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State of New Jersey Medicaid Fraud Division Provider Exclusion Report

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State of New Jersey 1 Medicaid Fraud Division Provider Exclusion Report Updated on: 8/23/2021 **ADDITIONAL NPI NUMBERS MAY BE ASSOCIATED WITH THE LISTED INDIVIDUALS/ENTITIES** PROVIDER NAME TITLE DATE OF NPI NUMBER STREET CITY STA ZIP ACTION EFFECTIVE EXPIRATION BIRTH TE DATE DATE 2258 PHARMACY, INC. 2258 THIRD AVENUE NEW YORK NY 10035 SUSPENSION 7/20/2003 6522 VENTNOR AVE. 6522 VENTNOR AVENUE VENTNOR NJ 08406 DISQUALIFICATION PHARMACY, INC. ABARCA, CHERYL R. LPN 8/15/1962 528 3RD STREET NEWARK NJ 07107 SUSPENSION 6/20/2005 ABASHKIN, ROMAN CHHA 12/21/1981 72 RIDGEVIEW TERRACE WAYNE NJ 07470 DISQUALIFICATION 5/29/2015 ABASHKIN, ROMAN CHHA 12/21/1981 72 RIDGEVIEW TERRACE WAYNE NJ 07470 DISQUALIFICATION 6/3/2016 ABBASSI, JADAN MD 9/19/1944 1194807255 1618 MAIN AVENUE CLIFTON NJ 07011 DISQUALIFICATION 11/21/2016 PERMANENT ABBASSI, JADAN MD 9/19/1944 1194807255 115 NELLIS DRIVE WAYNE NJ 07470 DISQUALIFICATION 6/20/2018 PERMANENT ABDALLA, IZZELDIN 4/5/1967 1116 ANNE STREET ELIZABETH NJ 07201 DISQUALIFICATION 11/10/1999 ABDELGANI, AMIR ALLENWOOD USP WHITE DEER PA 17887 DISQUALIFICATION 11/26/2001 ABDELGANI, FADIL TERRE HAUTE USP TERRE HAUTE IN 47808 DISQUALIFICATION 11/26/2001 ABDELHAMID, MANAL RPH 5/28/1969 7100 BOULEVARD EAST, 11G GUTTENBERG NJ 07093 DEBARMENT 3/15/2001 ABDOLLAHI, MITRA DMD 8/31/1966 1033329230 646 N. SARATOGA DRIVE MOORESTOWN NJ 08057 DISQUALIFICATION 11/5/2007 7/19/2019 ABERBACH, STEVEN RPH 8/5/1944 23 STONEGATE DRIVE WATCHUNG NJ 07069 DEBARMENT 12/19/2003 ABOOD, ABDOLMAID S. 1/20/1966 64 BEVAN STREET JERSEY CITY NJ 07306 SUSPENSION 5/7/1997 ABOODS MEDICAL LIVERY 64 BEVAN STREET JERSEY CITY NJ 07306 DISQUALIFICATION 5/22/1994 ABOUELHODA, AHMED RPH 3/23/1974 33-17 60TH STREET, APT. 1 WOODSIDE NY 11377 SUSPENSION 9/20/2005 ABRAHAMSEN, SVEND DPM 9/17/1944 101 CHESTNUT RIDGE ROAD SADDLE RIVER NJ 07458 DISQUALIFICATION 4/20/1994 ABRAMS, DE'NYSHIA CHHA 11/16/1993 410 3RD AVENUE, APT. 1A ASBURY PARK NJ 07712 DISQUALIFICATION 7/16/2018 ABRAMS, IRVING RPH 12/23/1949 5 LORENE WAY MORGANVILLE NJ 07551 SUSPENSION 4/27/2000 ABREU MARTINEZ, CHHA 12/14/1989 14 EAST RUSSELL STREET CLIFTON NJ 07011 DEBARMENT 10/31/2017 ABUSEF, ELSAYED K. SUTEX 814 74TH STREET NORTH BERGEN NJ 07047 DISQUALIFICATION 5/20/1999 MED. TRANSP ORT AC HOME NURSING 1235230665 2921 YOUNGSTOWN ROAD WARREN OH 44484 DISQUALIFICATION 11/20/2015 ACKLEY, GEORGE PSYCH 5/13/1944 1457535833 202 LENOX AVENUE CAPE MAY NJ 08204 DEBARMENT 7/21/2015 ACOSTA, LEILANI CHHA 4/14/1977 458 STEVENSON PLACE, 1ST PERTH AMBOY NJ 08861 DISQUALIFICATION 5/9/2019 FL ACOSTA, PEDRO E. 1/23/1945 5815 43RD AVENUE WOODSIDE NY 11377 SUSPENSION 4/13/2008 For