards

ALBERT, JOSEPH Construction Debarment 03/26/13 03/25/16 28 EMANUEL ST Wage & Hour EAST HANOVER, NJ 07936 Violation 062 Workplace Standards

ALCAIDE, KELLY, L.P.N. Medical Suspension 02/20/02 716 RIVER ROAD Other SOMMERVILLE, NJ 08844-4048 Human Services Medical Assistance (Medicaid)

ALEXANDER, EDWARD J. MD Medical Debarment 08/08/00 Permanent 8001 CASTOR AVE STE 326 Criminal Offense PHILADELPHIA, PA 19152-2701 054 0018

ALEXANDER, JULIE B., R.N. Medical Suspension 05/19/05 1525 DOGWOOD DRIVE Other CHERRY HILL, NJ 08003 Human Services Medical Assistance (Medicaid)

ALEXANDER, MARVIN Construction Debarment 12/04/13 12/03/16

ALFONSO, NORM, BUS. MGR. Medical Suspension 08/19/97 144 SUMMIT AVENUE Other ENGLEWOOD, NJ 07631 Human Services Medical Assistance (Medicaid)

ALI, MOHAMED T. Medical Disqualification 05/31/94 Permanent 64 BEVAN STREET Other JERSEY CITY, NJ 07306 Human Services Medical Assistance (Medicaid)

ALI, SAQIB Medical Debarment 05/20/12 MDC BROOKLYN, PO BOX 3290 Criminal Offense BROOKLYN, NY 11232 054 0018

ALI, TARK Medical Disqualification 05/10/99 Permanent 566 BLOOMFIELD AVENUE Other BLOOMFIELD, NJ 07306 Human Services Medical Assistance (Medicaid)

ALLEN, KENNYETTA G Medical Disqualification 03/14/08 148 CORNERSTONE PLACE Other WHITEHALL, NJ 18052-4163 Human Services Medical Assistance (Medicaid)

ALLEN-BROGAN, MELANIE A. Medical Suspension 03/05/08 135 WILD OAKS COURT Other LITTLE EGG HARB, NJ 08701 Human Services Medical Assistance (Medicaid)

ALPERIN, MARTIN, M.D. Medical Debarment 06/19/00 Permanent 28 RIVERSIDE AVENUE Other RED BANK, NJ 07701 Human Services Medical Assistance (Medicaid)

ALPTER, PERRY, DDS Medical Suspension 10/02/95 560 NEWARK AVENUE Other ELIZABETH, NJ 07208 Human Services Medical Assistance (Medicaid)

ALSTON, SHERRELLE Medical Debarment 10/09/07 NORTH 52ND STREET Criminal Offense PHILADELPHIA, PA 19139 Human Services Medical Assistance (Medicaid)

ALVIS, SANDRA, C.H.H.A. Medical Suspension 05/19/05 1421 HOLLINSHED AVENUE Other PENNSAUKEN, NJ 08110 Human Services

ALY, AHMED F. Medical Suspension 08/17/07 1030 LIBERTY AVENUE Other UNION, NJ 07083 054 Medical Assistance (Medicaid)

AMABILE, JOHN C., OD Medical Disqualification 06/30/02 Permanent HIGHWAY #35 & 3RD AVENUE Other OCEAN, NJ 07712 Human Services Medical Assistance (Medicaid)

AMATO, NICOLA D.C. Medical Suspension 06/20/05 3 MULLIGAN DRIVE Other FLANDERS, NJ 07836 Human Services Medical Assistance (Medicaid)

AMATO, STEVEN P. DC Medical Disqualification 10/20/09 30151 FISH ROCK ROAD Criminal Offense YORKVILLE, CA 95494 054 0018

AMATO, VANESSA, A., RN Medical Suspension 09/19/03 65 LOCUST AVENUE Other N. ARLINGTON, NJ 07031-5512 Human Services Medical Assistance (Medicaid)

AMBROSE, DEAN, A., D.O. Medical Debarment 02/01/02 119 NORTH CETNTRE STREET Other MERCHANTVILLE, NJ 08109-2520 Human Services Medical Assistance (Medicaid)

AMESON, VICTORIA, RN Medical Suspension 09/19/03 42 HOLLY STREET Other CRANFORD, NJ 07016 Human Services Medical Assistance (Medicaid)

AMPOFO, TWUMASI Medical Disqualification 03/30/09 12 MARSHALL STREET #7W Criminal Offense IRVINGTON, NJ 07111 Human Services Medical Assistance (Medicaid)

AMPOFO, TWUMASI Medical Suspension 02/01/08 MARSHALL STREET Other IRVINGTON, NJ 07111 Human Services Medical Assistance (Medicaid)

ANAND, SUBINA DMD Medical Disqualification 04/17/12 17 GROVERS MILL ROAD Criminal Offense PLAINSBORO, NJ 08536 054 0018

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. ANAND, SUBINA Medical Disqualification 12/20/12 17 GROVERS MILL ROAD Criminal Offense PLAINSBORO, NJ 08536 054 0018

ANDERSON, DAVID, RN Medical Suspension 10/20/03 519 HOBART AVE. Other TRENTON, NJ 08629 Human Services Medical Assistance (Medicaid)

ANDERSON, JOHN, P., MD Medical Suspension 01/20/99 362 S. LAUREL STREET Other WAYNEBORO, VA 22980 Human Services Medical Assistance (Medicaid)

ANDUJAR, EDWARD,MD Medical Disqualification 01/20/06 516 E. WOOD STREET Other VINELAND, NJ 07410 Human Services Medical Assistance (Medicaid)

ANGELES, KATHERINE, MD Medical Debarment 06/23/95 Permanent 191 ROUTE 37 WEST Other TOMS RIVER, NJ 08755 Human Services Medical Assistance (Medicaid)

ANGELO, JOSEPH Medical Disqualification 04/27/93 Permanent 34 STONEHEDGE ROAD Criminal Offense LINCROFT, NJ 07738 054 Medical Assistance (Medicaid)

ANODIDE, PAUL A. DDS Medical Disqualification 02/03/06 23 BLUE DEVIL LANE Other TRENTON, NJ 08619 Human Services Medical Assistance (Medicaid)

ANTONAS, GEORGE Construction Debarment 07/24/14 07/23/17 114 BRACE ROAD Wage & Hour CHERRY HILL, NJ 08034 Violation 062 Workplace Standards

ANTONE, JULIE Medical Debarment 02/20/13 366 CAMBRIDGE DRIVE Criminal Offense RAMSEY, NJ 07446 054 0018

ARDEHALI, MOHAMMED, M.D. Medical Suspension 02/20/01 193 ELWOOD AVENUE Other NEWARK, NJ 07104 Human Services Medical Assistance (Medicaid)

ARGUETA, ED., NURSE ASST. Medical Suspension 09/13/99 604 N. BAYVIEW AVENUE Criminal Offense SEASIDE PARK, NJ 08752 Human Services

ARGUETA, EDWARD A. Medical Suspension 04/08/99 604 N. BAYVIEW AVENUE Criminal Offense SEASIDE PARK, NJ 08752 Human Services Medical Assistance (Medicaid)

ARIF MOHAMMED Medical Disqualification 12/01/98 Permanent 147-14 14TH AVENUE Other WHITESTONE, NY 11375 Human Services Medical Assistance (Medicaid)

ARNESON, VICTORIA, RN Medical Suspension 09/19/03 42 HOLLY STREET Other CRANFORD, NJ 07016 Human Services Medical Assistance (Medicaid)

AROWOSAYE, EMILY - FX Medical Debarment 05/20/12 24 CUNNINGHAM DRIVE Criminal Offense WEST ORANGE, NJ 07052 054 0018

AROWOSAYE, EMILY, RN Medical Disqualification 07/31/10 24 CUNNINGHAM DRIVE Criminal Offense WEST ORANGE , NJ 07052 054 0018

AROWOSAYE, ISAAC Professional Debarment 03/30/10 24 CUNNINGHAM DRIVE Other WEST ORANGE, NJ 07052-2236 054 Medical Assistance (Medicaid)

AROWSAYE, ISAAC Medical Debarment 07/04/14 24 CUNNINGHAM DRIVE Criminal Offense WEST ORANGE, NJ 07052 054 0018

ASHISH, THOMAS Construction Debarment 07/29/14 07/28/17 6 SPRUCE MEADOWS DRIVE Wage & Hour MONROE, NJ 08831 Violation 062 Workplace Standards

ASHOKAN, ANNAMALAL, MD Medical Debarment 05/01/04 7 ROCKLEDGE DRIVE Other SUFFERN, NY 10901 Human Services Medical Assistance (Medicaid)

ASKANAZI, JEFFREY Medical Debarment 07/19/99 Permanent 2322 OLDE FARM LANE Other HUDSON, OH 44236 Human Services Medical Assistance (Medicaid)

ASTON, ALEXIS L. Medical Disqualification 06/18/09

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. 15 PRIMROSE LANE, APT. 3 Other DELRAN, NJ 08075 Human Services Medical Assistance (Medicaid)

ATIENZA, CESAR P. MD Medical Disqualification 08/06/91 Permanent 56 COLD INDIAN SPRING RD Criminal Offense OCEAN, NJ 07712 054 Medical Assistance (Medicaid)

AZAM, CHOWDHURY, F. MD Medical Debarment 02/01/99 Permanent 38 ORIOLE DRIVE Other HACKETTSTOWN, NJ 07840 Human Services Medical Assistance (Medicaid)

AZIZ-DURRANI, MUMILIKAT Medical Suspension 09/19/02 328 SIP AVENUE Other JERSEY CITY, NJ 07306-6525 Human Services Medical Assistance (Medicaid)

AZU, PHILIP N., R.P. Medical Disqualification 04/19/01 Permanent 1094 CLINTON AVENUE Criminal Offense IRVINGTON, NJ 07111 Human Services Medical Assistance (Medicaid)

BABARIA, ASHOKKUMAR R. MD Medical Suspension 01/10/12 208 QUAKERBRIDGE COURT Criminal Offense MOORESTOWN, NJ 08057 054 0018

BACSENKO,JENNIFER Medical Suspension 01/20/11 103 STATE STREET Other LINWOOD, NJ 08221 054 0018

BADAWY, BADAYT MD Medical Suspension 03/25/13 2738 KENNEDY BLVD 1ST FL Criminal Offense JERSEY CITY, NJ 07306 054 0018

BAER, MICHAEL, L., DC Medical Suspension 09/20/04 BAYSIDE STATE PRISON Criminal Offense LLESBURG, NJ 08327 Human Services Medical Assistance (Medicaid)

BAEZ, ANNA, V., DDS Medical Suspension 03/20/02 911 VILLAGE DRIVE Other SOMERSET, NJ 08873 Human Services Medical Assistance (Medicaid)

BAHNSON, WILLIAM F, MD Medical Disqualification 09/02/88 Permanent 28 HIGH STREET Industry Law TREENFIELD, MA 01301 Violation Human Services Medical Assistance

BAIRD, DAVID, B., MD Medical Suspension 05/20/04 4107 MERCHANT SQ. PLACE Other LANSDALE, PA 19446 Human Services Medical Assistance (Medicaid)

BAJWA, LATIF AHMAD Medical Suspension 02/09/09 P.O. BOX 633 Other LANGHORNE, PA 19047 Human Services Medical Assistance (Medicaid)

BAKER, SCOTT, CNA Medical Disqualification 05/24/02 215 BURLINGTON RD. SOUTH Criminal Offense BRIDGETON, NJ 08302 Human Services Medical Assistance (Medicaid)

BALCUNAS, GERARDIS, OWNER Construction Debarment 06/24/11 06/23/14 458 LIVINGSTON DRIVE Wage & Hour EAST WINDSOR, NJ 08520 Violation 062 Workplace Standards

BALLERAS, ALFREDO B. RPH Medical Disqualification 09/14/10 09/13/13 1 VISTA DRIVE Other MOUNT OLIVE, NJ 07836 054 0018

BAMBAD, BABAK Medical Disqualification 07/26/11 2 SOUTH GATE ROAD APT 736 Criminal Offense GREAT NECK, NY 11023 054 0018

BAMDAD, BABAK Medical Debarment 06/01/10 333 RIVER STREET Criminal Offense HOBOKEN, NJ 07030 054 0018

BAMGBOYE, PATRICK DDS Medical Debarment 11/07/12 358 MEISEL AVENUE Other SPRINGFIELD, NJ 07081 054 0018

BANGOURA, ALPHA Medical Suspension 03/22/06 200 EXECUTIE DRIVE Other WEST ORANGE, NJ 07050 Human Services Medical Assistance (Medicaid)

BANNON, JOSEPH, PRESIDENT Construction Debarment 11/25/11 11/24/14 250 GORGE ROAD Wage & Hour CLIFFSIDE PARK, NJ 07010 Violation 062 Workplace Standards

BARAHONA, RONY Construction Debarment 03/26/13 03/25/16 549 SUMMIT AVENUE Wage & Hour MAPLEWOOD, NJ 07040 Violation 062 Workplace Standards

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. BARAN-DICRISCIO, L., LPN Medical Suspension 03/20/02 309 IRIS ROAD Other CHERRY HILL, NJ 08620 Human Services Medical Assistance (Medicaid)

BARASCH, MILTON, R.PH Medical Debarment 08/03/00 Permanent 12 IVY WAY Other ABERDEEN, NJ 07747 Human Services Medical Assistance (Medicaid)

BARATTI, CARMEN, D.O. Medical Suspension 09/04/97 150 KIRKBRIDGE ROAD Other VOORHEES, NJ 08043-1815 Human Services Medical Assistance (Medicaid)

BARBA, FIDELIS, M.D. Medical Disqualification 10/11/00 Permanent 2 POWDER HILL Other SADDLE RIVER, NJ Human Services Medical Assistance (Medicaid)

BARBER, HINSON, CONNIE Medical Suspension 04/20/11 7011 SHADOW RUN Criminal Offense SAN ANTONIO, TX 78250-1738 054 0018

BARBERS-WEBER, JENNIFER Medical Suspension 11/05/09 8 ELKRIDGE PARKWAY Criminal Offense MANALAPAN, NJ 07726 054 Medical Assistance (Medicaid)

BARDEN, BRENDA Medical Disqualification 12/20/12 19 INTERVALE ROAD Criminal Offense SALEM, MA 01970 054 0018

BARDO, MANUEL Medical Suspension 08/19/04 11756 SW 14TH TERRACE Other MIAMI, FL Human Services Medical Assistance (Medicaid)

BARGE, NICHOLAS Medical Debarment 03/16/11 10/29/17 716 NAUTILUS STREET Other FORKED RIVER, NJ 08731 054 0018

BARI, ABDUL Medical Disqualification 06/19/09 264 PROSPECT STREET Criminal Offense NUTLEY, NJ 07110 Human Services Medical Assistance (Medicaid)

BARIEXCA, CARLA LPN Medical Suspension 08/20/06 107 DAYTON STREET Other TRENTON, NJ 08610 Human Services

BARNA, ARLENE, RN Medical Suspension 09/19/03 205 KRAFT AVE. Other OAKLYN, NJ 08107 Human Services Medical Assistance (Medicaid)

BARNEY, WILLIAM Vendor Suspension 08/27/01 73 HAMPTON GATE DRIVE Criminal Offense SICKLERVILLE, NJ 08061 Treasury Treasury Purchase Bureau

BARNWELL, LATANYA Medical Debarment 09/17/09 09/17/14 1048 PENNINGTON ROAD Criminal Offense EWING, NJ 08618-2630 054 Medical Assistance (Medicaid)

BARON, MICHAEL B., M.D. Medical Debarment 09/11/00 Permanent SE 1256 BISHOP BLVD. STE1 Other PULMAN, WA 99163 Human Services Medical Assistance (Medicaid)

BARTLOW, BRIAN Medical Suspension 07/17/03 551 PARKWOOD AVENUE Other TOMS RIVER, NJ 08753 Human Services Medical Assistance (Medicaid)

BASBUS, VICTOR M.,MD Medical Debarment 02/06/09 Permanent 33 5TH AVENUE APT 1B Other NEW YORK, NY 10003-4338 054 0018

BASSO, NICHOLAS V., MD Medical Debarment 02/01/00 Permanent 7665 MAPLE AVENUE Other PENNSAUKEN, NJ 08109 Human Services Medical Assistance (Medicaid)

BASTOS, DAVID Construction Debarment 08/05/13 08/04/16 10 PLEASANT PLACE Wage & Hour KEARNY, NJ 07032 Violation 062 Workplace Standards

BATEMAN, PAMELA LPN Medical Suspension 07/21/08 91 CHESTNUT STREET Other SALEM, NJ 08079 Human Services Medical Assistance (Medicaid)

BATES, NANCY M, D.O. Medical Debarment 04/03/01 Permanent 38 PALSA AVENUE Other ELMWOOD PARK, NJ 07407 Human Services Medical Assistance (Medicaid)

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. BAXTER, LOUIS E. MD Medical Disqualification 04/02/13 2 MANCHESTER COURT Industry Law COLUMBUS, NJ 08022 Violation 054 Medical Assistance (Medicaid)

BEALS, PAUL V. MD Medical Suspension 06/24/14 4120 WESTFIELD AVENUE Other PENNSAUKEN, NJ 08110 054 0018

BECK, ALLAN G., M.D. Medical Suspension 02/20/01 1833 ARROWHEAD DRIVE Other WATERFORD, NJ 08089 Human Services Medical Assistance (Medicaid)

BECKETT, DONALD D.P.M. Medical Disqualification 11/04/05 10144 DEERCLIFF DRIVE Other TAMPA, FL 33647 Human Services Medical Assistance (Medicaid)

BECKETT, WESLEY, J. Construction Debarment 01/06/14 01/05/17 110 OAK AVENUE Wage & Hour MALAGA, NJ 08328 Violation 062 Workplace Standards

BECKFORD, AUDREY L, D.O. Medical Suspension 01/20/02 566 NORTH MAPLE AVENUE Other EAST ORANGE, NJ 07017 Human Services Medical Assistance (Medicaid)

BEHRMAN, EDWARD, D.O. Medical Disqualification 12/01/98 Permanent 520 HAMBURG TURNPIKE Other WAYNE, NJ 07470 Human Services Medical Assistance (Medicaid)

BEIRNE, MARY F, MD Medical Disqualification 07/19/01 05/16/11 75 ABE VORHEES AVENUE Other MANASQUAN, NJ 08736 054 Medical Assistance (Medicaid)

BELKOFF, MEYER Medical Debarment 07/17/98 Permanent 29 ELMORA AVENUE Other ELIZABETH, NJ 07202 Human Services Medical Assistance (Medicaid)

BELL, KIMBERLY, R.N. Medical Suspension 06/20/01 2030 HIGHWAY 35 N. UNIT K Other ORTLEY BEACH, NJ 08735 Human Services Medical Assistance (Medicaid)

BELLAMY, BERNICE Medical Debarment 10/20/04 Permanent 149-50-8845 Other

BELLAMY, HARVEY, OWNER -H&B Medical Disqualification 10/20/04 Permanent TRANSP Other CRAF PO BOX 7450 Human Services TRENTON, NJ , NJ 08625 Medical Assistance (Medicaid)

BELLO, REY N., MD Medical Suspension 01/31/11 444 60TH STREET Other WEST NEW YORK, NJ 07093 054 0018

BENKO, ALICIA #60674-050 Medical Disqualification 09/18/09 FCI DANBURY RT 37 Other DANBURY, CT 06811 Human Services Medical Assistance (Medicaid)

BENNETT-WILLIAMSON, KATHL Medical Disqualification 08/27/01 Permanent 75 WALT WHITMAN WAY Other TRENTON, NJ 08690 Human Services Medical Assistance (Medicaid)

BERGER, SHELDON H., M.D. Medical Debarment 09/30/00 Permanent 1032 ROUTE 34 Other MATAWAN, NJ 07747 Human Services Medical Assistance (Medicaid)

BERKELHAMMER, EDWARD, MD Medical Disqualification 08/30/90 Permanent 230 W. JERSEY ST. Criminal Offense ELIZABETH, NJ 07202 Human Services Medical Assistance (Medicaid)

BERMAN, LARRY R. DDS Medical Disqualification 12/20/12 308 RARITAN AVENUE Criminal Offense HIGHLAND PARK, NJ 08904 054 0018

BERMAN, LARRY R., DDS Medical Disqualification 08/24/10 308 RARITAN DRIVE Criminal Offense HIGHLAND PARK, NJ 08904 054 0018

BERRY, BRADLEY D, MD Medical Disqualification 06/13/91 Permanent PO BOX 2008 Industry Law GRUNDY, VA 24614 Violation Law and Public Safety Consumer Affairs Board of Medical Examiners

BEST, ALEXANDER C. Medical Suspension 07/20/05 P.O. BOX 7000 Other FORT DIX, NJ 08640 Human Services Medical Assistance (Medicaid)

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. BETHEA, ALFREDA, LPN Medical Suspension 10/20/02 1234 PROSPECT STREET Other TRENTON, NJ 08638 Human Services Medical Assistance (Medicaid)

BETHEA, JOSEPH, PRESIDENT Construction Debarment 08/19/11 08/18/14 349 JHNSON AVENUE Wage & Hour LAWRENCEVILLE, NJ 08648 Violation 062 Workplace Standards

BEUKAS, STEPHEN Medical Debarment 03/30/14 27 ROUTE 34 NORTH Criminal Offense COLTS NECK, NJ 07722 054 0018

BEZOZA, HOWARD,M., MD Medical Suspension 07/20/03 PO BOX 372 Other SADDLE RIVER, NJ 07458-0372 Human Services Medical Assistance (Medicaid)

BHATTI, HAMID Medical Disqualification 09/20/12 80 MILTON AVENUE, #1522 Criminal Offense RAHWAY, NJ 07065 054 0018

BIANCHINI, EUGENE, PRESIDENT Construction Debarment 08/29/11 08/28/14 434 RUSSELL AVENUE Wage & Hour WYCOFF, NJ 07481 Violation 062 Workplace Standards

BILENKIN, ELANA, MANAGER Medical Disqualification 04/15/98 Permanent 242 COMUNITY CIRCLE Criminal Offense OLD BRIDGE, NJ 08857 Human Services Medical Assistance (Medicaid)

BISHARA, GIRGIS Medical Disqualification Permanent 859 BRIGHTON PL. Industry Law OCEAN CITY, NJ 08226 Violation Human Services Medical Assistance (Medicaid)

BITTNER, MELISSA C. Medical Suspension 01/19/05 Permanent 436 RIVER DRIVE Other WESTVILLE, NJ 08093 Human Services Medical Assistance (Medicaid)

BLAU, SEYMOUR, H. MD Medical Suspension 11/20/03 36 COLLEGE DRIVE Other JERSEY CITY, NJ 07305 Human Services Medical Assistance (Medicaid)

BLAZAK, ROBERT, PRESIDENT Construction Debarment 12/29/11 12/28/14 1700 BEACON STREET Wage & Hour TOMS RIVER, NJ 08757 Violation 062 Workplace Standards

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. BLOT, EDWARD, M.D. Medical Debarment 07/05/00 Permanent 274 NORTH CENTER STREET Other ORANGE, NJ 07050 Human Services Medical Assistance (Medicaid)

BLUM, NOEL Medical Disqualification 06/01/93 Permanent 74 TWIN RIVERS DRIVE Criminal Offense EAST WINDSOR, NJ 08561 Human Services Medical Assistance (Medicaid)

BMA MEDICAL LABORATORY Medical Suspension 10/20/03 59-07 71ST AVENUE Other RIDGEWOOD, NJ 11385 Human Services Medical Assistance (Medicaid)

BOADU, JACOB Medical Suspension 08/20/07 EUCLID TERRACE Other PARSIPPANY, NJ 07054 Human Services Medical Assistance (Medicaid)

BOCRA, WILLIAM, PRESIDENT Construction Debarment 02/07/12 02/06/15 ONE NORTH RHODA STREET Wage & Hour MONROE TWP, NJ 08831 Violation 062 Workplace Standards

BODINE, DENISE RN Medical Disqualification 05/25/11 66 YORK STREET APT. 12 Other LAMBERTVILLE, NJ 08530-2022 054 0018

BOGUSLAVSKIY, VADIM Medical Disqualification 03/25/02 Permanent 1903 MADALINE DRIVE Criminal Offense AVENEL, NJ 07001 Human Services Medical Assistance (Medicaid)

BOHUSLAWSKY, NINA, RN Medical Disqualification 02/20/10 P.O. BOX 4004 Other CLINTON, NJ 08809 054 0018

BOND CLIFTON MD Medical Disqualification Permanent 418 JAMESTOWN COURT Industry Law MT LAUREL, NJ 08054 Violation Human Services Medical Assistance (Medicaid)

BONDAR, SOFIYA DDS Medical Disqualification 11/18/11 2815 COYLE ST. APT 210 Other BROOKLYN, NY 11235 054 0018

BONETT, OLGA, COUNSELOR Medical Suspension 04/29/03 5105 N. PARK DRIVE Criminal Offense PENNSAUKEN, NJ 08109 Human Services Medical Assistance

BONNELL, STEPHANIE, RN Medical Suspension 02/20/02 165 DEY GROVE RD Other MONROE, NJ 08831 Human Services Medical Assistance (Medicaid)

BOODRAM, VERONA Medical Suspension 03/22/06 134 EVERGREEN PLACE 8TH Other EAST ORANGE, NJ 07018 Human Services Medical Assistance (Medicaid)

BOONE, LESLIE, RN Medical Suspension 06/20/02 122 SUMMIT AVENUE Other TRENTON, NJ 08628 Human Services Medical Assistance (Medicaid)

BOOS, GEORGE, PRESIDENT Construction Debarment 11/25/11 11/24/14 551 STANTON AVENUE Wage & Hour FRANKLINVILLE, NJ 08322 Violation 062 Workplace Standards

BORCHARDT, KAREN, RN Medical Suspension 06/17/20 4145 MILL CREEK DRIVE Other N. CHARLESTON, SC 29420 Human Services Medical Assistance (Medicaid)

BORGES, JOHN MANUEL Medical Disqualification 08/20/10 550 BUCKINGHAM DRIVE Other PISCATAWAY, NJ 08854 054 0018

BORNHOLDT, HAE, SUK Medical Suspension 09/19/02 P. O. BOX 1288 Other MCAFEE, NJ Human Services Medical Assistance (Medicaid)

BORNSTEIN, KATHLEEN, LPN Medical Suspension 02/19/04 136 73RD STREET Other NORTH BERGEN, NJ 07047 Human Services Medical Assistance (Medicaid)

BOROWEC, LAWRENCE W. MD Medical Suspension 11/18/97 202 STATESBURG AVENUE Other NEWFIELD, NJ 08344 Human Services Medical Assistance (Medicaid)

BORRELLI, HENRY Medical Debarment 04/06/10 49 PROSPECT STREET Criminal Offense LITTLE FALLS, NJ 07424 054 0018

BOTTENBLEY, CECIL J. Medical Disqualification Permanent

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. 16 FIRESIDE CT. Industry Law WILLINGBORO, NJ 08046 Violation Human Services Medical Assistance (Medicaid)

BOUCHE, JASON Medical Disqualification 05/20/12 6641 E. MEADOWLARK LANE Criminal Offense PARADISE VALLEY, AZ 85253 054 0018

BOULOS-PLUDOWSKI, GEORGEA Medical Suspension 05/19/05 03/11/13 493 RINGWOOD AVENUE Other PHILLIPSBURG, NJ 08865-4820 054 0018

BOWICK, JUDY, C., CHHA Medical Suspension 08/20/02 1503 BOND STREET Other ASBURY PARK, NJ 07712 Human Services Medical Assistance (Medicaid)

BOYD, DARRYL Medical Disqualification 07/18/02 PO BOX 38, FCI Other FORT DIX, NJ 08640 Human Services Medical Assistance (Medicaid)

BRABHAM, THEODORE J. Medical Disqualification 12/20/01 Permanent 14 HAZARD STREET Other ELIZABETH, NJ 07208 Human Services Medical Assistance (Medicaid)

BRACCIA, VITO, PRESIDENT Construction Debarment 07/27/12 07/26/15 184 FAIRWAY ROAD Wage & Hour AMBLER, PA 19002 Violation 062 Workplace Standards

BRADLEY, EARL B. MD Medical Disqualification 10/20/12 1181 PADDOCK ROAD Criminal Offense SMYRNA, DE 19977 054 0018

BRANDT, DOUGLAS A. Medical Disqualification 02/20/11 5 HOWARD STREET Criminal Offense VERONA, NJ 07044-1411 054 0018

BRANDT, HERBERT L., R.PH. Medical Disqualification 02/20/11 6 DEVONSHIRE DRIVE Criminal Offense RANDOLPH, NJ 07689 054 0018

BRANDT, JEFFREY M. Medical Disqualification 11/17/11 24 CRESTVIEW LANE Criminal Offense MOUNT ARLINGTON, NJ 07856 054 0018

BRAUNSTEIN, MOSES Medical Disqualification 06/01/93 Permanent 2404 BRONX PARKWAY Criminal Offense

BRAVER, ALEXANDER, MD Medical Disqualification 07/20/07 127 CROAK AVENUE Other STATEN ISLAND, NY 10314 Human Services Medical Assistance (Medicaid)

BREEN, NICHOLAS, DMD Medical Disqualification 08/18/95 09/27/13 7731 RUDDEROW AVENUE Other PENNSAUKEN, NJ 08109 054 Medical Assistance (Medicaid)

BREEN, NICHOLAS, DMD Medical Disqualification 05/14/96 09/27/13 7731 RUDDEROW AVENUE Other PENNSAUKEN, NJ 08109 054 Medical Assistance (Medicaid)

BRICK, ROGER Medical Suspension 12/15/06 31-33 WEST 11TH STREET Other NEW YORK, NY 10026 Human Services Medical Assistance (Medicaid)

BRINT, SAMUEL, DO Medical Disqualification 12/15/87 Permanent 515 BROADWAY Criminal Offense CAMDEN, NJ 08103 Human Services Medical Assistance (Medicaid)

BRISTOL, KENNETH Medical Suspension 10/19/06 PO BOX 931 Other FLAGSTAFF, AZ 06002 Human Services Medical Assistance (Medicaid)

BRIZER, DAVID A. MD Medical Disqualification 06/30/14 255 W 85TH ST. APT. 5B Other NEW YORK, NY 10024 054 0018

BROADNAX, DEITRICH Medical Disqualification 11/25/98 Permanent 347 BELLEVILLE AV, #B8 Criminal Offense BLOOMFIELD, NJ 07003 Human Services Medical Assistance (Medicaid)

BROOKHIM, ROBEN, DDS Medical Suspension 08/20/00 444 MORRIS AVENUE Other ELIZABETH, NJ 07208 Human Services Medical Assistance (Medicaid)

BROOKS, MAUREEN, R., RN Medical Suspension 10/09/03 110 THIRD AVENUE Criminal Offense BELMAR, NJ 07719 Human Services

BROOKS, OSCAR, JR. Medical Disqualification 04/17/95 Permanent 27 E VILLAGE OF STONEY RD Criminal Offense MAPLE SHAE, NJ 08052 Human Services Medical Assistance (Medicaid)

BROWN, ALEXANDRIA N., R.N. Medical Suspension 05/19/05 803 DAWN LANE Other WILLIAMSTOWN, NJ 08094 Human Services Medical Assistance (Medicaid)

BROWN, ROGER H., D.D.S. Medical Debarment 05/27/05 601 ROUTE 206, UNIT 30 Other BELLE MEAD, NJ 08844-1522 Human Services Medical Assistance (Medicaid)

BRUNELLE, ELIZABETH Medical Suspension 10/19/06 5902 EAST 2ND STREET Other TUCSON, AZ 85711 Human Services Medical Assistance (Medicaid)

BRYANT, GERALD Vendor Debarment 09/13/13 09/12/18 4984 LAKE ROAD Criminal Offense NEWFIELD, NJ 08344 066 Criminal Justice

BUCKLER, BERT L, PRESIDENT Construction Debarment 01/03/13 01/02/16 182 WYCOFF WAY WEST Wage & Hour EAST BRUNSWICK, NJ 08816 Violation 062 Workplace Standards

BUCKLEY, MARIANNE, RN Medical Suspension 05/20/01 83 IRVING COURT Other TRENTON, NJ 08610 Human Services Medical Assistance (Medicaid)

BULGER, PATRICE, RN Medical Disqualification 07/15/02 117 MILL CREEK ROAD Other BAYVILLE, NJ 08721 Human Services Medical Assistance (Medicaid)

BUNCH, LATTIA, LPN Medical Suspension 02/20/02 212 S. 27TH STREET Other CAMDEN, NJ 08105-2106 Human Services Medical Assistance (Medicaid)

BUONO, DONNA, RN Medical Suspension 09/19/03 61 S. LOCUST AVE Other MARLTON, NJ 08053 Human Services Medical Assistance (Medicaid)

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. BURKARD, JUDITH, LPN Medical Disqualification 11/23/09 11/23/10 320 7TH AVENUE APT 16 Other ASBURY PARK, NJ 07712 054 0018

BURKE, WILLIAM Medical Suspension 11/20/06 PO BOX 670 Other NEW VERNON, NJ 07976 Human Services Medical Assistance (Medicaid)

BURKES, JEFFREY Medical Disqualification 02/19/09 176 LAKEWOOD AVENUE Criminal Offense HO-HO-KUS, NJ 07423 054 0018

BURKETT, EILEEN Medical Suspension 04/20/11 1407 VIRGINIA COURT Criminal Offense MARLTON, NJ 08053 054 0018

BURNS, MARGARET, RN Medical Suspension 09/19/03 2429 WESTFIELD AVENUE Other SCOTCH PLAINS, NJ 07076 Human Services Medical Assistance (Medicaid)

BUROWEC, LAWRENCE W., MD Medical Disqualification 12/01/98 Permanent 202 STOTESBURY AVENUE Other NEWFIELD, NJ 08344 Human Services Medical Assistance (Medicaid)

BUSHEY, WALTER F., JR., OWNER Construction Debarment 07/20/11 07/19/14 36 BAYBERRY DRIVE Wage & Hour HOLMDEL, NJ 07733 Violation 062 Workplace Standards

BUTTERHOF, TRACY, F., RN Medical Suspension 04/20/03 501 S. BERLIN AVE. Other EGG HARBOR CITY, NJ 08215 Human Services Medical Assistance (Medicaid)

C & P BUILDING ENTERPRISES Construction Debarment 08/18/11 08/17/14 224 61ST STREET Wage & Hour WEST NEW YORK, NJ 07093 Violation 062 Workplace Standards

CABALERIO, YODALIO JR. Medical Disqualification 04/18/86 Permanent 3700 KENNEDY BLVD. Criminal Offense UNION CITY, NJ 07087 Human Services Medical Assistance (Medicaid)

CABALLERO, ERNESTO, OWNER Construction Debarment 06/14/11 06/13/14 83 WALNUT STREET, APT. 46 Wage & Hour TOMS RIVER, NJ 08753 Violation 062 Workplace Standards

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. CABATIC, VIRGINIA C. R.N. Medical Suspension 05/19/05 14 SPARROW ROAD Other RANDOLPH, NJ 07869 Human Services Medical Assistance (Medicaid)

CABRERA, BRETON RAMON Medical Debarment 09/19/11 486 ZAMBORY STREET, APT. Criminal Offense PERTH AMBOY, NJ 08861 054 0018

CACERES, MARIO Medical Suspension 10/20/98 328 MARKET STREET Other CAMDEN, NJ 08102 Human Services Medical Assistance (Medicaid)

CACI FRANCIS R D D S Medical Disqualification Permanent 248 SOUTH SUMMIT AVENUE Industry Law HACKENSACK, NJ 07601 Violation Human Services Medical Assistance (Medicaid)

CACOILO, MARIA, OFF. MGR. Medical Disqualification 04/29/03 1150 AMBOY AVENUE Criminal Offense EDISON, NJ 08837 Human Services Medical Assistance (Medicaid)

CAI, PING DMD Medical Disqualification 09/10/12 22 SAGE STREET Criminal Offense HOLMDEL, NJ 07733 054 0018

CALDERON, TANISHA, CHHA Medical Suspension 03/20/02 108 N. 16TH Other EAST ORANGE, NJ 11572 Human Services Medical Assistance (Medicaid)

CALVELO, ARSENIO, C. RN Medical Suspension 06/19/03 13515 SCENIC GLADE DR. Other HOUSTON , TX 77059 Human Services Medical Assistance (Medicaid)

CAMP, SUZANNE, RN Medical Suspension 10/21/10 P.O. BOX 423 Other PORT ELIZABETH, NJ 08348 054 0018

CAMPANELLA, ANDRE, V. PRESIDENT Construction Debarment 02/07/13 02/06/16 948 SINCLAIR AVE Wage & Hour STATEN ISLAND, NY 10309 Violation 062 Workplace Standards

CANALES,DELOVI, JR. Medical Debarment 04/30/10 04/30/13 11 ALBERT STREET Other TOMS RIVER, NJ 08953 054 0018

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. CANDIDA, AGUIRRE-MEDRANO Medical Debarment 07/12/99 Permanent 40 FERRY STREET Other NEWARK, NJ 07105 Human Services Medical Assistance (Medicaid)

CANE, LAMONT - NURSES AID Medical Suspension 08/18/97 P.O. BOX 90431 Criminal Offense CAMDEN, NJ 08012 Human Services Medical Assistance (Medicaid)

CAPACIO, RICHARD Medical Suspension 12/20/06 99 ANNAPOLIS DRIVE Other SICKLERVILLE, NJ 08081 Human Services Medical Assistance (Medicaid)

CAPILLI, MICHAEL A, DC Medical Suspension 08/09/01 427 HOYT STREET Other LONG BRANCH, NJ 07740 Human Services Medical Assistance (Medicaid)

CAPOBIANCO, LEO, J., DO Medical Disqualification 09/05/02 7 CASTLE COURT Criminal Offense RANDOLPH, NJ 07860 Human Services Medical Assistance (Medicaid)

CAPPIELLO, RAFAEL, M.D. Medical Debarment 08/19/99 Permanent 2704 BRIENZA WAY Other LAS VEGAS, NV 89117 Human Services Medical Assistance (Medicaid)

CAPRIOLA, EDWARD Medical Suspension 12/20/06 313 S. FRANK ROGERS Other HARRISON, NJ 07029 Human Services Medical Assistance (Medicaid)

CARAGINE, PAUL J., MD Medical Disqualification 07/18/01 Permanent 1 SAWMILL ROAD Other KINNELON, NJ 07504 Human Services Medical Assistance (Medicaid)

CARBE, VINCENT, PRESIDENT Construction Debarment 06/24/11 06/23/14 38 SHORE DRIVE Wage & Hour LONG BRANCH, NJ 07740 Violation 062 Workplace Standards

CARCHIA, ETTORE D.C. Medical Suspension 02/20/06 994 SANDY CIRCLE Other MANAHAWKIN, NJ 08050 Human Services Medical Assistance (Medicaid)

CARDENAS, PRESENTACION E. Medical Suspension 05/20/01

CARDILLO, JOHN Medical Suspension 09/04/05 162 GARFIELD STEET Other BERKELEY HEIGHT, NJ 07922 Human Services Medical Assistance (Medicaid)

CARDILLO, JOHN Medical Debarment 05/20/06 162 GARFIELD STREET Other BERKELEY HEIGHT, NJ 07922 Human Services Medical Assistance (Medicaid)

CARDILLO, RICHARD, C., MD Medical Debarment 03/27/02 2893 BIRCH ROAD Other SUAMICO, WI 54173 Human Services Medical Assistance (Medicaid)

CARDOSA, LUCIO Medical Disqualification 02/03/14 FCI FORT DIX Criminal Offense FORT DIX, NJ 08640 054 0018

CARDOSO, LUCIO MD Medical Suspension 02/22/12 253 LAFAYETTE STREET Criminal Offense NEWARK, NJ 07105 054 0018

CAREY, SEAN Construction Debarment 10/05/11 10/04/14 21 EDGEWOOD ROAD Wage & Hour RINGWOOD, NJ 07456 Violation 062 Workplace Standards

CARIDEO, IDA, M.D. Medical Disqualification 06/07/99 08/01/12 7 MALKE DRIVE Criminal Offense WAYSIDE, NJ 07712 054 Medical Assistance (Medicaid)

CARINO, JOVY Medical Suspension 05/29/09 37 JAMES STREET Other BLOOMFIELD, NJ 07003 054 0018

CARLSON, LILLIAN MAE Medical Disqualification 06/18/09 275 HIGH STREET APT. Q334 Other GLASSBORO, NJ 08028 Human Services Medical Assistance (Medicaid)

CARMONA, ALICE Y. Medical Debarment 10/23/00 Permanent 78 DAWN STREET Other VINELAND, NJ 08302 Human Services Medical Assistance (Medicaid)

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. CARR, JOEL R. DO Medical Suspension 03/02/11 8 JASMINE ROAD Other LUMBERTON, NJ 08048 054 0018

CARR, PATRICIA Medical Disqualification 07/19/01 P.O. BOX 91 Other BROWNS MILLS, NJ 08015 054 Medical Assistance (Medicaid)

CARROLL, KIMBERLY, J. Medical Disqualification 08/18/11 18 LEE AVENUE Other HADDONFIELD, NJ 08033 054 0018

CARTER, DARRICKA C. Medical Disqualification 07/20/10 2505 ST. REGIS DRIVE Other RICHMOND, VA 23236 054 0018

CARUSO, EDMUND M., MD Medical Disqualification 11/10/94 Permanent 2275 KENNEDY BLVD. Other JERSEY CITY, NJ 07304 Human Services Medical Assistance (Medicaid)

CASAS, JOSE, MD Medical Debarment 05/24/99 Permanent 215 PASSAIC AVENUE Other PASSAIC, NJ 07055 054 Medical Assistance (Medicaid)

CASAVINA PHILIP Medical Disqualification Permanent 244 KNOX AVENUE Criminal Offense CLIFFSIDE PARK, NJ 07650 Human Services Medical Assistance (Medicaid)

CASCIO, DANIEL, RN Medical Suspension 05/20/02 17 SEGUR STREET Other DOVER, NJ 07801-3440 Human Services Medical Assistance (Medicaid)

CASTANEDA, JOSE APN Medical Suspension 02/22/12 1925 PACIFIC AVENUE Criminal Offense ATLANTIC CITY, NJ 08401 054 0018

CASTANON, ROBERTO Medical Disqualification 09/16/11 555 GEO DRIVE Criminal Offense PHILLIPSBURG, PA 16866 054 0018

CASTELLANO, DOLORES, OWNER Medical Suspension 06/17/04 Permanent PASSAIC FAMILY MEDICAL Other 4300 SW 57TH STREET Human Services MIAMI, FL 33155 Medical Assistance (Medicaid)

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. CASTELLI, ANGELO Construction Debarment 07/21/14 07/20/17 48 E. CENTRAL BLVD. Wage & Hour PALISADES PARK, NJ 07650 Violation 062 Workplace Standards

CASTILLO, HECTOR Medical Debarment 02/19/12 02/19/16 1000 MADISON AVENUE Criminal Offense PATERSON, NJ 07501 054 0018

CASTILLO, STEVEN A. DDS Medical Disqualification 05/05/97 Permanent P.O. BOX 16421 Other JERSEY CITY, NJ 07306 Human Services Medical Assistance (Medicaid)

CATANZARO, DANIEL, D.C. Medical Suspension 12/20/05 28 ETOWAH RIDGE DRIVE, SW Other CARTERSVILLE, GA 30120 Human Services Medical Assistance (Medicaid)

CATANZRO, VINCENT F, MD Medical Disqualification 06/01/93 Permanent 560 MAIN STREET Criminal Offense ALLENHURST, NJ 07711 Human Services Medical Assistance (Medicaid)

CAVALLARO, TRACY Construction Debarment 07/18/13 07/17/16 1038 OLD YORK ROAD Wage & Hour RARITAN, NJ 08869 Violation 062 Workplace Standards

CAVALLI DEAN Medical Disqualification Permanent 762 BROADWAY Criminal Offense CAMDEN, NJ 08103 Human Services Medical Assistance (Medicaid)

CAVE, SANDY Medical Disqualification 05/20/12 109 BOBWHITE ROAD Criminal Offense ROYAL PALM BEAC, FL 33411 054 0018

CECE, ANGELO, DDS Medical Disqualification 01/19/96 Permanent 566 NYE AVENUE Other IRVINGTON, NJ 07111 Human Services Medical Assistance (Medicaid)

CEDENO, HUMBERTO, RP Medical Disqualification 05/03/84 Permanent 601 ELIZABETH AVENUE Criminal Offense ELIZABETH, NJ 07206 054 Medical Assistance (Medicaid)

CENTRELLI, MARC DC Medical Suspension 07/21/08 176 ALPINE TRAIL Other SPARTA, NJ 07871 Human Services Medical Assistance

CERELLI NICK, MEMBER Construction Debarment 02/06/13 02/05/16 1640 NIXON DR., STE. 285 Wage & Hour MOORESTOWN, NJ Violation 062 Workplace Standards

CHA, DONG S., M.D. Medical Disqualification 12/01/98 Permanent 608 S. BROAD STREET Other WOODBURY, NJ 08096 Human Services Medical Assistance (Medicaid)

CHACK, JOEL Medical Disqualification 08/13/11 01/06/12 5 GWEN COURT Other CHERRY HILL, NJ 08003 054 0018

CHALMERS, SHAWN Construction Debarment 11/21/13 11/20/16 337 CROWN STREET Wage & Hour BROOKLYN, NY 11211 Violation 062 Workplace Standards

CHAM, WILLIAM C., M.D. Medical Suspension 08/29/97 11 HICKORY DRIVE Other CHESTER TWP, NJ 07930 Human Services Medical Assistance (Medicaid)

CHAMBERS, CAROL, CHHA Medical Suspension 01/20/04 1022 STUYVESANT AVENUE Other IRVINGTON, NJ 07111 Human Services Medical Assistance (Medicaid)

CHAMPION, MARY MARGARET R.N. & Medical Suspension 06/20/05 06/11/13 C.H.H.A. Other 91 MOUNT AIRY AVE., SOUTH 054 EGG HARBOR, NJ 08234 Medical Assistance (Medicaid)

CHANDLER, BRYAN, K. Medical Disqualification 08/28/08 10 ELLINGTON STREET #1 Criminal Offense EAST ORANGE, NJ 07017 054 0018

CHAPLAN, ABRAHAM Medical Disqualification 06/01/93 Permanent 384 NORTH WOODLAND ST Criminal Offense ENGLEWOOD, NJ 07631 Human Services Medical Assistance (Medicaid)

CHARLES, ERIC Construction Debarment 04/22/14 04/21/17 396 CHERRY LANE Wage & Hour MENDHAM, NJ 07945 Violation 062 Workplace Standards

CHEN, KUEN, M.D. Medical Suspension 05/07/99 244 BROADWAY Other NEWARK, NJ 07104 Human Services

CHEN, TAN, M.D. Medical Disqualification 11/05/99 Permanent 12 LORRAINE DRIVE Other PINE BROOK, NJ 07058 Human Services Medical Assistance (Medicaid)

CHIAPETTA, THERESA Medical Debarment 09/15/08 8 STEINHARDT AVENUE Other OLD BRIDGE, NJ 08857-3419 Human Services Medical Assistance (Medicaid)

CHIAPPETTA, THERESA Medical Disqualification 11/12/09 8 STEINHARDT AVENUE Criminal Offense OLD BRIDGE, NJ 08857-3419 054 Medical Assistance (Medicaid)

CHILLEMI, SALVATORE Medical Disqualification 06/10/11 29 BERKSHIRE DRIVE Criminal Offense SEWELL, NJ 08080-3102 054 0018

CHIRUMAMILLA, RAMABU, RP Medical Disqualification 03/11/85 Permanent 212 E PITTSBURGH AVENUE Criminal Offense WILDWOOD CREST, NJ 08260 Human Services Medical Assistance (Medicaid)

CHIZHOV, ELLA Medical Suspension 07/21/08 200 WINSTON DRIVE #C1104 Other CLIFFSIDE PARK, NJ 07010 Human Services Medical Assistance (Medicaid)

CHIZHOV, SERGEY Medical Disqualification 09/20/07 200 WINSTON DRIVE Criminal Offense CLIFFSIDE PARK, NJ 07010 Human Services Medical Assistance (Medicaid)

CHLOROS, STACY Medical Suspension 05/18/06 323 GILL LANE Other ISELIN, NJ 08830 Human Services Medical Assistance (Medicaid)

CHRISTENSEN, CYNTHIA, RN Medical Suspension 10/18/01 20 SKYLINE DRIVE Other HAZLET, NJ 07730 Human Services Medical Assistance (Medicaid)

CHRISTJOHN, COLLEEN M. Medical Disqualification 08/11/07 Permanent CORSON ROAD Other SOUTH SEAVILLE, NJ 08246 Human Services Medical Assistance

CHRISTMAS, ARTHUR Medical Debarment 06/16/06 Permanent 66 NORTH 11TH STREET Other NEWARK, NJ 07107 Human Services Medical Assistance (Medicaid)

CHUDRY, RAZA Medical Suspension 09/19/02 RD #5 FEDERAL PRISON Other LEWISBURG, PA 17837 Human Services Medical Assistance (Medicaid)

CHUKWUANI, ROSETTA Medical Suspension 02/28/09 3 LISZKA LANE Other SAYREVILLE, NJ 08872 Human Services Medical Assistance (Medicaid)

CHUNMAUNG, PRASERT, MD Medical Disqualification 06/14/93 Permanent 401 DEVONSHIRE PL Industry Law FRANKLIN LAKES, NJ 07417 Violation Human Services Medical Assistance (Medicaid)

CHUPREVICH, EILEEN, D. RN Medical Suspension 01/20/03 8 STANTON PLACE Other BUTLER, NJ 07405-1039 Human Services Medical Assistance (Medicaid)

CHWEDCZUK, ALBERT Construction Debarment 07/09/14 07/08/17 1984 WHITESVILLE ROAD Wage & Hour TOMS RIVER, NJ 08755 Violation 062 Workplace Standards

CICCONE, GREGORY Medical Suspension 05/15/05 5 WATERS EDGE DR. Other LITTLE EGG HARB, NJ 08087 Human Services Medical Assistance (Medicaid)

CICERO, BARBARA, R.N. Medical Suspension 08/20/01 91 LINCOLN AVENUE Other SOMERVILLE, NJ 08876 Human Services Medical Assistance (Medicaid)

CICERO, RALPH Medical Debarment 03/06/14 245 BALDWIN STREET Criminal Offense SUCCASUNNA, NJ 07876 054 0018

CITAK, ANDZEJ Construction Debarment 08/04/14 08/03/17 556 HUMBULT STREET Wage & Hour BROOKLYN, NY 11222 Violation 062 Workplace Standards

CLACKLEY, MACK O, L.P.N. Medical Suspension 09/20/01

CLAPPER, STEPHANIE Medical Disqualification 02/26/10 169 NAUTILUS Criminal Offense MANAHAWKIN, NJ 08050-2453 054 Medical Assistance (Medicaid)

CLARK, JAMES Medical Suspension 09/27/07 380 MOUNTAIN ROAD #12 Other UNION CITY, NJ 07087 Human Services Medical Assistance (Medicaid)

CLARK, KEVIN Medical Suspension 10/05/09 537 TRINITY PLACE Criminal Offense WESTFIELD, NJ 07090 Human Services Medical Assistance (Medicaid)

CLARK, NORMAN L, MD Medical Suspension 03/02/99 5 TARA DRIVE Other PARSIPPANY, NJ 07054 Human Services Medical Assistance (Medicaid)

CLARK, RAYONNE Medical Suspension 07/20/03 844 CENTRE STREET Other TRENTON, NJ 08611 Human Services Medical Assistance (Medicaid)

CLARK, RAYONNE Medical Disqualification 08/13/03 844 CENTRE STREET Other TRENTON, NJ 08611 Human Services Medical Assistance (Medicaid)

CLEMMENTS, RALPH W. MD Medical Debarment 09/12/08 7304 CENROSE CIRCLE Other WESTWOOD, NJ 07675 Human Services Medical Assistance (Medicaid)

COBB, WILLIAM Medical Debarment 03/16/11 03/16/15 2 WEST RIVER STYX Other HOPATCONG, NJ 07843 054 0018

COHEN, BARRY E. Medical Suspension 03/20/06 6326 NW 80TH TERRACE Other POMPANO BEACH, FL 33067 Human Services Medical Assistance (Medicaid)

COHEN, JUDAH L., M.D. Medical Disqualification 04/24/98 Permanent 1000 GALLOPING HILL RD. Other

COHEN, ROBERT, G., RN Medical Disqualification 03/24/03 51 KRISTEN COURT Criminal Offense MATAWAN, NJ 07747 Human Services Medical Assistance (Medicaid)

COHEN, WENDY E., MD Medical Suspension 05/10/12 151 N. DEAN STREET Other ENGLEWOOD, NJ 07631 054 0018

COLADONATO, JOSEPH P., M.D. Medical Debarment 02/03/06 9760 EVERGREEN AVENUE Other SEAFORD, DE 19973 Human Services Medical Assistance (Medicaid)

COLLIER, BERT D., MD Medical Debarment 05/29/01 09/20/13 4933 N. WILDWOOD AVENUE Other MILWAUKEE, WI 53217 054 Medical Assistance (Medicaid)

COLON, KAREN L., L.P.N. Medical Suspension 06/20/05 1020 MCGUIRE DRIVE Other TOMS RIVER, NJ 08753 Human Services Medical Assistance (Medicaid)

COLON-TORRES, FRANCIS M Medical Suspension 11/07/08 437 STUYVESANT AVENUE Other IRVINGTON, NJ 07111 Human Services Medical Assistance (Medicaid)

COMESANAS, MARIO, M.D. Medical Disqualification 08/10/07 Permanent COLUMBIA TPK. Criminal Offense FLORHAM PARK, NJ 07932 Human Services Medical Assistance (Medicaid)

COMRIE, SHIRLEY, M., CHHA Medical Suspension 07/18/02 7 DUFFELD DRIVE Other TRENTON, NJ 08628 Human Services Medical Assistance (Medicaid)

CONNERS, LAURA, LPN Medical Suspension 03/20/02 11 FENWAY ROAD Other HAMILTON, NJ 08620 Human Services Medical Assistance (Medicaid)

CONOVER, WILLIAM, S., LPN Medical Suspension 05/20/04 225 RUTLAND AVE. Other MT. HOLLY, NJ 08060 Human Services

CONRAD, MICHAEL LPN Medical Disqualification 07/20/09 16 ELDRIDGE AVENUE Other TRENTON, NJ 08648 Human Services Medical Assistance (Medicaid)

CONSTINO, JOHN, JR Medical Debarment 08/18/11 Permanent 404 SURF AVENUE Other WILDWOOD, NJ 08260 054 0018

CONTEH, AMARA S. MD Medical Suspension 09/20/07 3 OLD TAPPAN ROAD Other OLD TAPPAN, NJ 07675 Human Services Medical Assistance (Medicaid)

CONTRERAS, MICHAEL Construction Debarment 04/12/13 04/11/16 77 LITTLETON RD Wage & Hour MORRIS PLAINS, NJ 07950 Violation 062 Workplace Standards

COPLIN, GEORGE J Medical Disqualification 06/01/93 Permanent 528 EAST JERSEY ST Criminal Offense ELIZABETH, NJ 07206 Human Services Medical Assistance (Medicaid)

CORNELY, MICHAEL P. DC Medical Disqualification 12/01/98 Permanent 6650 BROWINING ROAD Other MERCHANTVILLE, NJ 08109 Human Services Medical Assistance (Medicaid)

CORSON KENNETH E MD Medical Disqualification Permanent 5 SOUTH MYRTLE ST Industry Law VINELAND, NJ 08360 Violation Human Services Medical Assistance (Medicaid)

COSTA, LAWRENCE J. Medical Disqualification Permanent 441 PENN AVE. Criminal Offense FORKED RIVER, NJ 12345 Human Services Medical Assistance (Medicaid)

COSTA, PAULA, PRESIDENT Construction Debarment 01/19/12 01/18/15 33 E. KUPSCH STREET Wage & Hour SAYREVILLE, NJ 07032 Violation 062 Workplace Standards

COSTIGAN, KEVIN Medical Suspension 03/21/00 132 FRANKLIN AVE, APT. 2 Other LONG BRANCH, NJ 07740 Human Services Medical Assistance (Medicaid)

