ABARCA, CHERYL R. (LPN) 528 3RD STREET NEWARK NJ 07107 MEDICAL SUSPENSION K 54 7540 6/20/2005 N ABASHKIN, ROMAN (CHHA) 72 RIDGEVIEW TERRACE WAYNE NJ 07470 MEDICAL DISQUALIFICATION K 54 7540 5/29/2015 ABASHKIN, ROMAN (CHHA) 72 RIDGEVIEW TERRACE WAYNE NJ 07470 MEDICAL DISQUALIFICATION K 54 7540 6/3/2016 ABBASSI, JADAN (MD) 1194807255 1618 MAIN AVENUE CLIFTON NJ 07011 MEDICAL DISQUALIFICATION K 54 7540 11/21/2016 Y ABBASSI, JADAN (MD) 1194807255 115 NELLIS DRIVE WAYNE NJ 07470 MEDICAL DISQUALIFICATION K 54 7540 6/20/2018 Y ABDALLA, FARIDA (CHHA) 558 ALLWOOD ROAD, APT. 2 CLIFTON NJ 07012 MEDICAL DISQUALIFICATION K 54 7540 7/28/2023 N EMPIRE STATE MED. SVC INC ABDALLA, IZZELDIN 1116 ANNE STREET ELIZABETH NJ 07201 1116 ANNE STREET ELIZABETH NJ 07201 MEDICAL DISQUALIFICATION K 54 7540 11/10/1999 Y ABDELGANI, AMIR ALLENWOOD USP WHITE DEER PA 17887 MEDICAL DISQUALIFICATION K 54 7540 11/26/2001 ABDELGANI, FADIL TERRE HAUTE USP TERRE HAUTE IN 47808 MEDICAL DISQUALIFICATION A 54 7540 11/26/2001 Y ABDELGAWAD, WALAA SALAH MOUHAMD (CHHA) 64 TURES AVENUE, APT. 1D JERSEY CITY NJ 07306 MEDICAL DISQUALIFICATION K 54 7540 10/4/2023 ABDELHAMID, MANAL (RPH) 7100 BOULEVARD EAST, 11G GUTTENBERG NJ 07093 MEDICAL DEBARMENT K 54 7540 3/15/2001 Y ABDELMALAK, MAGDAH (CHHA) 39 DALES AVENUE, APT. 634 JERSEY CITY NJ 07306 MEDICAL DISQUALIFICATION K 54 7540 10/4/2023 ABDELRAHMAN, EMAN F. (CHHA) 47 GALES DRIVE NEW PROVIDENCE NJ 07974 MEDICAL DISQUALIFICATION K 54 7540 5/17/2023 ABDOLLAHI, MITRA (DMD) 1033329230 646 N. SARATOGA DRIVE MOORESTOWN NJ 08057 MEDICAL DISQUALIFICATION K 54 7540 11/5/2007 7/19/2019 N ABERBACH, STEVEN (RPH) 23 STONEGATE DRIVE WATCHUNG NJ 07069 MEDICAL DEBARMENT K 54 7540 12/19/2003 N ABKIN, DIANA (LPN) 258 HIGH MOUNTAIN ROAD NORTH HALEDON NJ 07508 MEDICAL DISQUALIFICATION K 54 7540 6/30/2018 N ABOOD, ABDOLMAID S. 64 BEVAN STREET JERSEY CITY NJ 07306 MEDICAL SUSPENSION A 54 7540 5/7/1997 ABOUELHODA, AHMED (RPH) 33-17 60TH ST. APT. 1 WOODSIDE NY 11377 MEDICAL SUSPENSION K 54 7540 9/20/2005 N ABRAHAMSEN, SVEND (DPM) 101 CHESTNUT RIDGE ROAD SADDLE RIVER NJ 07458 MEDICAL DISQUALIFICATION A 54 7540 4/20/1994 Y ABRAMS, DE'NYSHIA (CHHA) 410 3RD AVENUE, APT. 1A ASBURY PARK NJ 07712 MEDICAL DISQUALIFICATION K 54 7540 7/16/2018 N ABRAMS, IRVING (RPH) 5 LORGENE WAY