verifications please contact: [email protected] Send an email to [email protected] to receive this report in .xls format State of New Jersey 2 Medicaid Fraud Division Provider Exclusion Report Updated on: 8/23/2021 **ADDITIONAL NPI NUMBERS MAY BE ASSOCIATED WITH THE LISTED INDIVIDUALS/ENTITIES** PROVIDER NAME TITLE DATE OF NPI NUMBER STREET CITY STA ZIP ACTION EFFECTIVE EXPIRATION BIRTH TE DATE DATE ACOSTA, PEDRO E. 1/23/1945 5815 43RD AVENUE WOODSIDE NY 11377 DISQUALIFICATION 5/2/2008 ACOSTA, PEDRO E. 1/23/1945 5815 43RD AVENUE, 1ST WOODSIDE NY 11377 DISQUALIFICATION 9/16/2011 FLOOR ACOSTA, WILLIAM R. MD 8/24/1949 47 OSBORNE STREET JOHNSTOWN PA 15905 DISQUALIFICATION 11/20/2015 ACQUAH, ROSE AKA CHHA 10/1/1984 5507 WARNER VIEW LANE WESTVILLE OH 43081 DEBARMENT 7/13/2018 MANFORD, ROSE ACQUAIRE, FLORENCE 7/4/1940 EMCF PO BOX 08809 CLINTON NJ 08809 SUSPENSION 4/20/2006 ACQUAYE, EDWARD 2/9/1950 10 BERWICK CIRCLE NORTH BRUNSWICK NJ 08902 SUSPENSION 4/19/2007 ACZON, FERDINAND B. MD 11/29/1948 1255422135 204 SUMMIT ROAD MOUNT LAUREL NJ 08054 DISQUALIFICATION 9/20/2011 11/23/2016 ADADEVOH, LOVESDALE CHHA 12/10/1977 1 SKYTOP GARDENS, APT. 19 PARLIN NJ 08859 DISQUALIFICATION 7/16/2019 AKA HAMENOO, LOVESDALE ADAIR, LISA AKA LPN 4/20/1961 206 LAKEHURST AVENUE, NATIONAL PARK NJ 08063 SUSPENSION 9/19/2002 TARASEVICH, LISA APT. B ADAMS, AMELIA CHHA 9/26/1994 132 OAKMONT ROAD CLEMENTON NJ 08021 DISQUALIFICATION 1/31/2017 ADAMS, ANTOINETTE CHHA 12/29/1976 1604 SEWALL AVENUE ASBURY PARK NJ 07712 DISQUALIFICATION 1/31/2017 ADAMS, JAIME L. CHHA 4/15/1976 911 W. HAND AVENUE CAPE MAY COURT NJ 08210 SUSPENSION 6/19/2003 HOUSE ADAMSHICK, WILLIAM RPH 10/9/1960 1871842575 2516 HURRY ROAD FORKED RIVER NJ 08731 SUSPENSION 7/14/2005 3/21/2012 ADDIS, DAVID J. MD 8/10/1944 1770656068 334 FARNSWORTH AVENUE BORDENTOWN NJ 08505 DEBARMENT 1/20/2015 PERMANENT ADES, ALBERT MD 1/11/1955 1912069394 3 MARKHAM CIRCLE ENGLEWOOD NJ 07631 DEBARMENT 5/16/2016 ADES, ALBERT MD 1/11/1955 1912069394 PO BOX 779800 MIAMI FL 33177 DISQUALIFICATION 12/12/2016 ADES, ALBERT (DR.'S 1447560867 129 MADISON AVENUE CRESSKILL NJ 07626 DISQUALIFICATION 6/16/2017 OFFICE) ADISSON, LECLERC MD 8/14/1946 1482 SW 150TH TERRACE SUNRISE FL 33326 DISQUALIFICATION 7/20/2007 PERMANENT ADISSON, LUNIC CHHA 11/29/1971 14 WALTER PLACE #1 IRVINGTON NJ 07111 DISQUALIFICATION 3/14/2008 ADOLPHE, NAOMIE CHHA 8/24/1982 410 FISHER AVENUE NEPTUNE NJ 07753 DISQUALIFICATION 2/20/2017 ADU-BOAHENE, CHHA 2/19/1975 3 AUGUSTA DRIVE LITTLE EGG HARBOR NJ 08087 DISQUALIFICATION 1/23/2018 KWABENA AFRIYIE, BRIGHT CHHA 6/20/1994 317 W. RUNYON STREET, 3L NEWARK NJ 07108 DISQUALIFICATION 1/23/2018 AGARWAL, SHASHI K. MD 6/15/1952 1558416099 198 CENTRAL AVENUE, 1ST EAST ORANGE NJ 07018 SUSPENSION 10/22/2012 FL For verifications please contact: [email protected] Send