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. COSTINO, JOHN Medical Disqualification 08/18/11 404 SURF AVENUE Other WILDWOOD, NJ 08260 054 0018

COTTRELL, LISA L. Medical Disqualification 09/30/10 290 ROUTE 9 NORTH APT C5 Other WARETOWN, NJ 08758 054 0018

COUGHLIN, CATHERINE K Medical Disqualification 09/18/09 P.O. BOX 22 Other LIMESTONE, PA 16234-0022 Human Services Medical Assistance (Medicaid)

COVERDALE, JULIE ANN, RN Medical Suspension 04/20/03 909 CINNAMINSON AVE. Other PALMYRA, NJ 08065 Human Services Medical Assistance (Medicaid)

COVILLE, FREDERICK A, MD Medical Disqualification 10/26/98 08/16/12 51-37 HAVEN AVENUE Other OCEAN CITY, NJ 08226 054 Medical Assistance (Medicaid)

COVILLE, FREDERICK A. Medical Debarment 04/17/97 08/16/12 230 N. MAPLE AVENUE Other MARLTON, NJ 08050 054 Medical Assistance (Medicaid)

COVONE, DOMINICK, DME OWN Medical Disqualification 10/18/01 Permanent FORT DIX F.C.I. BOX 38 Other FORT DIX, NJ 08640 Human Services Medical Assistance (Medicaid)

CRAIN, GREGORY Vendor Suspension 08/27/01 60 HAWKINS ROAD Criminal Offense TABERNACLE, NJ 08088 Treasury Treasury Purchase Bureau

CRAPANZANO SR., PETER Medical Suspension 04/26/11 46 VILLAGE COURT Other HAZLET, NJ 07730 054 0018

CRAWFORD, KENNETH CNA Medical Suspension 08/20/06 199A FIDDLER ELBOW ROAD Other PHILLIPSBURG, NJ 08865 Human Services Medical Assistance (Medicaid)

CRAWFORD, KENNETH Medical Disqualification 04/06/06 B-8 ABBINGTON DRIVE Other PHILLIPSBURG, NJ 08865--9515 Human Services Medical Assistance

CRAY, JASON E., COTT. AID Medical Disqualification 08/21/00 Permanent WARREN COUNTY JAIL Criminal Offense BELVIDERE, NJ 07823 Human Services Medical Assistance (Medicaid)

CREWS, VERN, DIRECTOR Construction Debarment 04/05/13 04/04/16 844 N. MAIN STREET Wage & Hour AKRON, OH 44310 Violation 062 Workplace Standards

CRIBEIRO, ROLANDO, PRESIDENT Construction Debarment 08/18/11 08/17/14 12 SADDLE RANCH LANE Wage & Hour HILLSDALE, NJ 07642 Violation 062 Workplace Standards

CRIDER, STEVEN Construction Debarment 05/11/14 05/10/17 507 PRESSLER STREET Wage & Hour AUSTIN, TX 78703 Violation 062 Workplace Standards

CRISSIEN, CINDY Medical Suspension 01/18/07 78 FORNELIOUS AVENUE Other CLIFTON, NJ 07013 Human Services Medical Assistance (Medicaid)

CRISSON, CINDY Medical Suspension 01/18/07 78 FOENELIUS AVENUE Other CLIFTON, NJ 07013 Human Services Medical Assistance (Medicaid)

CRITCHFIELD, CYNTHIA D., R.PH. Medical Suspension 04/20/08 PIN OAK COURT Other SHAMONG, NJ 08088 Human Services Medical Assistance (Medicaid)

CROCKER, KENNETH W. JR. Medical Debarment 07/17/09 07/17/14 15 VIOLA AVENUE Criminal Offense LEONARDO, NJ 07737 Human Services Medical Assistance (Medicaid)

CRON, EVA Medical Suspension 09/27/07 31 CHERRY STREET Other WARWICK, NY 10990 Human Services Medical Assistance (Medicaid)

CROWDER, CLAXTON L. M.D. Medical Disqualification 01/13/06 115 ASHBY COURT Other MOUNT LAUREL, NJ 08054 Human Services Medical Assistance (Medicaid)

CRUZ, MARIA, C. Medical Debarment 12/05/03

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. 128-65 MCCARTHY CIRCLE Criminal Offense PHILADELPHIA, PA 19154 Human Services Medical Assistance (Medicaid)

CSAKVARY, JOSEPH Construction Debarment 11/04/13 11/03/16 163 BREAKNECK ROAD Wage & Hour HIGHLAND LAKES, NJ 07422 Violation 062 Workplace Standards

CUI, XIN Medical Disqualification 04/24/08 119 S. ADELAIDE LANE Other HIGHLAND PARK, NJ 08904 Human Services Medical Assistance (Medicaid)

CULLEN, CHARLES Medical Suspension 01/18/07 PO BOX 861 Other TRENTON, NJ 08625 Human Services Medical Assistance (Medicaid)

CULLEN, K Medical Suspension 01/19/10 100 MARSHALL AVENUE Criminal Offense TUCKERTON, NJ 08087-2524 054 Medical Assistance (Medicaid)

CUNNINGHAM, MICHAEL, D. Medical Suspension 09/19/02 P.O. BOX 505 Other GLEN SPEY, NY 12737 Human Services Medical Assistance (Medicaid)

CUPO, DAWN, L.P.N. Medical Suspension 06/20/01 129 ADELPHIA ROAD Other FARMINGDALE, NJ 07727 Human Services Medical Assistance (Medicaid)

CUPOLO, STACY J. Medical Suspension 06/20/05 897 INVERNESS CT. APT. A Other LAKEWOOD, NJ 08701 Human Services Medical Assistance (Medicaid)

CURETON, WILLIE T Medical Disqualification 05/27/11 61 CHELSEA AVENUE Other NEWARK, NJ 07106 054 0018

CURETON, WLLIE T. Medical Disqualification 02/23/09 Permanent 5 UNAMI LANE Criminal Offense SCOTCH PLAINS, NJ 07076 Human Services Medical Assistance (Medicaid)

CURRY, CHARLES M., M.D. Medical Disqualification 12/01/98 Permanent 816 BURNT MILLS ROAD Other OLDWICK, NJ 08858 054

CZYZYK, LISA M. RN Medical Suspension 09/13/13 12 VILLAGE COURT APT A Other TRENTON, NJ 08690 054 0018

D'ALLEGRO, FRANK, R.P. Medical Disqualification Permanent 32 SUMMIT AVENIE Criminal Offense CEDAR GROVE, NJ 07009 Human Services Medical Assistance (Medicaid)

D'ANTIGNAC, CHARLOTTE Medical Suspension 03/10/00 3 CHURCHILL DOWNS Other W. LONG BRANCH, NJ 07764-1329 Human Services Medical Assistance (Medicaid)

D'ASCOLI, BARTHOLOMEW, MD Medical Debarment 08/18/00 Permanent PO BOX 1869 Other MONTAGUE, NJ 07827 Human Services Medical Assistance (Medicaid)

D'ORIA, LAWRENCE, RP Medical Disqualification 02/07/84 Permanent 6 BROOK PLAZA Criminal Offense JACKSON, NJ 08527 Human Services Medical Assistance (Medicaid)

D'OTTAVIO, PAOLA RPH Medical Disqualification 09/20/11 504 WILLOW OAK DRIVE Criminal Offense MAYS LANDING, NJ 08330-1670 054 0018

D'OTTAVIO, PAOLA Medical Suspension 06/04/07 Permanent WILLOW OAKS DR. Other MAYS LANDING, NJ 08330 Human Services Medical Assistance (Medicaid)

DAFTARY, REKHA B. MD Medical Disqualification 02/29/08 81 B EAST MAIN STREET Other MENDHAM, NJ 07943 Human Services Medical Assistance (Medicaid)

DAHHAN, MOHAMED Z., M.D. Medical Suspension 11/20/08 04/03/14 WINDING WAY Other WEST PATERSON, NJ 07424 054 Medical Assistance (Medicaid)

DAILY, GALE, HOME HEA.AID Medical Suspension 07/19/01 14 SUDBERRY LANE Other WILLINGBORO, NJ 08046 Human Services Medical Assistance (Medicaid)

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. DALEY, ROBERTA, L.P.N. Medical Suspension 08/20/01 36 HOLLY DRIVE Other PARLIN, NJ 08859 Human Services Medical Assistance (Medicaid)

DALTON, ERIN Medical Debarment 02/20/13 14 VICTORIAN WAY Criminal Offense WEST DEPTFORD, NJ 08090 054 0018

DALY, JAMES J. EMT Medical Disqualification 08/07/13 504 EAST FRANKLIN AVENUE Criminal Offense EDGEWATER PARK, NJ 08010 054 0018

DAMMERS, SEAN Medical Debarment 09/02/12 09/02/17 255 SANTIAGO AVE Criminal Offense RUTHERFORD, NJ 07070 054 0018

DANIEL, ALAN L., PHD, DO Medical Suspension 08/20/99 415 KEIM BOULEVARD Other BURLINGTON, NJ 08016 Human Services Medical Assistance (Medicaid)

DANIEL, ALAN, L., CSW Medical Suspension 10/20/02 202 SPRING GARDEN RD Other ANCORA, NJ 08037 Human Services Medical Assistance (Medicaid)

DANIEL, ALAN, PH.D. DO Medical Disqualification 10/18/02 Permanent 3 HARRISON PARK LANE Criminal Offense BURLINGTON, NJ 08016 Human Services Medical Assistance (Medicaid)

DANIEL, THERESA D. Medical Suspension 03/17/00 3 HARRISON PARK LANE Criminal Offense BURLINGTON, NJ 08016 Human Services Medical Assistance (Medicaid)

DANIELS, BERLYN E. Medical Disqualification 10/13/08 WHITE HORSE AVENUE Other TRENTON, NJ 08610 Human Services Medical Assistance (Medicaid)

DANIELS, CLIFTON Medical Debarment 07/17/09 07/17/14 37 HUGHES STREET Criminal Offense MAPLEWOOD, NJ 07040-3303 Human Services Medical Assistance (Medicaid)

DARBY, MARK Medical Debarment 01/01/10 SBI305830E, EJSP Criminal Offense RAHWAY, NJ 07065 054

DARBY, MARK Medical Debarment 11/18/10 1245 ADEE AVENUE APT 4C Criminal Offense BRONX, NY 10469 054 0018

DASS, SUMAN K., M.D. Medical Suspension 10/04/00 4 BALDWIN AVENUE Other JERSEY CITY, NJ 07304 Human Services Medical Assistance (Medicaid)

DAVID, RICHARD Medical Debarment 09/17/09 819 EDGEWOOD AVENUE Criminal Offense TRENTON, NJ 08618 054 Medical Assistance (Medicaid)

DAVIS JAMES DANIEL Medical Disqualification 10/04/88 Permanent 145 JUNIPER ST Criminal Offense BROWNS MILLS, NJ 08015 054 Medical Assistance (Medicaid)

DAVIS JAMES S Medical Disqualification 09/04/86 09/04/94 41 B TROY DRIVE Criminal Offense SPRINGFIELD, NJ 07081 054 Medical Assistance (Medicaid)

DAVIS MATHILDA MD Medical Disqualification Permanent 230 W JERSEY ST Criminal Offense ELIZABETH, NJ 07202 Human Services Medical Assistance (Medicaid)

DAVIS, ANTHONY Construction Debarment 10/29/13 10/28/16 363 NORTHFIELD AVE Wage & Hour LIVINGSTON, NJ 07039 Violation 062 Workplace Standards

DAVIS, ANTOINETTE Medical Disqualification 04/23/07 43 VERNON COURT Other SICKLERVILLE, NJ 08081 Human Services Medical Assistance (Medicaid)

DAVIS, CHARLES M. Medical Suspension 03/31/08 381 BALA AVENUE Other BALA CYNWYD, PA 19004 Human Services Medical Assistance (Medicaid)

DAVIS, COREY Medical Disqualification 03/12/06 25 JAMES STREET Criminal Offense LAKEWOOD, NJ 08701 Human Services Medical Assistance (Medicaid)

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. DAVIS, KARIN, B., RN Medical Suspension 10/20/02 04/14/14 141 EAST BENNETT AVE. Other WILDWOOD, NJ 08260 054 Medical Assistance (Medicaid)

DAVIS, KENNETH Construction Debarment 10/29/13 10/28/16 2 MELBA DRIVE Wage & Hour NEWTON, NJ 07860 Violation 062 Workplace Standards

DAVIS, MARK, S., DPM Medical Suspension 04/09/04 5 MONTANA DRIVE Criminal Offense COLTS NECK, NJ 07722 Human Services Medical Assistance (Medicaid)

DAVIT, SAMUEL, M.D. Medical Suspension 04/20/03 100 WINSTON DRIVE #B Other CLIFSIDE PARK, NJ 07010 Human Services Medical Assistance (Medicaid)

DAWOUD, MONIR A Medical Suspension 11/13/08 7 COLTSFOOT GLEN Other SADDLE RIVER, NJ 07458 Human Services Medical Assistance (Medicaid)

DAWOUD, MONIR A. MD Medical Disqualification 09/04/07 7 COLTSFOOT GLEN Other SADDLE RIVER, NJ 07458-2701 Human Services Medical Assistance (Medicaid)

DEAQUINO, ANTHONY Medical Debarment 12/19/02 11 STONE RIDGE LANE Other HO-HO-KUS, NJ 07423 Human Services Medical Assistance (Medicaid)

DEEMI, SAMUEL Medical Disqualification 10/27/10 10/27/18 665 MARTIN LUTHER KING BL Criminal Offense NEWARK, NJ 07102 054 0018

DEFEO, DELORES A, CNM Medical Disqualification 04/26/96 Permanent RR #6 BOX 280-D Industry Law PLEASANTVILLE, NJ 08232 Violation Human Services Medical Assistance (Medicaid)

DEGUZMAN, DAISY MD Medical Disqualification 02/20/14 111 MULBERRY STREET Criminal Offense NEWARK, NJ 07102 054 0018

DELANCEY,WAYNE K. Medical Disqualification 09/16/11 1020 HIDEAWAY COURT Criminal Offense VINELAND, NJ 08361 054

DELIA, MICHELLE Medical Disqualification 04/07/10 545 W. HILL ROAD Criminal Offense GLEN GARDNER, NJ 08826-3293 054 0018

DELL'AQUILA, PATRICK Construction Debarment 02/25/14 02/24/17 55 BROOKVIEW DRIVE Wage & Hour WOODCLIFF LAKE, NJ 07677 Violation 062 Workplace Standards

DELLAPENNA, LINDA, CNA Medical Disqualification 11/13/03 52 VAN NESS DRIVE Other BRICK, NJ 08723 Human Services Medical Assistance (Medicaid)

DELLAQUILLA, PATRICK Construction Debarment 02/25/14 02/24/17 55 BROOKVIEW DR. Wage & Hour WOODCLIFF LAKE, NJ 07677 Violation 062 Workplace Standards

DEMARCO, CHARLENE C Medical Suspension 07/20/08 P. O. BOX 898801 Other OKLAHOMA CITY, OK 73189 Human Services Medical Assistance (Medicaid)

DEMARINO STEVEN Construction Debarment 11/04/13 11/03/16 3 WESTWIND COURT Wage & Hour SADDLE BROOK, NJ 07463 Violation 062 Workplace Standards

DEMARINO, ERWIN Construction Debarment 11/04/13 11/03/16 204 WYCKOFF AVENUE Wage & Hour WALDWICK, NJ 07463 Violation 062 Workplace Standards

DEMASSI, MICHAEL A. Medical Disqualification 12/20/13 1917 WATERS EDGE DRIVE Other TOMS RIVER, NJ 08753-2673 054 0018

DEMOSS, KATHLEEN, M., D.C Medical Suspension 06/19/01 14 N. MAIN STREET Other FLEMINGTON, NJ 08822 Human Services Medical Assistance (Medicaid)

DENUCCI, NICHOLAS Medical Disqualification 07/24/02 51 BARN OWL Criminal Offense HACKETTSTOWN, NJ 07840 Human Services Medical Assistance (Medicaid)

DEORIO, ANNA G., RN Medical Suspension 10/18/07 COLUMBIA AVENUE Other NORTH BERGEN, NJ 07047 Human Services Medical Assistance

DESAI, BAKUL MD Medical Disqualification 09/20/12 15 MOUNTAIN RIDGE DRIVE Other LIVINGSTON, NJ 07039 054 0018

DESAI, BAKUL, MD Medical Suspension 03/08/10 15 MOUNTAIN RIDGE DRIVE Criminal Offense LIVINGSTON, NJ 07039-3408 054 0018

DESANTIS, ANTHONY, RPH Medical Debarment 02/24/03 105 FRANKLIN STREET Other BELLEVILLE, NJ 07109 Human Services Medical Assistance (Medicaid)

DEVARIS, HELENA D. DDS Medical Suspension 05/21/13 35-08 MORLOT AVENUE 1X Other FAIR LAWN, NJ 07410-4022 054 0018

DEVARSO, ANGELA Medical Debarment 05/20/12 FCI DANBURY, RTE 37 Criminal Offense DANBURY, CT 06811 054 0018

DEVERA, MONICA, T. Medical Suspension 08/20/02 118 BEACON STREET Other DUMONT, NJ 07628 Human Services Medical Assistance (Medicaid)

DI SPALTRO, FRANKLIN L., M.D. Medical Suspension 10/18/07 MELROSE LANE Other GREEN VILLAGE, NJ 07935 Human Services Medical Assistance (Medicaid)

DIAS-PELLOT, NORMA Medical Disqualification 03/24/00 Permanent 500 BERKELY DRIVE Criminal Offense BROWNS MILLS, NJ 08015 Human Services Medical Assistance (Medicaid)

DIAZ, PEDRO P. Medical Disqualification 05/20/11 80 SKYTOP ROAD Criminal Offense NEWTON, NJ 07860 054 0018

DIAZ-PELLOT, NORMA Medical Disqualification 07/19/01 Permanent 258 UNIVERSITY AVE Other PEMBERTON, NJ 08068 Human Services Medical Assistance (Medicaid)

DICARLO, ANTHONY Medical Disqualification 06/01/93 Permanent 35 GALT OCEAN DR Industry Law FT LAUDERDALE, FA 33308 Violation Human Services

DICKERSON, DENISE M. Medical Disqualification 09/22/10 126 HILLCREST AVE, 2A Other BLACKWOOD, NJ 08012 054 0018

DICUBELLIS, MICHELE Medical Disqualification 06/23/11 Permanent 4030 ANDERSON AVE, SE Antitrust/Anti- ALBURQUERQUE, NM 87108 Kickback Acts 054 0018

DIETERLE, KAREN, M., RN Medical Suspension 08/19/04 51 STURBRIDGE DRIVE Other SICKLERVILLE, NJ 08081 Human Services Medical Assistance (Medicaid)

DIETRICH, LISA B., M.D. Medical Suspension 11/20/08 DOGWOOD TRAIL Other RANDOLPH, NJ 07869 Human Services Medical Assistance (Medicaid)

DILLARD, LATICIA Medical Debarment 08/24/13 4208 NORTH DRIVE Criminal Offense ATLANTIC CITY, NJ 08401 054 0018

DIMEGLIO, FRANCO S., PRES. Construction Debarment 10/05/11 10/04/14 21 EDGEWOOD ROAD Wage & Hour RINGWOOD, NJ 07416 Violation 062 Workplace Standards

DINENBERG, LEE Construction Debarment 07/22/13 07/21/16 2816 CORONANDO WAY Wage & Hour VERO BEACH, FL 32960 Violation 062 Workplace Standards

DINKEL, ARTHUR R., LCSW Medical Disqualification 04/19/01 Permanent 2 FREEMAN LANE Other DENVILLE, NJ 07834 Human Services Medical Assistance (Medicaid)

DIPIERRO, CHARLES G., PRESIDENT Construction Debarment 11/25/11 11/24/14 404 SPOTSWOOD GRAVEL HILL Wage & Hour MONROE TWP, NJ 08831 Violation 062 Workplace Standards

DIPIERRO, KEVIN J., V-PRES. Construction Debarment 11/25/11 11/24/14 402 SPOTSWOOD GRAVEL HILL Wage & Hour MONROE TWP., NJ 08831 Violation 062 Workplace Standards

DIRENZO, ALFRED M. Medical Disqualification 02/21/95 Permanent 167 GROVE STREET Other LODI, NJ 07644 Human Services Medical Assistance

DIXON, SHANNON Medical Debarment 03/18/10 03/18/13 501 IRVING STREET Other CLEMNTON, NJ 08021 054 0018

DJAVID SMAIL F Medical Disqualification Permanent 160 EAST 89TH STREE Criminal Offense NEW YORK CITY, NY 10028 Human Services Medical Assistance (Medicaid)

DOBIECKA, DOROTHY Construction Debarment 08/04/14 08/03/17 556 HUMBULT STREET Wage & Hour BROOKLYN, NY 11222 Violation 062 Workplace Standards

DOBRE, FLORAN Construction Debarment 12/02/13 12/01/16 526 SHERIDAN AVE. Wage & Hour ROSELLE, NJ 07203 Violation 062 Workplace Standards

DOBROWOLSKI, DONALD, DDS4 Medical Disqualification 12/29/95 Permanent 45 BRICK BLVD. S-108 Other BRICK, NJ 08723 Human Services Medical Assistance (Medicaid)

DOBRZANSKI, TED Construction Debarment 02/25/14 02/24/17 138 STONEHENGE DR. Wage & Hour TOMS RIVER, NJ 08753 Violation 062 Workplace Standards

DOLINER, PAUL Medical Disqualification 09/15/80 Permanent 401 US HIGHWAY 22 Criminal Offense N PLAINFIELD, NJ 07060 Human Services Medical Assistance (Medicaid)

DOMINGUES,JOHN Construction Debarment 05/28/14 05/27/17 402 MARKET STREET Wage & Hour NEWARK, NJ 07105 Violation 062 Workplace Standards

DOMINIC, ANTHONY J. MD Medical Suspension 01/20/02 216 2ND AVENUE Other UPPER MANASQUAN, NJ 08736 Human Services Medical Assistance (Medicaid)

DONALDSON, DENISE Medical Disqualification 12/29/95 Permanent 2650 SPRUCE DRIVE Criminal Offense LAKEHURST, NJ 08733 Human Services Medical Assistance (Medicaid)

DONALDSON, DENISE, CNA Medical Disqualification 07/09/03 33 3RD AVENUE Other TOMS RIVER, NJ 08757-5027 Human Services

DONNARUMMA, CHRISTINE Medical Disqualification 05/26/00 Permanent 164 STARBOARD STREET Criminal Offense FORKED RIVER, NJ 08731 Human Services Medical Assistance (Medicaid)

DONOFRIO, DOUGLAS Medical Disqualification 01/04/12 1 SPRING LAKE DRIVE Other FAR HILLS, NJ 07931 054 0018

DOOLEY, CHRISTOPHER J. MD Medical Suspension 02/09/09 10 DEER RUN Other FREEHOLD, NJ 07728 Human Services Medical Assistance (Medicaid)

DORVIL, FAUBERT Medical Disqualification 07/04/14 651 S. PALM STREET, #201 Other LITTLE ROCK, AR 72205 054 0018

DOSHI, PRIYAKANT, M.D. Medical Disqualification 12/02/97 Permanent 11 WARFIELD STREET Other MONTCLAIR, NJ 08625 Human Services Medical Assistance (Medicaid)

DOTOLI, FRANKLIN Medical Disqualification 06/01/93 Permanent 460 FRANKLIN AVE Industry Law NUTLEY, NJ 07110 Violation Human Services Medical Assistance (Medicaid)

DOYLE, GINA, PRESIDENT Construction Debarment 04/05/12 04/04/15 716 WHITE HORSE PIKE Wage & Hour HAMMONTON, NJ 08037 Violation 062 Workplace Standards

DOYLE, JUDITH Medical Debarment 10/20/04 71 WILDFLOWER LANE Other MORRISTOWN, NJ 07960 Human Services Medical Assistance (Medicaid)

DRIVAS, GUSTAVE MD Medical Disqualification 05/11/14 LORETTO FCI Criminal Offense LORETTO, PA 15940 054 0018

DRIVAS, GUSTAVE Medical Disqualification 06/14/14 FCI LORETTO, P.O. BOX1000 Criminal Offense LORETTO, PA 15940 054 0018

DUBE, RICHARD Construction Debarment 03/26/13 03/25/16 111 COACH HOUSE SQUARE Wage & Hour

DUBOVY, CARL, M.D. Medical Disqualification 12/01/98 Permanent 11 PIPPINS WAY Other MORRISTOWN, NJ 07960 Human Services Medical Assistance (Medicaid)

DUFFIELD, CAMI, R., R.N. Medical Suspension 12/20/00 119 GRAF AVENUE Other LAWRENCEVILLE, NJ 08648 Human Services Medical Assistance (Medicaid)

DUGUE, IRMA Medical Suspension 05/14/07 314 BROADWAY Other ELIZABETH, NJ 07206 Human Services Medical Assistance (Medicaid)

DULL, JOHN W., DDS Medical Disqualification 12/01/98 Permanent 399 HOOVER AVENUE Other BLOOMFIELD, NJ 07003 Human Services Medical Assistance (Medicaid)

DURFEE, JANET, RN Medical Suspension 07/20/04 103 WOODLAKE DRIVE Other MARLTON, NJ 08053 054 Medical Assistance (Medicaid)

DURNIEN, EDWARD Medical Disqualification 01/06/06 215 CREEK ROAD Other KEANSBURG, NJ 07734 Human Services Medical Assistance (Medicaid)

DURST, LAWRENCE R.PH Medical Suspension 06/19/01 FCI FORT DIX, PO BOX 38 Other FORT DIX, NJ 08640 Human Services Medical Assistance (Medicaid)

EASTMAN, DONALD, OWNER Construction Debarment 09/15/12 09/16/15 292 CHURCH STREET Wage & Hour ABERDEEN, NJ 07747 Violation 062 Workplace Standards

EATOUGH, PHILIP Medical Disqualification 02/26/10 5 SYCAMORE LANE Criminal Offense RUMSON, NJ 07748-2510 054 Medical Assistance (Medicaid)

EDMILAO, CANUNITA Medical Suspension 04/09/04 645 NEWARK AVE. Criminal Offense JERSEY CITY, NJ 07305 Human Services Medical Assistance

EGENBERG, ITIS Medical Disqualification Permanent 153 AVENUE "B" Criminal Offense BAYONNE, NJ 07002 Human Services Medical Assistance (Medicaid)

EGLOFF, MARY ANN R.N. Medical Suspension 05/19/05 1100 KELLY LANE Other FRMINGDALE, NJ 07727 Human Services Medical Assistance (Medicaid)

EIB, KEVIN G. Construction Debarment 04/03/14 04/02/17 29 MONMOUTH ROAD Wage & Hour MONROE, NJ 08831 Violation 062 Workplace Standards

EIDMAN, STEVEN, DDS Medical Suspension 01/19/03 73 E. LINCOLN AVE. Criminal Offense ENGLEWOOD, NJ 07631 Human Services Medical Assistance (Medicaid)

EKSTEROWICZ, DEBORAH, LPN Medical Suspension 07/18/02 283 S. BLACKHORSE PIKE Other MOUNT EPHRAM, NJ 08059 Human Services Medical Assistance (Medicaid)

ELAMIR, MAGDY MD Medical Debarment 11/05/10 550 SUMMIT AVENUE Other JERSEY CITY, NJ 07306-2707 054 0018

ELBASHIR, IMAD Medical Suspension 06/17/20 P.O. BOX 7450 Other TRENTON, NJ 08628 Human Services Medical Assistance (Medicaid)

ELCHAGEA, ISMAIL Medical Debarment 07/01/00 470 CHAMBERLAIN AVE Other PATERSON, NJ 07522 054 Medical Assistance (Medicaid)

ELHAG ABUBAKER O Medical Debarment 11/23/07 10 HILL STREET APT. 9W Other NEWARK, NJ 07102 Human Services Medical Assistance (Medicaid)

ELIA, HARRY R., D.C. Medical Disqualification 12/01/98 Permanent 136 BROADWAY Other WOODCLIFF, NJ 07675 Human Services Medical Assistance (Medicaid)

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. ELIA-RAGGIO, LORI, LPN Medical Suspension 03/18/04 4001 BURRYPORT WAY Other MOUNT LAUREL, NJ 08054 Human Services Medical Assistance (Medicaid)

ELLIS, FREDERICK, PRESIDENT Construction Debarment 08/27/12 08/26/15 2 ISLAND POND ROAD Wage & Hour DERRY, NH 03038 Violation 062 Workplace Standards

ELLIS, KENT R., M.D. Medical Debarment 06/15/01 Permanent 1005 N. WASHINGTON AVE Other GREEN BROOK, NJ 08812 Human Services Medical Assistance (Medicaid)

ELLISON, RAEFORD, L.AC. Medical Suspension 04/18/02 8 N. SACRAMENTO AVENUE Other VENTNOR, NJ 08406 Human Services Medical Assistance (Medicaid)

EMERSON, BARBARA, L., RN Medical Suspension 05/20/04 45 HAWTHORNE ST. Other BROWNS MILLS, NJ 08015 Human Services Medical Assistance (Medicaid)

ENEMOU, KENNETH RP Medical Disqualification 03/30/99 Permanent 111 MULBERRY STREET #C Criminal Offense NEWARK, NJ 07102 Human Services Medical Assistance (Medicaid)

ENGRISSEI, PATRICIA LEISE, R.N. Medical Suspension 08/18/05 700 GROVE STREET Other HADDONFIELD, NJ 08033 Human Services Medical Assistance (Medicaid)

ENOGWE, FELIX, R.PH. Medical Disqualification 05/24/99 Permanent 51 CLIFTON AVE., C-401 Other NEWARK, NJ 07104 Human Services Medical Assistance (Medicaid)

ENOGWE,FELIX Medical Debarment 02/24/06 25 CLIFTON AVENUE Other NEWARK, NJ 07104-8754 Human Services Medical Assistance (Medicaid)

ERNST, DAVID J., DDS Medical Disqualification 03/31/95 Permanent 5 BRUNSWICK WOOD DRIVE Other E. BRUNSWICK, NJ 08816 Human Services Medical Assistance (Medicaid)

ESSER, ARISTIDE HENRI MD Medical Suspension 10/20/13

ESTAMBUL, BERNARDO Medical Debarment 01/31/08 605 W.141 STREET APT 51 Other NEW YORK, NY 10031-6905 Human Services Medical Assistance (Medicaid)

ESTERMAN, SIDNEY, DPM Medical Disqualification 08/31/01 Permanent 185 CENTRAL AVE, STE. 412 Other EAST ORANGE, NJ Human Services Medical Assistance (Medicaid)

ESTRADA, HECTOR Construction Debarment 05/31/13 05/30/16 432 52ND ST., APT. 2 Wage & Hour WEST NEW YORK, NJ 07093 Violation 062 Workplace Standards

ETIENNE, FERNANDE Medical Suspension 03/20/06 1205 MORRIS STREET #2L Other ROSELLE, NJ 07203 Human Services Medical Assistance (Medicaid)

EUN SUNG, KYUNG Medical Debarment 09/20/12 428 RUSSELL AVENUE Criminal Offense EDGEWATER, NJ 07020 054 0018

EVANS, ROLAND, A., DC Medical Disqualification 09/03/03 263 NORTH 3RD AVE. Criminal Offense MANVILLE, NJ 08835-1313 Human Services Medical Assistance (Medicaid)

EZEONYIM, CHARLES I., RPH Medical Debarment 01/16/09 01/06/12 2153 TYLER STREET Other UNION, NJ 07083-5269 054 Medical Assistance (Medicaid)

FABULIAN, PETER, D.O. Medical Disqualification 02/20/13 26 WEST MAIN STREET Other STRASBURG, PA 17579 054 0018

FAENZA, MATTHEW, RP Medical Suspension 01/20/04 64 COVENTRY WAY Other RINGWOOD, NJ 07456-2747 Human Services Medical Assistance (Medicaid)

FAKONDO, VICTOR Medical Disqualification 08/18/11 180 HANSON AVE Criminal Offense PISCATAWAY, NJ 08854 054 0018

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. FALOWO, YETUNDE Medical Disqualification 01/06/06 301 MAPLE AVE., APT266 Other N. PLAINFIELD, NJ 07060 Human Services Medical Assistance (Medicaid)

FARRIS, JOEL, C.H.H.A. Medical Suspension 09/20/01 212 UNION AVENUE Other NEPTUNE, NJ 07753 Human Services Medical Assistance (Medicaid)

FARRO, ANDREW Medical Suspension 06/12/08 87 CASTLE RIDGE DRIVE Other EAST HANOVER, NJ 07936 Human Services Medical Assistance (Medicaid)

FASWALA, MUNIR H. M.D. Medical Suspension 06/26/05 506 LAGOON BLVD. Other BRIGANTINE, NJ 08203 Human Services Medical Assistance (Medicaid)

FASWALA, MUNIR H., MD Medical Debarment 09/15/08 506 LOGOON BLVD. Other BRIGANTINE, NJ 08203-1222 Human Services Medical Assistance (Medicaid)

FATATO, VIRGINIA, A., DC Medical Suspension 05/05/03 8 N. WHITEHORSE PIKE Criminal Offense HAMMONTON, NJ 08009 Human Services Medical Assistance (Medicaid)

FAVORITO, TAMATHA, OWNER Construction Debarment 05/16/11 05/15/14 170 SPOTTED OAK DRIVE Wage & Hour FREEHOLD, NJ 07728 Violation 062 Workplace Standards

FEE ANN, CATHERINE Medical Suspension 10/19/06 7353 CLUBHOUSE CIRCLE Other EGG HARBOR CITY, NJ 08215 Human Services Medical Assistance (Medicaid)

FEINBERG, IRA Medical Disqualification 06/01/93 Permanent 411 CHELSEA STREET Criminal Offense PARAMUS, NJ 07652 Human Services Medical Assistance (Medicaid)

FEINMAN, BRIAN Medical Suspension 12/20/06 Permanent 418 WALNUT STREET Other NEWARK, NJ 07105 Human Services Medical Assistance (Medicaid)

FEIT, FREDERIC Medical Debarment 07/13/09

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. 2 TWIN LAKES DRIVE Criminal Offense MANALAPAN, NJ 07726-8680 054 Medical Assistance (Medicaid)

FEIT, FREDERICK Medical Debarment 07/17/09 07/17/14 30 JACKSON ST. Criminal Offense FREEHOLD, NJ 07728-2474 Human Services Medical Assistance (Medicaid)

FELDMAN, BRUCE, J. Medical Suspension 03/18/04 807 NORTHWINDS DRIVE Other BRYN MAWR, PA 19010 Human Services Medical Assistance (Medicaid)

FELDNER, EDWARD S. Medical Debarment 11/16/99 Permanent 50 E MAIN STREET Other LITTLE FALLS, NJ 07424 Human Services Medical Assistance (Medicaid)

FELIX-CLAUDIO, TANIA Construction Debarment 04/23/14 04/22/17 4615 N. FRONT STREET Wage & Hour PHILADELPHIA, PA 19140 Violation 062 Workplace Standards

FELSENBERG, SANFORD Medical Disqualification 06/01/93 Permanent 517 SO ORANGE AVENUE Criminal Offense NEWARK, NJ 07103 Human Services Medical Assistance (Medicaid)

FERNANDEZ, LUIS, D.P.M. Medical Suspension 03/26/97 Permanent 293 MONROE STREET Criminal Offense PASSAIC, NJ 07055 054 Medical Assistance (Medicaid)

FERRANDINO, LUIGI, M.D. Medical Disqualification Permanent 8 EAST RAMAPO AVENUE Industry Law MAHWAH, NJ 07430 Violation Human Services Medical Assistance (Medicaid)

FERRARI, FRANCIS M. Medical Disqualification 02/16/95 Permanent 482 KEARNEY AVENUE Other KEARNY, NJ 07032 Human Services Medical Assistance (Medicaid)

FERREIRA, MARIA, PRESIDENT Construction Debarment 01/10/11 01/07/14 96 CLIFFORD STREET Wage & Hour NEWARK, NJ 07108 Violation 062 Workplace Standards

FERREIRA, NUNO, PRESIDENT Construction Debarment 05/08/12 05/07/15 295 BALTURSOL WAY Wage & Hour SPRINGFIELD, NJ 07081 Violation 062

FERRELL, NOEL, OWNER Construction Debarment 08/29/11 08/28/14 50 POINT STREET Wage & Hour HAINESPORT, NJ 08036 Violation 062 Workplace Standards

FERRELL, THOMAS W., V-PRESIDENT Construction Debarment 06/24/11 06/23/14 905 CHURCH STREET Wage & Hour ROYERSFORD, PA 19468 Violation 062 Workplace Standards

FERRINGO, MICHAEL J. Medical Disqualification 06/20/12 616 GLEN COURT Other TURNERSVILLE, NJ 08012 054 0018

FERRO, MICHAEL F. Construction Debarment 08/09/13 08/08/16 89 JEANNE COURT Wage & Hour STAMFORD, CT 06905 Violation 062 Workplace Standards

FERSTANGIG, RUSSELL A, MD Medical Disqualification 12/07/87 Permanent 179 MAPLE AVE. Criminal Offense RIDGEWOOD, NJ 07450 Human Services Medical Assistance (Medicaid)

FILLIPONE, DENNIS R, MD. Medical Debarment 11/21/98 Permanent 147 STANTON ROAD Other FLEMINGTON, NJ 08822 Human Services Medical Assistance (Medicaid)

FINDER, RICHARD, D.C. Medical Debarment 05/01/04 810 ABBOTT BLVD. Criminal Offense FORT LEE, NJ 07024 Human Services Medical Assistance (Medicaid)

FINE, EDWARD Medical Disqualification 09/28/83 Permanent 271 MOORE LANE Criminal Offense HADDONFIELD, NJ 08033 Human Services Medical Assistance (Medicaid)

FINE-TRANS MEDICAL TRANS. Medical Disqualification 06/14/94 Permanent 2824 KENNEDY BLVD. #465 Industry Law JERSEY CITY, NJ 07306 Violation Human Services Medical Assistance (Medicaid)

FINESMITH, ROSS, M.D. Medical Disqualification 08/10/07 Permanent PARKVIEW AVENUE Criminal Offense BASKING RIDGE, NJ 07920 Human Services Medical Assistance (Medicaid)

FINK, DAVID, PHD Medical Suspension 05/20/03 139 HIGHLAND AVENUE Other

FINKEL, MARINA Medical Disqualification 10/03/13 75 STONEGATE DRIVE Criminal Offense STATEN ISLAND, NY 10304 054 0018

FIORE, THEODORE Construction Debarment 04/03/14 04/02/17 9 SILVER COURT Wage & Hour EAST HANOVER, NJ 07936 Violation 062 Workplace Standards

FISCHBERG, JUAN C., MD Medical Suspension 06/19/08 354 RUSSELL AVENUE Other EDGEWATER, NJ 07020-3133 Human Services Medical Assistance (Medicaid)

FISCHMAN, HAROLD Medical Disqualification 06/01/93 Permanent 56 BOWDOIN ST Industry Law MAPLEWOOD, NJ 07040 Violation Law and Public Safety Consumer Affairs Board of Medical Examiners

FISH, MICHAEL Medical Debarment 04/20/07 07/17/13 1500 PINE PARK AVENUE Other LAKEWOOD, NJ 08701 054 Medical Assistance (Medicaid)

FISHER, DARRYL Medical Disqualification 03/06/06 55 SHELBOURNE STREET Other BURLINGTON, NJ 08016 Human Services Medical Assistance (Medicaid)

FLEISCHER, MARK H. M.D. Medical Suspension 04/20/05 P.O. BOX 600, FCI Other OTISVILLE, NY 10963 Human Services Medical Assistance (Medicaid)

FLEISCHMAN, EDWARD, D.O. Medical Suspension 08/25/98 3804 CHURCH ROAD Criminal Offense MOUNT HOLLY, NJ 08054 Human Services Medical Assistance (Medicaid)

FLEMING, KEVIN M. MD Medical Suspension 11/20/10 710 STATION AVENUE 2 FLR Contingent Fees HADDON HEIGHTS, NJ 08035 054 0018

FLEURANTIN, RUBEN J. Medical Suspension 03/20/08 SCOTLAND ROAD Other SO. ORANGE, NJ 07079 Human Services Medical Assistance (Medicaid)

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. FLEURY, DIANE, RN Medical Suspension 05/20/01 552 PENNY STREET Other FRANKLINVILLE, NJ 08322 Human Services Medical Assistance (Medicaid)

FLORES, MARIE MIRAVITE RN Medical Debarment 09/20/04 258 DEEP BROOK COURT Other PISCATAWAY, NJ 08854 Human Services Medical Assistance (Medicaid)

FLOUNDERS, JOSEPH P. Medical Suspension 10/20/05 106 W. MIAMI AVE. Other VILLAS, NJ 08251 Human Services Medical Assistance (Medicaid)

FLOWERS, HERMAN J., JR. Medical Disqualification 12/10/97 Permanent 143 V URSINUS COURT Criminal Offense PEMBERTON, NJ 08075 Human Services Medical Assistance (Medicaid)

FLOWERS, HERMAN T. Medical Suspension 03/16/99 143 V URSINUS COURT Other PEMBERTON, NJ 08075 Human Services Medical Assistance (Medicaid)

FLOYD, JAMES Medical Disqualification 02/26/10 1733 BLAKE BOTTOM ROAD NW Criminal Offense HUNTSVILLE, AL 35806-1259 054 Medical Assistance (Medicaid)

FOLK, THOMASA A. Medical Disqualification 03/19/06 463 IRVINGTON AVENUE Other ELIZABETH, NJ 07201 Human Services Medical Assistance (Medicaid)

FOLKERTS, ANNAMARIA M, MD Medical Disqualification 12/08/93 Permanent 32 OAK PLACE Industry Law HAWTHORNE, NJ 07506 Violation Law and Public Safety Consumer Affairs Board of Medical Examiners

FONTANELLA, DANIEL, DC Medical Suspension 11/20/03 27 MOUNTAINWOOD COURT Other TOTOWA, NJ 07512 Human Services Medical Assistance (Medicaid)

FONTANEZ, MODESTO Medical Disqualification 10/07/11 1838 2ND AVENUE Other NEW YORK, NY 10128 054 0018

FORBES, AASE RN Medical Disqualification 04/20/09

FORDE, DLACY, SHIVONNE Medical Disqualification 03/08/10 03/08/15 57 CHESTNUT STREET C4 Other EAST ORANGE, NJ 07018-3062 054 0018

FORTE, GARY Vendor Suspension 08/27/01 44 SUMMIT AVENUE Criminal Offense BERLIN, NJ 08009 Treasury Treasury Purchase Bureau

FORTI, PAUL J., PH.D. Medical Disqualification 07/19/01 Permanent 6 SILVER SPRING COURT Other EAST HANOVER, NJ 07936 Human Services Medical Assistance (Medicaid)

FRAENKEL, DAVID M, DDS Medical Disqualification 11/04/91 Permanent BERGEN MALL DENTAL OFFICE Industry Law PARAMUS, NJ 07652 Violation Human Services Medical Assistance (Medicaid)

FRANCO, DAISY Medical Disqualification 08/10/07 Permanent URB JARDIN DE S. ANNA Other COAMO, NJ 00769 Human Services Medical Assistance (Medicaid)

FRANCO, FABRICIO Construction Debarment 06/10/13 06/09/16 1406 LEXINGTON PLACE Wage & Hour ELIZABETH, NJ 07208 Violation 062 Workplace Standards

FRASCA, CLIFFORD, C. Medical Suspension 04/08/99 Permanent 637 WESTON DRIVE Other TOMS RIVER, NJ 08755 Human Services Medical Assistance (Medicaid)

FRASCA, RACHEL Construction Debarment 01/07/14 01/06/17 326 COLES MILL ROAD Wage & Hour WILLIAMSTOWN, NJ 08094 Violation 062 Workplace Standards

FRASCA, SCOTT Construction Debarment 01/07/14 01/06/17 326 COLES MILL ROAD Wage & Hour WILLIAMSTOWN, NJ 08094 Violation 062 Workplace Standards

FRASER, KEITH Medical Disqualification 01/10/11 6 WEDGEWOOD DRIVE, UNIT7 Criminal Offense VERONA, NJ 07044 054 0018

FRASER, SHAWN E. Medical Suspension 10/20/05

FREDERICK, KIMBERLY M Medical Debarment 09/12/08 78 BOUNDARY AVENUE Other HANOVER, PA 17331-3907 Human Services Medical Assistance (Medicaid)

FREE, JOSEPH Construction Debarment 03/06/13 03/05/16 149 GARFIELD AVENUE Wage & Hour STATEN ISLAND, NY 10305 Violation 062 Workplace Standards

FREE, KEVIN R., M.D. Medical Disqualification 07/14/98 Permanent 14 PATTEN TERRACE Other CEDAR GROVE, NJ 07009-1920 Human Services Medical Assistance (Medicaid)

FRICK, JAMES, NURSES AID Medical Disqualification 05/05/04 1626 ABBOT AVENUE Other TOMS RIVER, NJ 08753 Human Services Medical Assistance (Medicaid)

FRIEDMAN, AMIR Medical Debarment 08/01/14 390 N. BROADWAY, STE 1000 Other PENNSVILLE, NJ 08070 054 0018

FRIEDMAN, SHERRY, RN Medical Suspension 09/19/03 12 HOPI TRAIL Other OAK RIDGE, NJ 07348 Human Services Medical Assistance (Medicaid)

FRIEND, CHARLES, LPN Medical Suspension 06/19/03 2336 CORBETT RD Other PENNSAUKEN, NJ 08109 Human Services Medical Assistance (Medicaid)

FRIMPONG, KOFI Medical Debarment 12/20/07 ESSEX ROAD Other MAPLEWOOD, NJ 07040 Human Services Medical Assistance (Medicaid)

FRISCH, FREDERICK Medical Disqualification Permanent 7 SOUTH DUDLEY AVE. Industry Law VENTOR, NJ 08406 Violation Human Services Medical Assistance (Medicaid)

FRISINA, LORI A. Construction Debarment 06/27/13 06/26/16 235GRAND AVENUE Wage & Hour RUTHERFORD, NJ 07070 Violation 062

FRITTS, LARRY F., R.N. Medical Suspension 06/20/05 5 AUTUMN RIDGE LANE Other PHILLIPSBURG, NJ 08865 Human Services Medical Assistance (Medicaid)

FROHWIRTH, DANIEL H, MD Medical Disqualification 04/18/92 Permanent MEADOW RD P O BOX 274 Criminal Offense WHITEHOUSE, NJ 08888 Human Services Medical Assistance (Medicaid)

FROMER, CARL H., M.D. Medical Disqualification 06/20/00 Permanent 1000 CLOVER ROAD, APT. 7R Other STATEN ISLAND, NY 10314 Human Services Medical Assistance (Medicaid)

FROMM, JOSEPH MICHAEL Medical Disqualification Permanent 28301 ATLANTIC AVE.#110 S Criminal Offense ATLANTIC CITY, NJ 12345 Human Services Medical Assistance (Medicaid)

GABER, ROBERT A. DMD Medical Disqualification 12/19/88 Permanent 100 VAIL ROAD Criminal Offense PARSIPPANY, NJ 07054 054 Medical Assistance (Medicaid)

GABRIEL, NWALA, RPH Medical Disqualification 02/23/10 34 SCHOOL STREET Other PISCATAWAY, NJ 08854-5931 054 0018

GADHOK, RAJINDER S., CLD Medical Disqualification 08/12/97 Permanent 120 CIRCEL AVE., BOX 121 Other BERKELY HGHTS, NJ 07922 Human Services Medical Assistance (Medicaid)

GAINES, TONI Medical Disqualification 08/03/06 08/03/14 4650 COLES MILL ROAD R-3 Criminal Offense WILLIAMSTOWN, NJ 08094 054 0018

GALCIK, DIANE, L.P.N. Medical Suspension 08/20/01 34 MAHAN STREET Other TENAFLY, NJ 07670 Human Services Medical Assistance (Medicaid)

GALIN, MILES A., M.D. Medical Debarment 09/19/08 EAST END AVENUE Criminal Offense NEW YORK, NY 10128-7763 Human Services Medical Assistance (Medicaid)

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. GALINSKY, RONALD C., ED.D Medical Disqualification 12/01/98 Permanent 34 DUNHILL DRIVE Other VOORHEES, NJ 08043 Human Services Medical Assistance (Medicaid)

GALL, WILLIAM J D.O. Medical Disqualification 07/20/09 Permanent 22 STONEGATE COURT Other BLACKWOOD, NJ 08012 054 Medical Assistance (Medicaid)

GALLAGHER, BRENDA JO RN/L Medical Suspension 04/19/01 14B WISHING WELL ROAD Other HAMBURG, NJ 07419 Human Services Medical Assistance (Medicaid)

GALLAGHER, JOANNE M., D.C. Medical Suspension 10/20/05 108 BENJAMIN AVENUE Other CONYNGHAM, PA 18219 Human Services Medical Assistance (Medicaid)

GALLAGHER, STEPHEN, OWNER Construction Debarment 07/30/12 07/29/15 221 COOLIDGE ST, STE. 11 Wage & Hour LINDEN, NJ 07036 Violation 062 Workplace Standards

GALLAGHER, WALTER B. JR. R.N. Medical Suspension 09/20/05 132 TULIP LANE Other SUMMIT, NJ 07901 Human Services Medical Assistance (Medicaid)

GALLE, JAMES, R.PH. Medical Disqualification 09/16/03 105 ELM AVENUE Other HACKENSACK, NJ 07644 Human Services Medical Assistance (Medicaid)

GALLETTA GEORGE W. Medical Disqualification 02/19/09 3001 E. CHESTNUT AVE A1 Criminal Offense VINELAND, NJ 08361 054 0018

GALLETTA, ERNEST Medical Suspension 02/19/09 FCI FAIRTON P.O. BOX 420 Other FAIRTON, NJ 08320 Human Services Medical Assistance (Medicaid)

GANDHI, HIREN PHARMA. CO. Medical Suspension 10/20/05 EMPLOYEE Other 120 ROLLING BROOK DRIVE Human Services EDISON, NJ 08820 Medical Assistance (Medicaid)

GANNON, MATTHEW J., PRES. Construction Debarment 02/01/12 01/29/15 16 ABBOTT AVE Wage & Hour

GANTI, SASHI, M.D. Medical Disqualification 08/20/97 Permanent 2035 HAMBURG PIKE Other WAYNE, NJ 07410 Human Services Medical Assistance (Medicaid)

GARCEN, GINA, D.C. Medical Disqualification 03/24/00 Permanent 57 GREEN STREET Criminal Offense WOODBRIDGE, NJ 07095 Human Services Medical Assistance (Medicaid)

GARCIA, CESAR Construction Debarment 05/01/14 04/30/17 64 GRANDVIEW AVENUE Wage & Hour NO. PLAINFIELD, NJ 07060 Violation 062 Workplace Standards

GARCIA, DIANE LCSW Medical Disqualification 01/18/12 6612 TERRA DOLCE AVE NW Other A;BUQUERQUE, NM 87114 054 0018

GARDINER, MICHAEL, A., DC Medical Suspension 02/03/03 2066 MILBURN AVENUE Criminal Offense MAPLEWOOD, NJ 07040 Human Services Medical Assistance (Medicaid)

GARIPALLI, LAXMIPATHI MD Medical Disqualification 09/20/12 11 COLTS GAIT LANE Other COLTS NECK, NJ 07722 054 0018

GARIPALLI, LAXMIPATHI Medical Suspension 04/21/08 COLTS GAIT LANE Other COLTS NECK, NJ 07722-1468 Human Services Medical Assistance (Medicaid)

GARRITANO, RALPH E, MD Medical Disqualification 06/01/93 Permanent 281 GROVE ST Criminal Offense ORADELL, NJ 07649 Human Services Medical Assistance (Medicaid)

GARZA, JOHN Construction Debarment 04/28/14 04/27/17 768 CHAMBERS STREET Wage & Hour TRENTON, NJ 08611 Violation 062 Workplace Standards

GEFFEN,_STEVEN Medical Disqualification 08/15/00 Permanent 50 SKYLARK COURT Criminal Offense MARLBORO, NJ 07746 Human Services Medical Assistance (Medicaid)

GENARD, WILLIAM C., PRESIDENT Construction Debarment 06/24/11 06/23/14

GENNINGER, LEWIS E, MD Medical Disqualification 01/10/88 Permanent 95 SOUTH MAIN ST Industry Law PHILLIPSBURG, NJ 08865 Violation Human Services Medical Assistance (Medicaid)

GENSHEIMER, MAUREEN, LPN Medical Suspension 09/19/02 1409 EDGEMERE ROAD Other WALL, NJ 07719 Human Services Medical Assistance (Medicaid)

GEORGE, JOBY Medical Debarment 07/18/11 395 MYRTLE STREET Criminal Offense CLIFFWOOD, NJ 07721 054 0018

GERARDO, LETICIA M., M.D. Medical Disqualification 05/30/97 Permanent 317 MT. PROSPECT AVE. Other NEWARK, NJ 07104 Human Services Medical Assistance (Medicaid)

GIANETTI, JOSEPH P., JR., DC Medical Suspension 09/18/08 LINDEMAN AVENUE Other CLOSTER, NJ 07624 Human Services Medical Assistance (Medicaid)

GIANNATTASIO, JOHN Construction Debarment 08/09/13 08/08/16 89 JEANNE COURT Wage & Hour STAMFORD, CT 06905 Violation 062 Workplace Standards

GIANNOTTO, ANTHONY, MD Medical Disqualification 11/24/88 Permanent 31 PALM STREET Industry Law NEWARK, NJ 07106 Violation Human Services Medical Assistance (Medicaid)

GIARRETTA MARY SUEANNE RP Medical Disqualification Permanent 9 KINGWOOD AVE Criminal Offense FRENCHTOWN, NJ 08825 Human Services Medical Assistance (Medicaid)

GIBBONS SHAWN S Medical Debarment 11/24/07 40 DOVER STREET Other NEWARK, NJ 07106-1607 Human Services Medical Assistance (Medicaid)

GIBBONS, WAYNE L., M.D. Medical Debarment 01/12/01 Permanent 2 EAST RIVER DRIVE Criminal Offense WILLINGBORO, NJ 08046 Human Services Medical Assistance

GIBBS MARY E PHARM. TECH. Medical Suspension 02/14/02 157 ANDREW STREET Criminal Offense HAMILTON, NJ 08610 Human Services Medical Assistance (Medicaid)

GIBBS, ARLENE, C.N.A Medical Disqualification 01/28/06 35 CIVIC SQUARE, #23 Other IRVINGTON, NJ 07111 Human Services Medical Assistance (Medicaid)

GIBBS, ARLENE, CNA Medical Debarment 05/20/07 18 BELLEVILLE CT APT C Other BELLEVILLE, NJ 07109 Human Services Medical Assistance (Medicaid)

GIBNEY, EDWARD D Medical Disqualification 06/01/93 Permanent 10 CEDAR LAKE Criminal Offense DENVILLE, NJ 07834 Human Services Medical Assistance (Medicaid)

GIBSON, MARY E., L.V.N. Medical Disqualification 07/18/01 Permanent 376 MADISON AVENUE Other RAHWAY, NJ 07065 Human Services Medical Assistance (Medicaid)

GILL, ALYSON, RN Medical Suspension 06/19/03 115 BRADLEY COURT Other LAUREL SPRINGS, NJ 08021 Human Services Medical Assistance (Medicaid)

GILL, JEFFREY J., DPM Medical Debarment 09/13/99 Permanent 1168 BEACON AVENUE Other MANAHAWKIN, NJ 08050 Human Services Medical Assistance (Medicaid)

GILLARD, MARY, RN Medical Suspension 04/20/03 321 SUNSET AVE., APT.2H Other ASBURY PARK, NJ 07712 Human Services Medical Assistance (Medicaid)

GILMORE, BRUCE STEWART, M.D. Medical Suspension 09/18/08 FRANKLIN DRIVE Other ARDMORE, OK 73401--0804 Human Services Medical Assistance (Medicaid)

GITKIN, SAMUEL Medical Suspension 04/18/02 1288 15TH STREET Other FORT LEE, NJ 07024 Human Services Medical Assistance

GLASER, VICTORIA, M., RN Medical Suspension 07/18/02 1612 THIRD STREET Other RENSSELAER, NY 12144 Human Services Medical Assistance (Medicaid)