MORGANVILLE NJ 07551 MEDICAL SUSPENSION K 54 7540 4/27/2000 ABREU MARTINEZ, CAROLINA (CHHA) 14 EAST RUSSELL STREET CLIFTON NJ 07011 MEDICAL DEBARMENT K 54 7540 10/31/2017 N ABUROMI, RASHA ALI (CHHA) 19010 BROWNSTONE MILLS DRIVE CYPRESS TX 77433 MEDICAL DISQUALIFICATION K 54 7540 10/4/2023 SUTEX MEDICAL TRANSPORT ABUSEF, ELSAYED K. 814 74TH STREET NORTH BERGEN NJ 07047 814 74TH STREET NORTH BERGEN NJ 07047 MEDICAL DISQUALIFICATION K 54 7540 5/20/1999 Y ACKLEY, GEORGE (PSYCH) 1457535833 202 LENOX AVENUE CAPE MAY NJ 08204 MEDICAL DEBARMENT K 54 7540 7/21/2015 N ACOSTA, LEILANI (CHHA) 458 STEVENSON PLACE, FLOOR 1 PERTH AMBOY NJ 08861 MEDICAL DISQUALIFICATION K 54 7540 5/9/2019 N ACOSTA, PEDRO E. 5815 43RD AVENUE 1ST FL QUEENS NY 11377 MEDICAL DISQUALIFICATION K 54 7540 5/2/2008 N ACOSTA, PEDRO E. 5815 43RD AVENUE 1ST FL QUEENS NY 11377 MEDICAL SUSPENSION K 54 7540 4/13/2008 N ACOSTA, PEDRO E. 5815 43RD AVENUE 1ST FL QUEENS NY 11377 MEDICAL DISQUALIFICATION A 54 7540 9/16/2011 N ACOSTA, WILLIAM R. (MD) 47 OSBORNE STREET JOHNSTOWN PA 15905 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 ACQUAH, ROSE AKA MANFORD, ROSE (CHHA) 5507 WARNER VIEW LANE WESTVILLE OH 43081 MEDICAL DEBARMENT K 54 7540 7/13/2018 ACQUAIRE, FLORENCE EMCF PO BOX 08809 CLINTON NJ 08809 MEDICAL SUSPENSION K 54 7540 4/20/2006 N ACQUAYE, EDWARD 10 BERWICK CIRCLE NORTH BRUNSWICK NJ 08902 MEDICAL SUSPENSION K 54 7540 4/19/2007 N ACZON, FERDINAND B. (MD) 1255422135 204 SUMMIT ROAD MOUNT LAUREL NJ 08054 MEDICAL DISQUALIFICATION A 54 7540 9/20/2011 11/23/2016 N ADADEVOH, LOVESDALE AKA HAMENOO, LOVESDALE (CHHA) 1 SKYTOP GARDENS, APT. 19 PARLIN NJ 08859 MEDICAL DISQUALIFICATION K 54 7540 7/16/2019 N ADAIR, LISA AKA TARASEVICH, LISA (LPN) 206 LAKEHURST AVE., APT.B NATIONAL PARK NJ 08063 MEDICAL SUSPENSION K 54 7540 9/19/2002 N ADAMS, AMELIA (CHHA) 132 OAKMONT ROAD CLEMENTON NJ 08021 MEDICAL DISQUALIFICATION K 54 7540 1/31/2017 ADAMS, ANTOINETTE (CHHA) 1604 SEWALL AVENUE ASBURY PARK NJ 07712 MEDICAL DISQUALIFICATION K 54 7540 1/31/2017 ADAMS, JAIME L. (CHHA) 911 W. HAND AVE CAPE MAY CT. HS NJ 08210 MEDICAL SUSPENSION K 54 7540 6/19/2003 N ADAMSHICK, WILLIAM (RPH) 2516 HURRY ROAD. FORKED RIVER NJ 08731 MEDICAL SUSPENSION K 54 7540 7/14/2005 3/21/2012 N ADDIS, DAVID J. (MD) 1770656068 334 