an email to [email protected] to receive this report in .xls format State of New Jersey 3 Medicaid Fraud Division Provider Exclusion Report Updated on: 8/23/2021 **ADDITIONAL NPI NUMBERS MAY BE ASSOCIATED WITH THE LISTED INDIVIDUALS/ENTITIES** PROVIDER NAME TITLE DATE OF NPI NUMBER STREET CITY STA ZIP ACTION EFFECTIVE EXPIRATION BIRTH TE DATE DATE AGARWAL, SHASHI K. MD 6/15/1952 1558416099 FCI SCHUYLKILL, PO BOX 759 MINERSVILLE PA 17954 DEBARMENT 2/28/2014 AGRAWAL, PANKAJ MD 9/16/1949 1962661215 3 E. MEADOWBROOK CIRCLE SICKLERVILLE NJ 08081 DISQUALIFICATION 3/11/2006 AGRESTA JR., RUDOLPH G. MD 8/18/1954 PO BOX 7450 TRENTON NJ 08628 SUSPENSION 2/19/2004 AGRESTI, JAMES MD 2/18/1970 1255389813/ 292 FAIRMONT ROAD LONG VALLEY NJ 07853 DEBARMENT 10/5/2020 1477874352 AGRESTI, ROBERT MD 4/11/1957 1619155710 15 BARBERRY WAY ESSEX FALLS NJ 07021 DISQUALIFICATION 6/26/2018 AGUH, CHIKEZIE MD 6/23/1956 1407876261/ 18 MULBERRY COURT BELLE MEAD NJ 08502 DISQUALIFICATION 2/11/2021 1619997483 AGUIAR, SANDRA 2/3/1967 605 KNICKERBOCKER ROAD TENAFLY NJ 07670 DISQUALIFICATION 6/18/2009 AGUILAR, RUBEN RPH 9/21/1962 16 GOLDENROD DRIVE BELLE MEAD NJ 08502 SUSPENSION 7/20/2010 AGUIRRE-MEDRANO, 10/24/1915 40 FERRY STREET NEWARK NJ 07105 DEBARMENT 7/12/1999 CANDIDA AGYEMANG, JOHN RPH 2/18/1969 1487934626 153 BLUE MEADOW LANE SICKLERVILLE NJ 08081 DISQUALIFICATION 12/28/2016 9/22/2020 AGYEMANG, KWADWO RPH 3/8/1958 1154713394 94 MARKET STREET NEWARK NJ 07102 DEBARMENT 8/25/2003 6/3/2015 AHLAWAT, RANVIR MD 7/21/1964 1447204615 2204 ARVELL STREET TOMS RIVER NJ 08755 DEBARMENT 12/19/2016 AHMAD, ABADULLAH 4/3/1984 280 LOUIS MARIN JERSEY CITY NJ 07302 SUSPENSION 2/19/2009 BOULEVARD #15 AHMAD, FAROOQ RPH 10/1/1943 1659605590 300 EAST HALSEY ROAD PARSIPPANY NJ 07054 SUSPENSION 11/8/1994 AHMAD, NAEEM S 682 BERGEN AVENUE JERSEY CITY NJ 07306 DISQUALIFICATION 9/15/1983 AHMAD, NAVEED MD 1/3/1950 1669412946 48 SUYDAM ROAD SOMERSET NJ 08873 DISQUALIFICATION 9/29/2016 PERMANENT AHMAD, NAVEED MD 1/3/1950 1669412946 48 SUYDAM ROAD SOMERSET NJ 08873 DISQUALIFICATION 12/20/2016 PERMANENT AHMED, AMIR E. 1/1/1962 7-11 TONNELLE AVENUE- JERSEY CITY NJ 07306 SUSPENSION 5/30/1997 2MN AHMED, KHALID H. 2/6/1963 PO BOX 930 NEW YORK NY 10013 DISQUALIFICATION 3/26/1994 AHMED, MOHAMED G. PHARM 7/14/1989 5 WESTOVER TERRACE WEST ORANGE NJ 07052 DISQUALIFICATION 8/20/2010 TECH AIRD, EILEEN, B. 6/28/1950 295 GRANDVIEW CIRCLE RIDGEWOOD NJ 07450 SUSPENSION 4/20/2003 AKANDE, EZEKIEL MD 1/15/1959 1003859885 300 HAIL KNOB ROAD, SOMERSET KY 42503 DISQUALIFICATION 9/20/2017 #290828 For verifications please contact: [email protected] Send an email to [email protected] to receive this report in .xls format State of New Jersey 4 Medicaid Fraud Division Provider Exclusion Report Updated on: 8/23/2021 **ADDITIONAL NPI NUMBERS MAY BE ASSOCIATED