GLASS, MICHAEL R. Medical Debarment 01/18/07 1345 SLATERVILLE ROAD Other ITHACA, NJ 14850 Human Services Medical Assistance (Medicaid)

GLASS, MICHAEL Medical Debarment 01/18/07 1345 SLETERVILLE ROAD Other ITHACA, NJ 14850 Human Services Medical Assistance (Medicaid)

GLASS, MICHEAL Medical Suspension 01/18/07 1345 SLATERVILLE ROAD Other ITHACA, NJ 14850 Human Services Medical Assistance (Medicaid)

GLEASON, WALTER Vendor Suspension 08/27/01 252 LILLBRIDGE APTS. Criminal Offense CLEMENTON, NJ Treasury Treasury Purchase Bureau

GOLDBERG, ARTHUR Vendor Suspension 09/07/00 PO BOX 239 Criminal Offense AVERNE, NY 11692 Treasury Treasury Purchase Bureau

GOLDBERG, JESSE G. AKA Vendor Suspension 10/12/04 BLACKFORD, JOSHUA Industry Law 316 SEATON AVENUE Violation Treasury ROSELLE PARK, NJ 07204 Treasury Purchase Bureau

GOLEV, DIMO Construction Debarment 06/10/14 06/09/17 7 ROSELAND AVENUE Wage & Hour TOTOWA, NJ 07512 Violation 062 Workplace Standards

GOLIN, MARK, W., MD Medical Suspension 03/20/03 172 FRANKLIN AVE., SUITE4 Other RIDGEWOOD, NJ 07450-3229 Human Services Medical Assistance (Medicaid)

GOMES, ANTONIO, JR. Construction Debarment 08/09/13 08/08/16 41 HAMILTON AVE Wage & Hour KEARNY, NJ 07032 Violation 062 Workplace Standards

GOMOLINSKI, NANCY Medical Disqualification 05/07/14 23 FORSHEE CIRCLE Criminal Offense MONTVALE, NJ 07645 054 http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. 0018

GONSHERY, DENISE C. Medical Suspension 02/20/05 900 MCELWEE ROAD Other MOORESTOWN, NJ 08057 Human Services Medical Assistance (Medicaid)

GONZALEZ, EFRAIN Construction Debarment 03/06/12 03/05/15 256 GROVE STREET Wage & Hour NORTH PLAINFIEL, NJ 07060 Violation 062 Workplace Standards

GONZALEZ, FELICIA E. Medical Debarment 09/19/11 06/17/13 1203 GREEN VIEW WAY Criminal Offense TOMS RIVER, NJ 08753 054 0018

GONZOPH, BARBARA, LPN Medical Suspension 08/19/04 208 WAYNE TERRACE Other COLLINGWOOD, NJ 08108 Human Services Medical Assistance (Medicaid)

GOOBERMAN, LANCE, MD Medical Suspension 02/24/04 07/23/12 1 SOUTH CENTRE STREET Other MERCHANTVILLE, NJ 08109 054 Medical Assistance (Medicaid)

GOODEY, KATHLEEN Medical Suspension 05/23/97 333 WHITTIER AVENUE Criminal Offense DUNELLEN, NJ 08812 Human Services Medical Assistance (Medicaid)

GOODIN, RICHARD, C., MD Medical Suspension 08/19/04 RIVERVIEW CORRECTIONAL Criminal Offense OGDENSBURG, NY 13669 Human Services Medical Assistance (Medicaid)

GOODWIN, BARBARA, G., RN Medical Suspension 12/19/02 1201 NORTH CHARLOTTE ST. Other DICKSON, TN 37055 Human Services Medical Assistance (Medicaid)

GORDON, BARBARA X-RAY TEC Medical Disqualification 04/05/01 Permanent 133 MORTON AVENUE Criminal Offense S. PLAINFIELD, NJ 07080 054 Medical Assistance (Medicaid)

GORDON, CRAIG W. MD Medical Disqualification 03/18/93 Permanent 8 SHERWOOD CIRCLE Criminal Offense LINDEN, NJ 07036 054 Medical Assistance (Medicaid)

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. GORDON, CRAIG W., MD Medical Disqualification 09/04/07 164 RIVEREDGE DRIVE #164 Other CHATHAM, NJ 07928 Human Services Medical Assistance (Medicaid)

GORDON, HOWARD, MD Medical Disqualification 06/01/93 Permanent 222 BROADWAY Criminal Offense NEWARK, NJ 07104 Human Services Medical Assistance (Medicaid)

GOTAY, ALEXANDER Medical Disqualification 02/24/08 SSCF, P.O. BOX 150 Criminal Offense DELMONT, NJ 08314 Human Services Medical Assistance (Medicaid)

GRABOWSKI, ZBIGNIEW Construction Debarment 05/15/13 05/14/16 35 JERSEY STREET Wage & Hour EAST RUTHERFORD, NJ 07073 Violation 062 Workplace Standards

GRANGER, MAI Medical Disqualification 09/29/99 Permanent 15 PEPPERMINT LANE Criminal Offense WILLINGBORO, NJ 08046 Human Services Medical Assistance (Medicaid)

GRASSER, JENNIFER, B., RN Medical Suspension 10/20/02 232 CLUB DRIVE Other WALL, NJ 07719-9450 Human Services Medical Assistance (Medicaid)

GRAUEHOLZ, JOHN, E., MD Medical Suspension 09/19/02 P.O. BOX 2172 Other LESBURG, NJ 22075 Human Services Medical Assistance (Medicaid)

GRAUERHOLZ, JOHN, E., MD Medical Suspension 09/19/02 P.O. BOX 2172 Other LEESBURG, NJ 22075 Human Services Medical Assistance (Medicaid)

GRAY, KEVIN Medical Disqualification 06/01/93 Permanent 129 CHANCELLOR AVE Criminal Offense NEWARK, NJ 07112 Human Services Medical Assistance (Medicaid)

GRAZIANO, NATALE, M.D. Medical Disqualification 12/01/98 Permanent 470 BROOKSIDE LANE Other SOMERVILLE, NJ 08876 Human Services Medical Assistance (Medicaid)

GREEN, JOHN N. MD Medical Suspension 02/22/12 06/21/12

GREEN, JOYCE D., CHHA Medical Suspension 08/20/03 PO BOX 145 Other WOODBINE , NJ 08270 Human Services Medical Assistance (Medicaid)

GREEN, ROBERT Medical Disqualification 09/02/92 Permanent 22 OLD SHORT HILLS ROAD Industry Law LIVINGSTON, NJ 07039 Violation 054 Medical Assistance (Medicaid)

GREENBERG, EDMUND, R.PH Medical Disqualification 02/07/00 Permanent 270 HIGHLAND ROAD Criminal Offense S. ORANGE, NJ 07079 Human Services Medical Assistance (Medicaid)

GREENE, LIZA, RN Vendor Suspension 09/19/03 57 N. RIVER DRIVE Other PENNSVILLE, NJ 08070 Human Services Medical Assistance (Medicaid)

GREENFARB, IRVING D.O. Medical Disqualification 12/19/88 Permanent 160 LITTLETON ROAD Industry Law MORRIS PLAINS, NJ 07950 Violation 054 Medical Assistance (Medicaid)

GREENFIELD, RONALD W. Medical Suspension 07/19/01 227 CLUB DRIVE Other WALL, NJ 07719 Human Services Medical Assistance (Medicaid)

GREENLEAF, JANICE, L.P.N. Medical Suspension 06/20/05 110 EAST JUNIPER AVENUE Other NORTH WILDWOOD, NJ 08260 Human Services Medical Assistance (Medicaid)

GREENSPAN, WILLIAM Vendor Suspension 09/27/00 GILL LANE Criminal Offense ISELIN, NJ 08830 Treasury Treasury Purchase Bureau

GRIGIONI, DENNIS J, PRESIDENT Construction Debarment 05/16/11 05/15/14 110 HAVERFORD COURT Wage & Hour MOORESTOWN, NJ 08057 Violation 062 Workplace Standards

GRIMES, BRIDGET Medical Debarment 10/29/12 10/29/20 293 LINCOLN STREET Criminal Offense PHILLIPSBURGH, NJ 08865 054 0018

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. GRIZE, JEFFERY Construction Debarment 05/28/14 05/27/17 3477 S. BLACKHORSE PIKE Wage & Hour WILLIAMSTOWN, NJ 08094 Violation 062 Workplace Standards

GROSSETT, KENNETH W II Medical Suspension 03/20/08 SOUTH DUPONT ROAD Other CARNEYSPOINT, NJ 08069 Human Services Medical Assistance (Medicaid)

GUDE, ROBERT Construction Debarment 02/06/13 02/05/16 9 WYCOFF TERRACE Wage & Hour FAIRLAWN, NJ 07410 Violation 062 Workplace Standards

GUENSCH, LISA M. RN Medical Disqualification 05/20/09 85 MORNING GLORY ROAD Other WARREN, NJ 07059 054 Medical Assistance (Medicaid)

GUERRERO, RAUL, CNA Medical Suspension 01/20/04 110 JEROME AVENUE Other SOUTH BOUND BRO, NJ Human Services Medical Assistance (Medicaid)

GUERRIERO, LUANN M., D.C. Medical Suspension 09/24/97 C/O 21 KILMER DR, STE 2A Other MORGANVILLE, NJ 07751 Human Services Medical Assistance (Medicaid)

GUICE, AZIE VICE PRESIDENT Medical Debarment 09/05/05 725 ELIZABETH AVENUE Other NEWARK, NJ 07112 Human Services Medical Assistance (Medicaid)

GUICE, JASON, C., SR. Medical Suspension 09/15/04 725 ELIZABETH AVE. Other NEWARK, NJ 07112 Human Services Medical Assistance (Medicaid)

GUILBERT, RICARDO, LPN Medical Disqualification 11/21/95 Permanent SOUTHERN STATE CORREC FAC Criminal Offense DELMONT, NJ 08314 Human Services Medical Assistance (Medicaid)

GUILIANO, GINA, RN Medical Suspension 12/18/03 1 KINDERKAMACK ROAD Other WOODCLIFF LAKE, NJ 07677-8018 Human Services Medical Assistance (Medicaid)

GUPTA, NAVEEN, RP Medical Debarment 03/04/99 Permanent 1700 OAK TREE ROAD Other

GUPTA, RASHMI J. Medical Debarment 07/03/13 10913 CORY LAKE DRIVE Criminal Offense TAMPA, FL 33647 054 0018

GUPTA, RASHMI Medical Debarment 07/30/12 203 HASSE AVENUE Criminal Offense PARAMUS, NJ 07652 054 0018

GUREVICH, NATALIA M.D. Medical Suspension 09/20/05 31-23 CRESCENT ST. APT2C Other ASTORIA, NY 11106 Human Services Medical Assistance (Medicaid)

GUSSMAN, MICHAEL, DPM Medical Suspension 06/20/01 141 GREENBROOK DRIVE Other MARLTON, NJ 08053 Human Services Medical Assistance (Medicaid)

GUSTAFSON, JOHN Construction Debarment 04/10/13 04/09/16 39 CHARLES STREET Wage & Hour MONTGOMERY, NY Violation 062 Workplace Standards

GUYTON, KATHLEN Medical Disqualification 08/20/02 228 SANFORD STREET Other EAST ORANGE, NJ 07018 Human Services Medical Assistance (Medicaid)

HABIB, IMAD Medical Disqualification 09/30/11 1529 39TH STREET 1ST FL Criminal Offense NORTH BERGEN, NJ 07047 054 0018

HAINES, E KEITH, MD Medical Disqualification 10/15/91 Permanent 1210 BRACE ROAD Industry Law CHERRY HILL, NJ 08034 Violation Human Services Medical Assistance (Medicaid)

HAINES, RAMONA, L., RN Medical Suspension 08/19/04 103 MEADOWVIEW CIRCLE Other MARLTON, NJ 08053 054 Medical Assistance (Medicaid)

HAINES, ROBBIE A., RN Medical Suspension 10/18/07 WHITE POND COURT Other ABSECON, NJ 08205 Human Services Medical Assistance (Medicaid)

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. HALAS, JOHN, PRES. ALLUVI Medical Suspension 05/20/02 144 WHITEHALL DRIVE Other VOORHEES, NJ 08043 Human Services Medical Assistance (Medicaid)

HALL, AFRIKA M. Medical Disqualification 10/02/07 BRIARWOOD DRIVE Criminal Offense TOBYHANNA, PA 18466 Human Services Medical Assistance (Medicaid)

HALL, ANNA M., RN Medical Suspension 10/18/01 44 LAKE TRAIL EAST Other WAYNE, NJ 07470 Human Services Medical Assistance (Medicaid)

HALL, KIMBERLY D Medical Disqualification 02/23/09 Permanent UNAMI LANE Criminal Offense SCOTCH PLAINS, NJ 07076 Human Services Medical Assistance (Medicaid)

HALL, KIMBERLY Medical Disqualification 01/23/09 Permanent 5 UNAMI LANE Criminal Offense SCOTCH PLAINS, NJ 07076 Human Services Medical Assistance (Medicaid)

HAMAD, ALIHIBER K. Medical Disqualification 12/01/98 Permanent 100 RESERVOIR AVENUE Other JERSEY CITY, NJ 07307 Human Services Medical Assistance (Medicaid)

HAMBERG, IVAN, O.D. Medical Disqualification 08/27/01 Permanent 49 W. CHELTEN AVENUE Other PHILADEPHIA, PA 19144 Human Services Medical Assistance (Medicaid)

HAMM, CARRIE, RN Medical Debarment 02/23/10 02/23/13 1134 N. STILES STREET Other LINDEN, NJ 07036 054 0018

HAMM, CARRIE, RN Medical Suspension 09/19/03 02/25/13 1134 N STILES STREET Other LINDEN, NJ 07036 054 Medical Assistance (Medicaid)

HAMPTON, GLYNDA, CNA Medical Disqualification 03/29/02 Permanent 571 MONTGOMERY STREET Other JERSEY CITY, NJ 07302 Human Services Medical Assistance (Medicaid)

HAND, EVELYN Medical Disqualification 01/27/06

HANDERHAN, LEE J., RN Medical Disqualification 05/20/07 909 ABINGTON ROAD Other CHERRY HILL, NJ 08034-3901 Human Services Medical Assistance (Medicaid)

HANSCOM, CRYSTAL Medical Disqualification 08/08/11 1407 BROMLEY ESTATES Criminal Offense PINE HILL, NJ 08021 054 0018

HARLOW, ALBERT J. Construction Debarment 04/22/13 04/21/16 515 SUMMIT LANE Wage & Hour RIEGELSVILLE, PA 18077 Violation 062 Workplace Standards

HARPER, JENNIFER, RN Medical Suspension 06/19/03 131 HEMLOCK COURT Other WOODBURY, NJ 08096 Human Services Medical Assistance (Medicaid)

HARRELL, PAMELA, L., RN Medical Suspension 08/20/02 1150 REDROCK CANYON RD Other KATY, TX 77450 Human Services Medical Assistance (Medicaid)

HARRIGAN, DAVID, D.C. Medical Disqualification 12/29/95 161 W. WHITE HORSE PIKE Other ABSECON, NJ 08201 054 Medical Assistance (Medicaid)

HARRIS, JOHNNIE Medical Disqualification 04/22/06 Permanent 2 LAKE BLVD Other EWING, NJ 08638 Human Services Medical Assistance (Medicaid)

HARRIS, PAUL Medical Suspension 11/20/06 GB-46 PO BOX 26010 Other BEAUMONT, TX 77720 Human Services Medical Assistance (Medicaid)

HARRIS-POOLE, IRENE, PTA Medical Debarment 08/20/03 708G LUCAS LANE Other VOORHEES, NJ 08043 Human Services Medical Assistance (Medicaid)

HASSAN, SALAH A. Medical Disqualification 05/31/01 Permanent 105 TONNELLE AVENUE Other JERSEY CITY, NJ 07305 Human Services

HEGGS, PAMELA B. Medical Disqualification 10/18/07 P.O. BOX 4004 Other CLINTON, NJ 08809 Human Services Medical Assistance (Medicaid)

HEIGEL, GEORGE Construction Debarment 05/30/13 05/29/16 350 MAIN STREET Wage & Hour KERSEY, PA 15846 Violation 062 Workplace Standards

HELLER, ELLIOT, C., MD Medical Disqualification 04/29/03 06/25/14 1150 AMBOY AVENUE Criminal Offense EDISON, NJ 08837 054 Medical Assistance (Medicaid)

HENRY, SARA Medical Disqualification 03/07/08 54 CARVER AVENUE Other LINDENWOLD, NJ 08021 Human Services Medical Assistance (Medicaid)

HERIBERTO SANTIAGO-JIMINEZ Medical Disqualification 09/19/11 396 WOODLAND AVENUE Criminal Offense SOUTH AMBOY, NJ 08879 054 0018

HERMAN, THERESA, RN Medical Suspension 05/20/04 676 HARBOR ROAD Other BRICK, NJ 08724 Human Services Medical Assistance (Medicaid)

HERNANDEZ-MATOS, JENNIFER Medical Disqualification 06/25/13 1410 OAK TREE DRIVE (H) Criminal Offense NORTH BRUNSWICK, NJ 08902 054 0018

HERNANDO, GILDA, BILLING Medical Disqualification 11/08/02 669A CHAMBERS STREET Criminal Offense TRENTON, NJ 08611 Human Services Medical Assistance (Medicaid)

HERSCHMAN, ZVI J. MD Medical Disqualification 04/20/13 346 WILSON STREET Criminal Offense WEST HEMPSTEAD, NY 11552 054 0018

HERSCHMAN, ZVI Medical Debarment 10/28/13 1 OLD SHORT HILLS ROAD Other LIVINGSTON, NJ 07039 054 0018

HESSEIN, AMGAD Medical Suspension 01/26/12 483 SOUTH ORANGE AVENUE Criminal Offense

HEYMACH, GEORGE, M.D. Medical Disqualification 08/27/01 Permanent 801 W. 57TH TERRACE Other KANSAS CITY, MO 64113 Human Services Medical Assistance (Medicaid)

HEYMAN, JACK, DO Medical Disqualification 01/07/83 Permanent 124 E MT PLEASANT AVENUE Criminal Offense LIVINGSTON, NJ 07039 Human Services Medical Assistance (Medicaid)

HIGGINS, GARY, RN Medical Suspension 10/20/02 548 WAYSIDE ROAD Other NEPTUNE, NJ 07753 Human Services Medical Assistance (Medicaid)

HIGGINS, MARTIN Medical Suspension 07/20/05 706 BLOOMFIELD AVENUE Other NUTLEY, NJ 07110 Human Services Medical Assistance (Medicaid)

HILL, MARK, PRESIDENT Construction Debarment 11/02/11 11/01/14 68 COUNTRYSIDE LOOP Wage & Hour ELKTON, MD 21921 Violation 062 Workplace Standards

HILLERY, KATHLEEN M. Medical Disqualification 10/15/10 219 CENTER STREET Criminal Offense TUCKERTON, NJ 08087 054 0018

HILT, JOE, PRESIDENT Construction Debarment 08/23/12 08/22/15 79 MYRTLE AVENUE Wage & Hour MICKELTON, NJ 08056 Violation 062 Workplace Standards

HILTON, JAMES, R., JR. MD Medical Debarment 04/03/02 28 BROCKTON COURT Other BEACON FALLS, CT 06403 Human Services Medical Assistance (Medicaid)

HIMMELWRIGHT, VICTOR Medical Disqualification 06/01/93 Permanent 44 LONDONDERRY WAY Criminal Offense SUMMIT, NJ 07901 Human Services Medical Assistance (Medicaid)

HO, SHING D., M.D. Medical Suspension 10/19/00 6 JAMOR COURT Other NESCONSET, NY 11767 Human Services Medical Assistance (Medicaid)

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. HOFFMAN, MARTIN, L. MD Medical Debarment 03/29/02 7 CAREFREE LANE Other SUFFERN, NY 10901 Human Services Medical Assistance (Medicaid)

HOFFSPIEGEL, PAUL Medical Suspension 08/06/98 56 SULLLIVAN DRIVE Criminal Offense WEST ORANGE, NJ 07052 Human Services Medical Assistance (Medicaid)

HOFSTETTER, DAVID, OWNER Medical Suspension 06/14/00 114 COUNTY ROAD 513 Other PITTSTOWN, NJ 08867 Human Services Medical Assistance (Medicaid)

HOLLEY, WILLIAM C., PRESIDENT Construction Debarment 07/20/11 07/19/14 4 NORTH PENNBROOK DRIVE Wage & Hour MIDDLETOWN, DE 19709 Violation 062 Workplace Standards

HOMAN, WALTER W. Medical Suspension 08/21/08 FORECASTLE AVENUE Other BEACHWOOD, NJ 08722 Human Services Medical Assistance (Medicaid)

HOPPE, GERALDO Medical Disqualification 06/01/93 Permanent BOX 483A RD 1 Criminal Offense MONROEVILLE, NJ 08343 Human Services Medical Assistance (Medicaid)

HORN MURRAY RD Medical Disqualification Permanent 287 GARFIELD AVE Criminal Offense HAWORTH, NJ 07641 Human Services Medical Assistance (Medicaid)

HORWITZ, KENNETH, R., RP Medical Debarment 10/31/03 07/20/11 8 MOHAWK PLACE Other RANDOLPH, NJ 07869 054 Medical Assistance (Medicaid)

HOUTAN, FARAH Medical Debarment 05/01/12 269 STEELMANVILLE ROAD Criminal Offense EGG HARBOR, NJ 08234 054 0018

HOUTAN, FARHAR(FARAH) Medical Suspension 10/27/09 269 STEELMANVILLE ROAD Criminal Offense EGG HARBOR TOWN, NJ 08234-7801 054 Medical Assistance (Medicaid)

HOWARD, REGINA R. NURSE AID Medical Disqualification 10/30/13 104 E. 8TH STREET Criminal Offense

HOWARD, ROBIN A., RN Medical Disqualification 07/19/01 Permanent 196 KING AVENUE Other TRENTON, NJ 08638 Human Services Medical Assistance (Medicaid)

HOWELL, CLIFTON Medical Debarment 10/18/12 15 COLONY DRIVE WEST Criminal Offense WEST ORANGE, NJ 07052 054 0018

HOWELL, CLIFTON Medical Disqualification 08/19/11 15 COLONY DRIVE WEST Criminal Offense WEST ORANGE, NJ 07052 054 0018

HRABARCHUK, EUGENE M.D. Medical Disqualification 12/01/98 Permanent 925 CLIFTON AVENUE Other CLIFTON, NJ 07013 Human Services Medical Assistance (Medicaid)

HSIA, VINCENT RPH Medical Disqualification 05/01/14 SCHUYLKILL FCI Criminal Offense MINERSVILLE, PA 17954 054 0018

HU, HSUN TUAN Medical Disqualification 05/10/99 Permanent 154 HOMESTEAD PLACE Other BOGOTA, NJ 07603 Human Services Medical Assistance (Medicaid)

HUDSON, CAVIN Construction Debarment 06/12/13 06/11/16 126 WINDING RIDGE ROAD Wage & Hour DOVER, DE 19904 Violation 062 Workplace Standards

HUDSON, FITZGERALD Medical Debarment 06/12/14 P.O. BOX 1000 Criminal Offense MILAN, MI 48160 054 0018

HUNDA, RAFAEL, M.D. Medical Disqualification 09/21/01 Permanent 472 RIVER STREET Other PATERSON, NJ 07524 Human Services Medical Assistance (Medicaid)

HUNTER, CHRISTOPHER, LPN- Medical Suspension 06/20/02 430 BARTINE STREET Other SOMERVILLE, NJ 08876 Human Services Medical Assistance (Medicaid)

HUNTER, FRANK L., NURSING HOME Medical Suspension 02/20/05 EMPLOYEE Other

HUNTER-CORREA, LOUISA, DDS Medical Suspension 10/22/10 372 FOREST AVENUE Other PARAMUS, NJ 07652 054 0018

HUSSAIN, IFIKHAR Medical Disqualification 01/29/03 Permanent 9 VAN COURTLAND AVENUE Criminal Offense STATEN ISLAND, NY 10301 Human Services Medical Assistance (Medicaid)

HUSSAIN, ZAHID, MD Medical Suspension 09/30/11 301 ROUTE 9 NORTH Other FREEHOLD, NJ 07728 054 0018

HUSTON, JOHN A, JR DN2591 Medical Suspension 08/29/97 8 PRODUCTION WAY Other AVENEL, NJ 07001 Human Services Medical Assistance (Medicaid)

HYMAN, DEBORAH Medical Suspension 08/20/06 6 HASTINGS LANE Other FLEMINTON, NJ 08822 Human Services Medical Assistance (Medicaid)

HYMAN, RONALD RPH Medical Suspension 01/19/05 3845 DEMPSEY Other HUNTINGTON VALL, PA 19006 Human Services Medical Assistance (Medicaid)

IBRAHIM, GASIM Medical Disqualification 12/11/96 Permanent 340 FIARMOUNT Other JERSEY CITY, NJ 07306 Human Services Medical Assistance (Medicaid)

IGBINADUWA, NEWTON R.PH. Medical Suspension 05/19/05 116-35 139TH STREET Other JAMAICA, NY 11436 Human Services Medical Assistance (Medicaid)

IGNACCOLO, EMANUEL E Medical Disqualification 06/01/93 Permanent 688 WYCHOFF AVENUE Criminal Offense MAHWAH, NJ 07430 Human Services Medical Assistance (Medicaid)

IKEH, CHIDI, ETHELBER Medical Disqualification 03/09/08 P.O. BOX 26030 Criminal Offense BEAUMONT, TX 77720 Human Services Medical Assistance

ILEM, PRISCILLA G, MD Medical Disqualification 10/27/13 782 ALPS ROAD Criminal Offense WAYNE, NJ 07470-3920 054 0018

ILEWSKI, TOMASZ, PRESIDENT Construction Debarment 07/20/11 07/19/14 803 CHARLES STREET Wage & Hour SOUTH AMBOY, NJ 08879 Violation 062 Workplace Standards

ILLINGWORTH, DONNA L.P.N. Medical Suspension 05/19/05 1505 CLAIRE ROAD Other FORKED RIVER, NJ 08731 Human Services Medical Assistance (Medicaid)

INNES, GEORGE MICHAEL JR. GALE & Medical Suspension 07/20/05 DANCKS, LLC Other 1736 EAST GENESEE ST. Human Services FAYETTEVILLE, NY 13066 Medical Assistance (Medicaid)

INSABELLA, HARRY, DDS Medical Disqualification 07/01/97 Permanent 591 SOMERSET ST. Criminal Offense SOMERSET, NJ 08873 Human Services Medical Assistance (Medicaid)

IQBAL, MOHAMMED S., M.D. Medical Debarment 09/12/08 LINWOOD AVENUE Criminal Offense RIDGEWOOD, NJ 07450-3534 Human Services Medical Assistance (Medicaid)

IRVING, EDWARD, J., RNA Medical Suspension 04/20/04 202 SEYMOUR AVENUE Other NEWARK, NJ 07108 Human Services Medical Assistance (Medicaid)

IRVING, EDWARD, J., RNA Medical Suspension 04/20/04 202 SEYMOUR AVE. Other NEWARK, NJ 07108-1747 Human Services Medical Assistance (Medicaid)

ISACCSON STEVEN Medical Disqualification Permanent 1959 BIRCHWOOD PARK DRIVE Criminal Offense CHERRY HILL, NJ 08034 Human Services Medical Assistance (Medicaid)

ISLAMBEKOV, ALLANUR Construction Debarment 05/12/14 05/11/17 11 ARBORETUM DRIVE Wage & Hour JACKSON, NJ 08527 Violation 062 Workplace Standards

ISMAIL, MOHAMED, RP Medical Suspension 12/18/03

IVANSHENKO, ALEXANDER Medical Suspension 05/25/99 31 GOLDSMITH DRIVE Other HOLMDEL, NJ 07333 Human Services Medical Assistance (Medicaid)

JACKSON, GEORGE D. PHD Medical Disqualification Permanent 367 FAIRVIEW AVE. Criminal Offense ORANGE, NJ 07050 Human Services Medical Assistance (Medicaid)

JACOBS, ROSS M. Vendor Suspension 10/12/04 15 MAST DRIVE Industry Law BARNEGAT, NJ 08005 Violation Treasury Treasury Purchase Bureau

JACOBSON, CRAIG, D.C. Medical Disqualification 03/24/00 Permanent 1219 LIBERTY AVENUE Criminal Offense HILLSIDE, NJ 07205 Human Services Medical Assistance (Medicaid)

JACOBSON, DEBRA Medical Disqualification 01/25/11 01/25/13 661 RT. 9 Criminal Offense BAYVILLE, NJ 08721 054 0018

JACOBSON, JAY P., D.C. Medical Disqualification 04/12/96 Permanent 25 DEER PATH Other HOLMDELL, NJ 07733 Human Services Medical Assistance (Medicaid)

JACQUES, ARNOLD, J. MD Medical Disqualification 07/30/11 31 BRIDGEWATER COURT Other JACKSON, NJ 08527-4030 054 0018

JAFARI MARYAM MD Medical Suspension 02/22/12 176 BLOOMFIELD AVENUE Criminal Offense NEWARK, NJ 07104 054 0018

JAKUBCZAK, ARTHUR F, D.C. Medical Suspension 01/18/01 465 RATHBURN PLACE Other PERTH AMBOY, NJ 08861 Human Services Medical Assistance (Medicaid)

JAMES, GLORIA M. R.N. Medical Suspension 07/20/05 18 LINDEN COURT Other JERSEY CITY, NJ 07305 Human Services Medical Assistance (Medicaid)

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. JAMISON, ROBERT W., D.O. Medical Debarment 09/11/00 Permanent 79 PARTRIDGE LANE Other CHERRY HIL, NJ 08003 Human Services Medical Assistance (Medicaid)

JANKULOSKI, MARIA Construction Debarment 06/10/14 06/09/17 4 QUARTZ LANE Wage & Hour PATERSON, NJ 07501 Violation 062 Workplace Standards

JANVIER-PIERRE, MARY Medical Debarment 05/20/12 6400 BRIDGEPORT LANE Criminal Offense LAKE WORTH, FL 33463 054 0018

JARMON, ROBERT, G., MD Medical Debarment 05/09/02 8 BRIGHTON AVENUE Other SPRING LAKE, NJ 07762 Human Services Medical Assistance (Medicaid)

JASCALEVICH, MARIO E Medical Disqualification 06/01/93 Permanent 10 PRISCILLA LANE Criminal Offense ENGLEWOOD CLIFF, NJ 07632 Human Services Medical Assistance (Medicaid)

JASZCZULT, JOAN E., D.O. Medical Debarment 02/03/06 50 NEWARK AVENUE, APT 309 Other BELLEVILLE, NJ 07109 Human Services Medical Assistance (Medicaid)

JAVID, MOHAMMAD Medical Suspension 08/20/00 E. JERSEY STATE PRISON Other RAHWAY, NJ 07065 Human Services Medical Assistance (Medicaid)

JAYARAM, AJIT MD Medical Disqualification 04/04/14 215 SOUTH BURLINGTON RD Criminal Offense BRIDGETON, NJ 08302 054 0018

JAYARAM, AJIT MD Medical Disqualification 08/20/13 215 SOUTH BURLINGTON ROAD Criminal Offense BRIDGETON, NJ 08302 054 0018

JEAN-BAPTISTE, DEMESVAR, A Medical Suspension 09/19/11 775 MOUNTAIN BLVD STE 1 Other WATCHUNG, NJ 07069 054 0018

JECK, CHARLES, N., DO Medical Suspension 07/05/02 1 CHICKORY PLACE Criminal Offense NEWTOWN, PA 18940 Human Services Medical Assistance (Medicaid)

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. JEFFRIES, MARC Medical Disqualification 03/13/14 2 MILLER LANE Criminal Offense WHITEHOUSE STAT, NJ 08889 054 0018

JEMINI, DAVID Medical Suspension 07/18/02 PO BOX 280, HWY. 698 Other FAIRTON, NJ 08320 Human Services Medical Assistance (Medicaid)

JEMINI, JACK Medical Suspension 07/18/02 PO BOX 600 Other ELGIN, FL 32542 Human Services Medical Assistance (Medicaid)

JENNIFER KIM, RP Medical Debarment 10/23/03 1117 INWOOD TERRACE Other FORT LEE, NJ 07024-1623 054 Medical Assistance (Medicaid)

JIBEAU, GUY Vendor Debarment 04/10/13 Permanent 40 ENTERPRISE AVENUE Failure to Perform TRENTON, NJ 08638 082 Treasury Purchase Bureau

JIMENEZ, JOSE, COUNSELOR Medical Suspension 12/08/03 12/08/11 EXTENSION VILLA RITA P.R. Other SAN SEBASTIAN, NJ 00685 054 Medical Assistance (Medicaid)

JIMS TRANSPORTATION Medical Suspension 04/11/06 49 WESTERN PARKWAY Other IRVINGTON, NJ 07111 Human Services Medical Assistance (Medicaid)

JINGH, SAGGOO, M.D. Medical Suspension 11/20/95 485 S. DOBSON RD, STE 202 Other CHANDLER, AZ 85224 Human Services Medical Assistance (Medicaid)

JOACHIM, LEONARD, M.D. Medical Disqualification 12/05/97 Permanent 26 LAKE DRIVE Other MOUNTAIN LAKES, NJ 07046 Human Services Medical Assistance (Medicaid)

JODELKA, ERIK R.PH Medical Debarment 08/20/06 02/23/11 391 BEECROFT PLACE Other OAKHURST, NJ 07755 054 0018

JOHNSON, BRENDA, C., LPN Medical Suspension 01/19/03 232 OAK STREET Other WILLIAMSTOWN, NJ 08094 054 http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. Medical Assistance (Medicaid)

JOHNSON, CAROLE Construction Debarment 05/30/13 05/29/16 390 SENECA ROAD Wage & Hour ST. MARYS, PA 14857 Violation 062 Workplace Standards

JOHNSON, DENISE M. R.N. Medical Suspension 04/20/05 12 SIOUX TRAIL Other DENVILLE, NJ 07834 Human Services Medical Assistance (Medicaid)

JOHNSON, DUWANA L. Medical Suspension 09/14/05 213 MARTIN LUTHER KING DR Other LAKEWOOD, NJ 08701 Human Services Medical Assistance (Medicaid)

JOHNSON, HENRY (OWER) Construction Debarment 01/25/13 01/24/16 1258 N. EAST AVENUE Wage & Hour VINELAND, NJ 08360 Violation 062 Workplace Standards

JOHNSON, JULIE ANN Medical Suspension 06/19/01 1145 MANTUA PIKE Other MANTUA, NJ 08051 Human Services Medical Assistance (Medicaid)

JOHNSON, ROBERT Medical Disqualification 01/06/06 1608 4TH AVE. Other ASBURY PARK, NJ 07712 Human Services Medical Assistance (Medicaid)

JOHNSTON, KELLIE Medical Suspension 10/19/06 1697 SYLVAN DRIVE Other BLUE BELL, PA 19422 Human Services Medical Assistance (Medicaid)

JONES, CYNTHIA, R., RN Medical Suspension 08/20/02 1089 HAWSER AVENUE Other MANAHAWKIN, NJ 08050 Human Services Medical Assistance (Medicaid)

JONES, DAVID, L.P.N. Medical Suspension 03/20/03 97 LINCOLN PARK Other NEWARK, NJ 07102 Human Services Medical Assistance (Medicaid)

JONES, MICHELLE Medical Suspension 09/30/05 446 PROSPECT STREET-B16 Other LAKEWOOD, NJ 08701 Human Services Medical Assistance (Medicaid)

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. JONES-PRICE, ANTIONETTE Medical Disqualification 06/01/00 Permanent PO BOX 1006 Criminal Offense WENDELL, NC 27591 054 Medical Assistance (Medicaid)

JOO, EUI D, MD Medical Disqualification 10/14/85 Permanent 29 TIP TOP WAY Industry Law BERKELEY HGHTS, NJ 07922 Violation Human Services Medical Assistance (Medicaid)

JOSE, DELIA V. Medical Suspension 04/22/97 185 S.EUCLID ST, SUITE111 Other PASADENA, CA 91101 Human Services Medical Assistance (Medicaid)

JOSHI, JAYENDRA Medical Disqualification 06/04/97 Permanent 95-05 37TH AVE., APT.1-A Other JACKSON HGHTS., NY 11373 Human Services Medical Assistance (Medicaid)

JOSS, ETHAN E. Construction Debarment 06/29/07 Permanent 111 9TH AVENUE Criminal Offense HADDON HEIGHTS, NJ 08035 Treasury Treasury Property Management and Construction

JUISTON, PEGGY Medical Disqualification 06/05/00 Permanent 17 MYRTLE AENUE Criminal Offense IRVINGTON, NJ 07111 Human Services Medical Assistance (Medicaid)

JUNGER,SYLVAIN S.,MD Medical Disqualification 04/20/11 04/20/16 270 PENNINGTON AVENUE Criminal Offense PASSAIC, NJ 07055-4805 054 0018

JUODENKO, ANDREW Construction Debarment 10/25/12 10/24/15 949 SPRING VIEW DRIVE Wage & Hour SOUTH HAMPTON, PA 19114 Violation 062 Workplace Standards

JUPITER, RONALD Medical Disqualification 05/05/14 119 EYLAND AVENUE Criminal Offense SUCCASUNNA, NJ 07876 054 0018

JURGENSON, THEODORE W Medical Disqualification 06/01/93 Permanent 438 BROADWAY Industry Law LONG BRANCH, NJ 07746 Violation Human Services Medical Assistance (Medicaid)

JYAMFI ,CHARLES Medical Suspension 03/22/06 71 OLD SHORT HILLS ROAD Contingent Fees

KACHMAR, DAVID, PRESIDENT Construction Debarment 11/18/11 11/17/14 11 BLUE RIDGE AVENUE Wage & Hour GREEN BROOK, NJ 08812 Violation 062 Workplace Standards

KAHONU, ANNE N. Medical Debarment 01/19/13 315 MILL ST. Criminal Offense S. PLAINFIELD, NJ 07080 054 0018

KALFUS, DENIS H., DPM Medical Suspension 06/19/03 1015 EAST GLEN AVE. Other WASHINGTOWN TWP, NJ 07606 Human Services Medical Assistance (Medicaid)

KALLEN, HERBERT Medical Disqualification 06/01/93 Permanent 274 RIVER ROAD Criminal Offense ST JAMES ISLAND, NY 11780 Human Services Medical Assistance (Medicaid)

KAMARA, HELEN, H., CHHA Medical Suspension 10/20/02 P.O. BOX 509 Other PALMYRA, NJ 08065 Human Services Medical Assistance (Medicaid)

KANIA, RAMESHCHA MD Medical Suspension 02/22/12 310 CENTRAL AVE SUITE 10 Criminal Offense EAST ORANGE, NJ 07018 054 0018

KANIA, RAMESHCHAN MD Medical Disqualification 01/20/14 310 CENTRAL AVE STE. 106 Criminal Offense EAST ORANGE, NJ 07018 054 0018

KANKAM, MARTIN Medical Debarment 07/30/05 13 G READING RD. Other EDISON, NJ 07083 Human Services Medical Assistance (Medicaid)

KANZ JOHN T Medical Disqualification Permanent 136 HILLCREST AVENUE Criminal Offense HILLTOP, NJ 07542 Human Services Medical Assistance (Medicaid)

KAPLAN, DONALD Medical Suspension 03/25/10 701 PALMER AVENUE Criminal Offense ALLENHURST, NJ 07711-1328 054 Medical Assistance (Medicaid)

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. KAPLAN, HARMON B. DDS Medical Disqualification 08/26/88 Permanent 1251 PATERSON PLANK RD. Criminal Offense SEACACUS, NJ 12345 054 Medical Assistance (Medicaid)

KARES FRANCES FRITZ R.PH. Medical Disqualification 02/16/83 02/16/91 615 SUMMIT ROAD Criminal Offense UNION, NJ 07083 054 Medical Assistance (Medicaid)

KARFUNKEL, DAVID M. Medical Disqualification 04/02/08 10/25/13 100 HOWARD AVENUE Other PASSAIC, NJ 07055-4438 054 Medical Assistance (Medicaid)

KARGE, FREDRICK Medical Suspension 01/28/07 PO BOX 190 Other AVENEL, NJ 07001 Human Services Medical Assistance (Medicaid)

KARNER, ANNA, EMT Medical Disqualification 07/23/02 17 MAPLE AVENUE Criminal Offense PINE BROOK, NJ 07058-9773 Human Services Medical Assistance (Medicaid)

KARSHENBOYM, ALEXANDER Medical Debarment 09/20/07 90 WEST HILL ROAD Criminal Offense WOODCLIFF LAKE, NJ 07677 Human Services Medical Assistance (Medicaid)

KAUFMAN, SHOSHANA Medical Disqualification 07/15/09 349 JESTER COURT Criminal Offense OLD BRIDGE, NJ 08857 Human Services Medical Assistance (Medicaid)

KAUL, RICHARD Medical Debarment 08/01/14 292 ATLANTIC STREET Other HACKENSACK, NJ 07601 054 0018

KAVROS, STEVEN J, DPM Medical Disqualification 06/01/93 Permanent 12 HERITAGE COURT Criminal Offense CHERRY HILL, NJ 08034 Human Services Medical Assistance (Medicaid)

KEE, TERRAYA C. Medical Disqualification 11/30/07 Permanent CLINTON STREET Criminal Offense CAMDEN, NJ 08105 Human Services Medical Assistance (Medicaid)

KEELEN, SUSAN, RN Medical Suspension 06/20/01 01/27/12

KELLER, MIKE Construction Debarment 03/06/13 03/05/16 233 LEXINGTON AVENUE Wage & Hour DUMONT, NJ 07628 Violation 062 Workplace Standards

KELLOGG, WILLIAM T., M.D. Medical Disqualification 01/09/96 02/28/14 47 MAPLE STREET, STE. 204 Other SUMMIT, NJ 07901 054 Medical Assistance (Medicaid)

KELLY, MICHELLE, CNA Medical Debarment 03/24/02 963 PARK AVENUE Other PLAINFIELD, NJ 07060 Human Services Medical Assistance (Medicaid)

KELLY-UPPER, DENISE Medical Disqualification 12/01/98 Permanent 2200 ATLANTIS AVENUE Criminal Offense MAYS LANDING, NJ 08330 Human Services Medical Assistance (Medicaid)

KEMENY, GEORGE Medical Disqualification 11/22/77 Permanent THIRD STREET Industry Law ELIZABETH, NJ 07206 Violation Human Services Medical Assistance (Medicaid)

KENNETH DILUIGI, RN Medical Debarment 12/17/08 RAVENSWOOD WAY Criminal Offense SEWELL, NJ 08080 054 0018

KESHISHIAN, PAUL, DO Medical Debarment 04/22/99 03/15/00 625 COBH ROAD Other RIVER VALE, NJ 07675 054 Medical Assistance (Medicaid)

KHAJAVI, ABDOLALI, M.D. Medical Debarment 08/20/99 Permanent HIGHWAY 94 & OSBOW LANE Other FRANKLIN, NJ 07416 Human Services Medical Assistance (Medicaid)

KHAN, ASIF ALI Medical Suspension 06/05/96 Permanent 909A BROAD STREET Criminal Offense NEWARK, NJ 07102 054 Medical Assistance (Medicaid)

KHAN, AZAM HAYAT Medical Disqualification 07/07/08 107 CHARLESTON AVENUE Other STATEN ISLAND, NY 10309-1655 Human Services

KHAN, AZAM Medical Disqualification 10/21/99 Permanent 687 FRELINGHUTSEN AVENUE Other NEWARK, NJ 07114 Human Services Medical Assistance (Medicaid)

KHAN, MUNIR Medical Debarment 08/20/09 Permanent 238 GRAND ST. APT. 1 Criminal Offense JERSEY CITY, NJ 07302 054 0018

KHAN, SALEEM, M. Medical Suspension 07/20/03 336 2ND ST. APT.1 Other JERSEY CITY, NJ 07302 Human Services Medical Assistance (Medicaid)

KHAN, TAUQIR (TAQUIR) Medical Suspension 08/19/10 Permanent P.O. BOX 420 Criminal Offense FAIRTON, NJ 08320 054 0018

KHANDWALA, NITIN, R.PH Medical Disqualification 10/21/99 11/29/12 225 MILLBURN AVENUE Other MILLBURN, NJ 07041 054 Medical Assistance (Medicaid)

KHANNA, YASH K. MD Medical Suspension 02/22/12 825 BLOOMFIELD AVE ST L1 Criminal Offense VERONA, NJ 07044 054 0018

KHARKOVER, ALEKSANDR Medical Disqualification 11/20/13 FCI FORT DIX PO BOX 2000 Criminal Offense FORT DIX, NJ 08640 054 0018

KHURANA, NERENORA Medical Disqualification 06/01/93 Permanent 32 ROLLING HILLS LANE Industry Law HARRISON, NJ 10528 Violation Human Services Medical Assistance (Medicaid)

KIBALLO, MARIAN, B., RN Medical Suspension 12/18/03 4 OJIBWA COURT Other WARETOWN, NJ 08758 Human Services Medical Assistance (Medicaid)

KILLEN, DAWN Medical Suspension 09/20/06 804 COTSWOLD ROAD Other SOMERDALE, NJ 08083 Human Services Medical Assistance (Medicaid)

KIM, DO YOUN, M.D. Medical Disqualification 07/13/99 Permanent

KIM, DO YOUN, M.D. Medical Suspension 10/30/98 545 KEARNY AVENUE Other KEARNY, NJ 07032 Human Services Medical Assistance (Medicaid)

KIM, KI KUK Construction Debarment 06/10/14 06/09/17 685 BERGEN BLVD. Wage & Hour RIDGEFIELD, NJ 07657 Violation 062 Workplace Standards

KIMBLE, SABRINA Medical Disqualification 02/23/09 341 OSBOURNE TERRACE, 2C Criminal Offense NEWARK, NJ 07106 Human Services Medical Assistance (Medicaid)

KIMMEL, STEVEN Medical Debarment 04/01/02 420 DELAWARE ST. Other MINNEAPOLIS, MN 55455 Human Services Medical Assistance (Medicaid)

KINDER, EDWARD P. Medical Debarment 07/17/09 07/17/14 5180 LA TERRA AVE. Criminal Offense PAHRUMP, NV 89061-7051 Human Services Medical Assistance (Medicaid)

KING, DEBORAH, L.P.N. Medical Disqualification 10/18/01 Permanent 9 RADFORD PLACE Other WILLINGBORO, NJ 08046 Human Services Medical Assistance (Medicaid)

KING, JOHN ANDERSON Medical Suspension 03/20/07 11310 S. ORANGE BLOSSOM T Other ORLANDO, NJ 23837 Human Services Medical Assistance (Medicaid)

KING, WILLIAM Medical Disqualification 08/20/10 LEWISBURG USP, BOX 1000 Other LEWISBURG, PA 17837 054 0018

KIRWIN, SHANNON Medical Suspension 01/18/07 114 NORTHMONT AVENUE Other MOUNT EPHRAIM, NJ 08059 Human Services Medical Assistance (Medicaid)

KISSAM, JEFFREY Medical Disqualification 11/28/92 Permanent 1506 RUSTIC DRIVE Criminal Offense OCEAN TOWNSHIP, NJ 07712 Human Services

KLAUMENZER, JANE, RN Medical Suspension 04/20/03 8 TENNESSEE AVENUE Other LONG BEACH TWP., NJ 08008 Human Services Medical Assistance (Medicaid)

KOGAN, VADIM, RN Medical Suspension 12/18/03 56 NORMANDY DRIVE Other PRINCETON JUNCT, NJ 08550-3275 Human Services Medical Assistance (Medicaid)

KOLLMER, LANCE W., MD Medical Debarment 07/18/01 Permanent 101 OLD SHORT HILLS ROAD Other WEST ORANGE, NJ 07052 Human Services Medical Assistance (Medicaid)

KONTOS, DIMITRIOS D., MD Medical Suspension 02/20/00 463 TENAFLY ROAD Other ENGLEWOOD, NJ 07631 Human Services Medical Assistance (Medicaid)

KOPLITZ, MARSHALL Medical Suspension 12/10/99 256 NORWOOD AVENUE Other DEAL, NJ 07723 Human Services Medical Assistance (Medicaid)

KORNAK, PAUL H., M.D. Medical Disqualification 04/19/07 ELKTON FCI, BOX 10 Other LISBON, OH 44432 Human Services Medical Assistance (Medicaid)

KOSICKY, JOZEF Construction Debarment 04/01/13 03/31/16 15 PARKWOOD DR., APT. L Wage & Hour S. AMBOY, NJ 08879 Violation 062 Workplace Standards

KOSLOV, GLEB M., DC Medical Disqualification 12/01/98 Permanent 388 RAMAPO VALLEY ROAD Other OAKLAND, NJ 07436 Human Services Medical Assistance (Medicaid)

KOUHOUPT, ZACHARY Construction Debarment 01/06/14 01/05/17 5923 PEACH STREET Wage & Hour MAYS LANDING, NJ 08330 Violation 062 Workplace Standards

KOUSOULIDES, LOUISE Medical Disqualification 04/20/09 34 TOPANEMUS LANE APT. 14 Other FREEHOLD, NJ 07728 Human Services Medical Assistance (Medicaid)

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. KOVAR, GRACE M. R.N. Medical Suspension 05/19/05 929 CHELSEA DRIVE Other BRICKTOWN, NJ 08724 Human Services Medical Assistance (Medicaid)

KOZIUPA, HELENE, A., LPN Medical Suspension 10/20/02 64 WESLEYAN DRIVE Other TRENTON, NJ 08690 Human Services Medical Assistance (Medicaid)

KRAEMER, LINDA MARIE L.P.N Medical Suspension 03/03/06 436 SAINT ANDREW PLACE Other MANALAPAN, NJ 07726 Human Services Medical Assistance (Medicaid)

KRAEMER, LINDA Medical Suspension 10/19/06 194 GENESIS DRIVE Other BLANDON, PA 19510 Human Services Medical Assistance (Medicaid)

KRAMER, LARRY, S., RP Medical Disqualification 01/10/03 650 PALISADES AVE Criminal Offense ENGLEWOOD CLIFF, NJ 07632 054 Medical Assistance (Medicaid)

KREISMAN, MARCIA, BILLING CLERK Medical Suspension 12/20/04 Permanent 8800 BOULEVARD EAST AP6J Other NORTH BERGEN, NJ 07047 Human Services Medical Assistance (Medicaid)

KROHN, IVAN T., MD Medical Disqualification 04/20/11 33 NORTHLAND DRIVE Criminal Offense VINELAND, NJ 08360-4107 054 0018

KROHN, IVAN Medical Debarment 05/20/12 33 NORTHWOOD DRIVE Criminal Offense VINELAND, NJ 08360 054 0018

KUBACKI, JOSEPH Medical Debarment 05/20/13 PO BOX 3949 Criminal Offense PENSACOLA , FL 32516 054 0018

KUBLIN, ANNE, M.D. Medical Suspension 03/19/04 182 WHALEPOND ROAD Criminal Offense EATONTOWN, NJ 07724 054 Medical Assistance (Medicaid)

KUKASH, ABBY Medical Disqualification 12/01/98 Permanent 6648 WEXFORD AVENUE Other RICHMOND, VA 23255 Human Services

KUMAR, ANIL, LABORATORY OWNER Medical Disqualification 01/14/05 Permanent 184 OLD BEEKMAN ROAD Other MONMOUTH JUNCT., NJ 08852 054 Medical Assistance (Medicaid)

KUMAR, SAROJ LABRATORY Medical Disqualification 01/14/05 Permanent EMPLOYEE Other 184 OLD BEEKMAN ROAD Human Services MONMOUTH JUNCT., NJ 08852 Medical Assistance (Medicaid)

KURBAN, HAKAN Medical Disqualification 06/22/99 Permanent 41 SIDNEY AVENUE Criminal Offense RUTHERFORD, NJ 07070 Human Services Medical Assistance (Medicaid)

KURIAN, LISSYAMMA, RN Medical Suspension 10/20/02 1253 COLLIDGE AVENUE Other UNION, NJ 07083-3720 Human Services Medical Assistance (Medicaid)

KURLANDER-ZAKARIA, TRACI Medical Disqualification 02/26/10 20 ROCK ROYAL ROAD Criminal Offense TRENTON, NJ 08620-1652 054 Medical Assistance (Medicaid)

KURTZ, JOEL P. D.M.D. Medical Suspension 05/19/05 9 WESTGATE ROAD Other LIVINGSTON, NJ 07039 Human Services Medical Assistance (Medicaid)

LABRUNA, VINCENT, DDS Medical Disqualification 07/22/02 227 EAST 19TH STREET Other NEW YORK, NY 10003 Human Services Medical Assistance (Medicaid)

LABRUNA, VINCENT A Medical Suspension 09/19/02 EAST 19TH STREET Other NEW YORK, NY 10003-2602 Human Services Medical Assistance (Medicaid)

LACEY, JOAN R., R.N. Medical Suspension 10/19/00 479 INNES ROAD Other WOODRIDGE, NJ 07075 Human Services Medical Assistance (Medicaid)

LACRICCHIO RICHARD C Medical Disqualification Permanent 150 ROUTE 150 Industry Law DENVILLE, NJ 07834 Violation Human Services

LAFON, MICHAEL, MD Medical Disqualification 03/28/04 107 E. MANTUA AVE. Criminal Offense WENONAH, NJ 08090 Human Services Medical Assistance (Medicaid)

LAFTON, MICHAEL, MD Medical Disqualification 03/28/04 107 E. MANTUA AVE. Criminal Offense WENONAH, NJ 08090 Human Services Medical Assistance (Medicaid)

LAGRADA, WILLIAM Medical Suspension 02/15/12 1300 MAIN STREET, STE2D Criminal Offense CLIFTON, NJ 07011 054 0018

LAGUERRE, JEAN EDWARD Medical Debarment 08/16/07 1 62ND STREET APT 4C Other W. NEW YORK, NJ 07093-4075 Human Services Medical Assistance (Medicaid)

LAGUERRE, JEAN EDWARD, RPH Medical Disqualification 02/29/08 1 62ND STREET APT 4C Other WEST NEW YORK, NJ 07093 Human Services Medical Assistance (Medicaid)

LAM, MICHAEL Medical Debarment 03/06/14 1625 ANDERSON AVE Criminal Offense FORT LEE, NJ 07024 054 0018

LAMBRIOLA, VINCENT P, DDS Medical Disqualification 02/20/01 Permanent 143 LITTLE FALLS Other CEDAR GROVE, NJ 07009 Human Services Medical Assistance (Medicaid)

LAMPARELLI NICHOLAS Medical Disqualification Permanent 149 SUMMIT AVENUE Industry Law ISLAND HEIGHTS, NJ 08732 Violation Human Services Medical Assistance (Medicaid)

LAMPROU, EMANUEL Medical Debarment 12/18/12 12/18/15 509 N. BROAD ST. Criminal Offense WOODBURY, NJ 08096 054 0018

LANCE-LANNIGAN, JUDITH Medical Disqualification 07/23/10 07/23/18 12 PROSPECT HILL Criminal Offense FLEMINGTON, NJ 08822 054 0018

LANDOU, LISSA, S., DC Medical Suspension 04/18/02

LANDOW, LISSA, S., DC Medical Suspension 04/18/02 17B 16TH AVENUE Other ELMWOOD PARK, NJ 07407-2903 Human Services Medical Assistance (Medicaid)

LANE EDWIN C Medical Disqualification Permanent BEACHWOOD BOULEVARD AND Industry Law BEACHWOOD, NJ 08722 Violation Human Services Medical Assistance (Medicaid)

LANG, ANTHONY Medical Disqualification 10/19/09 10/19/14 151 SOUTH DURAND PLACE Criminal Offense IRVINGTON, NJ 07111-1807 054 Medical Assistance (Medicaid)

LANG, BRIAN E., L.P.N. CITY TEAM Medical Suspension 03/20/06 INDUSTRIES Other 634 SPROUL STREET Human Services CHESTER, PA 19013 Medical Assistance (Medicaid)

LANG, DEBRA, CHHA Medical Suspension 10/20/02 124 VAN BUSKIRK ROAD Other TEANECK, NJ 07666 Human Services Medical Assistance (Medicaid)

LANGLIEB, MARTIN S., DDS Medical Debarment 08/25/99 Permanent 0-94 MIDLAND AVENUE Other FAIRLAWN, NJ 07410 Human Services Medical Assistance (Medicaid)

