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For Immediate Release:
For Further Information:
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June 20, 2011

Office of The Attorney General
- Paula T. Dow, Attorney General
Division of Criminal Justice
- Stephen J. Taylor, Director
Office of the Insurance Fraud Prosecutor

- Ronald Chillemi, Acting Insurance Fraud Prosecutor

Media Inquiries-
Peter Aseltine
or Rachel Goemaat
609-292-4791
Citizen Inquiries-
609-292-4925

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North Jersey Doctor Indicted on Charges that He Defrauded Medicaid, Illegally Distributed Narcotics and Tried to Hire Men to Kill His Wife, His Lover & His Former Business Partner

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Ajit Jayaram   Sheema Mickens
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TRENTON - Attorney General Paula T. Dow and Criminal Justice Director Stephen J. Taylor announced that an Englewood doctor with a medical office in Jersey City was indicted today on charges that he defrauded the Medicaid program, illegally distributed narcotic painkillers, and attempted to hire men to kill three people: his wife, his lover and a business partner.

According to Acting Insurance Fraud Prosecutor Ronald Chillemi, the Division of Criminal Justice obtained a 14-count state grand jury indictment charging Dr. Ajit Jayaram, 63, of Englewood, a licensed physician whose internal medicine practice is at 295 Martin Luther King Drive in Jersey City, with three counts of first-degree attempted murder. In addition, the indictment charges Jayaram with writing narcotics prescriptions in exchange for cash and billing Medicaid for services never provided. His office manager, Sheema Mickens, 30, of Jersey City, is also charged in the indictment in connection with the alleged Medicaid fraud.

During a Medicaid fraud investigation called Operation MedScam, conducted by the Office of the Insurance Fraud Prosecutor and the Jersey City Police Department, the investigating agencies obtained information that Jayaram attempted to hire a man to kill his lover, Radha Ramaswamy, and a pharmacist, Mukhtar Ahmed. Jayaram owes Ramaswamy $250,000 and allegedly was worried his wife would learn of their affair. Jayaram and Ahmed had a prior failed business relationship and were involved in ongoing disputes over a woman. Jayaram was initially arrested on Oct. 12, 2010. While in Hudson County Jail, he allegedly tried to hire another man to kill his wife, Sarasavani Jayaram. He allegedly believed that if his wife learned of his affair, she would leave him and take all of his money. Jayaram was charged by complaint on April 13, 2011 in the alleged plot to have his wife murdered. He is in Hudson County Jail with bail set at $2.5 million.

“This indictment suggests that nothing was beyond the realm of this doctor: not Medicaid fraud, not drug dealing, and not attempting to have those closest to him murdered,” said Attorney General Dow. “The allegations indicate that our investigators put a stop to a very dangerous man.”

“It is fairly common for Medicaid fraud investigations to lead to evidence of other types of crime, including narcotics offenses, but there is nothing common about this doctor,” said Director Taylor. “We allege that, while already in jail on two counts of attempted murder, he tried to hire a man to kill his wife.”

“This indictment alleges a broad range of serious crimes, from narcotics distribution to Medicaid fraud to attempted murder," said Acting Insurance Fraud Prosecutor Chillemi. "This case demonstrates that the greed of those who commit white-collar crimes can lead to violent acts."

“I would like to join Director Taylor in commending all of the officers involved in this investigation,” said Jersey City Police Chief Thomas Comey. “During the course of an investigation into prescription fraud, they uncovered a murder for hire case and acted swiftly and diligently to protect all of the targeted individuals and apprehend the actor.”

The indictment alleges that on several occasions between March 1, 2010 and Nov. 1, 2010, Jayaram wrote prescriptions for the narcotic painkiller oxcodone for a witness who cooperated with law enforcement in the investigation. Jayaram allegedly accepted cash from the cooperating witness in exchange for the prescriptions and did not obtain a patient history or perform any examination of the witness.

It is alleged that in connection with the visits by the witness, Jayaram and Mickens knowingly conspired with others to receive payments from Medicaid for claims for medical examinations, procedures or tests that were never performed or were not medically necessary. The indictment charges Jayaram and Mickens with conspiracy (2nd degree), health care claims fraud (2nd degree), and two counts of Medicaid fraud (3rd degree).

In addition, Jayaram is charged with the three counts of attempted murder (1st degree), one count of conspiracy to commit murder (1st degree), distribution of a controlled dangerous substance (oxycodone) (2nd degree), distribution of oxycodone within 500 feet of a public building (2nd degree), and distribution of oxycodone within 1,000 feet of a school (3rd degree). He is charged with making terroristic threats (3rd degree) for allegedly leaving messages on Ramaswamy’s answering machine and making statements during a phone call threatening to kill her. He is charged with witness tampering (3rd degree) for asking a witness in the Hudson County Jail to falsify his statement to the police.

The case is being prosecuted by Deputy Attorney General Debra A. Conrad, who presented it to the state grand jury for the Office of the Insurance Fraud Prosecutor’s Medicaid Fraud Control Unit. These individuals are assigned to the investigation for the OIFP Medicaid Fraud Control Unit: Detective Kevin Gannon, Sgt. Frederick Weidman, Detective Michael Rasar, DAG Conrad and Deputy Attorney General Erik Daab, Chief of the Medicaid Fraud Control Unit.

The following members of the Jersey City Police Department’s Special Investigation Unit are assigned to the investigation, under the supervision of Chief Thomas Comey: Lt. Fred Younger, Sgt. Anthony Musante, Sgt. Ed Nestor, Detective Wael Shahid, Detective Jeff Guilfoyle, Detective Vincent Disbrow, Police Officer Alex Torres, Police Officer Chris Dolan, Police Officer Eamon Nally, Police Officer Joseph Anzivino and Detective Erik Infantes.

The Hudson County Prosecutor’s Office initially handled the murder charges filed against Jayaram in October so as to maintain confidentiality regarding the Medicaid fraud investigation. Attorney General Dow thanked Assistant Prosecutor Michael D’Andrea and other members of the Hudson County Prosecutor’s Office, under the supervision of Prosecutor Edward J. De Fazio.

First-degree crimes carry a maximum sentence of 20 years in state prison and a $200,000 fine, while second-degree crimes carry a maximum sentence of 10 years in prison and a $150,000 fine. Third-degree Medicaid fraud carries a maximum sentence of three years in prison and a $10,000 fine. Other third-degree crimes carry a sentence of up to five years in prison and a $15,000 fine.

The indictment is merely an accusation and the defendants are presumed innocent until proven guilty. The indictment was handed up in Superior Court in Mercer County and was assigned to Hudson County.

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