FARNSWORTH AVENUE BORDENTOWN NJ 08505 MEDICAL DEBARMENT K 54 7540 1/20/2015 Y ADES, ALBERT (DR'S OFFICE) 1447560867 MIAMI FCI, PO BOX 779800 MIAMI FL 33177 MEDICAL DISQUALIFICATION K 54 7540 6/16/2017 ADES, ALBERT (MD) 1912069394 3 MARKHAM CIRCLE ENGLEWOOD NJ 07631 MEDICAL DEBARMENT K 54 7540 5/16/2016 ADES, ALBERT (MD) 1912069394 PO BOX 779800, #67194-050 MIAMI FL 33177 MEDICAL DISQUALIFICATION K 54 7540 12/12/2016 ADISSON, LECLERC (MD) 1482 SW 150TH TERRACE SUNRISE FL 33326 MEDICAL DISQUALIFICATION K 54 7540 7/20/2007 Y ADISSON, LUNIC (CHHA) 14 WALTER PLACE #1 IRVINGTON NJ 07111 MEDICAL DISQUALIFICATION K 54 7540 3/14/2008 Y ADOLPHE, NAOMIE (CHHA) 410 FISHER AVENUE NEPTUNE NJ 07753 MEDICAL DISQUALIFICATION K 54 7540 2/20/2017 ADU-BOAHENE, KWABENA (CHHA) 3 AUGUSTA DRIVE LITTLE EGG HARBOR NJ 08087 MEDICAL DISQUALIFICATION K 54 7540 1/23/2018 AFRIYIE, BRIGHT (CHHA) 317 W. RUNYON STREET, 3L NEWARK NJ 07108 MEDICAL DISQUALIFICATION K 54 7540 1/23/2018 AFZAL, FIAZ (MD) 1003801044 1000 VETERANS MEMORIAL BLVD KENNER LA 70062 MEDICAL DISQUALIFICATION K 54 7540 5/6/2022 N AGARWAL, SHASHI K. (MD) 1558416099 FCI SCHUYLKILL, PO BOX 759 MINERSVILLE PA 17954 MEDICAL DEBARMENT A 54 7540 2/28/2014 N AGARWAL, SHASHI, K. (MD) 1558416099 198 CENTRAL AVENUE 1ST FL EAST ORANGE NJ 07018 MEDICAL SUSPENSION A 54 7540 10/22/2012 N AGBOGE, EBOWA (CHHA) 111 TELFORD STREET, APT. 2 NEWARK NJ 07106 MEDICAL DISQUALIFICATION K 54 7540 7/28/2023 N Agostino Ducato, VP 223 Spring Valley Rd Paramus NJ 07652 AGRAWAL, PANKAJ (MD) 1962661215 3 E MEADOWBROOK CIRCLE SICKLERVILLE NJ 08081 MEDICAL DISQUALIFICATION K 54 7540 3/11/2006 N AGRESTA JR., RUDOLPH (MD) P.O. BOX 7450 TRENTON NJ 08628 MEDICAL SUSPENSION K 54 7540 2/19/2004 N AGRESTI, JAMES (MD) 1255389813/1477874352 292 FAIRMONT ROAD LONG VALLEY NJ 07853 MEDICAL DEBARMENT K 54 7540 10/5/2020 N AGRESTI, ROBERT (MD) 1619155710 15 BARBERRY WAY ESSEX FALLS NJ 07021 MEDICAL DISQUALIFICATION K 54 7540 6/26/2018 N AGUH, CHIKEZIE (MD) 1407876261/1619997483 18 MULBERRY COURT BELLE MEAD NJ 08502 MEDICAL DISQUALIFICATION K 54 7540 2/11/2021 N AGUIAR, SANDRA 605 KNICKERBOCKER ROAD TENAFLY NJ 07670 MEDICAL DISQUALIFICATION K 54 7540 6/18/2009 N AGUILAR, RUBEN (RPH) 16 GOLDENROD DRIVE BELLE MEAD NJ 08502 MEDICAL SUSPENSION A 54 7540 7/20/2010 N