LANZA, PETER, VICE PRESIDENT Construction Debarment 06/14/11 06/13/14 18 WILLETTA DRIVE Wage & Hour JACKSON, NJ 08507 Violation 062 Workplace Standards

LAPORTE, EDYNE RN/LPN Medical Suspension 09/27/07 1107 FURTH ROAD Other VALLEY STREAM, NY 11581-2531 Human Services Medical Assistance (Medicaid)

LASHKEVICH, JOHN P. Medical Suspension 05/08/98 9 CHARLES LANE Other CHERRY HILL, NJ 08003 Human Services Medical Assistance (Medicaid)

LASTRA, ABRAHAM Medical Disqualification 04/15/99 Permanent 500 HIGHLAND AVENUE Criminal Offense

LASTRA, ABRAHAM Medical Suspension 12/20/10 1808 BERGENLINE AVENUE Other UNION CITY, NJ 07087 054 0018

LATAWIEC, ANDREA, RN Medical Suspension 05/20/02 1681 RARITAN ROAD Other CLARK, NJ 07066 Human Services Medical Assistance (Medicaid)

LAVELLE, BARBARA, RN Medical Suspension 12/18/03 550 LINCOLN AVE. Other RIDGEFIELD, NJ 07657 Human Services Medical Assistance (Medicaid)

LAZOW, SOLOMON M, MD Medical Disqualification 06/01/93 Permanent 199 MAIN ST Industry Law MATAWAN, NJ 07747 Violation Human Services Medical Assistance (Medicaid)

LEAKAVER RANDALL F MD Medical Disqualification Permanent 900 W MAIN ST Poor Performance FREEHOLD, NJ 07728 Human Services Medical Assistance (Medicaid)

LEATHERDALE, LAURA, CHHA Medical Suspension 09/19/03 4 MEETINGHOUSE ROAD Other WRIGHTSTOWN, NJ 08562 Human Services Medical Assistance (Medicaid)

LEE, AUGUSTINE Medical Debarment 10/29/13 P.O. BOX 329002 Criminal Offense BROOKLYN, NJ 11232 054 0018

LEE, AUGUSTINE Medical Suspension 12/22/11 905 STUYVESANT AVENUE Criminal Offense TRENTON, NJ 08618 054 0018

LEE, BRIAN, LPN Medical Suspension 10/20/02 08/09/13 1722 COPE STREET Other CAMDEN, NJ 08104-3522 054 Medical Assistance (Medicaid)

LEE, S. SYLVIA Medical Debarment 08/26/13 27 SUNSET PLACE Criminal Offense EMERSON, NJ 07630 054 0018

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. LEE, SAMUEL, RP Medical Disqualification 07/30/97 Permanent 34 PINAFORE LANE Other WILLINGBORO, NJ Human Services Medical Assistance (Medicaid)

LEE, STEVE Y, DDS Medical Suspension 07/19/01 1219 MAIN AVENUE Other CLIFTON, NJ 07111 Human Services Medical Assistance (Medicaid)

LEIBER, CHARLES Medical Suspension 05/22/07 5804 BOARDWALK Other VENTOR, NJ 08406 Human Services Medical Assistance (Medicaid)

LEIBMAN, JOSEPH B., M.D. Medical Debarment 06/22/00 Permanent PO BOX 1005 Other PORT JERVIS, NY 12771 Human Services Medical Assistance (Medicaid)

LEMPERT, SELWYN Vendor Suspension 09/07/00 240 FOOD CENTER DRIVE Criminal Offense BRONX, NY 10474 Treasury Treasury Purchase Bureau

LEON, JACK Medical Suspension 06/29/98 1072 E. LANDIS AVENUE Criminal Offense VINEYARD, NJ 08360 Human Services Medical Assistance (Medicaid)

LEONARD, BARRY A., M.D. Medical Disqualification 02/13/96 Permanent 15 DARIEN DRIVE Other CHERRY HILL, NJ 08003 Human Services Medical Assistance (Medicaid)

LEONARD, JUDITH R.PH. Medical Suspension 02/20/05 70 LAUREL DRIVE Other LITTLE SILVER, NJ 07739 Human Services Medical Assistance (Medicaid)

LEPKO, ERVIN, MD Medical Suspension 05/20/02 18 JANE DRIVE Other ENGLEWOOD, NJ 07632 Human Services Medical Assistance (Medicaid)

LERNER, ELIZABETH Medical Suspension 07/20/08 GLEN RAY ROAD, BOX A Other ALDERSON, WV 24910 Human Services Medical Assistance (Medicaid)

LERNER, MARVIN H., M.D. Medical Disqualification 03/05/02 Permanent

LESLIE, GLENN R. Medical Suspension 04/03/14 10 FRANKLIN TURNPIKE Antitrust/Anti- MAHWAH, NJ 07430 Kickback Acts 054 0018

LEVELL, CRYSTAL, L.P.N. Medical Suspension 08/20/01 07/23/12 143 N 12TH STREET Other NEWARK, NJ 07107 054 Medical Assistance (Medicaid)

LEVIN, HARVEY M, MD Medical Disqualification 06/01/93 Permanent 510 NORTH KINGS HIGHWAY Industry Law CHERRY HILL, NJ 08034 Violation Human Services Medical Assistance (Medicaid)

LEVINE, EDWARD, MD Medical Suspension 06/22/99 Permanent 7 GREEN HILL ROAD Criminal Offense COLTS NECK, NJ 07722 Human Services Medical Assistance (Medicaid)

LEVY, EDWARD DMD Medical Debarment 12/29/11 108-34 67TH AVENUE Other FOREST HILLS, NY 11375 054 0018

LEVY, RICHARD S. DPM Medical Suspension 12/20/01 177 MAIN ST. SUITE 235 Other FORT LEE, NJ 07024 Human Services Medical Assistance (Medicaid)

LIBRIZZI, MICHELLE H, LPN Medical Disqualification 07/18/01 Permanent 5 BELLIS CT. Other RINGOES, NJ 08551 Human Services Medical Assistance (Medicaid)

LICKFIELD, KEVIN J, D.O. Medical Disqualification 03/03/03 524 JUSTICE DRIVE Criminal Offense MARLTON, NJ 08053 Human Services Medical Assistance (Medicaid)

LIEBOWITZ, LEONARD J, MD Medical Debarment 08/18/01 Permanent 5 POE COURT Other MORGANVILLE, NJ 07741 Human Services Medical Assistance (Medicaid)

LILLO, CHRISTOPHER T. DMD Medical Disqualification 12/20/12 191 HIGHWAY 37 WEST Criminal Offense TOMS RIVER, NJ 08755 054

LIMIDO, GLEN CARL Medical Suspension 10/19/06 1 EAST PLEASANT AVENUE Other MAYWOOD, NJ 07607 Human Services Medical Assistance (Medicaid)

LIMONGELLI, WILLIAM, DDS Medical Disqualification 10/30/86 Permanent 679 SO ORANGE AVE Criminal Offense NEWARK, NJ 07106 Human Services Medical Assistance (Medicaid)

LINDER, NORBERT, MD Medical Disqualification 03/23/77 Permanent 4711 BERGENLINE AVENUE Criminal Offense UNION CITY, NJ 07087 Human Services Medical Assistance (Medicaid)

LIPPIELLO, JENNIE A., DC Medical Suspension 04/19/01 2920 RT. 23 SOUTH Other NEWFOUNDLAND, NJ 07435 Human Services Medical Assistance (Medicaid)

LIPSON, PHILIP A., D.O. Medical Disqualification 10/19/05 38 W. NORTON DRIVE Other SOUTHHAMPTON, PA 18966-1118 Human Services Medical Assistance (Medicaid)

LIVSHITS, BORIS Medical Disqualification 08/01/09 1935 83RD STREET APT. E6 Other BROOKLYN, NY 11214 Human Services Medical Assistance (Medicaid)

LLANOS, LATOYA, CNA Medical Debarment 03/29/02 433 W. QUINCE STREET Other VINELAND, NJ 08360 Human Services Medical Assistance (Medicaid)

LOBO, ANGEL, MD Medical Suspension 05/20/07 398 STEWART AVENUE Other GARDEN CITY, NY 11530 Human Services Medical Assistance (Medicaid)

LOBO, ANGEL, R., MD Medical Debarment 06/11/02 661 14TH AVENUE Other PATERSON, NJ 07504-1807 Human Services Medical Assistance (Medicaid)

LOBO, MERCY Medical Disqualification 04/23/07 22 HELEN PLACE Other CLIFTON, NJ 07011 Human Services Medical Assistance

LOCK, ABRAHAM, J., M.D. Medical Debarment 02/25/01 Permanent 1801 AVENUE J. Other BROOKLYN, NY 12230 Human Services Medical Assistance (Medicaid)

LOCURATOLO, LUIS R., M.D. Medical Suspension 12/01/95 Permanent 104-01 ROOSEVELT AVENUE Other CORONA, NY 11368 054 Medical Assistance (Medicaid)

LOGAN, JEANETTE, E., RN Medical Suspension 05/20/04 12 ARAGON COURT Other TRENTON, NJ 08628 Human Services Medical Assistance (Medicaid)

LOLL-VAN SICKLE, RN Medical Suspension 04/20/00 416 SALEM STREET Other ELMER, NJ 08318 Human Services Medical Assistance (Medicaid)

LOPES, FERNANDO Construction Debarment 10/17/13 10/16/16 65-67 7TH AVE EAST Wage & Hour NEWARK, NJ 07104 Violation 062 Workplace Standards

LOPEZ, JOSE Medical Suspension 11/20/06 24 WOODLAND ROAD Other BLOOMFIELD, NJ 07003 Human Services Medical Assistance (Medicaid)

LOPEZ-FALCONE, JUAN ANTON Medical Disqualification 05/02/03 8385 SW 43RD STREET Criminal Offense MIAMI, FL 33155 Human Services Medical Assistance (Medicaid)

LOPRESTI, JACQUELINE A. DO Medical Disqualification 03/20/14 FPC ALDERSON Criminal Offense ALDERSON, WV 24910 054 0018

LOPRESTI, JACQUELINE A., D.O. Medical Suspension 12/20/11 568 RIDGE ROAD Criminal Offense FAIR HAVEN, NJ 07704 054 0018

LOUISSANT, PARACLET, MD Medical Debarment 01/01/01 Permanent 669 ELIZABETH AVENUE Other NEWARK, NJ 07112 Human Services Medical Assistance (Medicaid)

LOVETT, BETTIE Medical Debarment 05/28/13

LOWREY RODNEY Medical Disqualification Permanent 88 3RD AVE Criminal Offense ATLANTIC HIGH, NJ 07716 Human Services Medical Assistance (Medicaid)

LUCA, BONNIE J. Medical Debarment 06/10/07 Permanent 1016 WASHINGTON GARDEN AP Criminal Offense WASHINGTON, NJ 07882 Human Services Medical Assistance (Medicaid)

LUCAS, KATINA RN Medical Suspension 10/19/06 126 LAGUARDIA AVENUE Other SATEN ISLAND, NJ 10314 Human Services Medical Assistance (Medicaid)

LUCAS, MARK, OWNER Construction Debarment 10/12/12 10/11/15 31 GLASSBORO ROAD Wage & Hour MONROEVILLE, NJ 08343 Violation 062 Workplace Standards

LUDDEN JAMES W. Medical Disqualification 06/08/07 23 SOCIETY HILL WAY Other TINTON FALLS, NJ 07724-3802 Human Services Medical Assistance (Medicaid)

LUEDERS, ROBERT Construction Debarment 05/22/13 05/21/16 1008 RIDGE DRIVE Wage & Hour UNION, NJ 07083 Violation 062 Workplace Standards

LYONS, DANA, LPN Medical Suspension 02/20/02 245 4TH AVENUE Other ROEBLING, NJ 08554 Human Services Medical Assistance (Medicaid)

LYVAN, KIM, DDS Medical Suspension 11/27/00 199 CANAL STREET, #201 Other NEW YORK, NY 10013 Human Services Medical Assistance (Medicaid)

MAAT, THOMAS, P., LPN Medical Suspension 03/18/04 2311 4TH AVE. Other TOMS RIVER, NJ 08753 Human Services Medical Assistance (Medicaid)

MACH, PHILIP C MD Medical Suspension 05/09/08 P.O. BOX 1000 Other LORETTO, PA 15940 Human Services Medical Assistance

MACH, PHILIP C., M.D. Medical Disqualification 10/07/08 30 DANIEL DRIVE Other FRANKLIN PARK, NJ 08823-1340 Human Services Medical Assistance (Medicaid)

MACKEY, WILLIAM, PRESIDENT Construction Debarment 06/14/11 06/13/14 725 SE 23RD STREET Wage & Hour CAPE CORAL, FL 33904 Violation 062 Workplace Standards

MADDOX, PEARL V. Medical Disqualification 09/25/07 KINSLEY ROAD Criminal Offense PEMBERTON, NJ 08068 Human Services Medical Assistance (Medicaid)

MADUR, MATUS, MANAGING Construction Debarment 03/26/12 03/25/15 MEMBER Wage & Hour 75 HART STREET Violation 062 SAYREVILLE, NJ 08872-1123 Workplace Standards

MAGDY, RAFLA Medical Debarment 08/22/11 3 KULESSA COURT Criminal Offense EAST BRUNSWICK, NJ 08816 054 0018

MAHAJAN, SHYAM S., M.D. Medical Disqualification 12/01/98 Permanent 7624-A BRISLIN RD, R.D.#7 Other STROUDSBURG, PA 18360 Human Services Medical Assistance (Medicaid)

MAHMOOD, SHAHID Medical Debarment 03/30/10 228 GRAND STREET Criminal Offense JERSEY CITY, NJ 07302 054 Medical Assistance (Medicaid)

MAHMUD, ASIF, MD Medical Suspension 03/18/04 2024 W. 13TH ST. Other BROOKLYN, NY 11223 Human Services Medical Assistance (Medicaid)

MAIGUE, LLEWELYN, RN Medical Suspension 04/19/01 6 CRYSTAL AVENUE Other W. ORANGE, NJ 07052 Human Services Medical Assistance (Medicaid)

MAIK, MOHAMMAD S. Medical Suspension 09/22/00 146 OLD COURTHOUSE ROAD Criminal Offense MANHASSETT, NY 11400 Human Services Medical Assistance (Medicaid)

MAIORANO, JOHN, R.P. Medical Suspension 04/18/02 http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. 123 EAST END AVENUE Criminal Offense ISLAND HEIGHTS, NJ 08732 Human Services Medical Assistance (Medicaid)

MAJDI AKA KUKASH, MIKE Medical Disqualification 12/01/98 Permanent 87-02 PENNSBURY PLACE Other RICHMOND, VA 23255 Human Services Medical Assistance (Medicaid)

MAJURI, WILLIAM Vendor Suspension 08/27/01 14 OAK AVENUE Criminal Offense BERLIN, NJ 08009 Treasury Treasury Purchase Bureau

MAKKER, RAM S., M. D. Medical Disqualification 04/20/10 52 SNAPDRAGON LANE Other ROSLYN HEIGHTS, NY 11577 054 0018

MALADY, SUSAN, RN Medical Suspension 06/20/01 PO BOX 468 Other BLAIRSTOWN, NJ 07825 Human Services Medical Assistance (Medicaid)

MALIK, MOHAMMAD, S. Medical Suspension 10/20/02 146 OLD COURT HOUSE RD. Other MANHASSETT, NY 11040 Human Services Medical Assistance (Medicaid)

MALONE, THOMAS F. Construction Debarment 05/14/13 05/13/16 16192 COASTAL HIGHWAY Wage & Hour LEWES, DE 19958 Violation 062 Workplace Standards

MANCILLA, MARIA Medical Suspension 05/14/07 284 REDMOND STREET Other NEW BRUNSWICK, NJ 08873 Human Services Medical Assistance (Medicaid)

MANDERSCHEID, DAVID L., MEMBER Construction Debarment 11/18/11 11/17/14 310 NORTH HIGH STREET Wage & Hour WEST CHESTER, PA 19380 Violation 062 Workplace Standards

MANGIONE, MICHELE, R.N. Medical Suspension 09/20/04 Permanent 35 LONGVIEW DRIVE Other WALDWICK, NJ 07363 Human Services Medical Assistance (Medicaid)

MANIN LAWRENCE Medical Disqualification 04/12/93 Permanent 611 BURLINGTON Industry Law MT HOLLY, NJ 08060 Violation 054 Medical Assistance (Medicaid)

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. MANKOFF BERNARD Professional Disqualification Permanent GREEN GROVE ROAD Criminal Offense NEPTUNE, NJ 07753 Human Services Medical Assistance (Medicaid)

MANNING, LUTHER Medical Suspension 10/20/08 WEST SCOTT AVENUE Other RAHWAY, NJ 07065-3528 Human Services Medical Assistance (Medicaid)

MANNO, MICHAEL, DC Medical Suspension 10/20/03 PO BOX 1000 CAMP Other FORT DIX, NJ 08640 Human Services Medical Assistance (Medicaid)

MANZE, PATRICK, MD Medical Suspension 02/20/05 53 GARDNER AVENUE Other CHATHAM, NJ 07928 Human Services Medical Assistance (Medicaid)

MANZELLA, JOHN Medical Debarment 06/28/14 680 BROADWAY AVENUE Criminal Offense PATERSON, NJ 07514 054 0018

MANZI, JOHN J Medical Disqualification 06/01/93 Permanent 6 TEMPLE ROAD APT 22 C Criminal Offense VINELAND, NJ 08360 Human Services Medical Assistance (Medicaid)

MANZONI, JANET M Medical Disqualification 05/20/09 9 KILMER DRIVE Other MANALAPAN, NJ 07726 Human Services Medical Assistance (Medicaid)

MANZONI, JANET M., D.C. Medical Suspension 02/03/98 52 TENNET ROAD Other MORGANVILLE, NJ 07751 Human Services Medical Assistance (Medicaid)

MARANO, BARBARA Construction Debarment 05/21/13 05/20/16 163 HILLCREEK AVE Wage & Hour CRANFORD, NJ 07016 Violation 062 Workplace Standards

MARCELL JOSEPH A DDS Medical Disqualification Permanent 305 MAIN ST Industry Law RIDGEFIELD PARK, NJ 07660 Violation Human Services Medical Assistance (Medicaid)

MARCHAND, ANTHONY, MD Medical Suspension 09/19/03 19 DEXTER DRIVE NORTH Other

MARCOS, FRANCISCO RPH Medical Disqualification 09/20/11 777 CHARNWOOD DRIVE Criminal Offense WYCKOFF, NJ 07481 054 0018

MARCUS, ALAN L, D.C. Medical Disqualification 07/25/01 Permanent 789 CLIFTON AVENUE Other CLIFTON, NJ 07013 Human Services Medical Assistance (Medicaid)

MARKOFF, MORTON, DO Medical Suspension 11/07/97 908 FRANCINE DRIVE Other CHERRY HILL, NJ 08003 Human Services Medical Assistance (Medicaid)

MARKOWSKI, TOMASZ Construction Debarment 04/19/12 04/18/15 2026 HIMROD ROAD Wage & Hour RIDGEWOOD, NY 11385 Violation 062 Workplace Standards

MARQUEZ, MANUEL S., M.D. Medical Disqualification 12/05/97 Permanent 11 DOWNING COURT Other MT. LAUREL, NJ 08054-3118 Human Services Medical Assistance (Medicaid)

MARQUEZ, OLGA Medical Suspension 04/29/03 2827 LINCOLN AVENUE Criminal Offense CAMDEN, NJ 08105 Human Services Medical Assistance (Medicaid)

MARRAZZO-TALLIA, CHRISTAL Medical Suspension 10/19/06 406 HARDING ROAD Other FAIRHAVEN, NJ 07704 Human Services Medical Assistance (Medicaid)

MARSHALL, HAROLD Construction Debarment 05/11/14 05/10/17 1800 EVA STREET Wage & Hour AUSTIN, TX 78704 Violation 062 Workplace Standards

MARTIN, ANDRE Medical Debarment 05/24/99 Permanent 127 N. DERBY AVENUE Criminal Offense VENTNOR, NJ 08406 Human Services Medical Assistance (Medicaid)

MARTIN, BENNIE, M. Medical Suspension 05/15/03 476 CLIFTON AVENUE Criminal Offense CLIFTON, NJ 07011 Human Services Medical Assistance (Medicaid)

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. MARTIN, ELLIOTT Medical Disqualification Permanent 5 HOLLIS ROAD Industry Law E. BRUNSWICK, NJ 08816 Violation Human Services Medical Assistance (Medicaid)

MARTIN, SUSAN C. R.N. L.P.N Medical Suspension 09/20/05 3421 BRIGHTON STREET Other PHILADELPHIA, PA 19149 Human Services Medical Assistance (Medicaid)

MARTINEZ, ELIEZER Medical Suspension 02/20/06 215 SOUTH BURLINGTON ROAD Other BRIDGETON, NJ 08302 Human Services Medical Assistance (Medicaid)

MARTINEZ, RENATO F., M.D. Medical Suspension 08/05/97 199 BROAD ST., SUITE 1-A Other BLOOMFIELD, NJ 07003 Human Services Medical Assistance (Medicaid)

MARTINS, ANTONIO Construction Debarment 01/14/13 01/13/16 215 PRINCETON ROAD Wage & Hour PARLIN, NJ 08859 Violation 062 Workplace Standards

MARTINS, MANUEL Construction Debarment 01/14/13 01/13/16 15 CENTER STREET Wage & Hour SOUTH RIVER, NJ 08882 Violation 062 Workplace Standards

MARTINS, ROGERIO Construction Debarment 01/14/13 01/13/16 46 GROVE STREET Wage & Hour SOUTH RIVER, NJ 08882 Violation 062 Workplace Standards

MARUCCI, DONATO, M.D. Medical Disqualification 09/28/99 Permanent 14 FRANKLIN STREET Criminal Offense BELLEVILLE, NJ 07109 Human Services Medical Assistance (Medicaid)

MASCOLO, JOSEPHINE, RN Medical Debarment 04/07/04 1814 KENNEDY BLVD. Other UNION CITY, NJ 07087 Human Services Medical Assistance (Medicaid)

MASI, JAMES Medical Debarment 02/20/13 631 OCEAN AVENUE, APT.304 Other BRADLEY BEACH, NJ 07720 054 0018

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. MASON, JAMES I. Medical Suspension 02/23/00 702 SUNSHINE LAKES DRIVE Criminal Offense VOORHEES, NJ 08043 Human Services Medical Assistance (Medicaid)

MASON, SYDELLE Medical Suspension 02/23/00 702 SUNSHINE LAKES DRIVE Criminal Offense VOORHEES, NJ 08043 Human Services Medical Assistance (Medicaid)

MASOOD, MARUK Medical Disqualification 11/20/12 1 CHESTERFIELD DRIVE Criminal Offense WARREN, NJ 07059 054 0018

MASOOD, YOUSUF MD Medical Disqualification 11/20/12 P.O. BOX 8000 Criminal Offense BRADFORD, PA 16701 054 0018

MASRI, NASSAR, M., DDS Medical Suspension 10/19/00 360 GETTY AVENUE Other PATERSON, NJ 07503 Human Services Medical Assistance (Medicaid)

MASSARO, DONNA M. Medical Suspension 11/20/08 205 RIVA DRIVE APT 24 Other HACKETTSTOWN, NJ 07840 Human Services Medical Assistance (Medicaid)

MASTRANGELO, MARTHA Medical Disqualification 06/01/93 Permanent 12 NORTH 28TH AVENUE Industry Law LONGPORT, NJ 08403 Violation Human Services Medical Assistance (Medicaid)

MASTRIA, ERNEST Medical Disqualification 08/18/11 213 9TH AVE Other BELMAR, NJ 07719 054 0018

MASTROKOSTAS, ANTHANASIOS Medical Disqualification 10/15/09 11 EQUINOX LANE Criminal Offense FREEHOLD, NJ 07728-8652 Human Services Medical Assistance (Medicaid)

MATRISS, JOSEPH P. Medical Debarment 10/09/07 HENRY STREET Criminal Offense HASBROUCK HTS., NJ 07604 Human Services Medical Assistance (Medicaid)

MATRISS, JOSEPH, P., DDS Medical Suspension 09/18/03 337 HENRY STREET Criminal Offense HASBROUCK HEIGH, NJ 07604 Human Services http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. Medical Assistance (Medicaid)

MATURA, DENISE Medical Suspension 10/26/99 07/20/12 1001 LINDEN AVENUE Criminal Offense BRICK, NJ 08723 054 Medical Assistance (Medicaid)

MATURA, WILLIAM Medical Suspension 12/20/06 PO BOX 7000 Other FORT DIX, NJ 08640 Human Services Medical Assistance (Medicaid)

MATZ, RODNEY, S., M.D. Medical Disqualification 12/29/95 Permanent 43 MACDONALD DRIVE Other WAYNE, NJ 07470 Human Services Medical Assistance (Medicaid)

MAUGLE, BARBARA, DPM Medical Disqualification 01/10/01 Permanent 800 HILLSIDE AVENUE Other WESTFIELD, NJ 08901 Human Services Medical Assistance (Medicaid)

MAUIRI, SANDY L.P.N. Medical Suspension 06/20/05 34 FRANKLIN PL. Other TOTOWA, NJ 07512 Human Services Medical Assistance (Medicaid)

MAUTONE, ANNA Construction Debarment 08/05/13 08/04/16 88 STILLWELL RD. Wage & Hour HOLMDELL, NJ 07733 Violation 062 Workplace Standards

MAUTONE, DENISE Construction Debarment 08/05/13 08/04/16 18A SOUTH BEARS ST. Wage & Hour HOLMDELL, NJ 07733 Violation 062 Workplace Standards

MAUTONE, LISA Construction Debarment 08/05/13 08/04/16 25 ROBERTS ROAD Wage & Hour HOLMDELL, NJ 07733 Violation 062 Workplace Standards

MAXVITAT, KATHLEEN E. Medical Suspension 04/20/11 200 W. MERCHANTS STREET Other AUDUBON, NJ 08106 054 0018

MAYER, FREDRICK G., D.C. Medical Disqualification 08/20/00 09/21/11 610 WOODLAND AVENUE Other AVON BY THE SEA, NJ 07717 054 Medical Assistance (Medicaid)

MAZUR, BONNIE, DMD Medical Suspension 01/27/98

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. 210 E. SEAVIEW AVENUE Other LINWOO, NJ 08221-2140 Human Services Medical Assistance (Medicaid)

MAZZA, CARMELO (CARMINE), Construction Debarment 06/14/11 06/13/14 PRESIDENT Wage & Hour 955 S. SPRINGFIELD DRIVE Violation 062 SPRINGFIELD, NJ 07081 Workplace Standards

MC ELROY, DONALD J, DDS Medical Disqualification 02/20/83 Permanent 14 RESEVOIR AVENUE Criminal Offense DOVER, NJ 07801 Human Services Medical Assistance (Medicaid)

MCCABE, VALERIE A., LPN Medical Suspension 09/20/04 Permanent 830 CHESTNUT STREET Other KEARNY, NJ 07032 Human Services Medical Assistance (Medicaid)

MCCALL, ELDORA Medical Suspension 09/20/07 OLD CRANBURY ROAD Other CRANBURY, NJ 08512 Human Services Medical Assistance (Medicaid)

MCCASKILL, JACQUELINE Medical Disqualification 10/15/04 34 36 12TH AVENUE Other PATERSON, NJ 07524 Human Services Medical Assistance (Medicaid)

MCCOLGAN, PETER M.D. Medical Debarment 05/13/99 Permanent 35 OLD WOLFE RAOD Other BUDD LAKE, NJ 07828 Human Services Medical Assistance (Medicaid)

MCCOLGAN, PETER, DMD Medical Suspension 06/19/01 RR 1, PO BOX 29 Other TANNERSVILLE, PA 18372 Human Services Medical Assistance (Medicaid)

MCDERMOTT, EVELYN Construction Debarment 07/10/14 07/09/17 613 15TH AVENUE Wage & Hour BELLMAR, NJ 07719 Violation 062 Workplace Standards

MCDONALD HASWELL, EVER Medical Suspension 04/18/02 52 ELM STREET Other MONTCLAIR, NJ 07042 Human Services Medical Assistance (Medicaid)

MCDONALD, JOSEPH, M.D. Medical Debarment 09/21/99 Permanent 2052 MORRIS AVENUE Other UNION, NJ 07083 054 http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. Medical Assistance (Medicaid)

MCDONALD, KEITH Medical Disqualification 02/20/01 Permanent 2220 MEADOW LANE, APT.D26 Other SECAUCUS, NJ 07094-4337 Human Services Medical Assistance (Medicaid)

MCDONALD, RHONDA Medical Suspension 01/18/07 962 GROVE STREET Other IRVINGTON, NJ 07111 Human Services Medical Assistance (Medicaid)

MCGEE, ELIZABETH, RN Medical Suspension 02/20/02 51 VAN DUYNE AVE Other WAYNE, NJ 07470 054 Medical Assistance (Medicaid)

MCGEE, GEORGE, PRESIDENT Construction Debarment 02/07/13 02/06/16 99 HILLSIDE TERRACE Wage & Hour PARSIPPANY, NJ 07054 Violation 062 Workplace Standards

MCGINNIS GEORGE J Medical Disqualification Permanent 119 ADELINE ST Criminal Offense TRENTON, NJ 08611 Human Services Medical Assistance (Medicaid)

MCGLOSTER, CARL L., DDS Medical Disqualification 05/20/07 90 TIFFANY BOULEVARD Other NEWARK, NJ 07104 Human Services Medical Assistance (Medicaid)

MCGRATH, HELEN J., R.N. Medical Suspension 10/20/05 6 BLAIR RD. Other KEDALL PARK, NJ 08824 Human Services Medical Assistance (Medicaid)

MCINTYRE, JOHN, G., DDS Medical Debarment 06/22/02 12/02/11 1301 PENN AVENUE Other WYOMISSING, PA 19610 054 Medical Assistance (Medicaid)

MCKEAN, J.D., JR, M.D. Medical Disqualification 05/15/00 Permanent 2601 MEADOW VIEW ROAD Other EDMOND, OK 73013 Human Services Medical Assistance (Medicaid)

MCLAUGHLIN, KELLY M., L.P.N. Medical Suspension 08/20/08 SANDYBROOK ROAD Other MANALAPAN, NJ 07726 Human Services Medical Assistance

MCLEAN, EDWARD, DME EMP. Medical Suspension 07/18/02 506 MONTICELLO COURT Other MARLTON, NJ 08053 Human Services Medical Assistance (Medicaid)

MCNUTLEY, GEORGE, PRESIDENT Construction Debarment 11/25/11 11/24/14 125 EAST BROADWAY Wage & Hour LONG BEACH, NY 11561 Violation 062 Workplace Standards

MCPHERSON, LEEANNE, RPH Medical Suspension 03/07/08 269 HAMPTON STREET Other BRIDGETON, NJ 08302 Human Services Medical Assistance (Medicaid)

MCRAE, CHANEL C.N.A. Medical Disqualification 02/23/06 448 RAILROAD BLVD. Other RICHLAND, NJ 08350 Human Services Medical Assistance (Medicaid)

MEDHAT, MICHAIL, DDS Medical Suspension 04/29/98 848 BERGEN AVENUE Other JERSEY CITY, NJ 07306 Human Services Medical Assistance (Medicaid)

MEDVEDIK, YELENA Medical Disqualification 10/03/13 2 HICKORY HILLS COURT Criminal Offense HOLMDEL, NJ 07733 054 0018

MEISHER, VLAD A Medical Disqualification 08/01/09 15-07-PLAZA ROAD APT. A Other FAIRLAWN, NJ 07410-6504 Human Services Medical Assistance (Medicaid)

MEISHER, VLAD A., M.D. Medical Disqualification 08/10/07 Permanent HILLSIDE TERR. Criminal Offense FAIR LAWN, NJ 07410 Human Services Medical Assistance (Medicaid)

MELENDEZ, JUANITA Medical Suspension 04/29/03 NORTH 35TH STREET Criminal Offense CAMDEN, NJ 08105 Human Services Medical Assistance (Medicaid)

MELKER, NEIL L., DDS Medical Disqualification 01/23/09 219 VALLEY ROAD Other PRINCETON, NJ 08540 Human Services Medical Assistance (Medicaid)

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. MELTZER, SCOTT M. DENTIST Medical Disqualification 04/17/14 70 WELLESLEY WAY Other FREEHOLD, NJ 07728 054 0018

MELYNYK, ARTEM, MEMBER Construction Debarment 11/16/12 11/15/15 8653 GLENLOCH ST. #2 Wage & Hour PHILADELPHIA, PA 19136 Violation 062 Workplace Standards

MEMBER, BERNARD, J., MD Medical Suspension 05/20/04 12335 S. ANNA DRIVE Other ROCKVILLE, MD 23146 Human Services Medical Assistance (Medicaid)

MENA, DANIEL Construction Debarment 11/16/12 11/15/15 1002 TAUNTON AVE Wage & Hour WEST BERLIN, NJ 08091 Violation 062 Workplace Standards

MENDEZ, EDELFONSO Medical Disqualification 03/20/08 SMITH AVENUE Other NORTH BERGEN, NJ 07047 Human Services Medical Assistance (Medicaid)

MENSAH-NARH, STEVEN, R.PH. Medical Disqualification 02/20/07 WEDGEWOOD DRIVE Other NORTHBRUNSWICK, NJ 08902 Human Services Medical Assistance (Medicaid)

MEO, JOHN Medical Disqualification 05/27/09 149 BOWNE ROAD Other WAYSIDE, NJ 07712 Human Services Medical Assistance (Medicaid)

MESSICK, PAULA Medical Disqualification 06/18/09 105 SUMMIT AVENUE Other EWING, NJ 08628 Human Services Medical Assistance (Medicaid)

MEYER, GLORIA Medical Disqualification 06/01/93 Permanent KINGS HIGHWAY Criminal Offense MIDDLETOWN, NJ 07748 Human Services Medical Assistance (Medicaid)

MEYER, JOSEPH Medical Disqualification 06/01/93 Permanent KINGS HIGHWAY Criminal Offense MIDDLETOWN, NJ 07748 Human Services Medical Assistance (Medicaid)

MIKHAIL, PETER, R.PH. Medical Disqualification 11/18/04 Permanent 48 FALLON AVE. Other ELMONT, NY 11003 Human Services

MIKSIS, MARY E., RN Medical Disqualification 02/17/04 126 WINSTEAD DRIVE Other WESTAMPTON, NJ 08060 Human Services Medical Assistance (Medicaid)

MILANCE, HADZIC Construction Debarment 04/03/14 04/02/17 164 MERLINE AVENUE Wage & Hour WOODLAND PARK, NJ 07424 Violation 062 Workplace Standards

MILLER, DEBBIE, DO Medical Debarment 04/26/02 94 EAST WATER ST Other TOMS RIVER, NJ 08753 Human Services Medical Assistance (Medicaid)

MILLER, DEIDRE Medical Disqualification 07/19/01 Permanent 20 PERENNIAL LANE Other WILLINGBORO, NJ 08046 Human Services Medical Assistance (Medicaid)

MILLER, DEIRE, T. Medical Disqualification 03/29/00 Permanent 92 RITTENHOUSE DRIVE Criminal Offense WILLINGBORO, NJ 08046 Human Services Medical Assistance (Medicaid)

MILLER, JANDRENE, M.D. Medical Suspension 02/25/98 50 UNION AVE., SUITE 401 Other IRVINGTON, NJ 07111 Human Services Medical Assistance (Medicaid)

MILLER, RANDALL DO Medical Disqualification 01/01/01 Permanent 1015 VAN HOUTEN AVE Wage & Hour CLIFTON, NJ 07013 Violation 054 Medical Assistance (Medicaid)

MILLER, ROY C Medical Disqualification 06/01/93 Permanent 703 WEST SHORE TRAIL Criminal Offense LAKE MOHAWK, NJ 07871 Human Services Medical Assistance (Medicaid)

MILLER, SANDRENE A., M.D. Medical Suspension 07/22/99 202 ELMWYND DRIVE Other ORANGE, NJ 07050 Human Services Medical Assistance (Medicaid)

MILMAN, BORIS Medical Disqualification 09/11/01 Permanent 655 AMBOY AVENUE Other WOODBRIDGE, NJ 07095 Human Services Medical Assistance

MILORADOVICH, VADIM MD Medical Disqualification 11/20/13 58 MERCER AVENUE Criminal Offense HARTSDALE, NY 10530 054 0018

MINNOW, MARY Medical Disqualification 07/25/01 Permanent 9 WINDINGWOOD DRIVE Other SAYERVILLE, NJ 08872 Human Services Medical Assistance (Medicaid)

MIRABILE, ANTHONY Construction Debarment 07/03/13 07/02/16 314-415 S. SEVENTH ST. Wage & Hour ELIZABETH, NJ 07202 Violation 062 Workplace Standards

MIRAGLIA, ROBERT Medical Suspension 05/09/02 254 VOSE AVENUE Other SOUTH ORANGE, NJ 07079 Human Services Medical Assistance (Medicaid)

MIRASSOL, ISIDRO, PRESIDENT Construction Debarment 02/28/12 02/27/15 20 CHERRY HILL LN. APT D Wage & Hour OLD BRIDGE, NJ 08857-4737 Violation 062 Workplace Standards

MIRILASHVILI, MOSHE B, MD Medical Disqualification 11/17/99 Permanent PO BOX 350146 Other BROOKLYN, NY 11235 Human Services Medical Assistance (Medicaid)

MISHOE, KEITH Construction Debarment 11/21/13 11/20/16 341 SEATON AVENUE Wage & Hour ROSELLE PARK, NJ 07204 Violation 062 Workplace Standards

MISHRA ARUNA, M.D. Medical Disqualification 02/04/97 Permanent 63 WEST BROADWAY Other SALEM, NJ 08079-2608 054 Medical Assistance (Medicaid)

MISHRA, ARUNA, M.D. Medical Debarment 01/03/00 Permanent 317B AUBURN ROAD Other PILESGROVE, NJ 08098 054 Medical Assistance (Medicaid)

MITSUI, MASAO, M.D. Medical Suspension 12/20/01 9 BRIARWOOD ROAD Other JERSEY CITY, NJ 07305 Human Services Medical Assistance (Medicaid)

MOCKOVIAK, PATRICIA, LPN Medical Suspension 02/19/04 5 BEECH STREET Other

MOHAMED, HASHIM H. Medical Disqualification 04/12/94 Permanent P. O. BOX 8332 Criminal Offense JERSEY CITY, NJ 07308 054 Medical Assistance (Medicaid)

MOHAMMAD, OMAR R.PH Medical Disqualification 09/20/12 15 GRISTMILL LANE Criminal Offense UPPER SADDLE RI, NJ 07458 054 0018

MOHAMMAD, OMAR, R.PH. Medical Disqualification 01/20/12 15 GRIST MILL LANE Criminal Offense UPPER SADDLE RI, NJ 07458 054 0018

MONICA, JULIANNE, H., DC Medical Suspension 02/20/02 509 ESSEX AVENUE Other SPRING LAKE, NJ 07762 Human Services Medical Assistance (Medicaid)

MONSUL, ROBERT W., MD Medical Disqualification 05/10/90 Permanent 301 NORTH MAIN STREET Industry Law MANVILLE, NJ 08835 Violation Human Services Medical Assistance (Medicaid)

MONTGOMERY, FRANK Construction Debarment 07/10/14 07/09/17 42 BRYANT ROAD Wage & Hour WARETOWN, NJ 08758 Violation 062 Workplace Standards

MOONEY, MARY MELISSA Medical Disqualification 04/23/07 777 CHERRY TREE ROAD Other ASTON, PA 19014 Human Services Medical Assistance (Medicaid)

MOORE, JANE A., R.N. Medical Suspension 05/19/05 235 KINGS ROAD Other MADISON, NJ 07940 Human Services Medical Assistance (Medicaid)

MOORE, JONATHAN R., M.D. Medical Disqualification 08/19/97 Permanent 19 N. PEARL STREET Other BRIDGETON, NJ 08302 054 Medical Assistance (Medicaid)

MOORE, LILLIE, R. Medical Suspension 10/20/02 353 S. CENTER ST., APT 19 Other ORANGE, NJ 07050 Human Services Medical Assistance (Medicaid)

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. MOORE, LYNDA A. Medical Suspension 01/19/05 10719 JUREL CT. W. APT B Other LAKEVILLE, MN 55044 Human Services Medical Assistance (Medicaid)

MOORJANI, KAMAL, R.PH. Medical Disqualification 06/01/10 217 VAN BUREN STREET Criminal Offense LYNDHURST, NJ 07071-1312 054 0018

MORALES, ARLENE Medical Suspension 09/19/02 254 NORTH 7TH STREET Other NEWARK, NJ 07107 Human Services Medical Assistance (Medicaid)

MORALES, CHRISTINO Medical Suspension 07/02/03 PO BOX 26883 Criminal Offense PHILADELPHIA, PA 19134 Human Services Medical Assistance (Medicaid)

MORALES, FERNANDO, NURSE Medical Suspension 12/21/04 ASSISTANT Other 346 S. MAIN STREET Human Services PHILLIPSBURG, NJ 08865 Medical Assistance (Medicaid)

MORALES, OSVALDO Medical Suspension 04/13/08 78 W. 180TH STREET 2ND F Other BRONX, NY 10453-3237 Human Services Medical Assistance (Medicaid)

MORALES, OSVALDO, SR. Medical Disqualification 09/16/11 78 W. 180TH STREET Criminal Offense BRONX, NY 10453 054 0018

MORALIS, ROBLEDO Construction Debarment 04/01/13 03/31/16 3001 RTE. 130, APT. 8D Wage & Hour DELRAN, NJ 08075 Violation 062 Workplace Standards

MORELAND CHARLOTTE Medical Disqualification 04/29/08 121 A PROSPECT VILLAGE Other TRENTON, NJ 08618 Human Services Medical Assistance (Medicaid)

MORELAND, CHARLOTTE Medical Suspension 09/20/08 121 PROPECT VILLAGE, APTA Other TRENTON, NJ 08618 Human Services Medical Assistance (Medicaid)

MORELLI, TIMOTHY J. R.PH. Medical Suspension 05/19/05 801 BUTLER PIKE Other MERCER, PA 16137 Human Services

MORELOS, LISA A., RN Medical Suspension 06/19/03 162 SHENANDOAH BLVD. Other TOMS RIVER, NJ 08753-2941 Human Services Medical Assistance (Medicaid)

MORENO, BARTOLO, COUNSELO Medical Suspension 04/29/03 2221 38TH STREET Criminal Offense PENNSAUKEN, NJ 08110 Human Services Medical Assistance (Medicaid)

MORGANSTEIN, HENRY, MD Medical Disqualification 11/23/10 774 CARTERET COURT Criminal Offense MT. LAUREL, NJ 08054 054 0018

MORGANSTEIN, HIRAM, N. OD Medical Debarment 02/22/01 Permanent 5618 BERGENLINE AVENUE Other WEST NEW YORK, NY 07093 Human Services Medical Assistance (Medicaid)

MORIARTY, JACK Medical Suspension 04/08/99 Permanent 312 GRANDE RIVER BLVD. Other TOMS RIVER, NJ 08755 054 Medical Assistance (Medicaid)

MORIZZO, SANDRA (MEMBER) Construction Debarment 12/20/12 12/19/15 311 HOLYOKE Wage & Hour BEACH HAVEN, NJ 08008 Violation 062 Workplace Standards

MORRIS, JOHN Vendor Suspension 08/27/01 70 TUCKERTON ROAD Criminal Offense MEDFORD, NJ 08055 Treasury Treasury Purchase Bureau

MORRISON, JAMES C Medical Disqualification 06/01/93 Permanent RADIO RD AT EAST BOAT Criminal Offense TUCKERTON, NJ 07087 Human Services Medical Assistance (Medicaid)

MORRISON, TIMOTHY Construction Debarment 07/29/14 07/28/17 2745 SR668N Wage & Hour JUNCTION CITY, OH 43748 Violation 062 Workplace Standards

MORRISSEY, WILLIAM Construction Debarment 07/03/13 07/02/16 59 LYNWOOD RD. Wage & Hour CEDAR GROVE, NJ 070009 Violation 062 Workplace Standards

MORTON, MARION Medical Debarment 02/06/12 2321 SPRUILL AVE, APT 917 Criminal Offense

MOSKOWITZ, MYRON Medical Suspension 11/20/06 705 RIDGE DRIVE Other UNION, NJ 07083 Human Services Medical Assistance (Medicaid)

MOSS, ALBERT H. M.D. Medical Suspension 05/19/05 28 BARTLE ROAD Other SOMERSET, NJ 08873 Human Services Medical Assistance (Medicaid)

MOSS, ROBERT H. DPM Medical Disqualification 02/20/13 244 NORTH MAIN STREET Criminal Offense MULLICA HILL, NJ 08062 054 0018

MOSS, ROBERT Medical Debarment 11/02/11 244 N. MAIN STREET Other MULLICA HILL, NJ 08062 054 0018

MOSSAVI, AHMAD Medical Debarment 02/23/12 7 MALKE DRIVE Other OCEAN, NJ 07712 054 0018

MOULDER, DARIA Medical Disqualification 04/20/10 2715 BAYSHORE ROAD Other VILLAS, NJ 08251 054 0018

MOWERY, SHAWN F. Construction Debarment 03/12/13 03/11/16 1A MAPLE LEAF DRIVE Wage & Hour HOLMDEL, NJ 07723 Violation 062 Workplace Standards

MOZAK, RAYMOND G. Construction Debarment 09/04/13 09/03/16 1423 TERESA DRIVE Wage & Hour FORT LETT, NJ 07024 Violation 062 Workplace Standards

MOZULAY, MARK J. MD Medical Suspension 12/01/98 512 TOWNSHIP LANE Other BLUE BELL, PA 19422 Human Services Medical Assistance (Medicaid)

MUHAMMAD, ABDUL, B. M.D. Medical Disqualification 11/18/04 Permanent 284 BROADWAY Other NEWARK, NJ 07104 054 Medical Assistance (Medicaid)

MUHAMMED, ABDUL, B. Medical Disqualification 11/08/04 Permanent 284 BROADWAY Other NEWARK, NJ 07104 Human Services

MUID, JANNAH RASHEEDAH AMATUL Medical Disqualification 01/19/10 01/19/15 VOSE AVENUE Criminal Offense ORANGE, NJ 07050-1061 054 0018

MUID, JANNAH Medical Disqualification 11/18/10 671 LINCOLN AVE Criminal Offense ORANGE, NJ 07050 054 0018

MUKHTAR, JUNAID Medical Suspension 06/05/97 114 BALDWIN AVENUE Criminal Offense JERSEY CITY, NJ 07306 Human Services Medical Assistance (Medicaid)

MULLANGI, KUMAR R., M.D. Medical Suspension 05/20/08 SOUTH BROADWAY STREET Other BURLINGTON, IA 52601 Human Services Medical Assistance (Medicaid)

MULLER, RAYMOND E., JR. PRES. Construction Debarment 02/07/12 02/06/15 75 WEST 3RD AVE. Wage & Hour PINE HILL, NJ 08021 Violation 062 Workplace Standards

MULLIGAN, RACHEL M. Medical Disqualification 04/11/08 241 HAWAII DRIVE Other BRICK, NJ 08723-7114 Human Services Medical Assistance (Medicaid)

MUNGEN, JONETTA V., HHA Medical Suspension 06/20/01 34 VERMONT AVENUE Other NEWARK, NJ 07106 Human Services Medical Assistance (Medicaid)

MUNOZ, JULIO ANTHONY Medical Debarment 10/26/06 4 NORMAL AVENUE Other UPPER MONTCLAIR, NJ 07043 Human Services Medical Assistance (Medicaid)

MUNSIF, ANAND Medical Debarment 11/07/11 127 E. NORTHFIELD ROAD Other LIVINGSTON, NJ 07039 054 0018

MUNZEL, GREGORY, THOMAS Medical Debarment 04/22/12 140 WAPPOO CREEK DRIVE Criminal Offense CHARLESTON, SC 29412 054 0018

MURATORE, JR., FRANK J. Construction Debarment 10/10/12 10/09/15 1828 HERBERT BOULEVARD Wage & Hour

MURRY, TOMMY Medical Debarment 10/20/02 2697 RAVEN ROAD Other CINNAMINSON, NJ 08077 Human Services Medical Assistance (Medicaid)

MUSCARRA GERALD C Medical Disqualification Permanent 525 WASHINGTON AVENUE Criminal Offense HOBOKEN, NJ 07030 Human Services Medical Assistance (Medicaid)

MUZZIO JR., WILLIAM Construction Debarment 01/15/13 01/14/16 597 LYMAN AVENUE Wage & Hour WOODBRIDGE, NJ 07095 Violation 062 Workplace Standards

MYERS, HOWARD M.D. Medical Disqualification 12/01/98 Permanent 103 FAIRWAY TERRACE Other MOUNT LAUREL, NJ 08054-2321 Human Services Medical Assistance (Medicaid)

MYNDIUK, JAROSLAW, MD Medical Disqualification 02/27/88 Permanent 96 TUXEDO PARKWAY Industry Law NEWARK, NJ 07106 Violation Human Services Medical Assistance (Medicaid)

MYSZKA, KENNETH C., PRESIDENT Construction Debarment 02/28/12 02/27/15 7095 SHAFFER DRIVE Wage & Hour DOWNS, IL 61736 Violation 062 Workplace Standards

NAIBONE, PHILLIP, C., RN Medical Suspension 06/17/04 24 RUNNING BROOK ROAD Other TRENTON, NJ 08638 Human Services Medical Assistance (Medicaid)

NAIMOLI, DANIELLE Medical Suspension 09/30/05 824 HOLIDAY COURT Other TOMS RIVER, NJ Human Services Medical Assistance (Medicaid)

NAPENAS, VICTOR T Medical Disqualification 11/17/11 14 SPRUCE LANE Criminal Offense PISCATAWAY, NJ 08854 054 0018

NAPENAS, VICTOR Medical Disqualification 05/20/12 14 SPRUCE LANE Criminal Offense PISCATAWAY, NJ 08854 054 0018

NASH, LEONARD Vendor Suspension 09/27/00

NATALE, JOSEPH Medical Suspension 01/24/14 216 NORTH AVENUE E STE2 Criminal Offense CRANFORD, NJ 07016 054 0018

NATOVICH, BORIS Medical Suspension 09/18/03 996 PINE TERRACE Criminal Offense FRANKLIN LAKES, NJ 07417 Human Services Medical Assistance (Medicaid)

NATOVICH, LEV Medical Suspension 09/18/03 996 PINE TERRACE Criminal Offense FRANKLIN LAKES, NJ 07417 Human Services Medical Assistance (Medicaid)

NAVAZIO, DAVID` Medical Suspension 06/07/00 1368 BRENTWOOD ROAD Other YARDLEY, PA 19067 Human Services Medical Assistance (Medicaid)

NAYLOR, KIM, M. Medical Debarment 09/19/11 1504 TAMIAMI ROAD Criminal Offense FORKED ROAD, NJ 08731 054 0018

NEALS, SHERRY, C.H.H.A. Medical Suspension 09/20/01 63 DALES AVE, APT. 1124 Other JERSEY CITY, NJ 07306 Human Services Medical Assistance (Medicaid)

NELSON, SIDNEY, MD Medical Debarment 09/13/99 Permanent 4517 BERGENLINE AVENUE Other UNION CITY, NJ 07087 Human Services Medical Assistance (Medicaid)

NESSMAN, LAWRENCE, D.O. Medical Disqualification 06/24/97 Permanent 143 GREENRALE AVENUE Other WAYNE, NJ 07470-2978 Human Services Medical Assistance (Medicaid)

NEWMAN, ALEXANDER Medical Debarment 03/10/99 Permanent 372 N. WOODLAND STREET Other ENGLEWOOD, NJ 07631 Human Services Medical Assistance (Medicaid)

NEWMAN, MICHAEL J. DMD Medical Disqualification 07/18/01 Permanent 192 GABRIEL TERRACE Other SOUTH AMBOY, NJ 08879 054 Medical Assistance

NEWMARK, MALINDA R.N. Medical Suspension 05/19/05 38 STONY HILL ROAD,APT101 Other MONROE TOWNSHIP, NJ 08831 Human Services Medical Assistance (Medicaid)

NEWSOME, DORITA, D.D.S. Medical Disqualification 01/23/09 163 CHAPEL STREET Other ORANGE, NJ 07050 Human Services Medical Assistance (Medicaid)

NIAZ, ASIM Medical Suspension 08/19/10 P.O. BOX 420 Criminal Offense FAIRTON, NJ 08320 054 0018

NICHOLSON, BEVERLY C.N.A. Medical Disqualification 01/13/06 139 HOLLYWOOD AVENUE Other EAST ORANGE, NJ 07108 Human Services Medical Assistance (Medicaid)

NIELSON,STEVEN,C., DPM Medical Suspension 03/23/09 845 DAWN AVENUE Other EPHRATA, PA 17522 054 0018

NIGALAN, MANUEL Medical Disqualification 10/14/10 8 MIMI COURT Criminal Offense NORTHFIELD, NJ 08225 054 0018

NINOS, DIANE E. Medical Disqualification 03/28/01 Permanent 569 E. 33RD STREET Other PATERSON, NJ 07613-1119 Human Services Medical Assistance (Medicaid)

NISIVOCCIA, CHARLES Medical Suspension 08/20/06 260 MAIN STREET Other LITTLE FALLS, NJ 07424 054 Medical Assistance (Medicaid)

NOE, ALATORE Construction Debarment 06/07/13 06/06/16 30 EUCLID AVENUE Wage & Hour MEDFORD, NJ 11753 Violation 062 Workplace Standards

NONZIATO, CHARLES G, DO Medical Disqualification 11/13/91 Permanent 247 CENTER STREET Industry Law TRENTON, NJ 08611 Violation Human Services Medical Assistance (Medicaid)

NOOR, FARID A, MD Medical Disqualification 08/19/08 350 A DELANCEY PLACE Other

NOOR, FARID, A., MD Medical Suspension 04/12/04 5 GITHERS LANE Criminal Offense MEDFORD , NJ 08055-9574 Human Services Medical Assistance (Medicaid)

NTSHONA, NOKUZOLA S., MD Medical Debarment 01/12/00 Permanent 113-15 34TH AVE, #4B Other CORONA, NY 11368 Human Services Medical Assistance (Medicaid)

NURIK Medical Disqualification Permanent APT 9C PARKVIEW & MADISON Criminal Offense LAWRENCE HARBOR, NJ 08879 Human Services Medical Assistance (Medicaid)

NUSSBAUM, ABRAHAM, M.D. Medical Suspension 01/15/01 11/12/13 91 MONTGOMERY STREET Other RHINEBECK, NY 12572 054 Medical Assistance (Medicaid)

NWANKWO, FESTUS Medical Disqualification 02/18/99 Permanent 306 ARDSDALE PLACE Criminal Offense UNION, NJ 07083 Human Services Medical Assistance (Medicaid)

O Criminal Offense ,

O REILLY, RAYMOND B Medical Disqualification 06/01/93 Permanent 188 ALEXANDRIA DR APTS Industry Law HACKETTSTOWN, NJ 07840 Violation Human Services Medical Assistance (Medicaid)

O'BRIEN, MICHAEL, PRESIDENT Construction Debarment 10/05/11 10/04/14 323 MILL STREET Wage & Hour SOUTH PLAINFIEL, NJ 07080 Violation 062 Workplace Standards

O'CALLAGHAN, TERESE, RN Medical Suspension 10/20/02 5122 Other ORCHARD WAY, NJ 08109 Human Services Medical Assistance (Medicaid)

O'CONNELL TOM, OWNER Construction Debarment 02/11/13 02/10/16 499 GRACE HILL ROAD Wage & Hour MONROE, NJ 08831 Violation 062 Workplace Standards

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. O'DONNELL, KATHERINE Medical Disqualification 09/30/05 141 MAIN STREET Other METUCHEN, NJ 08840 Human Services Medical Assistance (Medicaid)

O'NEILL-RYAN, LISA ANN Medical Disqualification 08/17/08 415 LYNDALE STREET Other PHILLIPSBURG, NJ 08865 Human Services Medical Assistance (Medicaid)

O'SHEA, BRIAN Construction Debarment 07/09/14 07/08/17 1041 GLASSBORO RD. D-2 Wage & Hour WILLIAMSTOWN, NJ 08094 Violation 062 Workplace Standards

OBIORAH, INNO Construction Debarment 05/16/14 05/15/17 658 RUTGERS PLACE Wage & Hour PARAMUS, NJ 07652 Violation 062 Workplace Standards