WITH THE LISTED INDIVIDUALS/ENTITIES** PROVIDER NAME TITLE DATE OF NPI NUMBER STREET CITY STA ZIP ACTION EFFECTIVE EXPIRATION BIRTH TE DATE DATE AKHMEDOV, KHUSEN 8/1/1990 SCI GRATERFORD, ME9849, GRATERFORD PA 19426 DISQUALIFICATION 11/20/2015 PO BOX 244 AKHTAR, NADEEM RPH 12/16/1959 1063695963 15 GRIST MILL LANE UPPER SADDLE RIVER NJ 07458 DEBARMENT 1/20/2012 AKHTAR, NADEEM RPH 12/16/1959 1063695963 15 GRIST MILL LANE UPPER SADDLE RIVER NJ 07458 DISQUALIFICATION 9/20/2012 AKINBILE, MORUFU O. RN 5/1/1966 419 E. MOOREHAVEN DRIVE CARSON CA 90746 DISQUALIFICATION 8/20/2010 AL SALIHI, FAROUK MD 7/1/1934 1720158025 1810 JOHN F. KENNEDY JERSEY CITY NJ 07305 SUSPENSION 5/1/2011 BOULEVARD AL SALIHI, FAROUK MD 7/1/1934 1720158025 1810 JOHN F. KENNEDY JERSEY CITY NJ 07305 DEBARMENT 1/9/2015 BOULEVARD ALAMEEN, ALWALEED TEMPT 5/16/1968 238 MAIN STREET HACKENSACK NJ 07601 SUSPENSION 7/18/1995 TRANS ALAN, DAVID OD 7/26/1946 1225012073 203 NORTH REDWOOD MASONTOWN PA 15461 DISQUALIFICATION 11/20/2015 STREET ALBERS, HENRY J.
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    Design Commission Meeting Agenda Monday, November 13, 2017 The Committee Meeting is scheduled to begin at 9:30 a.m. Public Meeting 11:00 a.m. Consent Items 26377: Installation of retail signage, 8509 5th Avenue, between 85th Street and 86th Street, Brooklyn. (Preliminary and Final) (CC 43, CB 10) DCAS/DOT 26378: Installation of Along Woodhaven Boulevard by Priscila de Carvalho, Woodhaven Boulevard at the intersection of 101st Avenue and Rockaway Boulevard, Queens. (Conceptual) (CC 30, CB 9 & 10) DCLA%/DOT 26379: Installation of Woodhaven in Motion by Robert Hickman, Woodhaven Boulevard at the intersection of Jamaica Avenue and 91st Street, Queens. (Conceptual) (CC 30, CB 9) DCLA%/DOT 26380: Construction of streetscape improvements, Hart Place, West 16th Street, Surf Avenue, Mermaid Avenue, and Neptune Avenue, Coney Island, Brooklyn. (Preliminary and Final) (CC 47, CB 13) DDC/DOT 26381: Installation of windows, Old Administration Building, Newtown Creek Water Pollution Control Plant, 329 Greenpoint Avenue, Greenpoint Avenue between Humboldt Street and Russell Street, Brooklyn. (Preliminary and Final) (CC 33, CB 1) DEP 26382: Construction of a covered artificial turf field and comfort station (FC Harlem), adjacent to the North River Wastewater Treatment Plant and Riverbank State Park, West 145th Street and the Henry Hudson Parkway, Manhattan. (Final) (CC 7, CB 9) DEP 26383: Construction of an academic building, 28th Street between Seventh Avenue and Eighth Avenue, Fashion Institute of Technology, Manhattan. (Final) (CC 3, CB 5) DOE/FIT 26384: Installation of a short range charging mast as part of a pilot of an electric bus program (“All Electric Bus”), East 41st Street at the 1st Avenue Viaduct, Manhattan.