AGUIRRE-MEDRANO, CANDIDA 40 FERRY STREET NEWARK NJ 07105 MEDICAL DEBARMENT K 54 7540 7/12/1999 Y American Eagle Contractor, Inc. Agustin Zuniga, President 420 Broadway Long Branch NJ 07740 420 Broadway Long Branch NJ 07740 CONSTRUCTION DEBARMENT F 62 4550 8/12/2014 08/11/2017 N AGYEMANG, JOHN (RPH) 1487934626 153 BLUE MEADOW LANE SICKLERVILLE NJ 08081 MEDICAL DISQUALIFICATION K 54 7540 12/28/2016 9/22/2020 N VICTORY PHARMACY AGYEMANG, KWADWO (RPH) 94 MARKET STREET NEWARK NJ 07102 1154713394 94 MARKET STREET NEWARK NJ 07102 MEDICAL DEBARMENT K 54 7540 8/25/2003 6/3/2015 N AHLAWAT, RANVIR (MD) 1447204615 2204 ARVELL STREET TOMS RIVER NJ 08755 MEDICAL DEBARMENT K 54 7540 12/19/2016 9/14/2021 AHMAD, ABADULLAH 280 LUIS MARIN BLVD #15 JERSEY CITY NJ 07302 MEDICAL SUSPENSION K 54 7540 2/19/2009 Y AHMAD, FAROOQ (RPH) 1659605590 300 EAST HALSEY ROAD PARSIPPANY NJ 07054 MEDICAL SUSPENSION K 54 7540 11/8/1994 N GARDEN DRUGS INC./NEW HEALTH CARE PHARM./SAIRA SONIA INC. AHMAD, NAEEM S. 682 BERGEN AVENUE JERSEY CITY NJ 07306 682 BERGEN AVENUE JERSEY CITY NJ 07306 MEDICAL DISQUALIFICATION A 54 7540 9/15/1983 Y AHMAD, NAVEED (MD) 1669412946 48 SUYDAM ROAD SOMERSET NJ 08873 MEDICAL DISQUALIFICATION K 54 7540 9/29/2016 Y AHMAD, NAVEED (MD) 1669412946 48 SUYDAM ROAD SOMERSET NJ 08873 MEDICAL DISQUALIFICATION K 54 7540 12/20/2016 Y AHMED, AMIR E. 7-11 TONNELLE AVE - 2MN JERSEY CITY NJ 07306 MEDICAL SUSPENSION A 54 7540 5/30/1997 Y AHMED, FARHANA (CHHA) 193 PATERSON AVENUE, APT. 1 PATERSON NJ 07502 MEDICAL DISQUALIFICATION K 54 7540 7/28/2023 N AHMED, KHALID H. PO BOX 930 NEW YORK NY 10013 MEDICAL DISQUALIFICATION A 54 7540 3/26/1994 Y AHMED, MOHAMED G. (PHARM TECH) 5 WESTOVER TERRACE WEST ORANGE NJ 07052 MEDICAL DISQUALIFICATION K 54 7540 8/20/2010 N AIRD, EILEEN B. 295 GRANDVIEW CIRCLE RIDGEWOOD NJ 07450 MEDICAL SUSPENSION K 54 7540 4/20/2003 N AJAO, ABIOLA (CHHA) 687 S 20TH STREET, APT. 3 NEWARK NJ 07103 MEDICAL DISQUALIFICATION K 54 7540 7/28/2023 N AKANDE, EZEKIEL (MD) 1003859885 300 HAIL KNOB ROAD, #290828 SOMERSET KY 42503 MEDICAL DISQUALIFICATION K 54 7540 9/20/2017 AKHMEDOV, KHUSEN SCI GRATERFORD, ME9849, PO BOX 244 GRATERFORD PA 19426 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 AKHTAR, NADEEM (RPH) 1063695963 15 GRIST MILL LANE UPPER SADDLE RI NJ 07458 