OBIORAH, UJU, A. Construction Debarment 05/16/14 05/15/17 259 WEST FOREST AVENUE Wage & Hour ENGLEWOOD, NJ 07631 Violation 062 Workplace Standards

OCANSEY, DONNA Medical Debarment 04/22/12 7 WISINA COURT Criminal Offense MEDFORD, NJ 08055 054 0018

ODEH, MOHD, OWNER OFFICER Construction Debarment 01/19/12 01/18/15 234 BATHGATE AVE. Wage & Hour FRANKLIN, NJ 08873 Violation 062 Workplace Standards

ODOMS, TIFFANY E. Medical Disqualification 11/18/08 926 TILGHMAN STREET Other CHESTER, PA 19013 Human Services Medical Assistance (Medicaid)

OGUNTUASE, EBENEZER Medical Disqualification 06/20/09 10 DOCKSIDE DRIVE Other EGG HARBOR, NJ 08234 Human Services Medical Assistance (Medicaid)

OHANA, EREZY Construction Debarment 08/06/14 08/05/17 60 MILLER ROAD Wage & Hour MONTGOMERY, NY 12549 Violation 062 Workplace Standards

OJO, RICHARD, O. Medical Debarment 02/24/09 346 FIELDCREST AVENUE Other NEW EGYPT, NJ 08533 Human Services Medical Assistance (Medicaid)

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. OKANTAH, MARGARET Medical Debarment 07/30/05 1854B MANOR DRIVE Other UNION, NJ 07083 Human Services Medical Assistance (Medicaid)

OLEJNIOK, ROMAN, PRESIDENT Construction Debarment 03/26/12 03/25/15 1882 PUTNAM AVENUE Wage & Hour RIDGEWOOD, NY 11385 Violation 062 Workplace Standards

OLIVEIRA, MARIO JR. Medical Debarment 04/28/05 170 EAST KINNEY STREET Other NEWARK, NJ 07105-1156 Human Services Medical Assistance (Medicaid)

OLIVER, JAMES, DDS Medical Debarment 08/13/99 Permanent 167 MAIN STREET Other METUCHEN, NJ 08840 Human Services Medical Assistance (Medicaid)

OLIVERA, PABLO, R., DPM Medical Suspension 09/20/01 C/O 2 CEDAR STREET Other NEWARK, NJ 07102 Human Services Medical Assistance (Medicaid)

OLIVERA, SMIRNA, LPN Medical Suspension 10/20/02 33 REMSEN AVENUE Other NEW BRUNSWICK, NJ 08901 Human Services Medical Assistance (Medicaid)

OLIVERAS, LUIS Construction Debarment 04/23/14 04/22/17 644 EAST 2ND STREET Wage & Hour PLAINFIELD, NJ 07060 Violation 062 Workplace Standards

OMAR, MUGAHID Medical Disqualification 03/14/98 Permanent 7-11 TONNELE AVENUE Criminal Offense JERSEY CITY, NJ 07306 Human Services Medical Assistance (Medicaid)

ONYEKAHA, EBERE, R.P. Medical Disqualification 12/01/98 Permanent 13 HIGHLAND AVENUE Other MAPLEWOOD, NJ 07040 Human Services Medical Assistance (Medicaid)

ONYENSO, CHIKEZIE Medical Suspension 02/15/12 552 MAIN STREET Criminal Offense CHATHAM, NJ 07928 054 0018

OREM, SUSAN Medical Suspension 09/20/06 140 VALERIE DRIVE #488 Other MANVILLE, NJ 08835 Human Services

ORT, CHARLES C., II, PHYS ASST. Medical Disqualification 11/18/04 Permanent P.O. BOX 481 Other HACKETTSTOWN, NJ 07840-0481 Human Services Medical Assistance (Medicaid)

ORT, CHARLES, II Medical Disqualification 11/18/04 Permanent P.O. BOX 481 Other HACKTTSTOWN, NJ 07840-0481 Human Services Medical Assistance (Medicaid)

ORTEGA, VICTOR, DME SALES Medical Suspension 07/18/02 GUAYNBO- PO BOX 2147 Other SAN JUAN, PR, NJ 00922 Human Services Medical Assistance (Medicaid)

ORTELL, CARL, R.P. Medical Disqualification 12/05/83 Permanent 221 TINDERBOX LANE Criminal Offense MARLTON, NJ 08053 Human Services Medical Assistance (Medicaid)

OSEI, CALVIN RPH Medical Disqualification 09/04/12 2 SYSLO COURT Criminal Offense SAYREVILLE, NJ 08872 054 0018

OSEI, PASCAL Medical Debarment 07/17/09 07/17/14 9 SOUTH GROSSER PLACE Criminal Offense SOMERSET, NJ 08873-2883 Human Services Medical Assistance (Medicaid)

OSMANOFF, GARY, D.D.S. Medical Disqualification 06/23/08 NETTER COURT Criminal Offense MARLBORO, NJ 07746-2055 Human Services Medical Assistance (Medicaid)

OSMANOFF, GARY. DDS Medical Suspension 12/17/08 317 MARINE AVENUE Criminal Offense BROOKLYN, NY 11209 054 0018

OSTROSKIE, JOAN, LPN Medical Suspension 01/19/03 424 FLORENCE STREET Other NEW MILFORD, NJ 07646 Human Services Medical Assistance (Medicaid)

OSTWALD, ALICE Medical Suspension 09/20/06 11 RAILROAD LANE Other WHITEHORSE , NJ 08889 Human Services Medical Assistance (Medicaid)

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. OSUJI, PAUL Medical Suspension 08/20/09 FCI FORT DIX PO BOX 2000 Other FORT DIX, NJ 08640 Human Services Medical Assistance (Medicaid)

OTTENSTEIN, ALAN M.D. Medical Suspension 05/19/05 173 MOUNT EYRE RD. Other WASHINGTON CROS, PA 18977 Human Services Medical Assistance (Medicaid)

OTTENSTEIN, ALAN, MD Medical Suspension 03/01/09 3100 PRINCETON PIKE Other LAWRENCEVILLE, NJ 08648 Human Services Medical Assistance (Medicaid)

OXMAN, REED S, MD Medical Suspension 03/16/12 226 W. RITTENHOUSE SQUARE Other PHILADELPHIA, PA 19103 054 0018

OYENUSI, ADEBOWALE Medical Debarment 10/14/00 Permanent 90 WASHINGTON STREET Criminal Offense EAST ORANGE, NJ 07017 054 Medical Assistance (Medicaid)

PACHECO, MICHAEL Medical Debarment 07/18/03 84 LAFAYETTE AVE. Other PASSAIC, NJ 07055 Human Services Medical Assistance (Medicaid)

PADUANO, FRANCIS P. JR. Medical Disqualification Permanent 2020 BALMORAL AVE. Criminal Offense UNION, NJ 12345 Human Services Medical Assistance (Medicaid)

PADVA-GERMAN, ANNA Medical Debarment 12/14/09 12/14/14 446 DUBLIN PLAZA Criminal Offense SECAUCUS, NJ 07094-2202 054 Medical Assistance (Medicaid)

PAGANO, NICOLE RN Medical Disqualification 05/20/09 531 PARKWAY AVENUE Other TRENTON, NJ 08618 054 Medical Assistance (Medicaid)

PAMIKIMUKKALA, VIJAY RPH. Medical Suspension 09/13/99 3 PENROSE COURT Other EDISON, NJ 08820 Human Services Medical Assistance (Medicaid)

PANCELLI, JOHN M., MD Medical Disqualification 12/01/98 Permanent

PANGANIBAN, ARMANDO Medical Disqualification 08/11/07 Permanent CYPRESS RD. Other TOMS RIVER, NJ 08753 Human Services Medical Assistance (Medicaid)

PANICHELLA, ANTHONY G. Medical Suspension 07/20/06 739 S. WHITE HORSE PIKE, Other AUDUBON, NJ 08106 Human Services Medical Assistance (Medicaid)

PANITCH, EDWIN Medical Disqualification 06/01/93 Permanent 8 POINT OF WOODS DR Criminal Offense NORTH BRUNSWICK, NJ 08902 Human Services Medical Assistance (Medicaid)

PANJWANI, HARRY K., M.D. Medical Debarment 05/24/99 Permanent EAST 42 FAIRVIEW TERRACE Other PARAMUS, NJ 07652 Human Services Medical Assistance (Medicaid)

PAPADAKIS, ANDREAS Medical Debarment 05/29/14 05/27/17 33 EASTWOOD BLVD. Criminal Offense MANALAPAN, NJ 07726 054 0018

PAPANDREA, JANICE, PRESIDENT Construction Debarment 04/19/12 04/18/15 1065 JOHNSON DRIVE Wage & Hour WATCHUNG, NJ 07060 Violation 062 Workplace Standards

PAPPALARDO, PETER S, MD Medical Disqualification 06/01/93 Permanent 4 SOUTH AIRMONT RD Industry Law SUFFERN, NY 10901 Violation Human Services Medical Assistance (Medicaid)

PARASHOS, LINDA, RN Medical Suspension 05/20/01 514 9TH AVENUE Other LINDENWOLD, NJ 08021 Human Services Medical Assistance (Medicaid)

PARIDA, SAROJ K. Medical Disqualification 08/20/13 USP LEWIS-P.O. BOX 1000 Criminal Offense LEWISBURG, PA 17837 054 0018

PARIKH, BIPIN MD Medical Suspension 11/20/10 224 LAFAYETTE STREET Other WILLISTON PARK, NY 11596 054 0018

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. PARIKH, BIPIN, J. MD Medical Suspension 07/09/08 224 SOUTH LAFAYETTE STREE Other WILLISTON PARK, NY 11596 Human Services Medical Assistance (Medicaid)

PARIKH, MANUPRASAD, RP Medical Suspension 07/20/04 209 STOKES FARM ROAD Other FRANKLIN LAKES, NJ 07417 Human Services Medical Assistance (Medicaid)

PARVEZ, DARA Medical Debarment 10/12/11 214 COMMONS WAY, BLDNG B Other TOMS RIVER, NJ 08755 054 0018

PATEL, ARUNA S., M.D. Medical Disqualification 06/26/08 725 NORTH BROAD STREET Criminal Offense ELIZABETH, NJ 07208 054 Medical Assistance (Medicaid)

PATEL, ASHOKKUMA R. Medical Disqualification 08/10/07 Permanent YARDLEY STREET Criminal Offense EDISON, NJ 08820 Human Services Medical Assistance (Medicaid)

PATEL, BHARAT R.PH. Medical Disqualification 04/20/14 140 RIVERSIDE BLVD. Criminal Offense NEW YORK, NY 10069 054 0018

PATEL, CHIRAG Medical Suspension 04/02/12 16 SNEIDER ROAD Criminal Offense WARREN, NJ 07059 054 0018

PATEL, DINESH R. MD Medical Disqualification 02/20/14 835 CLINTON AVENUE Criminal Offense NEWARK, NJ 07108 054 0018

PATEL, DINESH Medical Suspension 03/17/12 10/10/15 3 BRIGHTON COURT Criminal Offense LIVINGSTON, NJ 054 0018

PATEL, MAHESH Construction Debarment 06/26/13 06/25/16 828 HIGHLAND AVENUE Wage & Hour PARAMUS, NJ 07652 Violation 062 Workplace Standards

PATEL, MEHMOOD Medical Disqualification 02/26/10 201 MIDDLETON ROAD Criminal Offense LAFAYETTE, NJ 70503-3388 054 Medical Assistance (Medicaid)

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. PATEL, PRAVIN, K., RN Medical Suspension 12/19/02 904 #35 IVY RIDGE RD Other SYRACUSE, NY 13210 Human Services Medical Assistance (Medicaid)

PATEL, RAMBEN D., LPN Medical Suspension 08/20/00 505 WEST MINISTER BLVD. Other PARLIN, NJ 08859 Human Services Medical Assistance (Medicaid)

PATEL, RAMESH, SHANKER,B. Medical Suspension 06/20/01 PO BOX 5564 Other OLD BRIDGE, NJ 08857 Human Services Medical Assistance (Medicaid)

PATEL, SANJAY I. Medical Suspension 04/20/06 63 HEATHERDELL ROAD Other ARDSLEY, NY 10502 Human Services Medical Assistance (Medicaid)

PATEL, VITTHAI I., R.PH Medical Suspension 09/20/04 Permanent ST. GEORGE AVE, APT. 141 Other AVENEL, NJ 07001 Human Services Medical Assistance (Medicaid)

PATIN, YURY MD Medical Disqualification 02/26/09 45 BEVERLY ROAD Criminal Offense SUMMIT, NJ 07901-1620 054 Medical Assistance (Medicaid)

PATTERSON, JR., ARTHUR Medical Debarment 07/18/14 8 FELLOWSWOOD WAY Criminal Offense HOLMDEL, NJ 07733 054 0018

PATTI, JAMES, OWNER Construction Debarment 01/14/13 01/13/16 2700 HAMILTON BLVD. #169 Wage & Hour S. PLAINFIELD, NJ 07080 Violation 062 Workplace Standards

PAUL, DAVID, M., M.D. Medical Debarment 03/22/02 434 RAHWAY AVENUE Other WOODBRIDGE, NJ 07095-3305 Human Services Medical Assistance (Medicaid)

PEART, HAROLD G. Medical Suspension 08/20/99 415 KEIM BOULEVARD Other BURLINGTON, NJ 08016 Human Services Medical Assistance (Medicaid)

PEART, HAROLD Medical Suspension 03/17/00 3 HARRISON PARK LANE Criminal Offense

PELLEGRINO, TAMMY, RN Medical Suspension 02/20/03 2423 SHADY LANE APT P Other ATCO, NJ 08004 Human Services Medical Assistance (Medicaid)

PELLICANO, PAUL J., M.D. Medical Disqualification 12/01/98 Permanent 120 MILLBURN AVE. STE M1 Other MILLBURN, NJ 07041 Human Services Medical Assistance (Medicaid)

PENA, CARMEN F., DDS Medical Suspension 09/20/00 Permanent 800 76TH ST., 2ND FLOOR Other NORTH BERGEN, NJ 07047 054 Medical Assistance (Medicaid)

PENALES, AMANDO D. Medical Disqualification 05/09/14 BAYSIDE PRISON PO BOX F-1 Criminal Offense LEESBURG, NJ 08327 054 0018

PENALVER, FAITH R.N. Medical Suspension 05/19/05 4 MAPLE COURT Other ROOSEVELT, NJ 08555 Human Services Medical Assistance (Medicaid)

PENFIELD, JOHN Medical Debarment 03/06/14 25 POCONO ROAD Criminal Offense DENVILLE, NJ 07834 054 0018

PENICO, PETER, MD Medical Disqualification 08/24/78 Permanent 300 MAIN STREET Criminal Offense MILLVILLE, NJ 08332 Human Services Medical Assistance (Medicaid)

PERDEK, BRONISLAW, Construction Debarment 08/29/11 08/28/14 OWNER/OFFICER Wage & Hour 112 RIVER DRIVE Violation 062 GARFIELD, NJ 07026 Workplace Standards

PERDEK, DARIUS, OWNER/OFFICER Construction Debarment 08/29/11 08/28/14 21 UNION ST., #2 Wage & Hour LODI, NJ 07644 Violation 062 Workplace Standards

PEREZ, JORGE MD Medical Suspension 03/18/04 213 14TH STREET Other PALISADES PARK, NJ 07650 Human Services Medical Assistance (Medicaid)

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. PERLMAN, BERNARD, M.D. Medical Debarment 01/03/00 Permanent 42 OAKMONT ROAD Other YARMOUTH PORT, MA 02675 Human Services Medical Assistance (Medicaid)

PERRIN, DOUGLAS, M., CHHA Medical Suspension 05/20/02 1801 LAURAL ROAD Other LINDERWOLD, NJ 08021 Human Services Medical Assistance (Medicaid)

PESCIOTTA, BARBARA, ANN Medical Debarment 05/18/06 992 VAUGHN AVENUE Other TOMS RIVER, NJ 08753 Human Services Medical Assistance (Medicaid)

PESCIOTTA, ROY, THOMAS Medical Debarment 05/18/06 992 VAUGHN AVENUE Other TOMS RIVER, NJ 08753 Human Services Medical Assistance (Medicaid)

PETERSON, PETHINA, CHHA Medical Suspension 05/20/04 289 MLK DRIVE Other JERSEY CITY, NJ 07305 Human Services Medical Assistance (Medicaid)

PETIT, MADELINE Medical Disqualification 07/07/08 228 70TH STREET 2ND FL. Other GUTTENBERG, NJ 07093-3408 Human Services Medical Assistance (Medicaid)

PETRUCELLI, SALVATORE, MD Medical Debarment 02/02/00 Permanent 201 LYONS AVENUE Other NEWARK, NJ 07112 Human Services Medical Assistance (Medicaid)

PETTERSON, LINDA, A., RN Medical Suspension 10/20/02 700 PARK BLVD. Other CHERRY HILL, NJ 08002 Human Services Medical Assistance (Medicaid)

PFLUGER, FRANK Vendor Suspension 08/27/01 118 MINERVA AVENUE Criminal Offense ALBION, NJ 08009 Treasury Treasury Purchase Bureau

PHARES, ALYSSA, RN Medical Suspension 09/19/02 21 WOODLAND WAY Other DAYTON, NJ 08810 Human Services Medical Assistance (Medicaid)

PHILLIPS, RONALD, D.O. Medical Debarment 01/08/99 Permanent

PHIPPS, ERNEST, JR., MD Medical Suspension 05/20/04 130 FORD ROAD Other HOWELL, NJ 07731 Human Services Medical Assistance (Medicaid)

PIACENTILE, JOSEPH, M.D. Medical Disqualification 12/17/95 Permanent 578 BIG OAK ROAD Other YARDLEY, PA 19067 Human Services Medical Assistance (Medicaid)

PIAZZA, GARY G., D.O. Medical Disqualification 10/20/98 Permanent 7 CARRIAGE PLACE Other EDISON, NJ 08820 Human Services Medical Assistance (Medicaid)

PICARIELLO, JOSEPH Medical Disqualification 06/09/00 Permanent 1202 FOX CHASE LANE Criminal Offense WHIPPANY, NJ 08981 Human Services Medical Assistance (Medicaid)

PICKNEY, BRANSON, OWNER Construction Debarment 01/14/13 01/13/16 408 W. 129TH ST., APT. 7 Wage & Hour NEW YORK, NY 10027 Violation 062 Workplace Standards

PIERSON, GEORGE T, DO Medical Disqualification 04/02/88 Permanent 5 RAINBOW TRAIL Industry Law SPARTA, NJ 07871 Violation Human Services Medical Assistance (Medicaid)

PINEDA, FRANCISCA Medical Suspension 10/18/01 151 TRAILS END Other NEW CITY, NY 10956 Human Services Medical Assistance (Medicaid)

PINHO, FERNANDO, F. Construction Debarment 07/30/12 07/29/15 66 6TH AVENUE Wage & Hour LONG BRANCH, NJ 07740 Violation 062 Workplace Standards

PINKERTON, MARION, LPN Medical Suspension 09/19/03 410 THOMAS AVENUE Other RIVERTON, NJ 08077 Human Services Medical Assistance (Medicaid)

PIROVOLAS, NICHOLAS, RPH Medical Disqualification 09/16/00 30 DWIGHT DRIVE Criminal Offense WEST DEAL, NJ 07712-3655 Human Services

PIROVOLOS, NICHOLAS, RP Medical Suspension 10/20/02 30 DWIGHT DRIVE Other OCEAN, NJ 07712 Human Services Medical Assistance (Medicaid)

PISANI, LOUIS, R.P. Medical Suspension 10/19/00 2 E. FRANKLIN COURT Other GARDEN CITY, NY 11530 Human Services Medical Assistance (Medicaid)

PIUCK, CHARLOTTE, L, MD Medical Disqualification 10/25/01 Permanent 593 RAMAPO VALLEY ROAD Other OAKLAND, NJ 07436 Human Services Medical Assistance (Medicaid)

PIZZARELLI, ANGELA D. Medical Disqualification 07/18/01 Permanent 1111 BOND STREET Criminal Offense ASBURY PARK, NJ 07712 Human Services Medical Assistance (Medicaid)

PLINIO, STEVEN, D.C. Medical Debarment 09/30/99 Permanent 655 AMBOY AVENUE Other WOODBRIDGE, NJ 07095 Human Services Medical Assistance (Medicaid)

PLOTNIK, PETER J., M.D. Medical Debarment 05/23/00 Permanent 276 COLERIDGE STREET Other BROOKLYN, NY 11235 Human Services Medical Assistance (Medicaid)

PLOTTS, LISA, R.N. Medical Suspension 10/18/01 111 BEECHWOOD AVENUE Other OAKLYN, NJ 08107 Human Services Medical Assistance (Medicaid)

PLUCINSKI, PATRICIA LPN Medical Suspension 12/20/09 Permanent 201 HAEGELE PLACE Other MOUNT ROYAL, NJ 08061 054 0018

POET, ALBERT, M.D. Medical Disqualification 08/10/07 Permanent EAST BAY AVENUE Criminal Offense MANAHAWKIN, NJ 08050 Human Services Medical Assistance (Medicaid)

POGGIOLI, STEPHAN Medical Suspension 06/18/04 431 ACADEMY TERRACE Other LINDEN, NJ 07036 Human Services Medical Assistance

POH-EIKOM, VICKI Medical Debarment 12/29/99 Permanent BILLINGS AV., APT. 619A Other PAULSBORO, NJ 08062 Human Services Medical Assistance (Medicaid)

POLANSKY IRVING RP Medical Disqualification Permanent 260 MAIN ST Criminal Offense KEANSBURG, NJ 07734 Human Services Medical Assistance (Medicaid)

POLISHUK, ANDRE A., D.O. Medical Suspension 03/08/08 649 PULHAM COURT #A Other MANCHESTER, NJ 08759-7019 Human Services Medical Assistance (Medicaid)

POLLACK, EARL T. DMD Medical Disqualification 11/07/86 Permanent 171 N. LANSDOWNE AVE. Criminal Offense LANSDOWNE, PA 19050 054 Medical Assistance (Medicaid)

POLLACK, RICHARD JOSEPH Medical Disqualification 09/30/82 09/30/87 P. O. BOX 11401 Criminal Offense YARDVILLE, NJ 08628 054 Medical Assistance (Medicaid)

POLLEN, PHILIP Medical Debarment 10/28/13 245 ROUTE 9 Other MORGANVILLE, NJ 07751 054 0018

POPPE, GLEN, PRESIDENT Construction Debarment 07/25/13 07/24/16 795 SUSQUEHANNA AVE. Wage & Hour FRANKLIN LAKES, NJ 07417 Violation 062 Workplace Standards

PORTNOY, BARRY Construction Debarment 01/30/12 01/29/15 1300 INDUSTRIAL BLVD #5 Wage & Hour SOUTHAMPTON, PA 18966 Violation 062 Workplace Standards

POSNER, ROBERT S. DDS Medical Disqualification 06/23/99 Permanent 53 WESTFIELD AVENUE Other CLARK, NJ 07066 Human Services Medical Assistance (Medicaid)

POTACCO, PHILIP, D.C. Medical Suspension 02/20/03 54 CHURCH STREET Other SOUTH ORANGE, NJ 07079 Human Services Medical Assistance (Medicaid)

POTTER, DIANE LPN Medical Suspension 05/20/09

POTTER, DIANE Medical Disqualification 05/20/09 215 FAIRFIELD LANE Other KING WILLIAM, VA 23086 Human Services Medical Assistance (Medicaid)

POWLETT, NORMAN, OWNER Construction Debarment 12/29/11 12/28/14 133 MILL STREET, 2R Wage & Hour MT. HOLLY, NJ 08060 Violation 062 Workplace Standards

PRAVETZ, MICHAEL, M.D. Medical Debarment 03/05/01 Permanent 531 GATES STREET Other PHILADELPHIA, PA 19128 Human Services Medical Assistance (Medicaid)

PRENSKY, JOSHUA Medical Disqualification 05/29/13 2810 HIGH ST. Criminal Offense BERGEN, NJ 07410 054 0018

PRENSKY, JOSHUA Medical Disqualification 07/17/09 28-10 HIGH STREET Criminal Offense FAIRLAWN, NJ 07410 Human Services Medical Assistance (Medicaid)

PRESILLA, ALEJANDRO, MD Medical Debarment 04/30/10 04/30/13 15 FULTON STREET Other WEEHAWKEN, NJ 07086 054 0018

PRESS, STUART M Medical Disqualification 08/01/09 1525 E. PUTNAM AVE #206 Other OLD GREENWICH, CT 06870 Human Services Medical Assistance (Medicaid)

PRESS, STUART M. MD Medical Suspension 08/01/09 Permanent 1525 EPUTNAM AVE APT 206 Other OLD GREENWICH, CT 06870 054 0018

PRICE, JAZMINE Construction Debarment 08/05/13 08/04/16 744 SOUTH ST., UNIT 65 Wage & Hour PHILADELPHIA, PA 19147 Violation 062 Workplace Standards

PRINTZ, BRUCE, I., DO Medical Suspension 06/06/04 400 GILL LANE Criminal Offense ISELIN, NJ 08830-3001 Human Services Medical Assistance (Medicaid)

PRITCHARD, JOSEPH Medical Suspension 05/09/02

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. 69 TALLWOOD DRIVE Criminal Offense MEDFORD, NJ Human Services Medical Assistance (Medicaid)

PROSKUROVSKY, BORIS Medical Suspension 08/25/98 218 HALSEY STREET Other NEWARK, NJ 07102 Human Services Medical Assistance (Medicaid)

PROVOST, LAURIE Medical Suspension 01/24/14 10 BALTIMORE BLVD Criminal Offense SEA GIRT, NJ 08750 054 0018

PRYAKANT, DOSHI, M.D. Medical Disqualification 12/02/97 Permanent 11 WARFIELD STREET Other MONTCLAIR, NJ 08625 Human Services Medical Assistance (Medicaid)

PRZADOWSKA-KOKINDA, ELIZABETH Medical Suspension 04/20/05 M., R.N. Other 1106 PARKSIDE AVENUE Human Services TRENTON, NJ 08618 Medical Assistance (Medicaid)

PUCCI, BRIAN M. RPH Medical Suspension 09/20/05 14 RAND RD. Other PINE BROOK, NJ 07058 Human Services Medical Assistance (Medicaid)

PUENTES, ELENA Medical Suspension 05/14/07 374B HAMILTON STREET Other SOMERSET, NJ 08873 Human Services Medical Assistance (Medicaid)

PUGLIESE, GIROLAMO, MD Medical Suspension 02/22/99 103 MAIN STREET Other KEYPORT, NJ 07735 Human Services Medical Assistance (Medicaid)

PULVIRENTI, FRANCESCA M. Medical Suspension 09/29/05 212 8TH STREET Other SURF CITY, NJ 08008 Human Services Medical Assistance (Medicaid)

QAYYUM. ABDUL, R.P. Medical Suspension 04/27/00 Permanent 960 COUNTRY CLUB DRIVE Other TEANECK, NJ 07666 054 Medical Assistance (Medicaid)

QUIJADA, CARLOS Medical Disqualification 12/20/12 106 SPRING VALLEY AVE, #1 Criminal Offense

QUINN, JOHN, C. Medical Suspension 06/20/06 437 HARRISTOWN ROAD Other GLEN ROCK, NJ 07452 Human Services Medical Assistance (Medicaid)

QUINONES, ANGEL, DRIVER Medical Disqualification 09/11/01 Permanent 48 GRAND STREET Other GARFIELD, NJ 07026 Human Services Medical Assistance (Medicaid)

QURESHI, SHAMS Medical Debarment 01/27/12 1084 MAIN AVENUE Criminal Offense CLIFTON, NJ 07011 054 0018

RAAB, TERRI, A., LPN Medical Suspension 01/20/04 3 MILL ROAD Other JAMESBURG, NJ 08831 Human Services Medical Assistance (Medicaid)

RAC, EDWARD P. Professional Disqualification 10/12/04 109 BERNARD DRIVE Industry Law MANAHAWKIN, NJ 08050 Violation Treasury Treasury Purchase Bureau

RADOWITZ, MARK A DC Medical Disqualification 09/04/07 76 CHICHESTER ROAD Other MONROE TOWNSHIP, NJ 08831-2650 Human Services Medical Assistance (Medicaid)

RAHMAN, RONALD Medical Disqualification 05/29/13 20 SUSSEX AVENUE Criminal Offense VOORHEES, NJ 08043 054 0018

RAINFORD, JOHN, CHAIRMAN Construction Debarment 02/01/12 01/29/15 239 CLIFTWOOD ROAD Wage & Hour OAKHURST, NJ 07755 Violation 062 Workplace Standards

RAJA, ABDUL, H. Medical Disqualification 01/29/03 Permanent 53 FULHAN LANE Criminal Offense HOLBROOK, NY 00741 Human Services Medical Assistance (Medicaid)

RAMACHANDRA, NANDAVAR Medical Debarment 04/18/14 741 ROUTE 18 S. Other EAST BRUNSWICK, NJ 08816 054 0018

RAMANADHAM, ARUNA, R., MD Medical Debarment 01/12/00 Permanent 9 MOUNTAINVIEW DRIVE Other

RAMAS, EDWIN L. Medical Debarment 07/17/09 07/17/14 789 MITCHEL AVE. Criminal Offense UNION, NJ 07083 Human Services Medical Assistance (Medicaid)

RAMOS, REYNALDO Medical Debarment 08/12/13 52 ABINGTON CT. Criminal Offense MAYS LANDING, NJ 08330 054 0018

RAMOS, ROLANDO Medical Disqualification 02/20/04 85 SHERMAN AVENUE Criminal Offense TEANECK, NJ 07666-4120 Human Services Medical Assistance (Medicaid)

RAMPERSAD, LAKSHMINARINE Medical Suspension 12/20/00 11 APPLETREE LANE Other LANDING, NJ 07850 Human Services Medical Assistance (Medicaid)

RAND, DOV (2) Medical Debarment 05/07/14 840 STONEWALL CT G Criminal Offense FRANKLIN LANES, NJ 07417 054 0018

RAND, DOV Medical Debarment 09/03/13 667 EAGLE ROCK AVENUE Criminal Offense WEST ORANGE, NJ 07052 054 0018

RAND, DOV Medical Suspension 02/15/12 667 EAGLE ROCK AVENUE Criminal Offense WEST ORANGE, NJ 07052 054 0018

RAND, ELIAS Medical Disqualification 06/01/93 Permanent 1401 OCEAN AVENUE Criminal Offense BROOKLYN, NY 11230 Human Services Medical Assistance (Medicaid)

RASNER STEVEN Medical Disqualification Permanent 1055 NORTH PEARL ST Criminal Offense BRIDGETON, NJ 08401 Human Services Medical Assistance (Medicaid)

RASOULINEJAD, Z. T., DDS Medical Suspension 10/20/03 P.O. BOX1217 Other ALPINE, NJ Human Services Medical Assistance (Medicaid)

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. RATCHFORD, WILLIAM B. MD Medical Suspension 06/04/98 PO BOX 2063 Criminal Offense GLENVIEW, IL 60025 Human Services Medical Assistance (Medicaid)

RAUH BRIGHAM, SUSAN, RN Medical Suspension 05/20/01 4 BRECKENRIDGE DRIVE Other SHAMONG, NJ 08088 Human Services Medical Assistance (Medicaid)

RAVAL, KAWU Medical Suspension 12/01/98 600 PAVONIA AVENUE Other JERSEY CITY, NJ 07306 Human Services Medical Assistance (Medicaid)

RAVIN, JOHN M., M.D. Medical Suspension 02/19/04 9600 STERLING RIDGE AVE. Other LAS VEGAS, NV 89129 Human Services Medical Assistance (Medicaid)

RAY, DEBRA, RN Medical Suspension 02/19/04 32 KAYWIN AVENUE Other HAWTHORNE, NJ 07506 Human Services Medical Assistance (Medicaid)

REA, MICHAEL, M.D. Medical Debarment 03/11/01 Permanent 444 MANSFIELD AVENUE Other HADDONFIELD, NJ 08033 Human Services Medical Assistance (Medicaid)

REATH, ERIN R. RN Medical Suspension 08/18/05 7705 SABRE DRIVE Other KNOXVILLE, TN 37919 Human Services Medical Assistance (Medicaid)

REAVES, LORI A. Medical Disqualification 03/07/14 FPC ALDERSON; GLEN RAY RD Criminal Offense ALDERSON, WV 24910 054 0018

REBA, GARY J., D.D.S. Medical Suspension 12/20/07 TITUS LANE Other PLAINSBORO, NJ 08536 Human Services Medical Assistance (Medicaid)

REDNOR, GERALD B Medical Disqualification 06/01/93 Permanent 101 KENSINGTON AVENUE Criminal Offense TRENTON, NJ 08618 Human Services Medical Assistance (Medicaid)

REDONDO, ILEANA, M.D. Medical Disqualification 04/23/02 Permanent

REED, DAVID, PRESIDENT Construction Debarment 01/14/13 01/13/16 195 AIRPORT ROAD Wage & Hour SELINGSGROVE, PA 17870 Violation 062 Workplace Standards

REED, JUDY Medical Disqualification 12/15/05 233A MUHAMMAD ALI AVE Other NEWARK, NJ 07108 Human Services Medical Assistance (Medicaid)

REED, STEPHAN NILS, DC Medical Disqualification 06/01/93 Permanent 4722 EAST DELL RD Industry Law PHOENIX, AZ 85026 Violation Human Services Medical Assistance (Medicaid)

REEVES, WILBURN C. Medical Disqualification 08/10/07 Permanent CREEK ROAD Criminal Offense BRICK, NJ 08724 Human Services Medical Assistance (Medicaid)

REGO, RAMON Medical Debarment 03/19/12 6701 BERGENLINE AVENUE Criminal Offense WEST NEW YORK, NJ 07093 054 0018

REHAN, ZAHEER, A. Medical Disqualification 05/10/99 Permanent 280 HENDERSON STREET Other JERSEY CITY, NJ 07302 Human Services Medical Assistance (Medicaid)

REID, PEACHES, CNA Medical Disqualification 04/01/02 11 RUTGERS STREET Other IRVINGTON, NJ 07111 Human Services Medical Assistance (Medicaid)

REINHARD, BARBARA Medical Disqualification 07/09/07 704 REED COURT Other FLEMINGTON, NJ 08822 Human Services Medical Assistance (Medicaid)

REITER, RAYMOND D. Medical Disqualification 10/22/01 Permanent 405 MURRAY HILL PKWY#1023 Other E. RUTHERFORD, NJ 07073-2136 Human Services Medical Assistance (Medicaid)

REITER, RAYMOND D., M.D. Medical Disqualification 10/22/01 Permanent 450 SADDLE BACK TRAIL Criminal Offense FRANKLIN LAKES, NJ 07417 Human Services

RENZI, CAROLINE M, DO Medical Disqualification 12/04/91 Permanent 247 CENTER ST Industry Law TRENTON, NJ 08611 Violation Human Services Medical Assistance (Medicaid)

RICCIARDI, JUDE, CHHA Medical Suspension 06/20/02 1452 45TH Other NORTH BERGEN, NJ 07047 Human Services Medical Assistance (Medicaid)

RICH, LEO Medical Disqualification 06/01/93 Permanent CEDAR LANE Criminal Offense TEANECK, NJ 07666 Human Services Medical Assistance (Medicaid)

RICHARDS, AARON, COUNSLR. Medical Suspension 02/20/01 23 WYCOFF STREET Other DEAL, NJ 07723 Human Services Medical Assistance (Medicaid)

RICHMAN, HOWARD P, DPM Medical Disqualification 04/15/93 Permanent 502 N BLACK HORSE PIKE Criminal Offense WILLIAMSTOWN, NJ 08053 Human Services Medical Assistance (Medicaid)

RICHSTONE, GEOFFREY. MD Medical Suspension 06/20/02 PO BOX 38, FCI Other FORT DIX, NJ 08640 Human Services Medical Assistance (Medicaid)

RILEY, BRIDGETT, PH TECH. Medical Suspension 03/20/03 1801 EGG HARBOR ROAD Other LINDENWALD, NJ 08021-1308 Human Services Medical Assistance (Medicaid)

RIMERMAN, VALERY Medical Suspension 12/20/06 43 DEMAREST AVENUE Other CLOSTER, NJ 07624 Human Services Medical Assistance (Medicaid)

RIOS, GUSTAVO, ERNESTO, MD Medical Debarment 10/11/11 127 TWEED DRIVE Other JACKSONVILLE, NC 28540-4591 054 0018

RIOS, JOSE, M.D. Medical Suspension 06/22/98 930 PARK AVENUE Other ELIZABETH, NJ 07208 Human Services Medical Assistance

RIOS, JOSE, M.D. Medical Suspension 06/22/98 Permanent 930 PARK AVENUE Other ELIZABETH, NJ 07208 054 Medical Assistance (Medicaid)

RIOS, JOSE, M.D. Medical Suspension 05/14/98 Permanent 175 SUMMER AVENUE Criminal Offense NEWARK, NJ 07104 054 Medical Assistance (Medicaid)

RIPPS, DANIEL, DDS Medical Disqualification 12/01/95 Permanent 1330 CALHOUN STREET Criminal Offense TRENTON, NJ Human Services Medical Assistance (Medicaid)

RIVERA, BASILIO, OWNER Construction Debarment 07/20/11 07/19/14 169 MAPLE STREET Wage & Hour FAIRVIEW, NJ 07022 Violation 062 Workplace Standards

RIVERA, HECTOR, RICHARD Construction Debarment 01/09/12 01/08/15 1 KEVIN ROAD Wage & Hour SCOTCH PLAINS, NJ 07076 Violation 062 Workplace Standards

RIVERA, JOSSELIN Medical Disqualification 01/27/06 251 MT. VERNON ST. Other CAMDEN, NJ 08103 Human Services Medical Assistance (Medicaid)

RIZVI, SAIYID, PH.D Medical Suspension 04/18/97 100 CRAIG ROAD, SUITE 104 Other MANALAPAN, NJ 07726-8731 Human Services Medical Assistance (Medicaid)

RIZZO, KENNETH R.PH. Medical Suspension 05/19/05 110 WELLS FARM ROAD Other GOSHEN, NY 10924 Human Services Medical Assistance (Medicaid)

RIZZUTO, MARY F. Medical Disqualification 04/22/12 16 HOLLY DRIVE Criminal Offense TOMS RIVER, NJ 08753 054 0018

ROBALINO, JOFFRE Medical Disqualification 05/28/13 PO BOX 1000 Criminal Offense CUMBERLAND, MD 21501 054 0018

ROBBINS GORDON J Medical Disqualification Permanent 447 UNION AVENUE Criminal Offense

ROBBINS, RICHARD, G., MD Medical Suspension 02/19/04 551 MILLBURN ACE. Other SHORT HILLS, NJ 07078 Human Services Medical Assistance (Medicaid)

ROBINSON, KIM, OFF. ASST. Medical Suspension 02/03/03 594 WALNUT STREET Criminal Offense ELIZABETH, NJ 07201 Human Services Medical Assistance (Medicaid)

ROBINSON, VINCENT Medical Debarment 03/13/09 03/13/14 62 MAPLE AVE. Criminal Offense IRVINGTON, NJ 07111 Human Services Medical Assistance (Medicaid)

ROCA, JOSE Construction Debarment 05/31/13 05/30/16 469 9TH STREET Wage & Hour PALISADES PARK, NJ 07650 Violation 062 Workplace Standards

RODRIGUEZ RAMON R Medical Disqualification Permanent 100 MANHATTAN AVENUE Criminal Offense JERSEY CITY, NJ 07307 Human Services Medical Assistance (Medicaid)

RODRIGUEZ, BEATRIZ Medical Suspension 10/18/01 109 GREENBRIAR AVE BOX157 Other RICHLAND, NJ 08350 Human Services Medical Assistance (Medicaid)

RODRIGUEZ, FERNANDO, MD Medical Debarment 04/06/04 122 S. MONTFORT DRIVE Other BELLE MEAD, NJ 08502 Human Services Medical Assistance (Medicaid)

RODRIGUEZ, RONALD Medical Suspension 12/20/06 Permanent 7 EASTERN LANE Other WILLINGBORO, NJ 08046 Human Services Medical Assistance (Medicaid)

ROGERS, JAMES G. Medical Suspension 04/11/06 Permanent 49 WESTERN PARKWAY Other IRVINGTON, NJ 07111 054 Medical Assistance (Medicaid)

ROHAUS, ROBERT, LAB. EMPL Medical Suspension 08/25/00 301 LILAC COURT Criminal Offense BRIDGEWATER, NJ 08807 Human Services

ROHE, PAUL Medical Suspension 11/20/06 24 FAIRWAY DRIVE Other GREEN BROOK, NJ 08812 Human Services Medical Assistance (Medicaid)

ROLON, ORLANDO, JR. Medical Disqualification 11/12/09 1239 DUPONT STREET Criminal Offense CAMDEN, NJ 08105-3940 054 Medical Assistance (Medicaid)

ROMAN-CISSE, DENISE Medical Debarment 04/12/12 9 SECOND AVE Criminal Offense NEWARK, NJ 07104 054 0018

ROMANAZZI THOMAS Medical Disqualification Permanent 612 MYRTLE AVE Criminal Offense MANASQUAN, NJ 08786 Human Services Medical Assistance (Medicaid)

ROMANOWSKI STEVEN Medical Disqualification Permanent PO BOX 1011 Poor Performance UNION, NJ 07083 Human Services Medical Assistance (Medicaid)

ROMERO, IVAN Medical Disqualification 08/08/11 USP CANAAN P.O. BOX 300 Criminal Offense WAYMART, PA 18472 054 0018

ROMILLO, JOSE Medical Disqualification 08/16/11 954 FISCHER BOULEVARD Other TOMS RIVER, NJ 08753 054 0018

RONAN, KATHLEEN, R.N. Medical Suspension 10/18/01 17 HENRY STREET Other SAYERVILLE, NJ 08872 Human Services Medical Assistance (Medicaid)

ROQUE, JOSE RAMON, M.D. Medical Disqualification 08/01/96 Permanent 317 60TH STREET Other W. NEW YORK, NJ 07903 Human Services Medical Assistance (Medicaid)

ROSA, EDDIE 2 Medical Disqualification 09/17/13 796 MT. PROSPECT AVENUE Criminal Offense NEWARK, NJ 07104 054 0018

ROSA, EDDIE Medical Suspension 02/15/12

ROSANIA, NICHOLAS, G., DC Medical Suspension 10/20/03 1 COBBLESTONE LANE Other LONG VALLEY, NJ 07853 Human Services Medical Assistance (Medicaid)

ROSEN, BURTON, DDS Medical Debarment 05/24/99 Permanent 1939 ROUTE 70 EAST Other CHERRY HILL, NJ 08003 Human Services Medical Assistance (Medicaid)

ROSENFARB, ANDREW, Medical Suspension 03/20/05 ACUPUNCTURIST Other 332 SOUTH AVENUE EAST Human Services WESTFIELD, NJ 07090 Medical Assistance (Medicaid)

ROSENSWEET, MARTIN, DPM Medical Debarment 07/18/02 FORT DIX FCI, PO 38 Other FORT DIX , NJ 08640 Human Services Medical Assistance (Medicaid)

ROSERO, BENITO, M.D. Medical Suspension 01/06/99 109 AMBLER ROAD Other CHERRY HILL, NJ 08002 Human Services Medical Assistance (Medicaid)

ROSERO, BENITO, M.D. Medical Suspension 02/02/98 107 E. MANTUA AVENUE Other WEHONAH, NJ 08090-1950 Human Services Medical Assistance (Medicaid)

ROSS, BERNARD Medical Debarment 10/05/99 Permanent 30 E. PASSAIC STREET Other MAYWOOD, NJ 07607 Human Services Medical Assistance (Medicaid)

ROSS, CLAYTON Construction Debarment 12/02/13 12/01/16 18 SOUTH TERRACE Wage & Hour FISHKILL, NY 12524 Violation 062 Workplace Standards

ROSS, DOUGLAS AKA RICKY SHAW Medical Disqualification 10/14/05 123 N 19TH STREET Other EAST ORANGE, NJ 07017 Human Services Medical Assistance (Medicaid)

ROSS, JONATHAN, M.D. Medical Disqualification 06/19/00 Permanent 11 TEAK COURT Other CHERRY HILL, NJ 08003 054

ROSS, JOSIE, B., RN Medical Suspension 07/20/04 25 GRAND AVE. Other HACKENSACK, NJ 07601 Human Services Medical Assistance (Medicaid)

ROSSNICK, GERALD DDS Medical Disqualification Permanent 868 BROADWAY Industry Law BAYONNE, NJ 07002 Violation Human Services Medical Assistance (Medicaid)

ROTWEIN, PAUL, S., DDS Medical Debarment 04/20/03 220 E. 63RD ST, APT. 8F Other NEW YORK, NY 10021-7648 Human Services Medical Assistance (Medicaid)

ROUGH, JAMES Construction Debarment 03/22/13 03/21/16 12767 VAN HORNE ROAD Wage & Hour MEADVILLE, PA 16335 Violation 062 Workplace Standards

ROZO, GLADYS Medical Suspension 05/14/07 374B HAMILTON STREET Other SOMERSET, NJ 08873 Human Services Medical Assistance (Medicaid)

ROZVAGA, NADEZHDA Medical Suspension 08/20/09 155 ALEXAUKEN CREEK ROAD Other LAMBERTVILLE, NJ 08530 Human Services Medical Assistance (Medicaid)

RUANE, JOSEPH T., D.C. Medical Suspension 01/08/97 314 WILLOW DRIVE Other LITTLE SILVER, NJ 07739 Human Services Medical Assistance (Medicaid)

RUBINSTEIN, CHARLES R.PH Medical Suspension 08/20/06 45 LAUREL AVENUE Other LINWOOD , NJ 08221 Human Services Medical Assistance (Medicaid)

RUGGIERO, PAULA E., R.N. Medical Suspension 10/18/01 29 PARKWAY DRIVE Other WESTVILLE, NJ 08093 Human Services Medical Assistance (Medicaid)

RUIZ, DANIEL (DANILE) OWNER Construction Debarment 11/25/11 11/24/14 596 ELM STREET Wage & Hour KEARNY, NJ 07032 Violation 062 Workplace Standards

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. RUIZ, DORIS Medical Suspension 05/14/07 909 WEST 7TH STREET Other PLAINFIELD, NJ 07063 Human Services Medical Assistance (Medicaid)

RULDAN, THOMAS, LPN Medical Suspension 05/20/01 301 OHIO AVENUE Other PHILLIPSBURG, NJ 08865 Human Services Medical Assistance (Medicaid)

RUSH, DAVID A, NURSE AID Medical Disqualification 10/11/00 Permanent 5755 PFEIFER CIRCLE Criminal Offense GERMANSVILLE, PA 18053 Human Services Medical Assistance (Medicaid)

RUSH, DAVID A. Medical Suspension 04/19/99 Permanent 5755 PFEIFER CIRCLE Criminal Offense GERMANSVILLE, NJ 18053 Human Services Medical Assistance (Medicaid)

RUSHING, GARY, DC Medical Suspension 01/20/02 70 BROAD STREET, SUITE B Other MATAWAN, NJ 07747-2534 Human Services Medical Assistance (Medicaid)

RUSSAMANO, RAYMOND P., M.D. Medical Suspension 11/30/07 BLOOMFIELD AVENUE Other BLOOMFIELD, NJ 07003 Human Services Medical Assistance (Medicaid)

RUSSELL, FERNESE, D., CNA Medical Debarment 03/24/02 666 E. 26TH STREET Other PATERSON, NJ 07504 Human Services Medical Assistance (Medicaid)

RUSSELL, ROBERT J. Medical Disqualification 10/02/95 Permanent 1645 B-BLACKWOOD CLEMENTN Other BLACKWOOD, NJ 08012 054 Medical Assistance (Medicaid)

RUSSO, ANTHONY, OWNER Construction Debarment 06/14/11 06/13/14 653 STATE ROUTE 52 Wage & Hour WALDEN, NY 12586 Violation 062 Workplace Standards

RUSSO, GARY Construction Debarment 08/14/13 08/13/16 3 PREMIER WAY Wage & Hour MANALAPAN, NJ 07726 Violation 062 Workplace Standards

RUSSOMANO, RAYMOND, M.D. Medical Debarment 11/28/07 BLOOMFIELD AVENUE Other

RUTA, EUGENIO DC Medical Suspension 07/21/08 189 6TH AVENUE Other LONG BRANCH, NJ 07740-7228 Human Services Medical Assistance (Medicaid)

RYAN JAMES Medical Disqualification 04/01/96 04/01/04 267 SEACLIFF AVE Criminal Offense SEACLIFF, NY 11579 054 Medical Assistance (Medicaid)

RYAN, GERALDINE, R.N. Medical Suspension 02/20/02 228 RIDGE AVENUE Other LAKEWOOD, NJ 08701 Human Services Medical Assistance (Medicaid)

RYAN, LISA ANNE Medical Suspension 05/09/08 415 LYNDALE STREET Other PHILLIPSBURG, NJ 08865 Human Services Medical Assistance (Medicaid)

RYAN, MICHELE, K., L.P.N. Medical Suspension 03/20/02 656 WHITE HORSE PIKE Other HAMMONTON, NJ 08037 Human Services Medical Assistance (Medicaid)

RYAN, THOMAS Vendor Suspension 09/07/00 Permanent D17-25 HUNTS POINT CORP Criminal Offense BRONX, NY 10474 082 Treasury Purchase Bureau

RYMAL, CHRISTOPHER Construction Debarment 05/16/14 05/15/17 1929 DARBY ROAD Wage & Hour HAVERTOWN, PA 19083 Violation 062 Workplace Standards

SAADY, JACK R. PH. Medical Disqualification 07/11/00 Permanent 281 ROUND HILL DRIVE Criminal Offense FREEHOLD, NJ 07728 Human Services Medical Assistance (Medicaid)

SABA-KHALIL, ROSALY, MD Medical Disqualification 07/10/95 Permanent 531 SUMMIT AVENUE Criminal Offense FRANKLIN LAKES, NJ 07417 054 Medical Assistance (Medicaid)

SABATE, NEONITA, R.N. Medical Disqualification 08/27/01 Permanent PO BOX 4004 Other CLINTON, NJ 08809 Human Services Medical Assistance

SABBAGHZADEH, ANDREW A. Medical Suspension 03/20/12 108 BRANDON ROAD Criminal Offense EAST SYRACUSE, NY 13057 054 0018

SACCA, COLLEEN, RN Medical Suspension 05/20/04 310 GARFIELD AVENUE Other PALMYRA, NJ 08065 Human Services Medical Assistance (Medicaid)

SACHER, PHILIP Medical Disqualification 05/06/86 Permanent 558 ANDERSON AVE Criminal Offense CLIFFSIDE PARK, NJ 07010 Human Services Medical Assistance (Medicaid)

SADARANGANI, BHAGWAN Medical Disqualification 02/28/11 240 LYNCREST ROAD Criminal Offense ENGLEWOOD CLIFF, NJ 07632 054 0018

SAEED MOHAMMED Medical Disqualification 11/16/98 Permanent 1507 FINNEGANS LANE Other NORTH BRUNSWICK, NJ 08902 Human Services Medical Assistance (Medicaid)

SALAAM, ABDUL J., M.D. Medical Disqualification 08/07/97 Permanent 1153 SOUTH ORANGE AVE Other NEWARK, NJ 07103 Human Services Medical Assistance (Medicaid)

SALARTASH, KHASHAYAR Medical Suspension 10/27/09 10/07/11 112 POND LANE Criminal Offense LINWOOD, NJ 08221-1347 054 Medical Assistance (Medicaid)

SALEMA, JOSEPH Medical Disqualification 04/04/98 Permanent 101 EAST ELM STREET Other WENONAH, NJ 08090 Human Services Medical Assistance (Medicaid)

SALITA, CONRAD C. M.D. Medical Disqualification 12/29/95 Permanent 1 N. VALLEY AVENUE Criminal Offense VINELAND, NJ 08360 Human Services Medical Assistance (Medicaid)

SALKIND, SCOTT A., D.O. Medical Suspension 09/14/00 611 KINGS CROFT Other CHERRY HILL, NJ 08034 Human Services Medical Assistance (Medicaid)

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. SALT & PEPPER INC. Medical Disqualification 05/09/94 Permanent 24 BRANFORD PLACE Industry Law NEWARK, NJ 07102 Violation Human Services Medical Assistance (Medicaid)

SALUJA, DHANBIR Medical Debarment 08/24/13 230 JEFFERSON STREET Other NEWARK, NJ 07105 054 0018

SALVATORE THOMAS JR Medical Disqualification Permanent 201 HAMILTON AVE Criminal Offense TRENTON, NJ 08609 Human Services Medical Assistance (Medicaid)

SAMAN, AIAD L. Medical Disqualification 03/25/09 47 CENTER PLACE Other STATEN ISLAND, NY 10306-5711 Human Services Medical Assistance (Medicaid)

SAMANIEGO, RICARDO, PRESIDENT Construction Debarment 08/29/11 08/28/14 6701 KINDRED STREET Wage & Hour PHILADEPHIA, PA 19149 Violation 062 Workplace Standards

SAMUEL SOUFFRONT, DELORIS Medical Disqualification 05/02/08 P.O. BOX 4004 Other CLINTON, NJ 08809 Human Services Medical Assistance (Medicaid)

SAN DIEGO, NARDO Medical Debarment 10/08/13 4 HEATHER HILL LANE Other SUFFERN, NY 10901 054 0018

SANCHEZ, MAURICE Medical Disqualification 01/01/11 04/30/12 243 PROSPECT AVENUE Criminal Offense NORTH ARLINGTON, NJ 07031 054 0018

SANDERLIN, KATHLEEN, R.N. Medical Suspension 10/18/01 824 SANIKAN TRAIL Other SOUTHAMPTON, NJ 08088 Human Services Medical Assistance (Medicaid)

SANDERS, DENISE Medical Disqualification 07/12/95 Permanent 4 DREXEL COURT Other SAYERVILLE, NJ 08021 Human Services Medical Assistance (Medicaid)

SANDERS, MICHAEL Medical Suspension 10/19/06 4 CHERRY ROAD Other NEWTOWN, NJ 07860 Human Services Medical Assistance

SANDERSON, LYNN, L.P.N., R.N. Medical Suspension 06/20/05 120 GATES MILL COURT Other TRENTON, NJ 08690 Human Services Medical Assistance (Medicaid)

SANGHERA, ANIL Medical Disqualification 05/20/09 105 PHEASANT FIELD LANE Other MOORESTOWN, NJ 08057 Human Services Medical Assistance (Medicaid)

SANICO, ELAINE D., DPM Medical Suspension 11/19/97 122 BRIGHT ST., #1W Other JERSEY CITY, NJ 07302 Human Services Medical Assistance (Medicaid)

SANTA MARIA DONNA, L. RN Medical Disqualification 07/18/01 Permanent 618 CINDER ROAD Other EDISON, NJ 08820 Human Services Medical Assistance (Medicaid)

SANTAN, ALICIRIO JOSE Construction Debarment 04/23/14 04/22/17 141 ROUTE 130 SOUTH Wage & Hour CINNAMINSON, NJ 08077 Violation 062 Workplace Standards

SANTANA, SONIA, CCHA Medical Disqualification 03/28/01 Permanent 569 E. 33RD STREET Other PATERSON, NJ 07613-1119 Human Services Medical Assistance (Medicaid)

SANTANIELLO, RICHARD, J. Medical Suspension 03/20/02 5 BUGLE COURT Other HOWELL, NJ 07731 Human Services Medical Assistance (Medicaid)

SANTIAGO, RANALDO Medical Disqualification 08/10/07 Permanent GIBBSBORO RD. Criminal Offense LINDENWOLD, NJ 08021 Human Services Medical Assistance (Medicaid)

SANTIAGO, REYNALDO, M.D. Medical Disqualification 06/16/97 Permanent 1502A MARCY PLACE Other PHILADELPHIA, PA 19115 Human Services Medical Assistance (Medicaid)

SANTIAGO, RUTH, M., HHA Medical Suspension 07/19/01 289 BROADWAY, APT. E Other NEWARK, NJ 07104 Human Services Medical Assistance (Medicaid)

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. SANTIAGO, VANESSA Medical Debarment 05/31/06 35 AMHERST ROAD Other SOUTH TOMS RIVE, NJ 08757 Human Services Medical Assistance (Medicaid)