  • UNITED STATES DISTRICT COURT for the ______District District of Columbia of ______

    UNITED STATES DISTRICT COURT for the ______District District of Columbia of ______

    Case 1:12-cr-00149-JEB Document 1 Filed 05/07/10 Page 1 of 1 AO 91 (Rev. 08/09) Criminal Complaint UNITED STATES DISTRICT COURT for the __________ District District of Columbia of __________ United States of America ) v. ) ) Case No. ) ) Carline M. Charles ) Defendant(s) CRIMINAL COMPLAINT I, the complainant in this case, state that the following is true to the best of my knowledge and belief. On or about the date(s) ofApril 2005 and August 2007 in the county of Washington, D.C. in the District ofColumbia & elsewhere , the defendant(s) violated: Code Section Offense Description 18 U.S.C. Section 1341 Mail Fraud 18 U.S.C. Section 1343 Wire Fraud 18 U.S.C. Section 2(b) Causing an Act to be Done This criminal complaint is based on these facts: SEE ATTACHED AFFIDAVIT ✔ Continued on the attached sheet. Complainant’s signature Mary E. Soudrette, Special Agent Printed name and title Sworn to before me and signed in my presence. Date: 05/07/2010 Judge’s signature City and state: Washington, D.C. United States Magistrate Judge Printed name and title Case 1:12-cr-00149-JEB Document 1-1 Filed 05/07/10 Page 1 of 17 AFFIDAVIT IN SUPPORT OF CRIMINAL COMPLAINT AND ARREST WARRANT I, MARY E. SOUDRETTE (hereinafter “affiant”), a Special Agent with the Federal Bureau of Investigation (hereinafter “FBI”), having been duly sworn, hereby depose and state as follows: I. OBJECTIVE This affidavit is presented in support of a criminal complaint against and an arrest warrant for Carline Marie Charles (hereinafter “CHARLES”) charging her with wire and mail fraud in violation of 18 U.S.C.
  • New Jersey Jitney Routes

    New Jersey Jitney Routes

    Paramus Limited Service to Englewood To Paterson Route 4 Tenalfy & Bergenfield Paramus Rd Main & B'wayBroadway LemoineGeorge Washington Garden State PlazaRiver Edge George Washington Bridge Plaza Bridge Anderson Main Teaneck George Washington Route 4 Bridge Bus Station Elmwood Rochelle Palisades Center Saddle Park Main Paterson Park Brook Park Maywood Englewood Broad Fort Lee Hackensack To George Washington Bridge Ridgefield Garfield Clifton Fairview Passaic Main Anderson Van Houten Paterson Routes Fairview Cliffside River Road Park Route 21 Route Route 3 Nungessers Woodcliff North Bergen To Port Authority Edgewater Kennedy Bergenline Boulevard East Bergenline 8th Ave 8th Guttenberg Boulevard East 42nd St 61st West New York Port Authority Tonelle Ave 60th To Paterson Bus Terminal Palisade 41st St New Jersey Paterson-Port Authority Bergenline Ave Kennedy Blvd-Port Authority 48th Jitney Routes Gates 51 & 56 Route 3 Paterson Newport Mall - Journal Square - Port Imperial New York 31st Bergenline - 40th St Boulevard East George Washington Bridge Park 30th Kennedy Boulevard - PABT Midtown Manhattan Lincoln Tunnel Boarding Locations Kennedy Boulevard Bergenline Lincoln Harbor Weehawken Bergenline - PABT Willow Port Authority Fairview Avenue 2nd 14th St Viaduct Bus Terminal Congress Paterson Plank Bayonne - Journal Square Hudson County Routes 9th St Paterson - PABT Hoboken Central Kennedy Boulevard East - PABT 2nd St To Newark Palisade West New York - River Road - Fort Lee Journal Square Hoboken Terminal Summit New York City Paterson - Transportation Center Pavonia To Midtown George Washington Bridge 10th Central - PABT (am only) Newport Newark Palisade - PABT (rush only) Jersey City 6th Marin Harsimus Cove Hudson-Bergen Light Rail Kennedy Harboside Financial Center Grove St PATH Exchange Place To Kennedy Boulevard Jersey Ave & 2nd St Bayonne Marin Blvd © Axel Hellman 2018 Essex St World Trade Center.