MEDICAL DEBARMENT A 54 7540 1/20/2012 N AKHTAR, NADEEM (RPH) 1063695963 15 GRISTMILL LANE UPPER SADDLE RI NJ 07458 MEDICAL DISQUALIFICATION A 54 7540 9/20/2012 N AKINBILE, MORUFU O. (RN) 419 E. MOOREHAVEN DRIVE CARSON CA 90746 MEDICAL DISQUALIFICATION K 54 7540 8/20/2010 N AKODA, CHARLES AKA IGBERASE, OLUWAFEMI AKA IGBERASE, CHARLES (RN) 1609033042 14909 DOWNEY COURT, SUITE 200 BOWIE MD 20721 MEDICAL DISQUALIFICATION K 54 7540 5/20/2018 N AL SALIHI, FAROUK (MD) 1720158025 1810 JOHN F. KENNEDY BLVD JERSEY CITY NJ 07305 MEDICAL SUSPENSION K 54 7540 5/1/2011 N AL SALIHI, FAROUK (MD) 1720158025 1810 JOHN F. KENNEDY BLVD JERSEY CITY NJ 07305 MEDICAL DEBARMENT K 54 7540 1/9/2015 N S & S Electric, LLC Al Shan, President 108 Oak Glen Road Toms River NJ 08753 108 Oak Glen Road Toms River NJ 08753 CONSTRUCTION DEBARMENT F 62 4550 1/13/2015 01/12/2018 N ALAM, HAMID (MD) 1285659649 775 LISA CIRCLE, APT 11 HUNTINGDON VALLEY PA 19006 MEDICAL DEBARMENT A 54 7540 10/25/2023 N TEMPT TRANSIT, INC. ALAMEEN, ALWALEED 238 MAIN STREET HACKENSACK NJ 07601 238 MAIN STREET HACKENSACK NJ 07601 MEDICAL SUSPENSION K 54 7540 7/18/1995 Alan Lombardi, President 26 Whispering Way CONSTRUCTION DEBARMENT F 62 4550 12/10/2014 12/9/2017 N ALAN, DAVID 1225012073 203 NORTH REDWOOD STREET MASONTOWN PA 15461 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 ALBERS, HENRY J. (EMT) 3 QUEEN STREET PARSIPPANY NJ 07054 MEDICAL DISQUALIFICATION A 54 7540 1/9/1996 Y Kitchen Crafters Plus d/b/a B&B Custom Cabinets Albert Brisebois, Owner 1 Suydam Place Aberdeen NJ 07747 1 Suydam Place Aberdeen NJ 07747 CONSTRUCTION DEBARMENT F 62 4550 6/1/2015 05/31/2018 N Ren Construction Albert Chwedczuk, Owner 1984 Whitesville Rd Toms River NJ 08755 1984 Whitesville Rd Toms River NJ 08755 CONSTRUCTION DEBARMENT F 62 4550 7/10/2014 07/09/2017 N ALBINO, ETHAN (RN) 224 FERN AVENUE HADDON TOWNSHIP NJ 08108 MEDICAL DISQUALIFICATION K 54 7540 9/7/2017 ALCAIDE, KELLY (LPN) 716 RIVER ROAD SOMMERVILLE NJ 08844 MEDICAL SUSPENSION K 54 7540 2/20/2002 N ALCANTARA, MARIA CHRISTINE (CNA) 1021 ROUTE 166 183504 NJ 08753 MEDICAL DISQUALIFICATION K 54 7540 11/22/2023 Y ALEXANDER, EDWARD J. (MD) 8001 CASTOR AVE., STE 326 PHILADELPHIA PA 19152 MEDICAL DEBARMENT A 54 7540 8/8/2000 Y ALEXANDER, JULIE B. (RPH) 1525 DOGWOOD