SANTOS, MICHAEL Construction Debarment 11/27/13 11/26/16 988 JOHNSON PLACE Wage & Hour UNION, NJ 07083 Violation 062 Workplace Standards

SANTOS, PETER, PRESIDENT Construction Debarment 08/27/13 08/26/16 35 ELMWOOD AVE., UNIT 2B Wage & Hour UNION, NJ 07083 Violation 062 Workplace Standards

SAPERSTEIN, ALAN Medical Disqualification 03/01/87 Permanent 30 HIGHLAND RD-DIX HILLS Criminal Offense LONG ISLAND, NY 11746 054 Medical Assistance (Medicaid)

SARAVIA, JERSON Construction Debarment 08/19/13 08/18/16 223-10 113TH STREET Wage & Hour QUEENS VILLAGE, NY 11429 Violation 062 Workplace Standards

SAUL, STEPHEN L., DPM Medical Disqualification 07/18/01 Permanent 76 W. JIMMIE LEEDS ROAD Other ABSECON, NJ 08201 054 Medical Assistance (Medicaid)

SAYED, BAKHATY, ABDEL, MD Medical Suspension 04/26/95 403 HARMON TOWERS Criminal Offense SECAUCUS, NJ 07094 Human Services Medical Assistance (Medicaid)

SBARRA, SAMUEL Medical Suspension 10/20/08 PARK AVENUE Other NUTLEY, NJ 07110 Human Services Medical Assistance (Medicaid)

SCARPITTA, JANET Medical Disqualification 06/15/01 Permanent 92 PEABODY PLACE Criminal Offense NEWARK`, NJ 07104 Human Services Medical Assistance (Medicaid)

SCERBO, ERNEST J, MD Medical Disqualification 06/01/93 Permanent 26 01 BROADWAY SUITE 103 Industry Law FAIR LAWN, NJ 07410 Violation Human Services Medical Assistance (Medicaid)

SCHECHTER, MARVIN, OD Medical Disqualification 06/01/93 Permanent 100 YORKTOWN DR Criminal Offense MT LAUREL, NJ 08054 Human Services

SCHEIN HERBERT W Medical Disqualification Permanent 1027 HOOPER AVENUE Industry Law TOMS RIVER, NJ 08753 Violation Human Services Medical Assistance (Medicaid)

SCHEINER, DAVE E., DPM Medical Suspension 07/22/99 910 BONAPARTE COURT Other PHILADELPHIA, PA 19107 Human Services Medical Assistance (Medicaid)

SCHENKEL, CATHERINE MICHELLE Medical Suspension 05/30/10 RN Criminal Offense 87 IRVING AVENUE APT. 3 054 LIVINGSTON, NJ 07039 0018

SCHENKEL, CATHERINE Medical Disqualification 06/20/09 87 IRVING AVENUE APT. 3 Other LIVINGSTON, NJ 07039 Human Services Medical Assistance (Medicaid)

SCHIVAO, JOHN Construction Debarment 01/13/14 01/12/17 6 JUSTA LANE Wage & Hour CHERRY HILL, NJ 08003 Violation 062 Workplace Standards

SCHLACHTER, ANDREA Medical Suspension 11/20/06 42 WEST HOLLY STREET Other CRANFORD, NJ 07016 Human Services Medical Assistance (Medicaid)

SCHLISSERMAN HERMAN Medical Disqualification Permanent 300 48TH STREET Industry Law UNION CITY, NJ 07087 Violation Human Services Medical Assistance (Medicaid)

SCHMUCKER-KARPOW, C., M.D Medical Disqualification 12/27/95 Permanent 50 MAPLE AVENUE Other MORRISTOWN, NJ 07960 Human Services Medical Assistance (Medicaid)

SCHNEIDER, BRUCE J. Medical Suspension 07/20/06 520 CLIFFORD AVENUE, E8 Other MATAWAN, NJ 07747 Human Services Medical Assistance (Medicaid)

SCHOBERT, WILLIAM B III Medical Disqualification 06/20/09 07/14/14 25 WELLINGTON DRIVE, #D Other LUMBERTON, NJ 08048 054 Medical Assistance (Medicaid)

SCHRAGER, KENNETH, J., MD Medical Suspension 06/19/01 FCI P.O. BOX 600 Other OTISVILLE, NY 10963 Human Services Medical Assistance (Medicaid)

SCHROEDER, ANN, VICE PRESIDENT Construction Debarment 07/20/11 07/19/14 106 SUMMER LEA COURT Wage & Hour NEW HOPE, PA 18938-2237 Violation 062 Workplace Standards

SCHROEDER, ROBERT FRANCIS, Construction Debarment 07/20/11 07/19/14 PRESIDENT Wage & Hour 106 SUMMER LEA COURT Violation 062 NEW HOPE, PA 18938-2237 Workplace Standards

SCHULTZ, STEVEN, MD Medical Disqualification 06/09/99 Permanent 1495 EAST 92ND STREET, #2 Other BROOKLYN, NY 11236 Human Services Medical Assistance (Medicaid)

SCHUMN, OTTO Professional Disqualification 06/01/93 Permanent 678 BURKE STREET Industry Law WESTWOOD, NJ 07670 Violation Law and Public Safety Consumer Affairs Board of Architects

SCHUTT CHARLES HARDEN Medical Disqualification Permanent 21 PARMLEY ROAD Criminal Offense TINCTON FALLS, NJ 07724 Human Services Medical Assistance (Medicaid)

SCHWARTZ, EDWARD R., RPH Medical Suspension 12/20/00 1021 HERALD STREET Other REDLANDS, CA 92374 Human Services Medical Assistance (Medicaid)

SCHWARTZ, EDWARD Medical Disqualification 01/17/01 Permanent 720 HARMON COVE TOWERS Criminal Offense SECAUCUS, NJ 07094 Human Services Medical Assistance (Medicaid)

SCHWARTZ, GEORGE ROBERT Medical Suspension 12/19/07 P.O. BOX 1806 Other SANTA FE, NM 87504-1806 054 Medical Assistance (Medicaid)

SCHWARTZ, MURRAY Medical Debarment 12/05/13 5 AUTUMN COURT Criminal Offense CHERRY HILL, NJ 08003 054 0018

SCHWARTZ, MURRAY Medical Debarment 01/23/13 01/23/18 5 AUTUMN COURT Other

SCHWARZ, DENISE, DPM Medical Suspension 02/20/02 1729 PAMMEL PARK ROAD Other WINTERSET, IOWA, NJ 50273-8315 Human Services Medical Assistance (Medicaid)

SCIUBBA, ALFRED Construction Debarment 10/22/13 10/21/16 3 CHADWICK DR. Wage & Hour VOORHEES, NJ 08043 Violation 062 Workplace Standards

SCOPELLITI, ALDO, R., DC Medical Suspension 05/12/00 107 MONMOUTH ROAD Other W. LONG BRANCH, NJ 07764 Human Services Medical Assistance (Medicaid)

SCOTT, DEBRA Medical Suspension 05/20/04 2751 S. OCEAN DRIVE Other HOLLYWOOD, FL 33019 Human Services Medical Assistance (Medicaid)

SCOTT, GLENN, R.N. Medical Suspension 10/18/01 70 POLIFLY RD. APT. 105 Other HACKENSACK, NJ 07601 Human Services Medical Assistance (Medicaid)

SCOTT, MELVIN Medical Suspension 06/03/01 42 HIGHLAND TERRACE Other IRVINGTON, NJ 07111 Human Services Medical Assistance (Medicaid)

SCULLION, FRANCES RN Medical Disqualification 07/13/88 Permanent 20 BREAKNECK ROAD Criminal Offense OAKLAND, NJ 07436 Human Services Medical Assistance (Medicaid)

SCURKO, RAYMOND E. Vendor Suspension 10/12/04 12 TOMAHAWK TRAIL Industry Law DENVILLE, NJ 07834 Violation Treasury Treasury Purchase Bureau

SEHGAL, SHASHIBALA Medical Suspension 12/31/00 630 FT. WASHINGTON AVENUE Other NEW YORK, NY 10040 Human Services Medical Assistance (Medicaid)

SELLITTI, PAT Construction Debarment 04/16/20 04/15/20 870 LAMONT AVENUE Wage & Hour STATEN ISLAND, NY 10309 Violation 062 Workplace Standards

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. SEMPLE, IVRY Medical Disqualification Permanent 472 LAKESIDE AVE. Criminal Offense ORANGE, NJ 07050 Human Services Medical Assistance (Medicaid)

SENAPE, SAVERIO, M.D. Medical Disqualification 08/05/98 Permanent 215 WEST 92ND STREET 15A Criminal Offense NEW YORK, NY 10025 Human Services Medical Assistance (Medicaid)

SENATORE, SALVATORE Medical Disqualification 08/19/10 342 LINCOLN DRIVE Other KENILWORTH, NJ 07033 054 0018

SENDER, PAUL Medical Suspension 11/20/06 30A WEST MAPLE AVENUE Other MONSEY, NY 10952 Human Services Medical Assistance (Medicaid)

SENQUIZ, LUZ, COUNSELOR Medical Suspension 04/29/03 471 HIGHLAND AVE., APT.A Criminal Offense COLLINGSWOOD, NJ 08108 Human Services Medical Assistance (Medicaid)

SENTILLES JEAN JMD Medical Disqualification Permanent 150 W 56TH ST NO 509 Criminal Offense NEW YORK, NY 10019 Human Services Medical Assistance (Medicaid)

SERENO, PATRICIA RN/LPN Medical Suspension 09/20/01 18 SECRETARIAT STREET Other HOWELL, NJ 07731 Human Services Medical Assistance (Medicaid)

SESAY, CHERYL, LPN Medical Suspension 10/20/02 12 AVA AVENUE Other SOMERDALE, NJ 08083 Human Services Medical Assistance (Medicaid)

SESSOMS, VALERIE Medical Disqualification 09/20/12 29 STRATFORD PLACE,APT 6J Criminal Offense NEWARK, NJ 07108 054 0018

SEUFERT, ANNA MARIE Medical Disqualification 06/19/14 5139 LAKE WORTH ROAD Criminal Offense GREEN ACRES, FL 33463-3350 054 0018

SEXTON, PAUL Construction Debarment 07/10/14 07/09/17 462 10TH AVENUE Wage & Hour PATERSON, NJ 07510 Violation 062

SHACK, DANIEL R.PH. Medical Suspension 09/20/06 2 GRACEHILL COURT, APT. Other TITUSVILLE, NJ 08560 Human Services Medical Assistance (Medicaid)

SHAH, JAYEN C, M.D. Medical Disqualification 07/26/96 Permanent MEADOWLANDS PARKWAY Other SECAUCUS, NJ 07096 Human Services Medical Assistance (Medicaid)

SHARMA, YOGENDRA P. Medical Debarment 02/28/00 Permanent 17 VAHLSING WAY Other ROBBINSVILLE, NJ 08691 Human Services Medical Assistance (Medicaid)

SHAROW, RALPH, DMD Medical Suspension 07/20/03 PO BOX 1000- CAMP Other FORT DIX, NJ 08640 Human Services Medical Assistance (Medicaid)

SHEA, ANN M., R.N. Medical Suspension 10/18/01 706-08 ZLOTKIN CIRCLE Other FREEHOLD, NJ 07728 Human Services Medical Assistance (Medicaid)

SHEELEY, SHAWN Construction Debarment 05/30/13 05/29/16 130 SHEELEY ROAD Wage & Hour KERSEY, PA 15846 Violation 062 Workplace Standards

SHEIKH, IMTIAZ A., M.D. Medical Disqualification 12/01/98 Permanent 1008 BRAINARD PLACE Other BRIELLE, NJ 08730 Human Services Medical Assistance (Medicaid)

SHEIKH, MOHAMMAD Medical Debarment 10/20/03 59-07 71ST AVENUE Other RIDGEWOOD, NY 11385 054 Medical Assistance (Medicaid)

SHEIKH, NAFEESA Medical Suspension 11/20/03 516 BLOOMFIELD AVE. Other NUTLEY, NJ 07110 Human Services Medical Assistance (Medicaid)

SHERANI, TAHIR, S. Medical Disqualification 02/07/00 Permanent 215 N. WYOMING STREET Criminal Offense S. ORANGE, NJ 07079 Human Services Medical Assistance (Medicaid)

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. SHERMAN, HENRY M., MD Medical Disqualification 02/05/97 12/14/11 141 S. HARRISON STREET Criminal Offense EAST ORANGE, NJ 07018 054 Medical Assistance (Medicaid)

SHIPMAN, BRYAN LEE Medical Disqualification 03/20/12 1210 CHERSONESE ROUND Criminal Offense MOUNT PLEASANT, SC 29464 054 0018

SHKLOVER TOBIAS MD Medical Suspension 09/20/07 2611 W. 2ND STREET Other BROOKLYN, NY 11223 Human Services Medical Assistance (Medicaid)

SHMIDMAN MIRIAM HOROWITZ Medical Disqualification Permanent 8215 ABINGTON ROAD Criminal Offense KEW GARDENS, NY 11478 Human Services Medical Assistance (Medicaid)

SHROPE, CATHY, L. Medical Disqualification 07/22/02 175 COUNTY ROUTE 519 S. Criminal Offense BELVIDERE, NJ 07823 Human Services Medical Assistance (Medicaid)

SHROUT, WILLIAM Medical Suspension 09/20/01 PO BOX 280 Other FAIRTON, NJ 08320 Human Services Medical Assistance (Medicaid)

SHUSTER, LARRY B. RPH Medical Suspension 03/09/08 3136 GUILFORD STREET Other PHILADELPHIA, PA 19152 Human Services Medical Assistance (Medicaid)

SIAM, NABIL, A. Medical Debarment 12/01/99 Permanent 67 HIGHWAY 37, PO BOX 193 Other TOMS RIVER, NJ 08754 Human Services Medical Assistance (Medicaid)

SIBERT, SCOTT L Medical Disqualification 11/15/85 Permanent 43 WOODLAND AVENUE Industry Law WOODBURY, NJ 08096 Violation Human Services Medical Assistance (Medicaid)

SIDDIQUE, NURULHASAN Medical Disqualification 01/12/96 Permanent 4912 BERGENLINE AVENUE Other WEST NEW YORK, NJ 07093 Human Services Medical Assistance (Medicaid)

SIDDIQUI, AFTAB A., M.D. Medical Suspension 06/19/98

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. 504 LIVINGSTON STREET Other NORWOOD, NJ 07648 Human Services Medical Assistance (Medicaid)

SIDDIQUI, SHAKIR, H. Medical Suspension 03/10/98 619 SCHUYLER AVENUE Other KEARNEY, NJ 07032 Human Services Medical Assistance (Medicaid)

SIDDIQUI, SHOAIB H. Medical Suspension 07/19/01 9 TOWER DRIVE Other EAST HANOVER, NJ 07936 Human Services Medical Assistance (Medicaid)

SIEGEL, JONATHAN B., DPM Medical Disqualification 09/11/00 Permanent 4772 HIGHWAY 9 SOUTH Criminal Offense HOWELL, NJ 07731 Human Services Medical Assistance (Medicaid)

SIGLE, EDWARD Medical Disqualification 05/29/07 Permanent CRANBURY SOUTH RIVER ROAD Criminal Offense MONROE TWP., NJ 08831 Human Services Medical Assistance (Medicaid)

SILMAN, ALEXANDER, DDS Medical Suspension 10/22/10 3 CLARK PLACE Other MARLBORO, NJ 07746 054 0018

SILVA, SANDY, COUNSELOR Medical Suspension 04/29/03 2208 HILLCREST AVENUE Criminal Offense PENNSAUKEN, NJ 08110 054 Medical Assistance (Medicaid)

SILVERHARDT, STEPHEN, DDS Medical Disqualification 02/16/88 Permanent 1436 MARSHALL LANE Industry Law MEADOWBROOK, PA 19046 Violation Human Services Medical Assistance (Medicaid)

SILVERMAN HAROLD Medical Disqualification Permanent 529 BROAD STREET Criminal Offense NEWARK, NJ 07102 Human Services Medical Assistance (Medicaid)

SIMMONS, SHAMEKIA Medical Suspension 08/21/08 RIDGE AVENUE Other ASBURY PARK, NJ 07712 Human Services Medical Assistance (Medicaid)

SIMONE, RENEE, CRIVELLO RPH Medical Suspension 10/22/10 403 SCOTT COURT Other

SIMONETTI, DAVID, VICE PRESIDENT Construction Debarment 02/08/12 02/07/15 8 HIGHTOR ROAD Wage & Hour NEW CITY, NY 10956 Violation 062 Workplace Standards

SIMONETTI, DOMENICO, PRESIDENT Construction Debarment 02/08/12 02/07/15 6 HANFORD PLACE Wage & Hour TARRYTOWN, NJ 10591 Violation 062 Workplace Standards

SINGH MANJIT MD Medical Suspension 11/24/07 12 HARRISON MOUNT LAKE RD Other RINGWOOD, NJ 07456 Human Services Medical Assistance (Medicaid)

SINGH, MANJIT, M.D. Medical Suspension 02/24/98 21 LEHMAN STREET Other MAHWAH, NJ 07430 Human Services Medical Assistance (Medicaid)

SINGH, SURINDER, M.D. Medical Disqualification 07/23/07 Permanent 288 SUMMIT AVENUE Other JERSEY CITY, NJ 07306 054 Medical Assistance (Medicaid)

SINGLETON, RUSSELL Medical Disqualification 08/09/14 401 BROADWAY Other CAMDEN, NJ 08103 054 0018

SINVANY-NUBEL, AVIVA R.N. AND Medical Suspension 10/20/05 A.P.N. Other 683 DONALD DRIVE NORTH Human Services BRIDGEWATER, NJ 08807 Medical Assistance (Medicaid)

SIRIPURAPU, PADMA Medical Suspension 02/15/12 201 LYONS AVENUE Criminal Offense NEWARK, NJ 07112 054 0018

SIROTA, ALEKSANDR Medical Disqualification 08/19/10 P.O. BOX 2000 Criminal Offense LEWISBURG, NJ 17837 054 0018

SISON, JOSEPH MD Medical Suspension 08/02/11 41 BROWNSTON WAY STE 218 Other ENGLEWOOD, NJ 07631 054 0018

SIVAKANTHA, SIVAGNANALINGAM Medical Disqualification 09/20/11 P.O. BOX 5503 Other SOMERSET, NJ 08875 054

SKAGGS, MATTHEW A Medical Disqualification 01/20/12 2127 QUAETHEM DRIVE Criminal Offense CHESTERFIELD, MO 63005 054 0018

SKURATON, JEFFREY Medical Suspension 06/19/08 WINGED FOOT DRIVE Other LIVINGSTON, NJ 07039 Human Services Medical Assistance (Medicaid)

SLAKIE, CHRISTINE, RN Medical Suspension 09/19/03 103 EDGE LANE Other WILLINGBORO, NJ 08046 Human Services Medical Assistance (Medicaid)

SLATER, BARBARA A, L.P.N. Medical Suspension 10/18/01 7 POINT ROAD Other TOMS RIVER, NJ 08753 Human Services Medical Assistance (Medicaid)

SLOAN, DEBRA Medical Debarment 08/12/12 31 SCHAAF ROAD Criminal Offense BLOOMSBURY, NJ 08804 054 0018

SLOTNICK, SINO Medical Disqualification 06/01/93 Permanent 1556 RIVER ROAD Criminal Offense TEANECK, NJ 07666 Human Services Medical Assistance (Medicaid)

SLOVER, SHAYLA Medical Suspension 06/04/07 Permanent NORTH MAPLE AVE. Other MARLTON, NJ 08053 Human Services Medical Assistance (Medicaid)

SMITH DWAYNE Medical Disqualification 09/23/07 12-14 ELM STREET APT 6 Other MONTCLAIR, NJ 07042-3385 Human Services Medical Assistance (Medicaid)

SMITH WILLIAM Medical Disqualification Permanent RT 1 35 WHITE TAIL ROAD Criminal Offense SAN MARCOS, TX 78666 054 Medical Assistance (Medicaid)

SMITH, ALPHONSO, MD Medical Suspension 07/31/02 421 WESTWOOD DRIVE #U Other WOODBURY, NJ 08096 Human Services Medical Assistance (Medicaid)

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. SMITH, GARY W. Construction Debarment 04/18/13 04/17/16 584 ERIAL ROAD Wage & Hour SICKLERVILLE, NJ 08081 Violation 062 Workplace Standards

SMITH, LAURA, LPN Medical Suspension 10/18/07 OLD FREEHOLD ROAD Other TOMS RIVER, NJ 08753 Human Services Medical Assistance (Medicaid)

SMITH, LISA L. Construction Debarment 04/18/13 04/17/16 584 ERIAL ROAD Wage & Hour SICKLERVILLE, NJ 08081 Violation 062 Workplace Standards

SMITH, RUSELL III Medical Suspension 04/15/07 33 ORCHARD AVENUE Other PENNINGTON, NJ 08534 Human Services Medical Assistance (Medicaid)

SMITH, RUSSELL P., III LPN Medical Disqualification 06/22/07 714 S. PENNSYLVANIA AVENU Other MORRISVILLE, PA 19067-1214 Human Services Medical Assistance (Medicaid)

SMITH, RUSSELL, III LPN Medical Suspension 04/19/07 33 ORCHARD AVENUE Other PENNINGTON, NJ 08534 Human Services Medical Assistance (Medicaid)

SMOLER, JOSEPH M, MD Medical Disqualification 06/01/93 Permanent 158 HAMILTON AVE Poor Performance PASSAIC, NJ 07055 Human Services Medical Assistance (Medicaid)

SMUTEK, MICHELLE, M., LPN Medical Debarment 10/20/02 2115 FLORENCE AVENUE Other HAZLET, NJ 07735 Human Services Medical Assistance (Medicaid)

SNELL, PHILIP Medical Disqualification 06/01/93 Permanent 217 PAULISON AVENUE Criminal Offense PASSAIC, NJ 07055 Human Services Medical Assistance (Medicaid)

SODANO, MICHAEL J. Medical Suspension 01/06/99 708 FOREPEAK AVENUE Other BEACHWOOD, NJ 08722 Human Services Medical Assistance (Medicaid)

SODANO, MICHAEL Medical Disqualification 06/01/93 Permanent 708 FOREPEAK AVE Criminal Offense

SOHN, YOUNG Medical Suspension 06/20/00 63 CARLOUGH ROAD Other U. SADDLE RIVER, NJ 07458 Human Services Medical Assistance (Medicaid)

SOKHA, BORIS Medical Suspension 05/20/09 FCI FORT DIX Other FORT DIX, NJ 08640 054 Medical Assistance (Medicaid)

SOLARZ, LAUREN Medical Suspension 07/19/99 1133 THACKERY CIRCLE Other VOORHEES, NJ 08043 Human Services Medical Assistance (Medicaid)

SOLOMON, JENNIFER Medical Disqualification 06/25/02 142 BROAD STREET Criminal Offense NEWARK, NJ 07104 054 Medical Assistance (Medicaid)

SOMERSET WILLARD F RP Medical Disqualification Permanent 1123 BROAD ST Criminal Offense NEWARK, NJ 07114 Human Services Medical Assistance (Medicaid)

SOMERSET, WILLARD, F. Medical Disqualification 01/01/88 Permanent 1123 BROAD STREET Criminal Offense NEWARK, NJ 07114 Human Services Medical Assistance (Medicaid)

SONG KI I MD Medical Suspension 04/07/11 Permanent 62 COTTAGE STREET Other JERSEY CITY, NJ 07306 054 0018

SONG, YOUNG Medical Disqualification 07/19/10 07/19/15 37 DEANNA DRIVE Criminal Offense EAST HANOVER, NJ 07936 054 0018

SONZA, PATRICIO, A. MD Medical Suspension 11/20/10 8 CONSTITUTION WAY Other FLEMINGTON, NJ 08822 054 0018

SORBELLO, TANYA, J., LPN Medical Suspension 02/19/04 460 NEW STREET EAST Other GLASSBORO, NJ 08028 Human Services Medical Assistance (Medicaid)

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. SORONGON, MARCELINO, MD Medical Suspension 05/18/00 192 SURREY COURT Other RAMSEY, NJ 07446 Human Services Medical Assistance (Medicaid)

SOYFER, ALEXANDER Medical Suspension 06/20/01 104 MAPLE HILL DRIVE Other WOODBRIDGE, NJ 07095 Human Services Medical Assistance (Medicaid)

SPAIN, ANTHONY, B., DMD Medical Debarment 05/28/02 113 CRESCENT AVENUE Other PLAINFIELD, NJ 07060 Human Services Medical Assistance (Medicaid)

SPANO, ANTHONY Medical Suspension 11/20/03 176 EVERGREEN STREET Other HILLSDALE, NJ 07642 Human Services Medical Assistance (Medicaid)

SPAVLIK, LAURIE, RDA Medical Suspension 04/19/01 200 EAST GRANT AVENUE Other SOMERDALE, NJ 08083 Human Services Medical Assistance (Medicaid)

SPECTOR, IOSIF G., M.D. Medical Suspension 09/20/00 54 INDIAN DRIVE Other WOODCLIFF LAKE, NJ 07675 Human Services Medical Assistance (Medicaid)

SPEDALIERE, CARMINE, MD Medical Disqualification 07/19/99 Permanent 1601 KENNEDY BLVD. Other NORTH BERGEN, NJ 07407 Human Services Medical Assistance (Medicaid)

SPLITTER, SAMUEL R. MD Medical Disqualification 05/04/98 Permanent 1742 MARYLAND AVENUE Other CAPE MAY, NJ 08204 Human Services Medical Assistance (Medicaid)

SPYRIDON-MARKER, KAREN Medical Disqualification 10/20/02 25 ELKINTON ROAD Criminal Offense ALLOWAY, NJ 08001 Human Services Medical Assistance (Medicaid)

ST. PETER, LISA Medical Debarment 11/17/08 P.O. BOX 2000 Criminal Offense BRUCETON MILLS, WV 26525-2000 Human Services Medical Assistance (Medicaid)

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. STANCH, JAMES M Medical Suspension 11/20/08 FCI P.O. BOX 350 Other BEAVER, WV 25813 Human Services Medical Assistance (Medicaid)

STANCH, JAMES Medical Suspension 05/03/06 Permanent 160 S. LAKESHORE DRIVE Other MANAHAWKIN, NJ 08050 Human Services Medical Assistance (Medicaid)

STANKO-STRACK, MARY ELIZABETH Medical Disqualification 05/20/10 1348 MILLENNIUM COURT Other TOMS RIVER, NJ 08753 054 0018

STANLEY, JAMES, R. Medical Suspension 12/20/01 PO BOX 38, FCI Other FORT DIX, NJ 08640 Human Services Medical Assistance (Medicaid)

STANTON, FRANCIS, X., MD Medical Debarment 10/18/01 1327 CAMINITO BATEA Criminal Offense LA JOLLA, CA 92037 Human Services Medical Assistance (Medicaid)

STARR, MARTIN, OWNER Construction Debarment 02/28/12 02/27/15 247 RARITAN BLVD. Wage & Hour CLIFFWOOD BEACH, NJ 07735 Violation 062 Workplace Standards

STAVITSKI, MICHAEL, RPH Medical Disqualification 07/12/02 419 FAWNS RUN Criminal Offense MORGANVILLE, NJ 07751 Human Services Medical Assistance (Medicaid)

STEEL BURTON B Medical Disqualification Permanent 1 ROUND HILL ROAD Industry Law WASHINGTONVILLE, NY 10992 Violation Human Services Medical Assistance (Medicaid)

STEFFEN, PAUL H. Medical Suspension 09/20/01 4305 APPLE LANE Other PAULSBORO, NJ 08066 Human Services Medical Assistance (Medicaid)

STEFFENS, PAUL Medical Debarment 04/23/03 1778 CALICO LANE Criminal Offense TOMS RIVER, NJ 08753 Human Services Medical Assistance (Medicaid)

STEIG, HENRY S., DPM Medical Disqualification 10/19/99 Permanent 827 CHARNWOOD DRIVE Other

STEIN, MICHAEL P. Medical Debarment 08/20/12 FMC LEXINGTON Criminal Offense LEXINGTON, KY 40512 054 0018

STEIN, MICHAEL P., MD Medical Disqualification 10/05/99 400 RTE. 10 WEST Other RANDOLPH, NJ 07869 054 Medical Assistance (Medicaid)

STEINBRECHER, DEBRA Medical Disqualification 02/26/10 2302 WIMBLEDON WAY Criminal Offense BLACKWOOD, NJ 08012 054 Medical Assistance (Medicaid)

STEINMAN ARTHUR C DO Medical Disqualification 11/11/91 Permanent 301 MADISON AVE Industry Law LAKEWOOD, NJ 08701 Violation 054 Medical Assistance (Medicaid)

STEPHENS, ALICIA Medical Suspension 11/20/10 5322 RIVERSIDE STATION BL Other SECAUCUS, NJ 07094 054 0018

STEPHENS, JEFFREY Medical Suspension 03/20/07 411 JAROB COURT Other POINT PLEASANT, NJ 08742 Human Services Medical Assistance (Medicaid)

STEVENS, TRACY, M., RN Medical Suspension 04/20/03 Permanent 501 S. BERLIN AVE. Other EGG HARBOR CITY, NJ 08215 Human Services Medical Assistance (Medicaid)

STIER, ERIC G., D.O. Medical Debarment 03/06/00 Permanent 891 OLENTANGY ROAD Other FRANKLIN LAKES, NJ 07417 Human Services Medical Assistance (Medicaid)

STILLWAGON-AHLERS, DAWN Medical Suspension 10/20/08 SUNSET LAKE ROAD Other HARDWICK, NJ 07825 Human Services Medical Assistance (Medicaid)

STILWELL, MELISSA, CHHA Medical Suspension 02/19/04 419 CATHERINE STREET Other SOMERVILLE, NJ 08876 Human Services Medical Assistance

STIMMEL-KEAY, LINDA Medical Debarment 01/01/14 5 DRAYTON PLACE Criminal Offense WAYNE, NJ 07470 054 0018

STOKES, RONALD, L., CHHA Medical Suspension 09/19/03 Permanent 124 6TH AVENUE Other LONG BRANCH, NJ 07740 Human Services Medical Assistance (Medicaid)

STONE, MARY Medical Suspension 10/19/06 132 CORBIN COURT Other LAKEWOOD, NJ 08701 Human Services Medical Assistance (Medicaid)

STOUDEN, ELENA, DDS Medical Suspension 06/19/08 EAST 83RD ST. Other NEW YORK, NY 10028 Human Services Medical Assistance (Medicaid)

STOVEKEN, ANDREW Medical Debarment 05/15/05 27-11 RAVENS CREST DRIVE Other PLAINSBORO, NJ 08536 Human Services Medical Assistance (Medicaid)

STRASSMAN, ALLAN Medical Disqualification 12/01/98 Permanent 5 ROANOKE AVENUE Criminal Offense ROCKAWAY, NJ 07886 Human Services Medical Assistance (Medicaid)

STRASSMAN, WAYNE Medical Disqualification 03/05/98 Permanent 2 NEW COUNTRY ROAD Criminal Offense SECAUCUS, NJ 07094 Human Services Medical Assistance (Medicaid)

STRINE, WALTER M. JR. Medical Suspension 07/11/01 173 ROSE VALLEY RD. Other MEDIA, PA 19063 Human Services Medical Assistance (Medicaid)

STROGOV, EMILIA Medical Disqualification 03/24/95 COOPER ROAD Criminal Offense SCOTCH PLAINS, NJ 07076 Human Services Medical Assistance (Medicaid)

STRUM MORTON W Medical Disqualification Permanent 1360 ARBORDALE ROAD Criminal Offense PHILADELPHIA, PA 19151 Human Services Medical Assistance (Medicaid)

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. SULLIVAN, JOHN, M. Medical Disqualification 07/30/98 Permanent PO BOX 2000 Other LEWISBURG, PA 17837 054 Medical Assistance (Medicaid)

SUMAN, DASS K., M.D. Medical Debarment 10/04/00 Permanent 4 BALDWIN AVENUE Other JERSEY CITY, NJ 07304 Human Services Medical Assistance (Medicaid)

SURECK, MORRIS M. Medical Disqualification Permanent 12 NORTH 4TH AVENUE Criminal Offense HIGHLAND PARK, NJ 08904 Human Services Medical Assistance (Medicaid)

SUSSMAN, GERALD D.O. Medical Suspension 05/20/98 6 EAST FIRST AVENUE Other RUNNEMEDE, NJ 08708 Human Services Medical Assistance (Medicaid)

SVERDLOV, GREGORY Medical Disqualification 08/07/98 Permanent 269 SHEFFIELD ST. Other MOUNTAINSIDE, NJ 07092 Human Services Medical Assistance (Medicaid)

SZARSZEWKI, MARK A., RPH Medical Suspension 09/20/05 6 MARIGOLD CT. Other EDISON, NJ 08820 Human Services Medical Assistance (Medicaid)

SZTYBEL, ELVIRA Medical Disqualification 07/18/01 Permanent 35 PEACHTREE ROAD Other OAKHURST, NJ 07755 Human Services Medical Assistance (Medicaid)

TABOTABO, ARMANDO, M.D. Medical Debarment 04/12/01 Permanent 12 WQEST FRONT STREET Other KEYPORT, NJ 07735-1210 Human Services Medical Assistance (Medicaid)

TADROS, AMIR Medical Debarment 12/20/12 6 ALEXANDER COURT, APT 6N Criminal Offense JERSEY CITY , NJ 07305 054 0018

TADROS, AMIR Medical Disqualification 06/30/10 6 ALEXANDER CT. Criminal Offense JERSEY CITY, NJ 07305 054 0018

TAPPER, FREDERIC, S, D.O. Medical Debarment 08/21/00 Permanent 39 BROOKSIDE DRIVE Other

TARA, HAROLD H, MD Medical Disqualification 06/01/93 Permanent 48 BROOKWOOD DR Industry Law WAYNE, NJ 07470 Violation 054 Medical Assistance (Medicaid)

TARANTO, SHERRY L, RDH Medical Debarment 12/02/12 26 COOMES STREET Other NORWICH, NY 13815 054 0018

TARASEVICH, LISA, LPN Medical Suspension 09/19/02 206 LAKEHURST AVE., APT B Other NATIONAL PARK, NJ 08063 Human Services Medical Assistance (Medicaid)

TARKAS, SURBHI Medical Suspension 06/23/04 8 CARLTON COURT Criminal Offense EAST BRUNSWICK, NJ 08816 Human Services Medical Assistance (Medicaid)

TASCA, ANTHONY, J., RN Medical Suspension 10/20/03 11 SAWGRASS COURT Other BLACKWOOD, NJ 08012 Human Services Medical Assistance (Medicaid)

TASSAGLOY, GEORGE Construction Debarment 02/19/13 02/18/16 105 CEDAR AVE Wage & Hour WOODLYNNE, NJ 08107 Violation 062 Workplace Standards

TAUSCHEK, JENNIFER L. Medical Suspension 09/20/05 154 MAPLE AVENUE Other TUCKERTON, NJ 08087 Human Services Medical Assistance (Medicaid)

TAUTHONG, LEK Construction Debarment 12/18/13 12/17/16 91 GRAHAM STREET Wage & Hour JERSEY CITY, NJ 07307 Violation 062 Workplace Standards

TAYLOR, BARBARA J, AKA MONDELO Medical Debarment 10/24/08 AKA MARIA DOMINICO Criminal Offense KENTWOOD BLVD Human Services BRICK, NJ 08724 Medical Assistance (Medicaid)

TAYLOR, TIANN Medical Debarment 06/20/06 PO BOX 4004 Other CLINTON, NJ 08809 Human Services Medical Assistance (Medicaid)

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. TELANG, FRANK W., M.D. Medical Disqualification 12/05/97 Permanent 1030 W. KINGS HIGHWAY Other CHERRY HILL, NJ 08034 Human Services Medical Assistance (Medicaid)

TELGHEDER, MARGARET, LAB Medical Suspension 06/20/02 75 SPRING VALLEY RD Other MONTVALE, NJ Human Services Medical Assistance (Medicaid)

TERCHIO GAETANO FRED Medical Disqualification Permanent 104 E PALISADE BLVD Criminal Offense PALISADE PARK, NJ 07650 Human Services Medical Assistance (Medicaid)

TERPENNING, CLARENCE PHD Medical Disqualification Permanent 303 CARTER ROAD Criminal Offense PRINCETON, NJ 08540 Human Services Medical Assistance (Medicaid)

TESTAM STEPHEN D. Construction Debarment 05/28/14 05/27/17 6 NORTH HILL DRIVE Wage & Hour LYNNFIELD, MA 01840 Violation 062 Workplace Standards

THAMES, DOUGLAS, A., MD Medical Suspension 03/20/01 218 WEST AVENUE Other PITMAN, NJ 08071 Human Services Medical Assistance (Medicaid)

THEUNE, CHRISTOPHER Medical Debarment 10/15/12 10/15/15 5678 BERKSHIRE VALLEY RD. Other OAK RIDGE, NJ 07438 054 0018

THOMAS, LISA M. Medical Suspension 04/20/99 Permanent 402 UNION AV, APT. #3 Criminal Offense IRVINGTON, NJ Human Services Medical Assistance (Medicaid)

THOMAS-MCNAIR, GLORIA Medical Disqualification 12/21/99 590 BELLVUE AVENUE Other TRANTON, NJ 08618-4040 Human Services Medical Assistance (Medicaid)

THOMPSON, ARTHUR V. Medical Suspension 01/19/10 855 THORNHILL COURT Criminal Offense LAKEWOOD, NJ 08701 054 Medical Assistance (Medicaid)

THOMPSON, DAPHNE, CNA Medical Debarment 03/29/02 2247 HIGH STREET Other

THOMPSON, DEBORAH, LPN Medical Suspension 06/19/03 1006 COLLINGS AVE. Other CAMDEN, NJ 08102 Human Services Medical Assistance (Medicaid)

THOMPSON, KENNETH, H. EMT Medical Disqualification 04/28/03 408 SADDLE COURT Criminal Offense FLEMINGTON, NJ 08822 Human Services Medical Assistance (Medicaid)

THOMPSON, LORNA, MD Medical Suspension 08/20/00 20 OAK POINT DRIVE SO. Other BAYVILLE, NY 11709 Human Services Medical Assistance (Medicaid)

THOOMPALLY, SRINATH Medical Debarment 12/05/13 18 LAFAYETTE CIRCLE Criminal Offense TOTOWA, NJ 07512 054 0018

THOTTEMPUDI, VENKATA Medical Disqualification 04/12/12 13 VINCENT BEHAN BLVD Criminal Offense EDISON, NJ 08837 054 0018

THOTTEMPUDI, VENKATTA Medical Disqualification 09/09/13 13 VINCENT BEHAN BLVD Criminal Offense EDISON, NJ 08837 054 0018

TICE, LINDSEY L.P.N. Medical Suspension 09/20/05 20 PARVINS MILL ROAD Other BRIDGETON, NJ 08302 Human Services Medical Assistance (Medicaid)

TIDD, MILES L.P.N., R.N. Medical Suspension 06/20/05 01/09/12 26 CORAL TREE CT. Other TRENTON, NJ 08648 054 Medical Assistance (Medicaid)

TISCORNIA, KIMBERLY, R.N. Medical Suspension 06/20/05 18 TORNE MOUNTAIN ROAD Other WEST MILFORD, NJ 07480 Human Services Medical Assistance (Medicaid)

TOFANI, NANCY NURS. ADMIN Medical Suspension 06/14/00 114 COUNTY ROAD 513 Other PITTSTOWN, NJ 08867 Human Services Medical Assistance (Medicaid)

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. TOMASELLO, JOHN J., PRESIDENT Construction Debarment 06/27/12 06/26/15 140 RYANS RUN Wage & Hour SICKLERVILLE, NJ 08081 Violation 062 Workplace Standards

TOMLIN, TERESA L, DPM Medical Suspension 03/05/08 232 KRISTINE AVENUE Other MANAHAWKIN, NJ 08050 Human Services Medical Assistance (Medicaid)

TONG, DARLENE M. RPH Medical Suspension 11/12/09 108 LOWER LANDSDOWN ROAD Criminal Offense ANNADALE, NJ 08801-3616 054 Medical Assistance (Medicaid)

TORCHIA, LEONARD, MEMBER Construction Debarment 01/09/12 01/08/15 5 LUCY COURT Wage & Hour POMPTON PLAINS, NJ 07444 Violation 062 Workplace Standards

TORCHIA, MARYJO, AKA LONISIN, Construction Debarment 01/09/12 01/08/15 MARYJP, PRES. Wage & Hour PO BOX 1033 Violation 062 WEST CALDWELL, NJ 07007 Workplace Standards

TORIBIO, ANTHONY, X-RAY T Medical Suspension 09/28/01 11 BYRON DRIVE Other LOPATCONG, NJ 08865 Human Services Medical Assistance (Medicaid)

TORRES, FRANCES Medical Disqualification 04/27/07 437 STUYVESANT AVENUE APT Other IRVINGTON, NJ 07111-2082 Human Services Medical Assistance (Medicaid)

TORRES, JAIME, SALESMAN Medical Suspension 06/07/00 14 STREET, U-25 VILLARICA Other BAYAMO, PR 00959 Human Services Medical Assistance (Medicaid)

TORRES, MANUEL G. Medical Suspension 06/07/00 ST. 18 ATE, PRADERA Other TOA BAJA, PR 00940 Human Services Medical Assistance (Medicaid)

TOSCANO, SYLVIA Medical Debarment 08/12/13 13 NORTHGATE WAY Criminal Offense TOMS RIVER, NJ 08753 054 0018

TOTH, TEREZIA M., M.D. Medical Disqualification 03/06/06 9 N 2ND AVE. Other HIGHLAND PARK, NJ 08904 Human Services Medical Assistance http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. (Medicaid)

TOUSSAINT, VALENTINA Medical Disqualification 02/08/06 240 WEST 104TH STREET Other NEW YORK, NY 10025 Human Services Medical Assistance (Medicaid)

TRAVERSO, JOSEPH L. M.D. Medical Suspension 09/20/05 5 OLD SALEM ROAD Other W. ORANGE, NJ 07052 Human Services Medical Assistance (Medicaid)

TRAYNOR, PATRICK Medical Debarment 12/05/03 2314 WOODLAND RD. Other ABINGTON, PA 19001 Human Services Medical Assistance (Medicaid)

TREGO-CAMPION, ANITA R.PH. Medical Suspension 10/20/05 136 S. FELLOWSHIP ROAD Other MAPLE SHADE, NJ 08052 Human Services Medical Assistance (Medicaid)

TREMO, GREGORY Medical Suspension 11/20/06 13276 WHIPPINGHAM PARKWAY Other NEW CARROLTON, VA 23314 Human Services Medical Assistance (Medicaid)

TRENTACOSTA, GREG S. D.C. Medical Suspension 06/20/05 1565 RATZER RD. Other WAYNE, NJ 07470 Human Services Medical Assistance (Medicaid)

TRINIDAD, TITO, B., MD Medical Suspension 11/10/96 P.O. BOX 1000 #10912-068 Other LEWISBURG, PA 17837 Human Services Medical Assistance (Medicaid)

TRIVEDI, AMRITAL Medical Disqualification 05/02/78 Permanent 20 CYPRESS ROAD Criminal Offense BURLINGTON, NJ 08016 Human Services Medical Assistance (Medicaid)

TROLLINGER, ROBERT J, MD Medical Debarment 10/10/01 Permanent 212 ROUTE 541 NORTH Other MEDFORD, NJ 08055 Human Services Medical Assistance (Medicaid)

TSAI, DAVID, M.D. Medical Debarment 06/23/00 Permanent 12 NORTH 7TH AVENUE Other MOUNT VERNON, NY 10550 Human Services Medical Assistance

TUCHMAN, ALAN P. Medical Suspension 04/21/08 08/29/11 WEST MAIN STREET Other FREEHOLD, NJ 07728 054 Medical Assistance (Medicaid)

TUCKER BURT A Medical Disqualification 12/31/99 Permanent 530 BRICK BLVD Criminal Offense BRICKTOWN, NJ 08723 054 Medical Assistance (Medicaid)

TUCKER, KAREN, E., DPM Medical Suspension 07/20/02 1 ERYNWOOD AVENUE Other MARLTON, NJ 08053-1814 Human Services Medical Assistance (Medicaid)

TUCKER, SUZANNE, RN Medical Suspension 05/20/01 127 GAYWOOD AVENUE Other COLONIA, NJ 07067 Human Services Medical Assistance (Medicaid)

TUCKER-GALIMORE, BETHANY ANNE Medical Disqualification 09/20/11 1152 W. US HIGHWAY 54 Criminal Offense CAMDENTON, MO 65020-6956 054 0018

TUMAS, MARY, DC Medical Disqualification 07/28/14 537 FISK AVENUE Other BRIELLE, NJ 08730 054 0018

TUNG, MING C., D.P.M. Medical Suspension 08/24/07 MITCHELL AVENUE Other EAST BRUNSWICK, NJ 08816 Human Services Medical Assistance (Medicaid)

TYER, DOUGLAS D. Medical Disqualification 11/22/05 175 1ST STREET APT. 16L Other NEWARK, NJ 07102 Human Services Medical Assistance (Medicaid)

TYRELL, MARK, N., RPH Medical Suspension 08/19/04 58 HAVERHILL AVE. Other LITTLE FALLS, NJ 07424 Human Services Medical Assistance (Medicaid)

UHLIG, CYNTHIA Medical Suspension 09/20/06 204 WYOMING STREET Other WESTFIELD, NJ 07090 Human Services Medical Assistance (Medicaid)

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. VALLEJOS, ANA Medical Suspension 05/14/07 943 NORTH BROAD STREET Other ELIZABETH, NJ 07208 Human Services Medical Assistance (Medicaid)

VANDYK, TRICIA Medical Debarment 08/10/09 08/10/14 1412 ISABELLE COURT Criminal Offense BRICK, NJ 08724-7119 054 Medical Assistance (Medicaid)

VARGAS, LUIS Construction Debarment 03/17/14 03/16/17 291 JEFFERSON ST. Wage & Hour PATERSON, NJ 07522 Violation 062 Workplace Standards

VARSOS ARISTIDES G MD Medical Disqualification 02/24/86 Permanent 28 47 37TH ST Industry Law ASTORIA, NY 11103 Violation 054 Medical Assistance (Medicaid)

VASOYA, PRAVIN #41549-050 Medical Disqualification 08/01/09 METROPOLITAN DETENTION CN Other BROOKLYN, NY 11232 Human Services Medical Assistance (Medicaid)

VENANZI ENZO Medical Disqualification Permanent 107 NORTH BROAD STREET Industry Law WOODBURY, NJ 08096 Violation Human Services Medical Assistance (Medicaid)

VENKATRAM, PRABHAKAR, M.D Medical Debarment 11/28/98 Permanent 3305 VILLAGE DRIVE Other AVANEL, NJ 07001 Human Services Medical Assistance (Medicaid)

VERCHIO, ROXANNE Vendor Suspension 08/27/01 820 BOWERS AVENUE Criminal Offense RUNNEMEDE, NJ 08078 Treasury Treasury Purchase Bureau

VERDARO, DENNIS, D.C. Medical Disqualification 12/01/98 Permanent 384 MAIN STREET Other CHESTER, NJ 07930 Human Services Medical Assistance (Medicaid)

VERRONE, BILL, OWNER Construction Debarment 02/16/12 02/15/15 57 WEINNEMANNS BLVD. Wage & Hour WAYNE, NJ 07470 Violation 062 Workplace Standards

VICENTI, CARMILLA, C., MD Medical Suspension 03/18/99 40-15 QUAIL RIDGE RD. Other PLAINSBORO, NJ 85364-0206 Human Services

VILLAMOR, MANUEL, OWNER Medical Suspension 03/20/05 9030 SW 29TH TERRACE Other MIAMI, FL 33155 Human Services Medical Assistance (Medicaid)

VILLONE, MARY Medical Disqualification 05/04/05 DUNMORE STREET Criminal Offense THROOP, PA 18512 Human Services Medical Assistance (Medicaid)

VILSHTEYN, ROSTISLAV Medical Disqualification 10/31/12 50 PAMELA LANE Criminal Offense STATEN ISLAND, NY 10304 054 0018

VINCI, JUDITH RN Medical Suspension 06/19/03 202 BRUNSWICK AVENUE Other SPOTSWOOD, NJ 08884 Human Services Medical Assistance (Medicaid)

VINING, DONNA, D.O. Medical Debarment 07/05/01 Permanent 33 1/2 PEMBROKE ROAD Other DANBURY, CT 06811 Human Services Medical Assistance (Medicaid)

VISCOMI, DOMINIC A, DDS Medical Debarment 05/31/01 Permanent 926 DUCK POND ROAD Other NEWTON, NJ 07860 Human Services Medical Assistance (Medicaid)

VISCONTI, PAUL A., D.O. Medical Debarment 06/27/01 10/25/13 120 OLD COMMACK ROAD Other KINGS PARK, NY 11754 054 Medical Assistance (Medicaid)

VITALE, JACK, R.PH Medical Suspension 05/02/00 17 CORNELL PLACE Other MANALAPAN, NJ 07726 Human Services Medical Assistance (Medicaid)

VLASICH, SHEILA Construction Debarment 10/21/13 10/20/16 7 GINKGO COURT Wage & Hour UPP. SADDLE RVR, NJ 07458 Violation 062 Workplace Standards

VOGEL, BARRY M., M.D. Medical Debarment 09/08/00 Permanent 200 HIGHLAND AVENUE Other GLEN RIDGE, NJ 07028 Human Services Medical Assistance (Medicaid)

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. VOROBYEV, LEONID, M.D. Medical Suspension 08/20/08 06/17/14 PERRY STREET Other MORGANVILLE, NJ 07751 054 Medical Assistance (Medicaid)

VUOLO, RICHARD, PRESIDENT Construction Debarment 06/24/11 06/23/14 40 BALDWIN ROAD Wage & Hour PARSIPPANY, NJ 07054 Violation 062 Workplace Standards

WACTOR, DONNA, RN Medical Suspension 06/19/03 71 FOREST STREET Other MONTCLAIR, NJ 07042 Human Services Medical Assistance (Medicaid)

WALDRON, JOHN F Medical Disqualification 06/21/79 Permanent 920 CEDARBRIDGE ROAD Criminal Offense BRICKTOWN, NJ 08723 Human Services Medical Assistance (Medicaid)

WALKER, BARBARA, CHHA Medical Disqualification 07/20/02 120 ORATON PARKWAY Other EAST ORANGE, NJ 07017 Human Services Medical Assistance (Medicaid)

WALKER, RUSSELL Medical Disqualification 01/10/10 910 MORNING GLORY COURT Criminal Offense JACKSON, NJ 08527 054 0018

WALLER Medical Disqualification Permanent 131 37TH STREET Criminal Offense UNION CITY, NJ 07087 Human Services Medical Assistance (Medicaid)

WALLIS, JODIE, R.N. Medical Suspension 10/18/01 601 FAIRVIEW LANE Other WILLINGBORO, NJ 08046 Human Services Medical Assistance (Medicaid)

WALUK, IRENEUSZ Construction Debarment 02/25/14 02/24/17 70 BORDENT'NCHESTER. RD. Wage & Hour CHESTERFIELD, NJ 08022 Violation 062 Workplace Standards

WASHINGTON, JOHN Medical Suspension 04/29/97 2 TUERS PLACE Other MONTCLAIR, NJ 07043 Human Services Medical Assistance (Medicaid)

WASSEF, ADEL, A., M.D. Medical Suspension 02/18/98 Permanent 123 SOUTH MUN AVENUE Other EAST ORANGE, NJ 07019 054

WATSON, MARC C., M.D. Medical Suspension 04/01/01 912 POMPTON AVE #9B1 Other CEDAR GROVE, NJ 07009 Human Services Medical Assistance (Medicaid)

WATSON, TRACEY L., L.P.N. Medical Disqualification 01/23/06 1 GRUMMAN AVE. APT. 4F Other NEWARK, NJ 07112 Human Services Medical Assistance (Medicaid)

WATZMAN, MARC HOWARD Medical Debarment 08/30/07 P.O. BOX 1000 Other LORETTO, PA 15940-1000 Human Services Medical Assistance (Medicaid)

WEAH, JEROME Medical Disqualification 01/14/11 P.O. BOX 190 Criminal Offense AVENEL, NJ 07001 054 0018

WEBB, CURTIS, O., RN Medical Suspension 12/19/02 110 CROSSHILL DR Other BANGOR, PA 18013 Human Services Medical Assistance (Medicaid)

WEBER, MARC Medical Suspension 11/05/09 09/30/10 326 BROAD STREET Criminal Offense RED BANK, NJ 07701-2119 054 Medical Assistance (Medicaid)

WEBER, MARGARET, LPN Medical Suspension 12/18/03 2920 STATE RTE. 23 Other NEWFOUNDLAND, NJ 07435 Human Services Medical Assistance (Medicaid)

WEIDER ABE Medical Suspension 12/21/01 3301 FOSTER AVENUE Criminal Offense BROOKLYN, NY 11203 Human Services Medical Assistance (Medicaid)

WEIGAND, DAVID, RN Medical Suspension 03/20/01 310 VILLAGE DRIVE Other SOMERSET, NJ 08873 Human Services Medical Assistance (Medicaid)

WEIN, FRED R. PH. Medical Suspension 05/19/05 111 TANGERINE DRIVE Other MARLBORO, NJ 07746 Human Services Medical Assistance

WEINGARDEN, ROBERT F. Medical Suspension 09/20/99 1 ROUTE 27, PARSONAGE RD Other EDISON, NJ 08820 Human Services Medical Assistance (Medicaid)

WEINSTEIN, LEONARD, MD Medical Suspension 08/20/03 1 TRENT ROAD Other MONROE TWP., NJ 08831 Human Services Medical Assistance (Medicaid)

WEINSTEIN, MARTIN H. Medical Disqualification 06/19/08 601 2ND AVENUE Criminal Offense LONG BRANCH, NJ 07740 054 0018

WEISELBERG, ALAN Medical Disqualification 06/05/00 Permanent 8900 S.W. 61ST STREET Criminal Offense MIAMI, FL 33156 Human Services Medical Assistance (Medicaid)

WEISS MURRY Professional Disqualification Permanent 80 SKY MEADOW Criminal Offense WHITE PLAINS, NY 10607 Human Services Medical Assistance (Medicaid)

WELCH, SHIRLEY Medical Suspension 08/20/07 SCENIC DRIVE Other FREEHOLD, NJ 07728 Human Services Medical Assistance (Medicaid)

WELLS, CHRISTOPHER W., R.PH. Medical Debarment 10/01/07 WARRENS WAY Other WANAQUE, NJ 07645 Human Services Medical Assistance (Medicaid)

WERTHEIM, HOWARD, RPH Medical Suspension 12/20/04 19 KNOB HILL ROAD Other HACKETTSTOWN, NJ 07840 Human Services Medical Assistance (Medicaid)

WERTHEIM, MARC DDS Medical Disqualification 01/20/13 80 E. JOSEPH STREET Criminal Offense MOONACHIE, NJ 07074 054 0018

WERTHEIM, MARC Medical Debarment 08/25/09 24 MERCHANTS WAY P.O. BOX Criminal Offense COLTS NECK, NJ 07722 Human Services Medical Assistance (Medicaid)

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. WESHNAK, NADIA, RN/LPN Medical Suspension 10/20/02 382 WOODLAKE MANOR DR. Other LAKEWOOD, NJ 08701-3745 Human Services Medical Assistance (Medicaid)

WESLEY, JOSEPH, W., MD Medical Disqualification 06/19/02 246 N FRANKLIN TPK Other RAMSEY, NJ 07446 Human Services Medical Assistance (Medicaid)

WESLEY, NUEDAH Medical Debarment 05/28/13 10 ROANOKE COURT Criminal Offense WILLINGBORO, NJ 08046 054 0018

WESTON, MARC, OD Medical Disqualification 06/01/93 Permanent 16 BARNETT RD Industry Law LAWRENCEVILLE, NJ 08648 Violation Human Services Medical Assistance (Medicaid)

WHITE, PHAEDRA J., RN Medical Debarment 11/20/08 Permanent 1107 N SALINA ST. #2 Criminal Offense SYRACUSE, NY 132082 054 0018

WHITE, WENDELL, CNA Medical Debarment 10/25/03 106B CHAUCER ROAD Other MOUNT LAUREL, NJ 08054 Human Services Medical Assistance (Medicaid)