DRIVE CHERRY HILL NJ 08003 MEDICAL SUSPENSION K 54 7540 5/19/2005 N ALEXANDER, MARVIN 52 S. JEFFERSON ST. ORANGE NJ 07050 CONSTRUCTION DEBARMENT F 62 4550 12/4/2013 12/3/2016 N ALEXANDRA, ALYCIA AKA DOTRO, ALYCIA (RN) 6 LOWELL ROAD MANALAPAN NJ 07726 MEDICAL DISQUALIFICATION K 54 7540 11/23/2019 N ALFONSO, NORMA (CHHA) 144 SUMMIT STREET ENGLEWOOD NJ 07631 MEDICAL SUSPENSION K 54 7540 8/19/1997 N Allied Construction LLC.Allied Construction Management, LLC Alfred Sciubba, Managing Member 100 Dobbs Lane Suite 102 Cherry Hill NJ 08034 3 Chadwick Drive Voorhees Twp. NJ 08043 CONSTRUCTION DEBARMENT F 62 4550 10/22/2013 10/21/2016 N AL-GHRAOUI, FADI (MD) PO BOX 23429 FORT LAUDERDALE FL 33307 MEDICAL DISQUALIFICATION K 54 7540 11/18/2004 DECEASED N ALI, HANIFAH (CHHA) 1216 FALCON DRIVE ABSECON NJ 08201 MEDICAL DISQUALIFICATION K 54 7540 2/20/2017 N ALI, MOHAMED T. (MD) 64 BEVAN STREET JERSEY CITY NJ 07306 MEDICAL DISQUALIFICATION K 54 7540 5/31/1994 Y ALI, RAUSHANAH (LPN) 103 BONNIA AVENUE TRENTON NJ 08629 MEDICAL DISQUALIFICATION K 54 7540 8/3/2019 N ALI, SAMIRA (CHHA) 242 CLAREMONT AVENUE, APT. 6 JERSEY CITY NJ 07305 MEDICAL DISQUALIFICATION K 54 7540 7/28/2023 N ALI, SAQIB MDC BROOKLYN, PO BOX 3290 BROOKLYN NY 11232 MEDICAL DEBARMENT A 54 7540 5/20/2012 N TARIK TRANSPORTATION SVC. ALI, TARIK 566 BLOOMFIELD AVENUE BLOOMFIELD NJ 07306 566 BLOOMFIELD AVENUE BLOOMFIELD NJ 07306 MEDICAL DISQUALIFICATION K 54 7540 5/10/1999 Y Five Star Quality Construction Alicirio Jose Santana Pires, Owner 141 Rte. 130 South Suite 192 Cinnaminson NJ 08077 141 Rte 130 South Suite 192 Cinnaminson NJ 08077 CONSTRUCTION DEBARMENT F 62 4550 4/23/2014 04/22/2017 N Vercon Building & Maintenance Corp. Allanur Islambekov, Owner 11 Arboretum Dr Jackson NJ 08527 11 Arboretum Dr Jackson NJ 08527 CONSTRUCTION DEBARMENT F 62 4550 5/12/2014 05/11/2017 N ALLEN, ADINA (CHHA) 219 PINEBROOK DRIVE MANTUA NJ 08051 MEDICAL DISQUALIFICATION K 54 7540 5/22/2017 N ALLEN, DEBRA (CHHA) 18 REID LANE MILLSTONE TWP. NJ 08535 MEDICAL DISQUALIFICATION K 54 7540 9/6/2019 Y ALLEN, KENNYATTA G. 148 CORNERSTONE PLACE WHITEHALL NY 18052 MEDICAL DISQUALIFICATION K 54 7540 3/14/2008 N ALLEN, MICHELLE I. (RN) 306 LUKE FIDLER ROAD RENSHAW PA 17866 MEDICAL DISQUALIFICATION K 54 7540 3/31/2023 ALLEN-BROGAN, MELANIE A. 