WHITEMAN, GERALD J, D.D.S. Medical Disqualification 01/05/07 RIVERGATE WAY Other LONG BRANCH, NJ 07740-7800 Human Services Medical Assistance (Medicaid)

WHITEMORE, SHARON T. Medical Debarment 09/19/02 Permanent 51 DOVER ST., 2ND FLOOR Other NEWARK, NJ 07106 Human Services Medical Assistance (Medicaid)

WHITMORE, SHARON T. Medical Disqualification 08/15/05 51 DOVER STREET 2ND FLOOR Other NEWARK, NJ 07106 Human Services Medical Assistance (Medicaid)

WHITNEY, MARIS PHARMACIST AKA Medical Suspension 08/20/06 MARIS WERBIN Other 126 RIVER DRIVE Human Services LAKE HIAWATHA, NJ 07034 Medical Assistance (Medicaid)

WIKLINSKI, STEPHEN L, DC Medical Suspension 10/18/01 C/O DEWOLF ROAD Other

WILDER, SUSAN Construction Debarment 08/05/13 08/14/16 101 LOOKOUT PASS Wage & Hour STORMVILLE, NY 12585 Violation 062 Workplace Standards

WILKINSON, PHYLLIS Medical Suspension 09/20/06 8 WINDING RIDGE COURT Other NEPTUNE, NJ 07753 Human Services Medical Assistance (Medicaid)

WILLER, MAURICE M.D. Medical Debarment 11/06/00 Permanent 631 NYE AVENUE Other IRVINGTON, NJ 07111 Human Services Medical Assistance (Medicaid)

WILLIAMS, AMY, C.N.A. Medical Debarment 07/15/04 1126 COLLINS ROAD Other CAMDEN, NJ 08104 Human Services Medical Assistance (Medicaid)

WILLIAMS, ARNISSA Medical Disqualification 03/25/06 Permanent 256 1/2 SOUTH 19TH STREET Other NEWARK, , NJ 07103 Human Services Medical Assistance (Medicaid)

WILLIAMS, BEATRICE, CNA Medical Disqualification 04/22/02 37 VIVIAN COURT Other HOWELL, NJ 07731 Human Services Medical Assistance (Medicaid)

WILLIAMS, CRAIG Medical Suspension 01/18/07 175 CROSS KEYS ROAD Other BERLIN, NJ 08009 Human Services Medical Assistance (Medicaid)

WILLIAMS, HELIEN Medical Disqualification 08/26/13 29 STRATFORD PLACE, APT2F Criminal Offense NEWARK, NJ 07104 054 0018

WILLIAMS, OTIS A., MD Medical Suspension 02/02/99 Permanent 293 CLASSON AV., APT. 2R Other BROOKLYN, NY 11205 054 Medical Assistance (Medicaid)

WILLIAMS, OTIS JR, M.D. Medical Suspension 07/27/98 Permanent 106 W. PALISADE AV STE201 Other ENGLEWOOD, NJ 07631 054 Medical Assistance

WILLIAMS, VINETTA, CNA Medical Suspension 08/20/06 418 SASSAFRAS STREET Other MILLVILLE, NJ 08360 Human Services Medical Assistance (Medicaid)

WILLIAMS-KLENA, JOAN Medical Disqualification 06/17/87 Permanent 103 KOMORN ST Criminal Offense NEWARK, NJ 07105 054 Medical Assistance (Medicaid)

WILLIAMSON, HELEN Medical Suspension 02/20/08 41 ATLANTIC AVENUE Other MANAHAWKIN, NJ 08050 Human Services Medical Assistance (Medicaid)

WILSHIRE, GILBERT, MD Medical Debarment 12/03/99 Permanent 1120 ROUTE 22 E Other BRIDGEWATER, NJ 08807 Human Services Medical Assistance (Medicaid)

WILSON, EVELYN Medical Disqualification 08/15/07 209 W. HUDSON AVENUE Other ENGLEWOOD, NJ 07631 Human Services Medical Assistance (Medicaid)

WILSON, FRANKIE M. III Medical Debarment 11/24/07 395 NORTH GROVE STREET Other EAST ORANGE, NJ 07017 Human Services Medical Assistance (Medicaid)

WILSON, TASHA Medical Disqualification 01/06/06 124 YORK ST., APT.64 Other SALEM, NJ 08079 Human Services Medical Assistance (Medicaid)

WINTHER-GALIMORE, BETHANY Medical Disqualification 09/20/11 ANNE Criminal Offense 40 BROADWAY AVENUE 054 CAMDENTON, MO 65020-6816 0018

WISCH, GLENN R., DMD Medical Disqualification 04/29/96 Permanent 6-05 SADDLE RIVER ROAD Other FAIRLAWN, NJ 07410 Human Services Medical Assistance (Medicaid)

WITEK, JOSEPH T., JR M.D. Medical Debarment 10/17/00 Permanent 3625 AVENIDA MADEIRA Other BRADENTON, FL 34210 Human Services Medical Assistance (Medicaid)

WITHINGTON, PAMELA, R.N. Medical Suspension 06/20/05 5 CHERRYVILLE ROAD Other FLEMINGTON, NJ 08822 Human Services Medical Assistance (Medicaid)

WOLF, JEFFREY A., DPM Medical Disqualification 10/14/97 Permanent 1100 CLIFTON AVENUE Other CLIFTON, NJ 07103 054 Medical Assistance (Medicaid)

WOLFSON, STANLEY, MD Medical Suspension 04/19/01 5 CLUBWAY LANE Other HARTSDALE, NY 10530 Human Services Medical Assistance (Medicaid)

WOLLMAN, ROBERT D.D.S. Medical Disqualification 11/06/87 Permanent 461 CENTRAL AVENUE Industry Law JERSEY CITY, NJ 07307 Violation 054 Medical Assistance (Medicaid)

WOOD, FAYE, W., HHA Medical Disqualification 09/25/02 33 WHITE OAK DRIVE Other PRINCETON, NJ 08540 Human Services Medical Assistance (Medicaid)

WOODS, ROBERT (PRESIDENT) Construction Debarment 01/15/13 01/14/16 6384 TOLLGATE ROAD Wage & Hour ZIONVILLE, PA 18092 Violation 062 Workplace Standards

WOODSON JUSTICE BASSEY Medical Disqualification 09/13/13 32 DAYTON STREET 1B Other NEWARK, NJ 07114 054 0018

WOODSON, BASSEY JUSTICE Medical Disqualification 08/01/13 32 DAYTON STREET APT. B1 Criminal Offense NEWARK, NJ 07114 054 0018

WOZUNK, GEORGE Medical Suspension 03/10/00 1029 E. PARK AVENUE Other VINELAND, NJ 08360 Human Services Medical Assistance (Medicaid)

WRIGHT, KIMBERLY, A., RN Medical Suspension 10/20/02 27 GLENSIDE AVENUE Other SUMMIT, NJ 07901-3331 Human Services Medical Assistance (Medicaid)

WRIGHT, LYNN I. Medical Suspension 08/17/08 84 PENN STREET Other Human Services http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. BRIDGETON, NJ 08090 Medical Assistance (Medicaid)

WRIGHT, SALLY, A. Medical Debarment 09/19/11 GLEN RAY ROAD BOX A Criminal Offense ALDERSON, WV 24910 054 0018

WRIGHT, SHELLY L. Medical Disqualification 09/23/07 MURTLAND STREET Other SPRINGDALE, PA 15144 Human Services Medical Assistance (Medicaid)

WRIGHT, SHONEYEH Medical Debarment 10/05/07 CLINTON AVENUE Criminal Offense IRVINGTON, NJ 07111 Human Services Medical Assistance (Medicaid)

WYLIE, JOHN, D., RP Medical Suspension 07/20/04 7306 WOODVIEW WAY Other MALVERN, PA 19355 Human Services Medical Assistance (Medicaid)

YAEGER, CHARLES Medical Disqualification 06/05/08 BARKALOW AVENUE Criminal Offense FREEHOLD, NJ 07728 Human Services Medical Assistance (Medicaid)

YAEGER, HOPE W., R.N. Medical Suspension 08/20/01 1316 S. 10TH ST, APT. 2 Other ALLENTOWN, PA 18103 Human Services Medical Assistance (Medicaid)

YALE, DONNA APPEL, LPN Medical Suspension 09/20/00 49 ANGEL INN TRAILER CRT Other FARMINGDALE, NJ 07727 Human Services Medical Assistance (Medicaid)

YAW, GAYFORD Medical Suspension 05/20/08 504 STEVENS ROAD Other LANDING, NJ 07050 Human Services Medical Assistance (Medicaid)

YAW, GAYFORD, A. Medical Disqualification 09/24/08 504 STEVENS ROAD Other LANDING, NJ 07850-1206 Human Services Medical Assistance (Medicaid)

YELCICK, JOHN MD Medical Debarment 07/28/14 635 WILLOW GREEN Other LITITZ, PA 17543-8369 054 0018 http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library.

YOON, TOL-UNG, M.D. Medical Disqualification 12/01/98 Permanent 9 MALAGA DRIVE Other BRIDGETON, NJ 08302 Human Services Medical Assistance (Medicaid)

YOUNGER, ANTHONY Medical Debarment 10/15/08 65 MAIDEN LANE Other LITTLE FERRY , NJ 07643 054 0018

YUHASZ, ANTONENE, PRESIDENT Construction Debarment 02/19/13 02/18/16 4 GRANT DRIVE Wage & Hour CREAM RIDGE, NJ 08514 Violation 062 Workplace Standards

YUHASZ, JAMES, VICE PRESIDENT Construction Debarment 02/19/13 02/18/16 4 GRANT DRIVE Wage & Hour CREAM RIDGE, NJ 08514 Violation 062 Workplace Standards

YULE, ROBERT, C., RN Medical Suspension 09/19/03 323 FLORENCE ROAD Other MIDDLETOWN, NJ 07748 Human Services Medical Assistance (Medicaid)

YUNATANOV, STEVE, DDS Medical Suspension 07/20/20 83-83 118 TH STREET Other KEW GARDENS, NY 11415 Human Services Medical Assistance (Medicaid)

ZAMLOOT, PHILIP Medical Suspension 07/20/05 150 PARK ROW Other NEW YORK, NY 10007 Human Services Medical Assistance (Medicaid)

ZAMPROGNO, MAGDA Construction Debarment 10/17/13 10/16/16 65-67 7TH AVE EAST Wage & Hour NEWARK, NJ 07104 Violation 062 Workplace Standards

ZAWAHIR, MEEYAPILLAI Medical Suspension 09/20/06 91 KNICKERBOCKER ROAD Other TENAGLY, NJ 07670 Human Services Medical Assistance (Medicaid)

ZELTSAR, LAZAR Medical Suspension 06/22/98 2333 MORRIS AVENUE Other UNION, NJ 07083 Human Services Medical Assistance (Medicaid)

ZELTSER, RAISA, OFF. MGR. Medical Suspension 09/14/00 6 PLEASANT VALLEY WAY Criminal Offense WEST ORANGE, NJ 07079 Human Services

ZIELONKA, IWONA, V-PRES. Construction Debarment 08/10/12 08/09/15 30 CAROLYN CT. Wage & Hour E. HANOVER, NJ 07936 Violation 062 Workplace Standards

ZIELONKA, MARIUSZ, PRESIDENT Construction Debarment 08/10/12 08/09/15 30 CAROLYM CT. Wage & Hour E. HANOVER, NJ 07936 Violation 062 Workplace Standards

ZIHALA, TERESA, RN Medical Suspension 09/19/03 148 MAIN STREET Other SPOTSWOOD, NJ 08884 Human Services Medical Assistance (Medicaid)

ZIMMERMAN, DANIEL J., MD Medical Debarment 12/07/99 09/05/12 51 ROCKLEDGE ROAD Other HAWTHORNE, NJ 07506 054 Medical Assistance (Medicaid)

ZIMMERMANN, CHRISTOPHER, Construction Debarment 02/12/13 02/11/16 PRESIDENT Wage & Hour 2303 OWEN COURT Violation 062 TOMS RIVER, NJ 08755 Workplace Standards

ZOHAK, KAREN Construction Debarment 05/16/14 05/15/17 210 ORANGE AVENUE Wage & Hour CRANFORD, NJ 07016 Violation 062 Workplace Standards

ZUBERI, REHAN Medical Debarment 02/18/99 11/17/11 144-09 LABURNUM AVENUE Criminal Offense FLSHING, NY 11355 054 Medical Assistance (Medicaid)

ZUCKERMAN, DAVID H, DPM Medical Disqualification 09/20/12 1803 COUNTRY CLUB DRIVE Other CHERRY HILL, NJ 08003 054 0018

ZUCKERMAN, DAVID H., DPM Medical Debarment 01/15/12 341 S. EVERGREEN AVENUE Other WOODBURY, NJ 08096-2715 054 0018

2258 PHARMACY, INC. Medical Suspension 07/20/03 2258 THIRD AVE. Other NEW YORK, NY 10035 Human Services Medical Assistance (Medicaid)

20802249400 Construction Debarment 05/30/13 05/29/16 4 S LOGGING & LUMBER CO. Wage & Hour 130 SHEELEY ROAD EXT. Violation 062 http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. KERSEY, PA 15846 Workplace Standards

6522 VENTNOR AVE., INC. Medical Disqualification Permanent 6522 VENTNOR AVE. Criminal Offense VENTNOR, NJ 08406 Human Services Medical Assistance (Medicaid)

A & B INVALID COACH Medical Disqualification 05/21/02 Permanent 655 AMBOY AVENUE Other WOODBRIDGE, NJ 07095 Human Services Medical Assistance SOYFER, ALEX, PRESIDENT (Medicaid) 655 AMBOY AVENUE WOODBRIDGE, NJ 07095

03044196600 Construction Debarment 05/28/14 05/27/17 A & H CONTRACTING, INC. Wage & Hour 33 EASTWOOD BLVD. Violation 062 MANALAPAN, NJ 07726 Workplace Standards

A & H MEDICAL TRANSPORT. Medical Disqualification 04/12/94 Permanent P. O. BOX 8332 Criminal Offense JERSEY CITY, NJ 07308 054 Medical Assistance MOHAMED, HASHIM H. (Medicaid)

27122292300 Construction Debarment 11/16/12 11/15/15 A & M REMODJELING Wage & Hour 10017 JEANS STREET Violation 062 PHILADELPHIA, PA 19116 Workplace Standards

A&B INVALID COACH, INC. Medical Suspension 12/20/01 1903 MADALINE DRIVE Other AVENEL, NJ 07001 Human Services Medical Assistance BOGUSLAVSKIY, OWNER (Medicaid) 1903 MADALINE DRIVE AVENEL, NJ 07001

22358053800 Construction Debarment 08/19/13 08/18/16 A.J. SKORA, INC. Wage & Hour 1982 ROUTE 9 Violation 062 TOMS RIVER, NJ 08753 Workplace Standards

45532092200 Construction Debarment 11/27/13 11/26/16 AB CONTRACTING & DEVELOP. LLC Wage & Hour 191 CENTRAL AVE, 2ND FL Violation 062 NEWARK, NJ 07102 Workplace Standards

ABOODS MEDICAL LIVERY Medical Disqualification 05/22/94 Permanent 64 BEVAN STREET Other JERSEY CITY, NJ 07306 Human Services Medical Assistance http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. (Medicaid)

20209853300 Construction Debarment 06/14/11 06/13/14 ABOVE THE REST GLASS, LLC Wage & Hour 2345 ROUTE 9, UNIT 3 Violation 062 TOMS RIVER, NJ 08755 Workplace Standards

ABSOLUTE TRANS. & LIMO. Medical Disqualification 07/01/02 Permanent NORTHERN STATE PRISON Other NEWARK, NJ 07114 Human Services Medical Assistance RAZIQ, RAFIK (Medicaid) NORTHERN STATE PRISON NEWARK, NJ 07115

26207717200 Construction Debarment 02/12/13 02/11/16 ACC CONSTRUCTION, LLC Wage & Hour 2303 OWEN COURT Violation 062 TOMS RIVER, NJ 08755 Workplace Standards

27024500400 Construction Debarment 05/22/13 05/21/16 ACC CONTRACTORS CORP. Wage & Hour 105 11TH STREET Violation 062 HOBOKEN, NJ 07030 Workplace Standards

ACOPIAN CORPORATION Construction Disqualification 06/01/93 Permanent P O BOX 638 Poor Performance EASTON, PA 18042 Transportation NJ Turnpike Authority SKOPAL THOMAS P O BOX 638 EASTON, PA 18042

ADAMS BOOTERY Medical Disqualification 01/09/83 Permanent 502 WASHINGTON STREET Criminal Offense HOBOKEN, NJ 07030 Human Services Medical Assistance JANOF, ROY (Medicaid) 502 WASHINGTON STREET HOBOKEN, NJ 07030

ADVANCED OPTICAL CENTER Medical Debarment 02/28/00 Permanent 168 HAMILTON AVENUE Other TRENTON, NJ 08609 Human Services Medical Assistance SHARMA, YOGENDRA P. (Medicaid) 17 VAHLSING WAY ROBBINSVILLE, NJ 08691

26339993500 Construction Debarment 01/15/13 01/14/16 ADVANCED SPRAY TECHNOLOGY Wage & Hour 6384 TOLLGATE ROAD Violation 062 ZIONVILLE, PA 18092 Workplace Standards

27317119100 Construction Debarment 04/22/14 04/21/17

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. ALL COUNTY PIPELINE & SITE Wage & Hour EXCAVATION, LLC Violation 062 164 BALL AVENUE Workplace Standards PARSIPPANY, NJ 07054

ALLCARE INC Medical Disqualification 06/01/93 Permanent 60-64 NORTH AVENUE Criminal Offense GARWOOD, NJ 07027 Human Services Medical Assistance CHAIKEN, BARBARA (Medicaid) 419 OTISCO DRIVE WESTFIELD, NJ 07090

ALLIED CLINICAL LAB, INC. Medical Disqualification 06/18/97 Permanent 5199 S. GREEN STREET Other SALT LAKE CITY, UT 84123 Human Services Medical Assistance (Medicaid)

ALLIED CLINICAL LAB., INC Medical Disqualification 06/18/97 Permanent 863 MCCALLIE AVE. Other CHATTANOOGA, TN Human Services Medical Assistance (Medicaid)

27462352700 Construction Debarment 10/22/13 10/21/16 ALLIED CONSTRUCTION, LLC Wage & Hour 110 KRESSON-GIBBSBORO RD. Violation 062 VOORHEES TWP., NJ 08043 Workplace Standards

22326229000 Construction Debarment 01/09/12 01/08/15 ALLLURE GENERAL CONTRACTING, Wage & Hour INC. Violation 062 203 PATERSON AVENUE Workplace Standards WALLINGTON, NJ 07057

ALLSTATE AMBULANCE CORP Medical Disqualification Permanent PO BOX 1011 Poor Performance UNION, NJ 07083 Human Services Medical Assistance (Medicaid)

22387229000 Construction Debarment 01/19/12 01/18/15 ALLURE GENERAL CONTRACTING, Wage & Hour INC. Violation 062 203 PATERSON AVENUE Workplace Standards WALLINGTON, NJ 07057

ALPERIN PEDIATRICS, PA Medical Debarment 06/19/00 Permanent 28 RIVERSIDE AVENUE Other RED BANK, NJ 07701 Human Services Medical Assistance ALPERIN, MARTIN, M.D. (Medicaid) 28 RIVERSIDE AVENUE RED BANK, NJ 07701

Medical Disqualification Permanent http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. AMBU-COACH AMBULANCE CO 558 ANDERSON AVENUE Industry Law CLIFFSIDE PARK, NJ 07010 Violation Human Services Medical Assistance SATCHER WILLIAM PRESIDENT (Medicaid) 558 ANDERSON AVENUE CLIFFSIDE PARK, NJ 07010

10596837000 Construction Debarment 08/05/13 08/04/16 AMC INDUSTRIES, LLC Wage & Hour PO BOX 760 Violation 062 HOLMDELL, NJ 07733 Workplace Standards

22383253000 Construction Debarment 10/02/12 10/01/15 AMERICAN AIR SYSTEMS GROUP Wage & Hour 10 FRANKLIN AVENUE Violation 062 EDISON, NJ 08837 Workplace Standards

AMERICAN MED. TECH. INC. Medical Suspension 04/14/99 Permanent 1072 MADISON AVENUE Other LAKEWOOD, NJ 08701 Human Services Medical Assistance (Medicaid)

AMERICAN MEDICAL SVCS. PC Medical Disqualification 06/03/97 Permanent 1 ALPHA AVENUE Criminal Offense VOORHEES, NJ 08043 054 Medical Assistance BRIGHAM, STEVEN C. (Medicaid) 1 ALPHA AVENUE VOORHEES, NJ 08043

22306911800 Construction Debarment 07/09/14 07/08/17 AMERICAN WELDING SERVICES Wage & Hour 1041 GLASSBORO RD. D-2 Violation 062 WILLIAMSTOWN, NJ 08094 Workplace Standards

26387991100 Construction Debarment 02/07/13 02/06/16 ANCHORAGE CONSTRUCTION CORP. Wage & Hour 516 INDUSTRIAL LOOP ST. Violation 062 STATEN ISLAND, NY 10309 Workplace Standards

13762701600 Construction Debarment 09/17/12 09/16/15 ANEW FENCE & RAILINGS Wage & Hour 292 CHURCH STREET Violation 062 ABERDEEN, NJ 07747 Workplace Standards

11347716000 Construction Debarment 08/27/13 08/26/16 ARTCO CONTRACTING & Wage & Hour DEVELOPMENT Violation 062 35 ELMWOOD AVE, UNIT 2B Workplace Standards UNION, NJ 07083

ARTHUR BOHRER, INC. Vendor Suspension 09/17/00 13796 RIVOLI DRIVE Criminal Offense Treasury

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. W. PALM BEACH, FL 33410 Treasury Purchase Bureau BOHRER, ARTHUR 13796 RIVOLI DRIVE W. PALM BEACH, FL 33410

ATA MEDICAL TRANSPORTATIO Medical Debarment 01/29/01 Permanent 125 HALF MILE RD, BOX 190 Other MIDDLETOWN, NJ 07748 Human Services Medical Assistance IBRAHIM, ELHADI, PRESIDEN (Medicaid) 125 HALF MILE RD, BOX 190 MIDDLETOWN, NJ 07748

AVON PHARMACY Medical Suspension 02/05/03 300 MAIN STREET Criminal Offense AVON, NJ 07717 Human Services Medical Assistance (Medicaid)

26145601200 Construction Debarment 12/02/13 12/01/16 B & B ATLANTIC, LLC Wage & Hour 526 SHERIDAN AVE. Violation 062 ROSELLE, NJ 07203 Workplace Standards

BARRETTI CARTING CORP. Vendor Suspension 01/09/96 466 BLOOMFIELD AVENUE Organized Crime NEWARK, NJ 07107 Control Act Treasury Treasury Purchase Bureau BARRETTI, PHILIP, SR. 466 BLOOMFIELD AVENUE NEWARK, NJ 07107

BARTOB PHARMACY Medical Suspension 06/19/03 Permanent 1375 RIVER RD Other EDGEWATER, NJ 07020 Human Services Medical Assistance TOBACK, BARRY, RP (Medicaid) 1375 RIVER RD. EDGEWATER, NJ 07020

27115721000 Construction Debarment 08/05/13 08/04/16 BCA TRUCKING, LLC Wage & Hour PO BOX 5806 Violation 062 NEWARK, NJ 07105 Workplace Standards

BECHI CONTRACTING, LLC (EBA Construction Debarment 03/26/13 03/25/16 PAINTERS) Wage & Hour 549 SUMMIT AVENUE Violation 062 MAPLEWOOD, NJ 07040 Workplace Standards

22254814400 Construction Debarment 01/06/14 01/05/17 BECKETT ENTERPRISES, INC. Wage & Hour PO BOX 334 Violation 062 MALAGA, NJ 08328 Workplace Standards

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. BELMAR HOMETOWN PHARMACY Medical Suspension 02/05/03 911 MAIN STREET Criminal Offense BELMAR, NJ 07719 Human Services Medical Assistance (Medicaid)

12170056100 Medical Disqualification 09/15/08 BETHEL PHARMACY Criminal Offense 301 OSBORNE TERRACE Human Services NEWARK, NJ 07112 Medical Assistance (Medicaid) SALAMI, ADEMOLA T. HARVARD AVENUE HILLSIDE, NJ 07205

22290370100 Construction Debarment 11/25/11 11/24/14 BIG DADDY CONST T/A BROS. Wage & Hour PAVING & EXCAV. Violation 062 35 LOWER MATCHAPONIX ROAD Workplace Standards MONROE TWP., NJ 08831-1443

BIO-SCIENCE LAB., INC. Medical Debarment 03/20/00 Permanent 1000 WOODBRIDGE CTR ST140 Other WOODBRIDGE, NJ 07095 Human Services Medical Assistance (Medicaid)

BLOOMFIELD PHARMACY, INC. Medical Disqualification 11/18/98 Permanent 154 BLOOMFIELD AVENUE Criminal Offense NEWARK, NJ 07104 Human Services Medical Assistance NWANKWO, FESTUS, R.P. (Medicaid) 154 BLOOMFIELD AVENUE NEWARK, NJ 07104

20092933400 Construction Debarment 01/07/14 01/06/17 BLUE SKIES ELECTRIC, LLC Wage & Hour 326 COLES MILL ROAD Violation 062 WILLIAMSTOWN, NJ 08094 Workplace Standards

BP ENTERPRISES, INC. Construction Debarment 01/14/13 01/13/16 408 WEST 129TH ST., APT. Wage & Hour NEW YORK, NY 10027 Violation 062 Workplace Standards

BRACEWORKS PROF ORTHODONT Medical Suspension 08/20/03 288 HIGHWAY 35 SOUTH Other EATONTOWN, NJ 07724 Human Services Medical Assistance (Medicaid)

BROADWAY MEDICAL GROUP Medical Disqualification Permanent 227 BROADWAY Criminal Offense PATERSON, NJ 07501 Human Services Medical Assistance (Medicaid)

BROOKMAN, HAVEY W., MD Medical Disqualification 04/13/95 Permanent http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. 301 OXFORD VALLEY ROAD Criminal Offense YARDLEY, PA 19067 Human Services Medical Assistance (Medicaid)

BROTHERS PHARMACY, INC. Medical Suspension 12/16/98 687 FRELINGHUYSEN AVE Other NEWARK, NJ 07114 Human Services Medical Assistance KHAN, AZAM (Medicaid) 687 FRELINGHUYSEN AVE NEWARK, NJ 07114

22339210300 Construction Debarment 01/03/13 01/02/16 BUCKLER ASSOCIATES, INC. Wage & Hour 182 WYCOFF WAY WEST Violation 062 EAST BRUNSWICK, NJ 08816 Workplace Standards

22358227900 Construction Debarment 08/29/11 08/28/14 C.O.D. INDUSTRIES, INC. Wage & Hour 21 UNION STREET #2 Violation 062 LODI, NJ 07644 Workplace Standards

CALVIN'S FLOOR SERVICE AKA Construction Debarment 06/12/13 06/11/16 CALVIN'S CARPET SERVICE Wage & Hour 126 WINDING RIDGE ROAD Violation 062 DOVER, DE 19904 Workplace Standards

CARE-A-CAN WEST, INC. Medical Suspension 11/16/98 5 ROANOKE AVENUE Criminal Offense ROCKAWAY, NJ 07866 Human Services Medical Assistance STRASSMAN, ALLAN, V-P (Medicaid) 5 ROANOKE AVENUE ROCKAWAY, NJ 07866

CARE-A-VAN WEST, INC. Medical Suspension 03/05/98 454 PROSPECT AVE., #22 Criminal Offense WEST ORANGE, NJ 07052 Human Services Medical Assistance STRASSMAN, WAYNE, PRES. (Medicaid) 454 PROSPECT AVE., #22 WEST ORANGE, NJ 07052

CARE-A-VAN, INC. Medical Suspension 03/16/98 Permanent 120 S. 20TH STREET Criminal Offense IRVINGTON, NJ 07111 054 Medical Assistance JONES, ANTOINETTE (Medicaid) 120 S. 20TH STREET IRVINGTON, NJ 07111

CARE-A-VAN, INC. Medical Suspension 03/16/95 120 SOUTH 20TH STREET Criminal Offense IRVINGTON, NJ 07111 Human Services Medical Assistance

46270173000 Construction Debarment 04/23/14 04/22/17 CASIO DRYWALL CORPORATION Wage & Hour 644 EAST 2ND STREET Violation 062 PLAINFIELD, NJ 07060 Workplace Standards

CENTRAL DIAGNOSTICS LAB Medical Disqualification Permanent 256 SMITH STREET Industry Law PERTH AMBOY, NJ 08861 Violation Human Services Medical Assistance (Medicaid)

CENTRAL JERSEY MENTAL CTR Medical Disqualification Permanent 525 PARK AVENUE Criminal Offense PLAINFIELD, NJ 07067 Human Services Medical Assistance (Medicaid)

27241599600 Construction Debarment 07/25/13 07/24/16 CENTURION COMPANIES, INC. Wage & Hour 795 SUSQUEHANNA AVE. Violation 062 FRANKLIN LAKES, NJ 07417 Workplace Standards

POPPE, GLEN P. 795 SUSQUEHANNA AVE FRANKLIN LAKES, NJ 07417

22355993100 Construction Debarment 02/11/13 02/10/16 CGT CONSTRUCTION Wage & Hour 10 FRANKLIN ST. Violation 062 EDISON, NJ 08837 Workplace Standards

26319235000 Construction Debarment 11/21/13 11/20/16 CHALMERS CONSTRUCTION, LLC Wage & Hour 435 MINNISINK ROAD Violation 062 TOTOWA, NJ 07512 Workplace Standards

CHUCKNARD HOLDINGS, INC. Medical Disqualification 01/31/00 Permanent 676 PARK AVE., BLDG. 14B Criminal Offense EAST ORANGE, NJ 07017 Human Services Medical Assistance OTI, CHUCK B. (Medicaid) 676 PARK AVE., BLDG. 14B EAST ORANGE, NJ 07017

CITADEL ENVIRONMENTAL Construction Debarment 01/15/13 01/14/16 CONSULTANTS Wage & Hour 1 CENTER CIRCLE Violation 062 WOODBRIDGE, NJ 07095 Workplace Standards

CITILAB CORPORATION Medical Suspension 12/01/98 333 NORTH BROAD STREET Other ELIZABETH, NJ 07028 Human Services http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. Medical Assistance (Medicaid)

CITILAB CORPORATION Medical Suspension 07/21/97 333 NORTH BROAD STREET Other ELIZABETH, NJ 07028 Human Services Medical Assistance CHAUDHRY, YASMIN, OWNER (Medicaid) 333 NORTH BROAD STREET ELIZABETH, NJ 07028

CITILAB CORPORATION Medical Suspension 07/21/97 333 NORTH BROAD STREET Other ELIZABETH, NJ 07028 Human Services Medical Assistance TAFT,ARNOLD,PHD, LAB DIR. (Medicaid) 333 NORTH BROAD STREET ELIZABETH, NJ 07028

26236284300 Construction Debarment 08/04/14 08/03/17 CITYLINE CONTRACTING, INC. Wage & Hour 556 HUMBULT STREET Violation 062 BROOKLYN, NY 11222 Workplace Standards

20495947500 Construction Debarment 06/24/11 06/23/14 CL MANAGEMENT Wage & Hour 230 8TH AVENUE Violation 062 COLLEGEVILLE, PA 19426 Workplace Standards

CLAYTON EMER. TRANS. CORP Medical Suspension 02/19/04 13 EAST PINE ST. 13D Other WESTVIEW, NJ 08093 Human Services Medical Assistance DIGIORGIO, DAWN, OWNER (Medicaid) 13 EAST PINE ST. 13D WESTVIEW, NJ 08093

CLIFTON FAMILY PHARMACY Medical Suspension 05/30/00 1137 MAIN AVENUE Criminal Offense CLIFTON, NJ 07011 Human Services Medical Assistance ALY, WAEL (Medicaid) 1137 MAIN AVENUE CLIFTON, NJ 07011

CLIN-MED LABORATORIES INC Medical Suspension 03/28/00 12/12/07 40 GALESI DRIVE Criminal Offense WAYNE, NJ 07470 054 Medical Assistance PATEL, CHANDRAKANT, PRES. (Medicaid) 40 GALESI DRIVE WAYNE, NJ 07470

CLIN-PATH LABORATORY, INC Medical Disqualification 06/04/97 Permanent 626 N. 38TH STREET Other Human Services http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. BELLEVILLE, IL 62223 Medical Assistance (Medicaid)

22326280000 Construction Debarment 01/09/12 01/08/15 COMMERCIAL FLOORING CENTER OF Wage & Hour NJ Violation 062 PO BOX 1033 Workplace Standards WEST CALDWELL, NJ 07007

COMPACTION SYS. OF CONN. Vendor Suspension 12/26/96 1200 OAK POINT AVENUE Organized Crime BRONX, NY 10474 Control Act Treasury Treasury Purchase Bureau VILLANI, BENNY 51 EAGLE RIM ROAD UPPER SADDLE RV, NJ 07458

COMPACTION SYSTEMS CORP. Vendor Suspension 12/26/96 1200 OAK POINT AVENUE Organized Crime BRONX, NY 10474 Control Act Treasury Treasury Purchase Bureau VILLANI, BENNY 51 EAGLE RIM ROAD UPPER SADDLE RI, NJ 07458

COOPER ST PSYCHIATRIC GRP Medical Disqualification Permanent 301 COOPER STREET Criminal Offense CAMDEN, NJ 08102 Human Services Medical Assistance (Medicaid)

22364135400 Construction Debarment 06/26/13 06/25/16 COPLEN MANAGEMENT, INC. Wage & Hour 828 HIGHLAND AVENUE Violation 062 PARAMUS, NJ 07652 Workplace Standards

27330838400 Construction Debarment 08/09/13 08/08/16 CRC GENERAL CONSTRUCTORS, INC. Wage & Hour 137 1/2 WASHINGTON AVE Violation 062 BELLEVILLE, NJ 07109 Workplace Standards

CRESCENT EXPRESS Medical Disqualification 03/11/04 24 BRANFORD PLACE Other NEWARK, NJ 07102 Human Services Medical Assistance ALY, ABUBAKR (Medicaid) 24 BRANFORD PLACE NEWARK, NJ 07102

27375640300 Construction Debarment 05/11/14 05/10/17 CRIDER AMERICAS SOLAR, LLC Wage & Hour 6063 FM 535 CEDAR CREEK Violation 062 WILLIAMSON, TX 78612 Workplace Standards

27094117600 Construction Debarment 01/09/12 01/08/15

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. CSI GREEN, INC. Wage & Hour PO BOX 66 Violation 062 SCOTCH PLAINS, NJ 07076 Workplace Standards

CUSTOM SHOE SERVICE Medical Disqualification 08/04/97 Permanent 218 HALSEY STREET Other NEWARK, NJ 07102 Human Services Medical Assistance PROSKUROVSKY, BORIS (Medicaid) 218 HALSEY STREET NEWARK, NJ 07102

D & B PARTNERS, LLC Construction Debarment 08/09/13 08/08/16 89 JEANNE COURT Wage & Hour STAMFORD, CT 06905 Violation 062 Workplace Standards

28021285000 Medical Disqualification 03/11/85 Permanent D'AMICO PHARMACY INC Criminal Offense 91 OTTOWA RD SOUTH Human Services MARLBORO, NJ 08817 Medical Assistance (Medicaid) D'AMICO, DENNIS, RP 91 OTTOWA RD SOUTH MARLBORO, NJ 08817

26128257100 Construction Debarment 02/08/12 02/07/15 D. SIMONETTI, INC. Wage & Hour 35 HAYES STREET Violation 062 ELMSFORD, NY 10523 Workplace Standards

22353806300 Construction Debarment 02/07/12 02/06/15 DEAN DEVELOPMENT, INC. Wage & Hour ONE NORTH RHODA STREET Violation 062 MONROE TWP, NJ 08831 Workplace Standards

DELPHI INVALID COACH Medical Disqualification 05/21/02 126 CORBIN AVENUE Other JERSEY CITY, NJ 07306 Human Services Medical Assistance ZAINELABDIN, AMID, OWNER (Medicaid) 126 CORBIN AVENUE JERSEY CITY, NJ 07306

DEMREX INDUSTRIAL SERVICES, INC. Construction Debarment 01/30/12 01/29/15 1300 INDUSTRIAL BLVD. #5 Wage & Hour SOUTHAMPTON, PA 18966 Violation 062 Workplace Standards

22379727700 Construction Debarment 08/19/11 08/18/14 DESIGN CONTRACTING Wage & Hour 349 JOHNSON AVENUE Violation 062 LAWRENCEVILLE, NJ 08648 Workplace Standards

DESIGNER IMPRESSIONS Construction Debarment 11/16/12 11/15/15 1002 TAUNTON AVENUE Wage & Hour http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. WEST BERLIN, NJ 08091 Violation 062 Workplace Standards

DIAMOND STATE WALL SYSTEMS, Construction Debarment 02/06/13 02/05/16 LLC Wage & Hour 1640 NIXON DR., STE. 285 Violation 062 MOORESTOWN, NJ 08057 Workplace Standards

DITA, INC. Medical Suspension 02/18/98 500 ORANGE STREET Other NEWARK, NJ 07104 Human Services Medical Assistance (Medicaid)

20272396600 Construction Debarment 04/03/14 04/02/17 DIVISION TEN INSTALLATIONS, LLC Wage & Hour 29 MONMOUTH RD Violation 062 MONROE, NJ 08831 Workplace Standards

DMH TRUCKING, INC. Construction Debarment 08/23/12 08/22/15 79 MYRTLE AVENUE Wage & Hour MICKELTON, NJ 08056 Violation 062 Workplace Standards

DONWAY MEDICAL TRANS. INC Medical Disqualification 12/01/98 Permanent 5 ROANOKE AVENUE Criminal Offense ROCKAWAY, NJ 07866 Human Services Medical Assistance FRIEDMAN, STRASSMAD, BARB (Medicaid) 5 ROANOKE AVENUE ROCKAWAY, NJ 07866

DOWNTOWN DENTAL CENTER PA Medical Disqualification 02/20/01 Permanent 1 WEST BROADWAY Other PATERSON, NJ 07505 Human Services Medical Assistance (Medicaid)

DRUG FAIR OF BAYONNE Medical Disqualification 06/01/93 Permanent 449 AVENUE C Criminal Offense BAYONNE, NY 10312 Human Services Medical Assistance GRAYSON, MURRAY A (Medicaid) 163 HAMPTON GREEN STATEN ISLAND, NJ 07002

EAST BROADWAY MEDIC. ASSO Medical Suspension 12/07/99 195 BROADWAY Criminal Offense PATERSON, NJ 07505 Human Services Medical Assistance HAIDER, MOHAMMED M, OWNER (Medicaid) 195 BROADWAY PATERSON, NJ 07505

EAST COMMERCIAL CONSTRUCTION Construction Debarment 07/30/12 07/29/15 111 PROSPECT ST., APT. 4F Wage & Hour WESTFIELD, NJ 07090 Violation 062 http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. Workplace Standards

27047129800 Construction Debarment 04/19/12 04/18/15 EASTERN AMERICAN RENOVATION Wage & Hour CORP. Violation 062 565 FAIRVIEW AVENUE Workplace Standards RIDGEWOOD, NJ 11385-1947

22329075300 Construction Debarment 12/11/12 10/10/15 EDIE TRUCKING, INC. Wage & Hour 8 PRINCE WILLIAM ROAD Violation 062 MORGANVILLE, NJ 07751 Workplace Standards

22260986300 Construction Debarment 03/26/13 03/25/16 EDWARD J. ALBERT & SON, INC. Wage & Hour 20 WILSON AVENUE Violation 062 EAST HANOVER, NJ 07936 Workplace Standards

45344020600 Construction Debarment 02/25/14 02/24/17 ELEVATOR MEDIC CORP. Wage & Hour 55 BROOKVIEW DRIVE Violation 062 WOODCLIFF LAKE, NJ 07677 Workplace Standards

46267127900 Construction Debarment 05/01/14 04/30/17 EMANUEL DRYWALL SERVICES, INC. Wage & Hour 64 GRANDVIEW AVENUE Violation 062 NO. PLAINFIELD, NJ 07060 Workplace Standards

EMPIRE STATE MED. SVC INC Medical Disqualification 11/10/99 Permanent 1116 ANNE STREET Other ELIZABETH, NJ 07201 Human Services Medical Assistance ABDALLA, IZZELDIN, DIREC. (Medicaid) 1116 ANNE STREET ELIZABETH, NJ 07201

EMPIRE STATE MEDICAL SVCS Medical Disqualification 11/10/99 Permanent 1116 ANNE STREET Other ELIZABETH, NJ 07201 Human Services Medical Assistance OMAR, HATEM (Medicaid) 1116 ANNE STREET ELIZABETH, NJ 07201

55087795500 Construction Debarment 05/16/14 05/15/17 ENVIROCARE ENTERPRISES, INC. Wage & Hour 358 BROADWAY, STE. 202 Violation 062 NEWARK, NJ 07104 Workplace Standards

ERNESTO CABALLERO, T/A A.E.C. Construction Debarment 06/14/11 06/13/14 DRYWALL Wage & Hour 83 WALNUT STREET, APT. 46 Violation 062 TOMS RIVER, NJ 08753 Workplace Standards

22230876200 Construction Debarment 11/04/13 11/03/16

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. ERWIN DEMARINO TRUCKING, INC. Wage & Hour 204 WYCKOFF AVENUE Violation 062 WALDWICK, NJ 07463 Workplace Standards

65122903900 Construction Debarment 05/31/13 05/30/16 ESTRADA & ROCA, LLC Wage & Hour 468 9TH STREET Violation 062 PALISADES PARK, NJ 07650 Workplace Standards

EURO CONSTRUCTION Construction Debarment 02/25/14 02/24/17 70 BORDENT'NCHESTER. RD Wage & Hour CHESTERFIELD, NJ 08022 Violation 062 Workplace Standards

F&L MEDICAL TRANS., INC. Medical Debarment 08/27/99 Permanent 1473 RIDGEWAY STREET Other UNION, NJ 07083 Human Services Medical Assistance GILLER, LEONID (Medicaid) 4 WOODFERN STREET EDISON, NJ 08820

F&L MEDICAL TRANS., INC. Medical Disqualification 01/09/01 Permanent 1473 RIDGEWAY STREET Other UNION, NJ 07083 Human Services Medical Assistance ZAK, FELIX (Medicaid) 825 E. 9TH STREET BROOKLYN, NY 11230

22330695400 Construction Debarment 11/18/11 11/17/14 FALCON RIDGE CONSTRUCTION CO., Wage & Hour INC. Violation 062 475 WATCHUNG AVE, STE. 8 Workplace Standards WATCHUNG, NJ 07069

FAMILY CARE PHARMACY Medical Disqualification 05/24/99 Permanent 51 CLIFTON AVE., C-401 Other NEWARK, NJ 07104 Human Services Medical Assistance ENOGWE, FELIX, R.PH. (Medicaid) 51 CLIGTON AVE., C-401 NEWARK, NJ 07104

FAMILY DIAGNOSTIC CENTER Medical Debarment 12/11/01 428 N. 16TH STREET Other KENILWORTH, NJ 07033 Human Services Medical Assistance LOPEZ, JOHN J. (Medicaid) 428 N 16TH STREET KENILWORTH, NJ 07033

FAMILY ENRICHMENT INSTIT. Medical Suspension 08/20/99 415 KEIM BOULEVARD Other BURLINGTON, NJ 08016 Human Services Medical Assistance

FAMILY ENRICHMENT INSTITU Medical Suspension 03/17/00 415 KEIM BOULEVARD Criminal Offense BURLINGTON, NJ 08016 Human Services Medical Assistance DANIEL ALAN, PRESIDENT (Medicaid) 3 HARRISON PARK LANE BURLINGTON, NJ 08016

27072572800 Construction Debarment 08/29/11 08/28/14 FERRELL CONCRETE, LLC Wage & Hour 203 CREEK CROSSING BLVD. Violation 062 HAINESPORT, NJ 08036 Workplace Standards

FINLAY MEDICAL LABORATORY Medical Disqualification 03/14/98 Permanent 4912 BERGENLINE AVENUE Other WEST NEW YORK, NJ 07093 Human Services Medical Assistance (Medicaid)

FINNEGANS PLAZA PHARMACY Medical Disqualification 11/16/98 Permanent 11507 FINNEGANS LANE Other NEW BRUNSWICK, NJ 08902 Human Services Medical Assistance SAEED MOHAMMED (Medicaid) 1507 FINNEGANS LANE NEW BRUNSWICK, NJ 08902

FIRESPIRIT INC. Medical Disqualification 06/23/11 6612 TERRA DOLCE AVE, NW Antitrust/Anti- ALBUQUERQUE, NM 87114-1365 Kickback Acts 054 0018

FIVE BROS. SERV. CO., INC Vendor Suspension 01/09/96 264 BROADWAY Organized Crime JERSEY CITY, NJ 07306 Control Act Treasury Treasury Purchase Bureau D'AMBROSIO, MICHAEL 264 BROADWAY JERSEY CITY, NJ 07306

46099090700 Construction Debarment 04/23/14 04/22/17 FIVE STAR QUALITY CONSTRUCTION Wage & Hour 141 ROUTE 130 SOUTH Violation 062 CINNAMINSON, NJ 08077 Workplace Standards

16117213300 Vendor Debarment 09/17/10 09/17/15 FLO GO SYSTEMS, INC. Failure to Perform 775 ENGLEWOOD AVE 082 BUFFALO, NY 14223 Treasury Purchase Bureau

FO HOME IMPROVEMENTS Construction Debarment 10/05/11 10/04/14 323 MILL STREET Wage & Hour SOUTH PLAINFIEL, NJ 07080 Violation 062 Workplace Standards

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. 27128695500 Construction Debarment 07/30/12 07/29/15 FORTRESS CONSTRUCTION CO INC. Wage & Hour 66 6TH AVENUE Violation 062 LONG BRANCH, NJ 07740 Workplace Standards

22295784400 Construction Debarment 10/10/12 10/09/15 FRANK J. MURATORE, JR., INC. Wage & Hour 1828 HERBERT BOULEVARD Violation 062 WILLIAMSTOWN, NJ 08894 Workplace Standards

02225320100 Construction Debarment 07/10/14 07/09/17 FRANK MONTGOMERY BUILDER Wage & Hour 42 BRYANT ROAD Violation 062 WARETOWN, NJ 08758 Workplace Standards

FRANKLIN MEDICAL ASSOC Medical Disqualification 10/15/99 Permanent 14 FRANKLIN STREET Criminal Offense BELLEVILLE, NJ 07109 Human Services Medical Assistance (Medicaid)

G & G DRYWALL, INC. Construction Debarment 03/06/12 03/05/15 256 GROVE STREET Wage & Hour NORTH PLAINFIEL, NJ 07060 Violation 062 Workplace Standards

20493985900 Construction Debarment 05/14/13 05/13/16 G.O. UNDERGROUND, LLC Wage & Hour 16192 COASTAL HIGHWAY Violation 062 LEWES, DE 19958 Workplace Standards

22320615100 Construction Debarment 04/18/20 04/17/16 G.W. SMITH CONSTRUCTION, INC. Wage & Hour 584 ERIAL ROAD Violation 062 SICKLERVILLE, NJ 08081 Workplace Standards

GALE FORCE Construction Debarment 12/02/13 12/01/16 TELECOMMUNICATIONS Wage & Hour 211 JEWETT ROAD Violation 062 UPPER NYACK, NY 10960 Workplace Standards

GARDEN DRUGS INCORPORATED Medical Disqualification 09/15/83 Permanent 682 BERGEN AVENUE Criminal Offense JERSEY CITY, NJ 07306 Human Services Medical Assistance AHMAD, NAEEM S (Medicaid) 682 BERGEN AVENUE JERSEY CITY, NJ 07306

GARZA CONTRACTING, LLC Construction Debarment 04/28/14 04/27/17 768 CHAMBERS STREET Wage & Hour TRENTON, NJ 08619 Violation 062 Workplace Standards

GENE'S PHARMACY Medical Debarment 08/14/03 640 PINE STREET Other 054 http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. CAMDEN, NJ 08103 Medical Assistance BANKS KENNETH (Medicaid) 640 PINE STREET CAMDEN, NJ 08103

22353279300 Vendor Debarment 07/15/10 07/14/15 GENERATIONS, INC. Failure to Perform 10 FOSTER AVE. 046 GIBBSBORO, NJ 08026-1162 4210

45449963200 Construction Debarment 02/19/13 02/18/16 GEORGE'S CARPET Wage & Hour 105 CEDAR AVE Violation 062 WOODLYNNE, NJ 08107 Workplace Standards

GERI CARE CENTERS INC Medical Disqualification 06/01/93 Permanent 31 MADISON AVENUE Criminal Offense MONTCLAIR, NJ 07042 Human Services Medical Assistance AUSTIN, DONALD P (Medicaid) 31 MADISON AVENUE MONTCLAIR, NJ 07042

GGE IMPACT CORP T/A MEDIC Medical Disqualification 04/15/96 Permanent 242 COMMUNITY CIRCLE Criminal Offense OLD BRIDGE, NJ 08857 Human Services Medical Assistance CHULAK, GENADY, PRESIDENT (Medicaid) 242 COMMUNIT CIRCLE OLD BRIDGE, NJ 08857

34200753300 Construction Debarment 06/24/11 06/23/14 GLB CONSTRUCTION Wage & Hour 458 LIVINGSTON DRIVE Violation 062 EAST WINDSOR, NJ 08520 Workplace Standards

GLOBAL MEDICAL SYSTEMS Medical Disqualification 08/21/96 Permanent 193 LIVINGSTON AVENUE Criminal Offense NEW BRUNSWICK, NJ 08901 Human Services Medical Assistance DYEVICH, KEVIN, PRESIDENT (Medicaid) 193 LIVINGSTON AVENUE NEW BRUNSWICK, NJ 08901

22184372600 Construction Debarment 01/14/13 01/13/16 GLOBO CONTRACTING CORP. Wage & Hour 562 JERNEE MILL ROAD Violation 062 SAYERVILLE, NJ 08872 Workplace Standards

GLV PARKE WARNER PHCY Medical Debarment 07/08/05 Other , Human Services Medical Assistance PABBATHI, RAMMOHAN, OWNER (Medicaid)

22306027000 Construction Debarment 02/07/13 02/06/16 GM MASONRY Wage & Hour 99 HILLSIDE TERRACE Violation 062 PARSIPPANY, NJ 07054 Workplace Standards

GOODWILL PHARMACY Medical Disqualification 05/20/99 Permanent 2836 DEBRA WAY Criminal Offense UNION, NJ 07083 Human Services Medical Assistance AZU, PHILIP N., R.P. (Medicaid) 2836 DEBRA WAY UNION, NJ 07083

22347104100 Construction Debarment 05/15/13 05/04/16 GRAB HEATING & AIR Wage & Hour CONDITIONING, LLC Violation 062 35 JERSEY STREET Workplace Standards EAST RUTHERFORD, NJ 07073

GREEN DIAMOND ROOFING & LIVE Construction Debarment 08/05/13 08/04/16 ROOF, LLC Wage & Hour 3515 FRANKFORD AVE. Violation 062 PHILADELPHIA, PA 19134 Workplace Standards

22379089100 Construction Debarment 10/05/11 10/04/14 GREEN GIANT LANDSCAPING, INC. Wage & Hour 21 EDGEWOOD ROAD Violation 062 RINGWOOD, NJ 07416 Workplace Standards

22326609600 Construction Debarment 04/19/12 04/18/15 GREEN OASIS MAINTENANCE, INC. Wage & Hour 409 BENNETTS LANE Violation 062 SOMERSET, NJ 08873 Workplace Standards

22362144200 Construction Debarment 08/14/13 08/13/16 GRS ARCHITECTURAL, INC. Wage & Hour 200 MOUNTAIN AVENUE Violation 062 MIDDLESEX, NJ 08846 Workplace Standards

GULF COAST POLYMER SERVICES, Vendor Debarment 09/13/13 09/12/18 INC. Criminal Offense 4984 LAKE ROAD 066 NEWFIELD, NJ 08318 Criminal Justice

BRYANT, DAVID V., SR. 107 MADISON ROAD PITTSGROVE, NJ 08344

GUPTA PHARMACY Medical Debarment 03/04/99 Permanent 1700 OAK TREE ROAD Other EDISON, NJ 08820 054 Medical Assistance

HANAN PHARMACY, INC. Medical Suspension 05/30/00 47 NORWOOD AVENUE Criminal Offense CLIFTON, NJ 07011 Human Services Medical Assistance SELIM, HANAN, R.PH (Medicaid) 47 NORWOOD AVENUE CLIFTON, NJ 07011

23307844200 Construction Debarment 04/22/13 04/21/16 HARLOW CONTRACTING, INC. Wage & Hour 4771 ROUTE 212, BOX 147 Violation 062 DURHAN, PA 18039 Workplace Standards

HASHIM'S MEDICAL LIVERY Medical Disqualification 03/26/94 Permanent P. O. BOX 930 Criminal Offense NEW YORK, NY 10013 Human Services Medical Assistance (Medicaid)

HEALTH PHARMACY INC Medical Disqualification Permanent 3 POND RD Criminal Offense PARSIPPANY, NJ 07054 Human Services Medical Assistance (Medicaid)

HEALTHCORE PHARMACY Medical Suspension 01/12/01 Permanent 289 GEORGE STREET Criminal Offense NEW BRUNSWICK, NJ 08901 054 Medical Assistance OKOYE, GOODWIN S., RP OWN (Medicaid) 289 GEORGE STREET NEW BRUNSWICK, NJ 08901

HEALTHCORE PHARMACY Medical Suspension 01/12/01 Permanent 289 GEORGE STREET Criminal Offense NEW BRUNSWICK, NJ 08901 054 Medical Assistance OKOYE, PATRICK C., RP OWN (Medicaid) 289 GEORGE STREET NEW BRUNSWICK, NJ 08901

22215785600 Vendor Disqualification 04/15/96 Permanent HISPANIC ASSOC\OCEAN CTY. Other 111 CLIFTON AVENUE Health & Senior Services LAKEWOOD, NJ 08701 4210

51034722400 Construction Debarment 07/20/11 07/19/14 HOLLEY ENTERPRISES, INC. Wage & Hour 105 VANDEVER AVENUE Violation 062 WILMINGTON, DE 19802 Workplace Standards

HOME CARE SOLUTIONS LLC Medical Suspension 01/24/14 http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. 16 COMMERCE DRIVE Criminal Offense CRANFORD, NJ 07016 054 0018 NPI# 1528200474

HUDSON MEDICAL LIVERY Medical Disqualification 12/01/98 Permanent 100 RESERVOIR AVENUE Other JERSEY CITY, NJ 07307 Human Services Medical Assistance HAMAD, ALHIBER K. (Medicaid) 100 RESERVOIR AVENUE JERSEY CITY, NJ 07307

I & I INVALID COACH, INC. D/B/A Medical Suspension 02/19/04 READY CARE CORPORA Other 85 CENTRAL AVENUE Human Services CLIFTON, NJ 07015 Medical Assistance (Medicaid)

I&I INVALID COACH, INC. Medical Suspension 01/28/01 85 CENTRAL AVENUE Criminal Offense CLIFTON, NJ 07015 Human Services Medical Assistance KHAIR, IMADELIN A, PARTNR (Medicaid) 160 ALABAMA AVENUE PATERSON, NJ 07505

13403705800 Construction Debarment 07/21/14 07/20/17 I.K.E. ELECTRICAL CORP. Wage & Hour 100 W. FOREST AVE., BLDG. Violation 062 ENGLEWOOD, NJ 07631 Workplace Standards

90074372900 Construction Debarment 05/16/14 05/15/17 IBS, INC. Wage & Hour 1929 DARBY ROAD Violation 062 HAVERTOWN, PA 19083 Workplace Standards

26353730000 Construction Debarment 02/25/14 02/24/17 IDEAL ELEVATOR SERVICES Wage & Hour 55 BROOKVIEW DRIVE Violation 062 WOODCLIFF LAKE, NJ 07677 Workplace Standards

INDEPENDENCE MED. TRANS. Medical Disqualification 07/10/03 3 PARKWOOD DRIVE Other SOUTH AMBOY, NJ 08879 Human Services Medical Assistance MAXYMIV, NICOLAI, OWNER (Medicaid) 3 PARKWOOD DRIVE SOUTH AMBOY, NJ 08879

INDEPENDENCE MEDICAL TRAN Medical Disqualification 07/10/03 3 PARKWOOD DRIVE Other SOUTH AMBOY, NJ 08879 Human Services Medical Assistance

INDEPENDENCE MEDICAL TRAN Medical Disqualification 07/10/03 3 PARKWOOD DRIVE Other SOUTH AMBOY, NJ 08879 Human Services Medical Assistance VASKO, OLGA, OWNER (Medicaid) 3 PARKWOOD DRIVE SOUTH AMBOY, NJ 08879

INDUS. PRESCR. SVCS. INC. Medical Disqualification 08/06/98 Permanent 60 SIP AVENUE Criminal Offense JERSEY CITY, NJ 07306 Human Services Medical Assistance SCHWARTZ, EDWARD, R.P. (Medicaid) 60 SIP AVENUE JERSEY CITY, NJ 07306

22322335500 Construction Debarment 06/27/13 06/26/16 INDUSTRIAL CONCRETE Wage & Hour CONSTRUCTION OF NJ Violation 062 PO BOX 9349 Workplace Standards LYNDHURST, NJ 07071

14189357000 Construction Debarment 04/16/13 04/15/16 INFINITY CONSTRUCTION & SON, LLC Wage & Hour 870 LAMONT AVENUE Violation 062 STATEN ISLAND, NY 10309 Workplace Standards

20541997400 Construction Debarment 11/25/11 11/24/14 INFINITY LANDSCAPING, INC. Wage & Hour 551 STANTON AVENUE Violation 062 FRANKLIN, NJ 08322 Workplace Standards

11380238400 Construction Debarment 05/16/11 05/15/14 INNOVATIVE ELECTRIC SERVICES Wage & Hour 170 SPOTTED OAK DRIVE Violation 062 FREEHOLD, NJ 07728 Workplace Standards

INTEGRATED PSYCHO. INSTIT Medical Debarment 09/29/00 Permanent 2 FREEMAN LANE Other DENVILLE, NJ 07834 Human Services Medical Assistance DINKEL, ARTHUR R., LCSW (Medicaid) 2 FREEMAN LANE DENVILLE, NJ 07834

INTERCONTINENTAL MEDICAL Medical Debarment 05/24/02 195 BROADWAY Other PATERSON, NJ 07505 Human Services Medical Assistance GERMAN, MARIA, PRESIDENT (Medicaid) 195 BROADWAY http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. PATERSON, NJ 07505

11206976300 Vendor Suspension 09/07/00 IRVING LIBERTOFF, INC. Criminal Offense 4901 GLENWOOD ROAD Treasury BROOKLYN, NY 11234 Treasury Purchase Bureau

LIBERTOFF, STUART 4901 GLENWOOD ROAD BROOKLYN, NY 11234

ITPL DIAGNOSTIC LAB, INC. Medical Debarment 07/01/00 Permanent 470 CHAMBERLAIN AVE Other PATERSON, NJ 07252 Human Services Medical Assistance ELCHAGEA, ISMAIL (Medicaid) 470 CHAMBERLAIN AVE. PATERSON, NJ 07522

J & S PHARMACY, INC. Medical Suspension 07/11/97 214 SECOND STREET Other ELIZABETH, NJ 07207 Human Services Medical Assistance (Medicaid)

J&S PHARMACY, INC. Medical Disqualification 12/01/98 Permanent 214 SECOND STREET Other ELIZABETH, NJ 07207 Human Services Medical Assistance (Medicaid)

74317680800 Construction Debarment 01/13/14 01/12/17 JAMCON CONSTRUCTION, LLC Wage & Hour 100 SPRINGDALE ROAD Violation 062 CHERRY HILL, NJ 08003 Workplace Standards

20203953800 Construction Debarment 03/22/13 03/21/16 JAMES ROUGH BLEACHERS Wage & Hour 12767 VAN HORNE ROAD Violation 062 MEADVILLE, PA 16335 Workplace Standards

JAWA INVALID COACH Medical Disqualification 12/12/01 Permanent 5 PARK STREET Criminal Offense ROSELAND, NJ 07068 Human Services Medical Assistance DAHAB, YASIR (Medicaid) 5 PARK STREET ROSELAND, NJ 07068

JEROME DRUGS Medical Disqualification Permanent 7320 VENTOR AVENUE Criminal Offense VENTOR, NJ 08406 Human Services Medical Assistance GILTMAN JEROME (Medicaid) 7320 VENTOR AVENUE VENTOR, NJ 08406

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. JERSEY WALL CONCEPTS, LLC Construction Debarment 03/26/12 03/25/15 24 WESTMINSTER BLVD, APTG Wage & Hour SOUTH AMBOY, NJ 08879 Violation 062 Workplace Standards

38378036900 Construction Debarment 08/27/12 08/26/15 JIC-ELCO INC. Wage & Hour 2 ISLAND POND ROAD Violation 062 DERRY, NH 03038 Workplace Standards

20891060800 Construction Debarment 04/10/13 04/09/16 JOHN GUSTAFSON EXCAVATING, INC. Wage & Hour 216 UNION STREET Violation 062 MONTGOMERY, NY 12549 Workplace Standards

JOHN PARIS CONSTRUCTION Construction Debarment 08/20/10 08/19/13 549 SHERMAN AVENUE Wage & Hour BELFORD, NJ 07718 Violation 062 Workplace Standards

22388959500 Construction Debarment 01/25/13 01/24/16 JOHNSON'S CONSTRUCTION, INC. Wage & Hour 1258 N. EAST AVENUE Violation 062 VINELAND, NJ 08360 Workplace Standards

22219757000 Construction Debarment 11/25/11 11/24/14 JORO CONSTRUCTION, INC. Wage & Hour 250 GORGE ROAD Violation 062 CLIFFSIDE PARK, NJ 07010 Workplace Standards

22294069500 Construction Debarment 11/04/13 11/03/16 JOSEPH CSAKVARY, INC. Wage & Hour 163 BREAKNECK ROAD Violation 062 HIGHLAND LAKES, NJ 07463 Workplace Standards

JRL HEALTH ASSOC., LTD Medical Suspension 10/19/00 479 INNES ROAD Other WOODRIDGE, NJ 07075 Human Services Medical Assistance LACEY, JOAN R., R.N. (Medicaid) 479 INNES ROAD WOODRIDGE, NJ 07075

JRMICK, INC. Medical Disqualification 01/16/05 911 MAIN STREET Criminal Offense BELMAR, NJ 07719 Human Services Medical Assistance (Medicaid)

K & K CONSTRUCTION, LLC Construction Debarment 06/10/14 06/09/17 685 BERGEN BLVD. Wage & Hour RIDGEFIELD, NJ 07657 Violation 062 Workplace Standards

KADISHA, INC. Medical Suspension 05/14/98 667 MT. PROSPECT AVENUE Other Human Services

KEYSTONE CLINICAL LAB Medical Disqualification 06/15/01 Permanent 2524 FORD ROAD Criminal Offense BRISTOL, PA 19007 Human Services Medical Assistance BUTT, ATIQ, PRESIDENT (Medicaid) 2524 FORD ROAD BRISTOL, PA 19007

KINGS GLOUCESTER PHARM Medical Disqualification Permanent 716 MARKET ST Poor Performance GLOUCESTER, NJ 08030 Human Services Medical Assistance (Medicaid)

L & Z TRANSPORTATION, INC Medical Suspension 06/22/98 2333 MORRIS AVE, UNIT D3 Other UNION, NJ 07083 Human Services Medical Assistance ZELTSER, LAZAR (Medicaid) 2333 MORRIS AVE, UNIT D3 UNION, NJ 07083

27210982000 Construction Debarment 03/17/14 03/16/17 L AND Y ROOFING, LLC Wage & Hour 183 BELMONT AVENUE Violation 062 HALEDON, NJ 07522 Workplace Standards

LA INVALID COACH Medical Disqualification 06/17/02 1995 JFK BLVD. NO. 14 Other JERSEY CITY, NJ 07305 Human Services Medical Assistance MAHGOUBE, ADAM (Medicaid) 1995 JFK BLVD. NO. 14 JERSEY CITY, NJ 07305

LEON SCD UNLIMITED Medical Suspension 06/29/98 1071 E. LANDIS AVENUE Criminal Offense VINELAND, NJ 08360 Human Services Medical Assistance LEON, JACK OWNER/OPERATO (Medicaid) 1071 E. LANDIS AVENUE VINELAND, NJ 08360

LEON SCD UNLIMITED Medical Disqualification 02/22/00 Permanent 2991 E.CHESTNUT AV UN H80 Criminal Offense VINELAND, NJ 08360 Human Services Medical Assistance LEON, JACK (Medicaid) 2991 E.CHESTNUT AV UN H80 VINELAND, NJ 08360

LIBERTY TESTING LAB. INC. Medical Suspension 01/10/97

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. 25 CHAPEL STREET Other BROOKLYN, NY 11201 Human Services Medical Assistance HUERTA, FRANK JR. (Medicaid) 25 CHAPEL STREET BROOKLYN, NY 11201

LINCOLN PHARMACY/MEDICINE Medical Debarment 05/15/14 SHOP Criminal Offense 941 LINCOLN AVENUE 054 GLEN ROCK, NJ 07452 0018

SPIGNER, AKOSUA 941 LINCOLN AVENUE GLEN ROCK , NJ 07452

LIVSHITZ PHARMACY INC Medical Disqualification Permanent 203 16TH AVENUE Criminal Offense NEWARK, NJ 07103 Human Services Medical Assistance (Medicaid)

LIZBETH TRUCKING Construction Debarment 11/25/11 11/24/14 596 ELM STREET Wage & Hour KEARNY, NJ 07032 Violation 062 Workplace Standards

11151419900 Vendor Suspension 09/07/00 LOEB & MAYER, INC. Criminal Offense PO BOX 239 Treasury AVERNE, NY 11692 Treasury Purchase Bureau

MAYER, BARRY PO BOX 239 AVERNE, NY 11692

35218519500 Construction Debarment 11/25/11 11/24/14 LOW BID, INC. Wage & Hour 125 EAST BROADWAY Violation 062 LONG BEACH, NY 11561 Workplace Standards

LUCAS CONSTRUCTION SERVICES Construction Debarment 10/12/12 10/11/15 31 GLASSBORO ROAD Wage & Hour MONROEVILLE, NJ 08343 Violation 062 Workplace Standards

M & M MEDICAL LIVERY Medical Disqualification 05/31/94 Permanent 64 BEVAN STREET Other JERSEY CITY, NJ 07306 Human Services Medical Assistance (Medicaid)

M&G LIVERY & TRANS., INC Medical Suspension 09/14/00 6 PLEASANT VALLEY WAY Criminal Offense WEST ORANGE, NJ 07094 Human Services Medical Assistance ZELTSER, RAISE, OFF. MGR. (Medicaid)

55793090000 Medical Suspension 06/19/03 M&G LIVERY CO. INC. Other 6 PLEASANT VALLEY WAY Human Services WEST ORANGE, NJ 08052 Medical Assistance (Medicaid)

M&G TRANSPORTATION & LIVE Medical Debarment 10/31/02 269 SHEFFIELD STREET Criminal Offense MOUNTAINSIDE, NJ 07092 Human Services Medical Assistance (Medicaid)

MAIO'S MEDICINE CHEST Medical Disqualification 07/11/00 Permanent 345 UNION HILL ROAD Criminal Offense ENGLISHTOWN, NJ 07726 Human Services Medical Assistance MAIORANO, JOHN (Medicaid) 345 UNION HILL ROAD ENGLISHTOWN, NJ 07726

MANAGEMENT CORP. OF AMERI Medical Disqualification 06/05/00 Permanent 8900 S.W. 61ST STREET Criminal Offense MIAMI, FL 33156 Human Services Medical Assistance WEISELBERG, ALAN (Medicaid) 8900 S.W. 61ST STREET MIAMI, FL 33156

MANCINI PHARMACY INC Medical Disqualification Permanent SKEET & DIXONTOWN ROAD Industry Law MEDFORD, NJ 08055 Violation Human Services Medical Assistance MANCINI ANGELO D (Medicaid) SKEET & DIXONTOWN ROAD MEDFORD, NJ 08055

20443076200 Construction Debarment 05/08/12 05/07/15 MAR BUILDERS, INC. Wage & Hour 165 BRUNSWICK STREET Violation 062 NEWARK, NJ 07114 Workplace Standards

MARC-TED, INC. Medical Suspension 12/29/99 4515 BERGENLINE AVENUE Other UNION CITY, NJ 07807 Human Services Medical Assistance KLAUSNER, MARC, RP (Medicaid) 4515 BERGENLINE AVENUE UNION CITY, NJ 07087

15098769000 Construction Debarment 12/04/13 12/03/16 MARVIN ARDON PAINTING Wage & Hour 52 S. JEFFERSON ST. Violation 062 ORANGE, NJ 07050 Workplace Standards

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. MARVIN PECK'S PHARMACY Medical Disqualification 06/01/93 Permanent 335 GEORGE STREET Criminal Offense NEW BRUNSWICK, NJ 08901 Human Services Medical Assistance PECK, MARVIN, RP (Medicaid) 335 GEORGE STREET NEW BRUNSWICK, NJ 08901

56228806900 Construction Debarment 08/10/12 08/09/15 MASON TECH, LLC Wage & Hour 35 EIGHTH ST., STE. 7 Violation 062 PASSAIC, NJ 07055 Workplace Standards

22361631800 Construction Debarment 02/01/10 02/29/15 MATT'S PLUMBING & HEATING, INC. Wage & Hour 168 W. SYLVANIA AVE Violation 062 NEPTUNE, NJ 07753 Workplace Standards

MAZZACCOS PHARMACY INC Medical Disqualification Permanent 427 PROSPECT STREET Criminal Offense LONG BRANCH, NJ 07740 Human Services Medical Assistance (Medicaid)

MEDICAL CLINICAL LABOR. Medical Disqualification 07/29/99 Permanent 373 LIVINGSTON AVENUE Other NEW BRUNSWICK, NJ 08901 Human Services Medical Assistance (Medicaid)

MEDICAL DYNAMICS Medical Disqualification 06/01/93 Permanent 1248 STANWOOD STREET Criminal Offense PHILADELPHIA, PA 19100 Human Services Medical Assistance MARTORANO, JOSEPH (Medicaid) 1248 STANWOOD STREET PHILADELPHIA, PA 19100

MEDIPATH EXPRESS Medical Disqualification 01/14/05 666 PLAINSBORO ROAD Other PLAINSBORO, NJ 08536 Human Services Medical Assistance (Medicaid)

MEDISCOPE DIAG. LAB. INC. Medical Suspension 11/16/98 1250 PARK AVENUE Other PLAINFIELD, NJ 07060 Human Services Medical Assistance (Medicaid)

MENDHAM PHARMACY Medical Disqualification 06/01/93 Permanent ROUTE 24 Criminal Offense MENDHAM, NJ 07945 Human Services Medical Assistance WOLFE, JOSEPH (Medicaid) ROUTE 24 MENDHAM, NJ 07945 http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library.

26198458400 Construction Debarment 10/17/13 10/16/16 MF SPEED CONSTRUCTION, LLC Wage & Hour 65-67 7TH AVE. EAST Violation 062 NEWARK, NJ 07104 Workplace Standards

06179666300 Construction Debarment 07/09/14 07/28/14 MG TOPFLIGHT Wage & Hour 6 SPRUCE MEADOWS DRIVE Violation 062 MONROE, NJ 08831 Workplace Standards

20804294100 Construction Debarment 07/24/14 07/23/17 MIDWEST CONSTRUCTION, INC. Wage & Hour 1752 ROUTE 206 Violation 062 SOUTHAMPTON, NJ 08088 Workplace Standards

MILAROLA CORP INC Medical Disqualification Permanent 57 BROADWAY Industry Law NEWARK, NJ 07014 Violation Human Services Medical Assistance (Medicaid)

75297803200 Construction Debarment 04/12/13 04/11/16 MJM PAINTING, LLC Wage & Hour 77 LITTLETON RD, BOX 226 Violation 062 MORRIS PLAINS, NJ 07950 Workplace Standards

MKM NURSING HOME SPEC.INC Medical Suspension 06/07/00 1368 BRENTWOOD ROAD Other YARDLEY, PA 19067 Human Services Medical Assistance NAVAZIO, DAVID, OWNER (Medicaid) 1368 BRENTWOOD ROAD YARDLEY, PA 19067

20165928800 Construction Debarment 03/12/13 03/11/16 MONMOUTH CONSTRUCTION, LLC Wage & Hour 201 3RD AVENUE Violation 062 BRADLEY BEACH, NJ 07720 Workplace Standards

MUGAHID MEDICAL SHUTTLE Medical Disqualification 04/10/97 Permanent 711 TONNELLE AVE. - 2 MN Criminal Offense JERSEY CITY, NJ 07306 Human Services Medical Assistance OMAR MUGAHID O. (Medicaid) 7-11 TONNELLE AVE-2MN JERSEY CITY, NJ 07306

22196497400 Vendor Debarment 09/04/09 09/04/14 MYCOR SERVICES, INC. Failure to Perform 15 JUST ROAD, BLDG. 1 Treasury FAIRFIELD, NJ 07004 Treasury Purchase Bureau

NASSAU PHARMACY Medical Disqualification Permanent 80 NASSAU STREET Criminal Offense PRINCETON, NJ 08540 Human Services http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. Medical Assistance (Medicaid)

20344842900 Construction Debarment 02/19/13 02/18/16 NATIONAL ARCHITECTURAL Wage & Hour PRODUCTS, INC. Violation 062 1711 GINESI DRIVE, STE. 2 Workplace Standards FREEHOLD, NJ 07728

NATIONAL SPINE MEDICAL CENTERS Medical Suspension 04/20/05 PLLC Other 2103 GOLDEN POND DRIVE Human Services KINGWOOD, TX 77345-1644 Medical Assistance (Medicaid)

90019287800 Construction Debarment 01/06/14 01/05/17 NATURAL VIEW LANDSCAPES, LLC Wage & Hour 2536 RT. 50 Violation 062 MAYS LANDING, NJ 08330 Workplace Standards

22326289500 Construction Debarment 07/20/11 07/19/14 NEW CONCEPTS ELECTRIC CO. Wage & Hour 140 CIRCLE DRIVE NORTH Violation 062 PISCATAWAY, NJ 08854 Workplace Standards

NEW HEALTH CENTER PHARM Medical Disqualification 09/15/83 Permanent 85 MONTICELLO AVENUE Criminal Offense JERSEY CITY, NJ 07306 Human Services Medical Assistance AHMAD, NAEEM S (Medicaid) 85 MONTICELLO AVENUE JERSEY CITY, NJ 07306

NEW HOPES OF NJ, INC. Medical Suspension 10/05/00 328 MARKET STREET Other CAMDEN, NJ 08102 Human Services Medical Assistance CACERES, MARIO, CO-OWNER (Medicaid) 328 MARKET STREET CAMDEN, NJ 08102

NEW HOPES OF NJ, INC. Medical Suspension 10/05/00 328 MARKET STREET Other CAMDEN, NJ 08102 Human Services Medical Assistance MORALES, CHRISTINO, PRES. (Medicaid) 328 MARKET STREET CAMDEN, NJ 08102

NICK PENACHIO CO., INC. Vendor Suspension 09/07/00 240 FOOD CENTER DRIVE Criminal Offense BRONX, NY 10474 Treasury Treasury Purchase Bureau PENACHIO, NICHOLAS A. 240 FOOD CENTER DRIVE BRONX, NY 10474 http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library.

20179560300 Construction Debarment 10/21/13 10/20/16 NICOLA MATERNA & SONS, LLC Wage & Hour 48 OLD JACKSONVILLE ROAD Violation 062 TOWACO, NJ 07082 Workplace Standards

16175116000 Construction Debarment 12/29/11 12/28/14 NMP ELECTRO-MECHANICAL SVCS. Wage & Hour 133 MILL STREET, 2R Violation 062 MT. HOLLY, NJ 08060 Workplace Standards

NOE'S CONCRETE, INC. Construction Debarment 06/07/13 06/06/16 30 EUCLID AVENUE Wage & Hour MEDFORD, NJ 11753 Violation 062 Workplace Standards

22334496600 Construction Debarment 05/16/14 05/15/17 NOREAST, INC. Wage & Hour 410 NORTH AVENUE EAST Violation 062 CRANFORD, NJ 07016 Workplace Standards

NORTHGATE COM. PHARMACY Medical Disqualification Permanent 156 COUNTRY FARM RD Criminal Offense MARLTON, NJ 08053 Human Services Medical Assistance (Medicaid)

71098714400 Construction Debarment 08/06/14 08/05/17 OHANA METAL & IRON WORKS, INC. Wage & Hour 60 MILLER ROAD Violation 062 MONTGOMERY, NY 12549 Workplace Standards

OJAH CORPORATION Medical Suspension 03/22/06 Permanent 42-44 SUSSEX AVENUE Other EAST ORANGE, NJ 07018 Human Services Medical Assistance (Medicaid)

OLD CITY REMODELING Construction Debarment 06/10/13 06/09/16 1406 LEXINGTON PLACE Wage & Hour ELIZABETH, NJ 07208 Violation 062 Workplace Standards

OMARS PHARMACY, INC. Medical Suspension 05/30/00 1137 MAIN AVENUE Criminal Offense CLIFTON, NJ 07011 Human Services Medical Assistance ALY, WAEL (Medicaid) 1137 MAIN AVENUE CLIFTON, NJ 07011

20572057700 Construction Debarment 06/24/11 06/23/14 OMEGA STAR, LLC Wage & Hour 40 BALDWIN ROAD Violation 062 PARSIPPANY, NJ 07054 Workplace Standards

ORANGE COMMUNITY MRI Medical Suspension 03/16/12

ORANGE DRUG & SURGICAL IN Medical Disqualification 02/07/00 Permanent 270 HIGHLAND ROAD Criminal Offense S. ORANGE, NJ 07079 Human Services Medical Assistance GREENBERG, EDMUND, R.PH (Medicaid) 270 HIGHLAND ROAD S. ORANGE, NJ 07079

ORIENT EXPRESS Medical Debarment 08/08/03 177 SARGEANT AVE. Other CLIFTON, NJ 07013 Human Services Medical Assistance MALAMUD, YAFIM, PRES. (Medicaid) 177 SARGEANT AVE. CLIFTON , NJ 07013

14201098000 Construction Debarment 06/14/11 06/13/14 PALMER CONSTRUCTION NJ, INC. Wage & Hour 3322 WASHINGTON ROAD Violation 062 PARLIN, NJ 08859 Workplace Standards

PARIVAN INVALID COACH Medical Debarment 04/27/04 40 BROOKSIDE ROAD Other EDISON, NJ 08817 Human Services Medical Assistance TULSANIA, NITAN, OWNER (Medicaid) 40 BROOKSIDE ROAD EDISON, NJ 08817

PARK AVENUE PHARMACY Medical Disqualification 05/19/99 Permanent 278 PARK AVENUE Other NEWARK, NJ 07107 Human Services Medical Assistance NWANKO, RAPHAEL (Medicaid) 278 PARK AVENUE NEWARK, NJ 07107

PARK MEDICAL LABORATORY Medical Disqualification Permanent 298 CLAIRMONT AVENUE Criminal Offense MONTCLAIR, NJ 07042 Human Services Medical Assistance (Medicaid)

PARKOFF & HAMMER P A Medical Disqualification Permanent 253 ROSEVILLE AVE Criminal Offense NEWARK, NJ 07107 Human Services Medical Assistance PARKOFF MICHAEL A (Medicaid) 68 MAPLEWOOD BLVD SUFFERIN, NY 10901

PARKSHORE HEALTH CARE FAC Medical Disqualification 06/16/02

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. 1555 ROCKAWAY PARKWAY Criminal Offense BROOKLYN, NY 11024 054 Medical Assistance FRIEDMAN, LAWRENCE A. OWNER (Medicaid) 1688-90 54TH STREET BROOKLYN, NY 11024

36464359400 Construction Debarment 01/19/12 01/18/15 PASIAN CONSTRUCTION CO., INC. Wage & Hour 10 COLUMBIA AVE, STE. B Violation 062 KEARNY, NJ 07032 Workplace Standards

PATERSON COMMUNITY PHARM Medical Suspension 05/30/00 47 NORWOOD AVENUE Criminal Offense CLIFTON, NJ 07011 Human Services Medical Assistance SELIM, HANAN, R.PH (Medicaid) 47 NORWOOD AVENUE CLIFTON, NJ 07011

22225902200 Medical Disqualification 12/24/85 Permanent PATIENT COACH MED TRANSP Criminal Offense 724 GROVE ST Human Services IRVINGTON, NJ 07111 Medical Assistance (Medicaid) SEMPLE, IVRY 724 GROVE ST IRVINGTON, NJ 07111

PATIENT COACH MED TRANSP Medical Disqualification Permanent 724 GROVE ST Criminal Offense IRVINGTON, NJ 07111 Human Services Medical Assistance WILSON IAN (Medicaid) 724 GROVE ST IRVINGTON, NJ 07111

46058248900 Construction Debarment 03/26/13 03/25/16 PATRIOT CARPENTRY, LLC Wage & Hour 111 COACH HOUSE SQUARE Violation 062 POOLER, GA 31322 Workplace Standards

42160287700 Construction Debarment 01/14/13 01/13/16 PATTI CONSTRUCTION, LLC Wage & Hour 2700 HAMILTON BLVD. Violation 062 S. PLAINFIELD, NJ 07080 Workplace Standards

15548010100 Construction Debarment 07/10/14 07/09/17 PAUL SEXTON Wage & Hour 462 10TH AVENUE Violation 062 PATERSON, NJ 07510 Workplace Standards

PHARMADYNE LABORATORY INC Medical Disqualification 06/01/93 Permanent 481 EDWARD H ROSS DRIVE Criminal Offense ELMWOOD PARK, NJ 07407 Human Services

PHARMADYNE LABORATORY INC Medical Disqualification 06/01/93 Permanent 481 EDWARD H ROSS DRIVE Criminal Offense ELMWOOD PARK, NJ 07407 Human Services Medical Assistance PACHECO, ALVARO R (Medicaid) 59 EDGEHILL COURT WEST ORANGE, NJ 07052

27242370200 Construction Debarment 03/26/12 03/25/15 PINNACLE CONSTR. & RENOVATION Wage & Hour CORP. Violation 062 1632 STEPHEN STREET Workplace Standards RIDGEWOOD, NJ 11385

22332132600 Construction Debarment 06/27/12 06/26/15 PITBULL ELECTRIC, INC. Wage & Hour 415 COMMERCE LN, STE 2 Violation 062 WEST BERLIN, NJ 08091 Workplace Standards

90062493600 Construction Debarment 04/01/13 03/31/16 PL STONE & STUCCO Wage & Hour 15 PARKWOOD DR., APT. L Violation 062 S. AMBOY, NJ 08879 Workplace Standards

POINTE O' WOODS PHARMACY Medical Disqualification 07/11/00 Permanent 999 US HIGHWAY ROUTE 9 Criminal Offense HOWELL, NJ 07731 Human Services Medical Assistance (Medicaid)

75317116800 Construction Debarment 10/05/11 10/04/14 POPPE CONSTRUCTION, INC. Wage & Hour 795 SUSQUEHANNA AVE Violation 062 FRANKLIN LAKES, NJ 07417 Workplace Standards

22375699400 Construction Debarment 10/05/11 10/04/14 POPPE CONTRACTING, INC. Wage & Hour 795 SUSQUEHANNA AVE Violation 062 FRANKLIN LAKES, NJ 07417 Workplace Standards

PRECISE BUILDERS, LLC Construction Debarment 05/28/14 05/27/17 402 MARKET STREET Wage & Hour NEWARK, NJ 07105 Violation 062 Workplace Standards

PRECISE MEDICAL LAB., INC Medical Disqualification 12/01/98 Permanent 1265 PATERSON PLANK ROAD Criminal Offense SECAUCUS, NJ 07094 Human Services Medical Assistance (Medicaid)

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. PREMIER HEALTH SERVICES, INC. T/A Medical Suspension 02/01/08 VICTORY PHARMACY Other 1238 SPRINGFIELD AVENUE Human Services IRVINGTON, NJ 07111 Medical Assistance (Medicaid)

PROF AMBU-TRANS INC Medical Disqualification 09/04/86 09/04/94 39 NORMANDY PLACE Criminal Offense IRVINGTON, NJ 07111 054 Medical Assistance DAVIS, JAMES S (Medicaid) 1451 STANLEY TERRACE HILLSIDE, NJ 07205

PROF AMBU-TRANS INC Medical Disqualification 09/04/86 Permanent 39 NORMANDY PLACE Criminal Offense IRVINGTON, NJ 07111 Human Services Medical Assistance ROBINSON, WANDA (Medicaid) 150 MELROSE AVE. IRVINGTON, NJ 07111

26383402600 Construction Debarment 06/10/14 06/09/17 PYRAMID CONTRACTING CORP. Wage & Hour 163 SARGEANT AVENUE Violation 062 CLIFTON, NJ 07013 Workplace Standards

QUICK SCRIPT PHARMACY Medical Suspension 09/22/00 90 WASHINGTON STREET Criminal Offense EAST ORANGE, NJ 07017 Human Services Medical Assistance (Medicaid)

R & B MEDICAL TRANSPORTATION Medical Debarment 10/14/05 844 JEROME AVENUE Other HILLSIDE, NJ 07205-3108 Human Services Medical Assistance BYERS, RAYMOND & FAYE-OWNERS (Medicaid)

R & M CORP. Medical Disqualification Permanent 156 COUNTRY FARM RD Criminal Offense MARLTON, NJ 08053 Human Services Medical Assistance (Medicaid)

RADIATION ONCOLOGY GROUP Medical Suspension 08/29/97 98 FORD ROAD, SUITE 3H Other DENVILLE, NJ 07834 Human Services Medical Assistance CHAM, WILLIAM C., M.D. (Medicaid) 98 FORD ROAD, SUITE 3H DENVILLE, NJ 07834

02055988300 Construction Debarment 10/29/13 10/28/16 RANCO MECHANICAL, INC. Wage & Hour http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. PO BOX 510 Violation 062 AUGUSTA, NJ 07860 Workplace Standards

RANCOCAS VALLEY ANESTHESI Medical Suspension 08/20/03 700 U.S. 130 NORTH Other CINNAMINSON, NJ 08077 Human Services Medical Assistance (Medicaid)

22365976500 Construction Debarment 09/04/13 09/03/16 RAYMOND MAZAK PLUMBING & Wage & Hour HEATING Violation 062 1423 TERESA DRIVE Workplace Standards FORT LETT, NJ 07024

READY CARE CORPORATION Medical Suspension 01/28/01 85 CENTRAL AVENUE Criminal Offense CLIFTON, NJ 07015 Human Services Medical Assistance ELBASHIR, IMAD, MAHG, PTR (Medicaid) 160 ALABAMA AVENUE PATERSON, NJ 07505

RECOVERY SYSTEMS INC. Medical Suspension 05/08/03 476 CLIFTON AVE. Criminal Offense CLIFTON, NJ 07011 Human Services Medical Assistance (Medicaid)

45127507300 Construction Debarment 07/09/14 07/08/17 REN CONSTRUCTION Wage & Hour 1984 WHITESVILLE ROAD Violation 062 TOMS RIVER, NJ 08755 Workplace Standards

RESTORATION PHARMACY Medical Debarment 01/16/09 01/06/12 1385 STUYVESANT AVENUE Other UNION, NJ 07083 054 Medical Assistance (Medicaid)

22316048800 Construction Debarment 06/24/11 06/23/14 RETAINING WALL SYSTEMS OF NJ, Wage & Hour INC. Violation 062 40 BALDWIN ROAD Workplace Standards PARSIPPANY, NJ 07054

RGN PHARMACY Medical Suspension 08/17/07 ELIZABETH AVENUE Other NEWARK, NJ 07108 Human Services Medical Assistance (Medicaid)

RIBLES LOCKSMITH & HARDWARE Construction Debarment 07/10/14 07/09/17 613 15TH AVENUE Wage & Hour BELLMAR, NJ 07719 Violation 062 Workplace Standards

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. RICARDO SAUCEDO SAMANIEGO Construction Debarment 08/29/11 08/28/14 DRYWALL Wage & Hour 6701 KINDRED STREET Violation 062 PHILADELPHIA, PA 19149 Workplace Standards

RITE SURGICAL COMPANY Medical Disqualification 09/07/01 Permanent 228 KINGS HIGHWAY Other BROOKLYN, NY 11223 Human Services Medical Assistance SMOLIN, STEVE (Medicaid) 228 KINGS HIGHWAY BROOKLYN, NY 11223

83044340900 Construction Debarment 02/28/12 02/27/15 RITEWAY CONSTRUCTION INC. Wage & Hour 20 CHERRY HILL LN APT. D Violation 062 OLD BRIDGE, NJ 08857-4737 Workplace Standards

RIVERA CONSTRUCTION Construction Debarment 07/20/11 07/19/14 169 MAPLE STREET Wage & Hour FAIRVIEW, NJ 07022 Violation 062 Workplace Standards

22245625900 Construction Debarment 05/15/11 05/15/14 RIVERTON POOL AND GARDEN Wage & Hour CENTER Violation 062 ROUTE 130 Workplace Standards CINNAMINSON, NJ 08077

20203976100 Construction Debarment 02/07/12 02/07/15 RMJ DBA FIREHOUSE ELECTRICAL Wage & Hour SERVICE Violation 062 PO BOX 235 Workplace Standards CLEMENTON, NJ 08021

ROBROS RECYCLING CORP. Vendor Suspension 01/09/96 266 BROADWAY Organized Crime JERSEY CITY, NJ 07306 Control Act Treasury Treasury Purchase Bureau D'AMBROSIO, MICHAEL 266 BROADWAY JERSEY CITY, NJ 07306

22242634800 Construction Debarment 12/29/11 12/28/14 ROC-Z INDUSTRIES, INC. Wage & Hour 1700 BEACON STREET Violation 062 TOMS RIVER, NJ 08757 Workplace Standards

ROMEO PHARMACY Medical Disqualification 03/08/01 Permanent 882 BROAD STREET Other NEWARK, NJ 07114 Human Services Medical Assistance MGBEME, FESTUS RP (Medicaid) 882 BROAD STREET NEWARK, NJ 07114

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. 22330924700 Construction Debarment 07/20/11 07/19/14 ROOT-AWAY SEWER & DRAIN Wage & Hour CLEANING, INC. Violation 062 738 LIBERTY STREET Workplace Standards TRENTON, NJ 07022

RX 2000 PHARMACY, INC. Medical Disqualification 01/02/00 Permanent 2125A KENNEDY BLVD Other JERSEY CITY, NJ 07305 Human Services Medical Assistance (Medicaid)

S. BROTHERS PHARMACY, INC Medical Suspension 12/16/98 687 FRELINGHUYSEN AVENUE Other NEWARK, NJ 07114 Human Services Medical Assistance KHAN, AZAM (Medicaid) 687 FRELINGHUYSEN AVENUE NEWARK, NJ 07114

S. RESES APOTHOCARY Medical Disqualification Permanent 6522 VENTNOR AVE. Criminal Offense VENTNOR, NJ 08406 Human Services Medical Assistance (Medicaid)

SAIRA SONIA INC Medical Disqualification 09/15/83 Permanent 85 MONTICELLO AVENUE Criminal Offense JERSEY CITY, NJ 07036 Human Services Medical Assistance AHMAD, NAEEM S (Medicaid) 85 MONTICELLO AVENUE JERSEY CITY, NJ 07306

22374020100 Construction Debarment 07/03/13 07/02/16 SAMCO CONSTRUCTION CO., LLC Wage & Hour 413-415 S. SEVENTH ST. Violation 062 ELIZABETH, NJ 07202 Workplace Standards

SANFORD PHARMACY Medical Disqualification Permanent SPRUCE + CAROL STS Criminal Offense RAMSEY, NJ 07446 Human Services Medical Assistance (Medicaid)

SANFORD'S PHARMACY INC Medical Disqualification Permanent 128 MAIN ST Criminal Offense MATAWAN, NJ 07747 Human Services Medical Assistance (Medicaid)

SARAVIA CONCRETE PUMPING CORP. Construction Debarment 08/19/13 08/18/16 223-10 113TH ST. Wage & Hour QUEENS VILLAGE, NY 11429 Violation 062 Workplace Standards

SAVON PHARMACY Medical Disqualification 09/21/83 Permanent Criminal Offense http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. , Human Services Medical Assistance TRASTER, LAWRENCE (Medicaid) 19 BRAEMAR DRIVE WAYNE, NJ 07470

SCHERING SALES CORPORATION Medical Suspension 10/20/05 Permanent 2000 GALLOPING HILL ROAD Other KENILWORTH, NJ 07033 Human Services Medical Assistance (Medicaid)

SCHNORBUS PHARMACY Medical Disqualification Permanent 351 NORTH WARREN STREET Criminal Offense TRENTON, NJ 08618 Human Services Medical Assistance (Medicaid)

SECAUCUS PHARMACY Medical Disqualification Permanent 113 FRONT STREET Criminal Offense SECAUCUS, NJ 07094 Human Services Medical Assistance EDANIEWSKI EDWARD R (Medicaid) 113 FRONT STREET SECAUCUS, NJ 07094

27258673000 Construction Debarment 12/20/12 12/19/15 SEMINOLE CONSTRUCTION, LLC Wage & Hour 128 BARTLETT AVENUE Violation 062 WEST CREEK, NJ 08092 Workplace Standards

20854242000 Construction Debarment 06/04/13 06/03/16 SHORELINE MARINE CONSTRUCTION, Wage & Hour LLC Violation 062 213 WEST EDGEWOOD AVE Workplace Standards LINWOOD, NJ 08221

SINGER-ANDREINI PHARMACY Medical Suspension 07/23/98 5532 BERGENLINE AVENUE Other WEST NEW YORK, NJ 07093 Human Services Medical Assistance (Medicaid)

22237073700 Vendor Debarment 03/15/12 03/15/17 SKYLINE TOWER SERVICES, INC Failure to Perform 105 KEYSTONE DRIVE 082 TELFORD, PA 18969 Treasury Purchase Bureau

SOLOMON'S INVALID COACH Medical Disqualification 06/25/02 142 BROAD STREET Criminal Offense NEWARK, NJ 07104 054 Medical Assistance SOLOMON, MARCUS, PRES. (Medicaid) 142 BROAD STRET NEWARK, NJ 07104

Medical Disqualification Permanent http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. SOUTHERN MED & SURGICAL 2230 S CROSKEY ST Criminal Offense PHILA, PA 19145 Human Services Medical Assistance (Medicaid)

27047634100 Construction Debarment 07/22/13 07/21/16 SP-ONE, LLC Wage & Hour 2816 CORONANDO WAY Violation 062 VERO BEACH, FL 32960 Workplace Standards

SPECIALTY CLINICAL LAB. Medical Disqualification 12/01/98 Permanent 299 ACADEMY STREET Criminal Offense JERSEY CITY, NJ 07306 Human Services Medical Assistance (Medicaid)

45408933300 Construction Debarment 04/01/13 03/31/16 SPMG CONSTRUCTION, INC. Wage & Hour 3001 ROUTE 130, APT. 8D Violation 062 DELRAN, NJ 08075 Workplace Standards

22192666500 Vendor Suspension 08/27/01 STAR OIL COMPANY Criminal Offense 134 RT. 73 SO & BEECH AVE Treasury BERLIN, NJ 08009 Treasury Purchase Bureau

22261416900 Construction Debarment 02/28/12 02/27/15 STARR CONTRACTING LLC Wage & Hour 247 RARITAN BLVD. Violation 062 CLIFFWOOD BEACH, NJ 07735 Workplace Standards

STATLINE AMBU.&MEDI-COACH Medical Disqualification Permanent P. O. BOX 2100 Industry Law WEST PATERSON, NJ 07424 Violation Human Services Medical Assistance (Medicaid)

STAVCO, INC. Medical Disqualification 01/11/05 300 MAIN STREET Criminal Offense AVON, NJ 07717 Human Services Medical Assistance (Medicaid)

22337006100 Construction Debarment 04/05/12 04/04/15 STRUCTURAL SAFETY, INC. Wage & Hour 716 WHITE HORSE PIKE Violation 062 HAMMONTON, NJ 08037 Workplace Standards

SUN REHAB, INC. Medical Debarment 01/11/00 Permanent BILLINGS AVE., APT. 619A Other PAULSBORO, NJ 08062 Human Services Medical Assistance OPOH-EIKOM, VICKI (Medicaid) BILLINGS AVE., APT. 619A PAULSBORO, NJ 08062

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. SUNJETT ENTERPRISES, INC. Medical Disqualification 05/01/99 Permanent 215 JACOBY ST., 1ST FLOOR Criminal Offense MAPLEWOOD, NJ Human Services Medical Assistance ENEMUO, JOHNNY (Medicaid) 215 JACOBY ST., 1ST FLOOR MAPLEWOOD, NJ 07040

SUNSET PHARMACY Medical Disqualification 06/01/93 Permanent SUNSET RD AT SUMMIT TURN Criminal Offense WILLINGBORO, NJ 08046 Human Services Medical Assistance DEZENHALL, MERVIN (Medicaid) SUNSET RD AT SUMMIT TURN WILLINGBORO, NJ 08046

SURF PHARMACY Medical Suspension 06/22/99 Permanent 17 CORNELL PLACE Criminal Offense ENGLISHTOWN, NJ 07726 Human Services Medical Assistance VITALE, JACK, OWNER (Medicaid) 17 CORNELL PLACE ENGLISHTOWN, NJ 07726

SUTEX MEDICAL TRANSPORT Medical Disqualification 05/20/99 Permanent 814 74TH STREET Other NORTH BERGEN, NJ 07047 Human Services Medical Assistance ABUSEF, ELSAYED K. (Medicaid) 814 74TH STREET NORTH BERGEN, NJ 07047

T&N PHARMACEUTICAL CO.INC Medical Suspension 09/22/00 90 WASHINGTON STREET Criminal Offense EAST ORANGE, NJ 07017 Human Services Medical Assistance (Medicaid)

22309572200 Construction Debarment 04/03/14 04/02/17 T. FIORE DEMOLITION, INC. Wage & Hour 457 WILSON AVENUE Violation 062 NEWARK, NJ 07105 Workplace Standards

TARK TRANSPORTATION SVC. Medical Disqualification 05/10/99 Permanent 566 BLOOMFIELD AVENUE Other BLOOMFIELD, NJ 07306 Human Services Medical Assistance ALI, TARK (Medicaid) 566 BLOOMFIELD AVENUE BLOOMFIELD, NJ 07306

TAU ASSOCIATES PLUMBING & Construction Debarment 12/18/13 12/17/16 MECHANICAL, LLC Wage & Hour 91 GRAHAM STREET Violation 062 JERSEY CITY, NJ 07307 Workplace Standards

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. 56257979800 Construction Debarment 07/03/13 07/02/16 TEAM EQUIPMENT, LLC Wage & Hour 26 EAST GARDEN PLACE Violation 062 POMPTON PLAINS, NJ 07444 Workplace Standards

TELA STRETCH SYSTEMS, LLC Construction Debarment 02/06/13 02/05/16 9 WYCOFF TERRACE Wage & Hour FAIR LAW, NJ 07410 Violation 062 Workplace Standards

TEMPT TRANSIT, INC. Medical Suspension 07/18/95 238 MAIN STREET Other HACKENSACK, NJ 07601 Human Services Medical Assistance ALWALEED, ALAMEEN, PRES. (Medicaid) 238 MAIN STREET HACKENSACK, NJ 07601

04315557000 Construction Debarment 05/28/14 05/27/17 TESTA CORPORATION Wage & Hour 360 AUDUBON ROAD Violation 062 WAKEFIELD, MA 01880 Workplace Standards

THA-KEY CARPENT, INC. Construction Debarment 11/02/11 11/01/14 68 COUNTRYSIDE LOOP Wage & Hour ELKTON, MD 21921 Violation 062 Workplace Standards

22364262900 Construction Debarment 05/21/13 05/20/16 THE BOCA BAY GROUP Wage & Hour 16 S. AVENUE WEST STE 267 Violation 062 CRANFORD, NJ 07016 Workplace Standards

47095985000 Construction Debarment 08/19/11 08/18/14 THE DRYWALL ORGANIZATION, INC. Wage & Hour 23 EAST GLENWOOD DRIVE Violation 062 BERGENFIELD, NJ 07621 Workplace Standards

THE EXCEL CENTER Medical Suspension 05/25/99 Permanent 104 WINDSOR COURT Criminal Offense PALM BEACH, FL 33480 Human Services Medical Assistance MURRY, TOMMIE, JR. (Medicaid) 2697 RAVEN ROAD CINNAMINSON, NJ 08077

THE EXCEL CENTER, INC. Medical Debarment 01/05/01 104 WINDSOR COURT Criminal Offense PALM BEACH, FL 33480 Human Services Medical Assistance DEMARIA, WILLIAM, AGENT (Medicaid) 104 WINDSOR COURT PALM BEACH, FL 33480

THE EXCEL CENTER, INC. Medical Debarment 01/05/01 Permanent 104 WINDSOR COURT Other

http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. PALM BEACH, FL 33480 Human Services Medical Assistance MURRY, TOMMIE, EX. DIR. (Medicaid) 2697 RAVEN ROAD CINNAMINSON, NJ 08077

THERESA PHARMACY Medical Disqualification 06/01/93 Permanent 4611 BERGENLINE AVE Criminal Offense UNION CITY, NJ 07087 Human Services Medical Assistance CABALERIO, THERESA (Medicaid) 4611 BERGENLINE AVE. UNION CITY, NJ 07087

THIRO AND GRAYSON INC Medical Disqualification 06/01/93 Permanent 449 AVENUE C Criminal Offense BAYONNE, NJ 07002 Human Services Medical Assistance GRAYSON, MURRAY A (Medicaid) 163 HAMPTON GREEN STATEN ISLAND, NY 10312

TJD CONSTRUCTION Construction Debarment 02/25/14 02/24/17 138 STONEHENGE DR. Wage & Hour TOMS RIVER, NJ 08753 Violation 062 Workplace Standards

TMM CABLE, LLC Construction Debarment 11/18/11 11/17/14 3268 LIMESTONE ROAD Wage & Hour COCHRANVILLE, PA 19330 Violation 062 Workplace Standards

TOBIN'S DRUG STORE Medical Disqualification 06/01/93 Permanent 335 GEORGE STREET Criminal Offense NEW BRUNSWICK, NJ 08901 Human Services Medical Assistance PECK, MARVIN, RP (Medicaid) 335 GEORGE STREET NEW BRUNSWICK, NJ 08901

00010560190 Medical Suspension 03/09/08 TOUCH OF LIFE, LLC Criminal Offense CHELSEA AVENUE Human Services NEWARK, NJ 07106 Medical Assistance (Medicaid)

TOWNSHIP SANITATION, INC. Vendor Suspension 01/09/96 P.O. BOX 164 Organized Crime JAMESBURG, NJ 08831 Control Act Treasury Treasury Purchase Bureau TAMILY, H. & VIRZI, J. P.O. BOX 164 JAMESBURG, NJ 08831

20262487600 Construction Debarment 06/24/11 06/23/14 TRI-STATE CONCRETE Wage & Hour Violation 062 http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. CONSTRUCTION 623 MCCLELLAN STREET Workplace Standards LONG BRANCH, NJ 07740

27344809400 Construction Debarment 07/18/13 07/17/16 TRI-STATE INSULATORS, LLC Wage & Hour 1038 OLD YORK ROAD Violation 062 RARITAN, NJ 08869 Workplace Standards

20234344800 Construction Debarment 08/29/11 08/28/14 TRI-STATE METAL WORKS, INC. Wage & Hour 130 RYERSON AVE STE 308 Violation 062 WAYNE, NJ 07470 Workplace Standards

TRINITY PHOENIX CORP Construction Debarment 03/06/13 03/05/16 149 GARFIELD AVENUE Wage & Hour STATEN ISLAND, NY 10305 Violation 062 Workplace Standards

TRIPLE Wage & Hour , Violation

TRUE LINE WIRE GUIDANCE Construction Debarment 02/28/12 02/27/15 INSTALLATION INC Wage & Hour 7095 SHAFFER DRIVE Violation 062 DOWNS, IL 61736 Workplace Standards

14187484700 Construction Debarment 05/28/14 05/27/17 TURFSCAPES, LLC Wage & Hour 3477 S. BLACKHORSE PIKE Violation 062 WILLIAMSTOWN, NJ 08094 Workplace Standards

UBU SPORTS Construction Debarment 08/04/14 08/03/17 3525 OLD DIXIE HIGHWAY Wage & Hour DALTON, GA 30721 Violation 062 Workplace Standards

UNION CITY DIAGNOSTIC LAB Medical Debarment 06/10/01 Permanent 2201 BERGENLINE AVENUE Other UNION CITY, NJ 07007 Human Services Medical Assistance (Medicaid)

UNITED CLINICAL LAB. Medical Disqualification 04/11/96 Permanent 63 FEDERAL STREET Other METUCHEN, NJ 08840 Human Services Medical Assistance JAVID, MOHAMMED A., MGR. (Medicaid) 63 FEDERAL STREET METUCHEN, NJ 08840

UNITED DENTAL CENTER Medical Suspension 09/18/03 35 WALLINGTON AVE Criminal Offense WALLINGTON, NJ 07057 Human Services Medical Assistance (Medicaid)

UNITED DIAGNOSTIC LAB INC Medical Suspension 04/18/97 100 CRAIG ROAD, SUITE 104 Other MANALAPAN, NJ 07726-8731 Human Services Medical Assistance (Medicaid)

UNITED METAL CONSTRUCTION, LLC Construction Debarment 10/25/12 10/24/15 949 SPRING VIEW DRIVE Wage & Hour SOUTH HAMPTON, PA 18966 Violation 062 Workplace Standards

UNITED PHARMACY Medical Debarment 07/30/05 1347 SPRINGFIELD AVENUE Other IRVINGTON, NJ 07111 Human Services Medical Assistance (Medicaid)

UNITY ENVIRONMENTAL CORP. Vendor Suspension 01/09/96 511 CANAL STREET Organized Crime NEW YORK, NY 10013 Control Act Treasury Treasury Purchase Bureau PONTE, ANGELO, J. 511 CANAL STREET NEW YORK, NY 10013

UNIVERSAL FIRE FABRICATING AND Construction Debarment 06/14/11 06/13/14 SUPPLY Wage & Hour 653 STATE ROUTE 52 Violation 062 WALDEN, NY 12586 Workplace Standards

UNIVERSAL MEDICAL LAB. Medical Disqualification 05/10/99 Permanent 43 MOONACHIE ROAD Other HACKENSACK, NJ 07601 Human Services Medical Assistance (Medicaid)

UNIVERSAL MEDICAL TRANSP. Medical Disqualification 06/14/94 Permanent 845 BERGEN AVE. #190 Industry Law JERSEY CITY, NJ 07306 Violation Human Services Medical Assistance (Medicaid)

UNIVERSITY PHARMACY Medical Disqualification 03/20/99 Permanent 236-242 S. ORANGE AVENUE Other NEWARKK, NJ 07103 Human Services Medical Assistance ENEMUO, KENNETH, R.P. (Medicaid) 236-242 S. ORANGE AVENUE NEWARK, NJ 07103

US CLINICAL LAB., INC. Medical Debarment 04/22/97 Permanent 185 S. EUCLID ST, STE.111 Other PASADENA, CA 91101 Human Services Medical Assistance (Medicaid)

V. PONTE & SONS, INC. Vendor Suspension 01/09/96 Organized Crime http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. 111 PATERSON AVENUE HOBOKEN, NJ 07030 Control Act Treasury Treasury Purchase Bureau PONTE, ANGELO J. 111 PATERSON AVENUE HOBOKEN, NJ 07030

V.C. LABORATORY, INC. Medical Disqualification 03/24/03 Permanent 9 COURTLAND AVENUE Criminal Offense STATEN ISLAND, NY 10301 Human Services Medical Assistance (Medicaid)

VALUE-RITE PHARMACY, INC. Medical Suspension 04/29/97 350 WEST MARKET STREET Other NEWARK, NJ 07107 Human Services Medical Assistance (Medicaid)

VENDETTI CLINICAL LAB INC Medical Debarment 12/01/99 Permanent 904 D OAK TREE ROAD Other S. PLAINFIELD, NJ 07080 Human Services Medical Assistance (Medicaid)

45225621200 Construction Debarment 05/12/14 05/11/17 VERCON BUILDING & MAINTENANCE Wage & Hour CORP. Violation 062 11 ARBORETUM DRIVE Workplace Standards JACKSON, NJ 08527

22371206800 Construction Debarment 02/16/12 02/15/15 VERRONE FLOORING, LLC Wage & Hour 57 WEINNEMANNS BLVD. Violation 062 WAYNE, NJ 07470 Workplace Standards

46099090700 Construction Debarment 04/23/14 04/22/17 VICTOR CONSTRUCTION, INC. Wage & Hour 4615 N. FRONT STREET Violation 062 PHILADELPHIA, PA 19140 Workplace Standards

VICTORY PHARMACY Medical Debarment 08/25/03 94 MARKET STREET Other NEWARK, NJ 07102 Human Services Medical Assistance AGYEMANG, KWADWO, RP (Medicaid) 94 MARKET STREET NEWARK, NJ 07102

23280104600 Construction Debarment 07/27/12 07/26/15 VITO BRACCIA CONCRETE & BLDG. Wage & Hour CONTRACTORS INC. Violation 062 536 EASTON ROAD Workplace Standards HORSHAM, PA 19044

WALL PHARMACY Medical Suspension 02/05/03 2510 BELMAR BLVD. Criminal Offense http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. WALL, NJ 07719 Human Services Medical Assistance (Medicaid)

46197956100 Construction Debarment 07/29/14 07/28/17 WALLMASTERS MODULAR, INC. Wage & Hour 226 MUTUAL AVENUE Violation 062 WINCHESTER, KY 40391 Workplace Standards

22254887000 Construction Debarment 10/05/11 10/04/14 WALTER H. POPPE, INC. Wage & Hour 796 SUSQUEHANNA AVE Violation 062 FRANKLIN LAKES, NJ 07417 Workplace Standards

22202204000 Construction Debarment 04/19/12 04/18/15 WATERTROL, INC. Wage & Hour PO BOX 163 Violation 062 CRANFORD, NJ 07016 Workplace Standards

WESTFIELD AVE PHARMACY Medical Disqualification Permanent 156 COUNTRY FARM RD Criminal Offense MARLTON, NJ 08053 Human Services Medical Assistance (Medicaid)

WILDER DRYWALL Construction Debarment 08/05/13 08/04/16 101 LOOKOUT PASS Wage & Hour STORMVILLE, NY 12582 Violation 062 Workplace Standards

WILLOWBROOK MED. TREAT CT Medical Disqualification 12/07/99 Permanent 113 RTE. 46 W. WILLOW SQ. Criminal Offense WAYNE, NJ 07470 Human Services Medical Assistance GULLA, FRANK T., MD (Medicaid) 113 RTE. 46 W. WILLOW SQ. WAYNE, NJ 07470

WINGROVE DRUGS, INC. Medical Suspension 06/05/97 634 DR. MARTIN L. KING BV Other NEWARK, NJ 07102 Human Services Medical Assistance (Medicaid)

WINKY, INC. Medical Disqualification 01/11/05 2510 BELMAR BLVD. Criminal Offense WALL, NJ 07719 Human Services Medical Assistance (Medicaid)

WOODY'S PALLETT, LLC Vendor Debarment 04/10/13 Permanent 40 ENTERPRISE AVENUE Failure to Perform TRENTON, NJ 08638 082 Treasury Purchase Bureau

WOUND HEALING ASSOCIATES Medical Suspension 11/19/05 203 3111 ROUTE 38 #11 Other MT. LAUREL, NJ 08054 Human Services http://www.state.nj.us/cgi-bin/treasury/debar/debarsearch.pl[8/27/2014 12:20:20 PM] State of New Jersey Consolidated Debarment Search Results You are viewing an archived document from the New Jersey State Library. Medical Assistance (Medicaid)

Y & S PHARMACY SERVICES Medical Debarment 11/17/07 COUNTY LINE RD. Other HUNTINGTON VALL, PA 19006 Human Services Medical Assistance (Medicaid)

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