135 WILD OAKS COURT LITTLE EGG HARB NJ 08701 MEDICAL SUSPENSION K 54 7540 3/5/2008 N ALLRED, ELLEN ANNE (RN) 571 FERNWOOD AVENUE FAIRLESS HILLS PA 19030 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 N ALPERIN PEDIATRICS, PA ALPERIN, MARTIN (MD) 28 RIVERSIDE AVENUE RED BANK NJ 07701 28 RIVERSIDE AVENUE RED BANK NJ 07701 MEDICAL DEBARMENT K 54 7540 6/19/2000 Y ALPERT, PERRY (DDS) 1952668782 560 NEWARK AVENUE ELIZABETH NJ 07208 MEDICAL SUSPENSION K 54 7540 10/2/1995 8/26/2020 N ALSTON, SHERRELLE NORTH 52ND STREET PHILADELPHIA PA 19139 MEDICAL DEBARMENT A 54 7540 10/9/2007 N ALSUMMAGHIA, NATHEM (CHHA) 155 W 49th STREET BAYONNE NJ 07002 MEDICAL DISQUALIFICATION K 54 7540 5/31/2023 ALTOONIAN, ANN MARIE (RN) 82 CONTANT AVENUE, APT. 2 LODI NJ 07644 MEDICAL DISQUALIFICATION K 54 7540 5/11/2019 N ALVIS, SANDRA (CHHA) 1421 HOLLINSHED AVENUE PENNSAUKEN NJ 08110 MEDICAL SUSPENSION K 54 7540 5/19/2005 N CRESCENT EXPRESS ALY, ABUBAKR 24 BRANFORD PLACE NEWARK NJ 07102 24 BRANFORD PLACE NEWARK NJ 07102 MEDICAL DISQUALIFICATION K 54 7540 3/11/2004 N ALY, AHMED F. (RPH) 1030 LIBERTY AVENUE UNION NJ 07083 MEDICAL SUSPENSION K 54 7540 8/17/2007 N CLIFTON FAMILY PHARMACY ALY, WAEL 1137 MAIN AVENUE CLIFTON NJ 07011 1137 MAIN AVENUE CLIFTON NJ 07011 MEDICAL SUSPENSION A 54 7540 5/30/2000 OMARS PHARMACY, INC. ALY, WAEL 1137 MAIN AVENUE CLIFTON NJ 07011 1137 MAIN AVENUE CLIFTON NJ 07011 MEDICAL SUSPENSION A 54 7540 5/30/2000 AMABILE, JOHN C. (OD) HIGHWAY #35 & 3RD AVENUE OCEAN NJ 07712 MEDICAL DISQUALIFICATION K 54 7540 6/30/2002 Y AMAKER, PHYLLIS (CHHA) 475 LIVINGSTON DRIVE EAST WINDSOR NJ 08520 MEDICAL DISQUALIFICATION K 54 7540 1/31/2017 AMANKWAH, VINCENTIA 8 MAPLES AVENUE CLIFFWOOD NJ 07721 MEDICAL DISQUALIFICATION K 54 7540 3/28/2017 AMANKWAH, VINCENTIA 8 MAPLES AVENUE CLIFFWOOD NJ 07721 MEDICAL DEBARMENT K 54 7540 5/1/2016 AMATO, CARLO (DC) 1275673360 500 RIVER AVENUE LAKEWOOD NJ 08701 MEDICAL DISQUALIFICATION A 54 7540 9/18/2018 N AMATO, NICOLA (DC) 1366941627 3 MULLIGAN DRIVE FLANDERS NJ 07836 MEDICAL SUSPENSION K 54 7540 6/20/2005 12/19/2023 N AMATO, STEVEN P. (DC) 30151 FISH ROCK ROAD YORKVILLE CA 95494 MEDICAL DISQUALIFICATION A 54 7540 10/20/2009 N AMATO, VANESSA A. AKA NOWINSKI, VANESSA (RN) 65 LOCUST AVENUE N. ARLINGTON NJ 07031 MEDICAL SUSPENSION K 54 7540 9/19/2003 N AMBROSE, DEAN A. (DO) 1598832560 119 NORTH CETNTRE STREET MERCHANTVILLE NJ 08109 MEDICAL DEBARMENT K 54 7540 2/1/2002 N AMENYITOR, APEAFA (CHHA) 14 MARSHALL STREET, APT. 14W IRVINGTON NJ 07111 MEDICAL DISQUALIFICATION K 54 7540 2/20/2017 AMES, TISHEENA (CHHA) 96 HALSEY REED ROAD CRANBURY NJ 08512 MEDICAL DISQUALIFICATION K 54 7540 6/28/2018 AMIN, JASHVANT (MD) 1922116268 8 SUNSET ROAD WEST CALDWELL NJ 07006 MEDICAL DISQUALIFICATION K 54 7540 8/9/2023 Y AMIN, PRISCILLA (CHHA) 133 ATLANTIC STREET HACKENSACK NJ 07601 MEDICAL DEBARMENT K 54 7540 10/23/2017 N AMMAR, TAMESHWAR (MD) 1366478943 805 BROADWAY FL 1 AMITYVILLE NY 11701 MEDICAL DISQUALIFICATION K 54 7540 6/15/2022 N AMON, TAMERLANE (CNA) 394 EGE AVENUE JERSEY CITY NJ 07304 MEDICAL DISQUALIFICATION K 54 7540 7/16/2018 N AMON, TAMERLANE (CNA) 394 EGE AVENUE JERSEY CITY NJ 07304 MEDICAL DISQUALIFICATION K 54 7540 5/18/2019 N AMPARO, VIANNE AKA PAYANO, VIANNE (CHHA) 710 EAST 18TH STREET PATERSON NJ 07501 MEDICAL DISQUALIFICATION K 54 7540 1/31/2017 AMPOFO, TWUMASI 12 MARSHALL STREET #7W IRVINGTON NJ 07111 MEDICAL SUSPENSION K 54 7540 2/1/2008 N AMPOFO, TWUMASI 12 MARSHALL STREET #7W IRVINGTON NJ 07111 MEDICAL DISQUALIFICATION A 54 7540 3/30/2009 N ANAND, NEIL (MD) 1982626818 26 TAFT LANE MORRISTOWN NJ 07960 MEDICAL DISQUALIFICATION K 54 7540 12/18/2019 N ANAND, SUBINA (DMD) 1982781589 17 GROVERS MILL ROAD IRVINGTON NJ 07111 MEDICAL DISQUALIFICATION K 54 7540 12/20/2012 ANAND, SUBINA (DMD) 1982781589 17 GROVERS MILL ROAD PLAINSBORO NJ 08536 MEDICAL DISQUALIFICATION A 54 7540 4/17/2012 N ANDERSON, CHARMAINE (RN) 95 FARRAGUT ROAD NORTH PLAINFIELD NJ 07062 MEDICAL DISQUALIFICATION K 54 7540 6/28/2017 ANDERSON, DAVID (RN) 519 HOBART AVE. TRENTON NJ 08629 MEDICAL SUSPENSION K 54 7540 10/20/2003 N ANDERSON, FRANCINE (CHHA) 901 PRINCETON AVENUE LAKEWOOD NJ 08701 MEDICAL DISQUALIFICATION K 54 7540 2/12/2018 ANDERSON, JOHN P. (MD) 362 S. LAUREL STREET WAYNEBORO VA 22980 MEDICAL SUSPENSION K 54 7540 1/20/1999 N ANDERSON, NICOLE (RN) 1801 HUNTINGTON MEWS CLEMENTON NJ 08021 MEDICAL DISQUALIFICATION K 54 7540 8/28/2017 ANDRADE, GLORIA (LCSW/LCADC) 679 GRANT TERRACE TEANECK NJ 07666 MEDICAL SUSPENSION K 54 7540 6/18/2018 N ANDREWS, TANELLE (RN) 1340 S. ORCHARD ROAD VINELAND NJ 08360 MEDICAL DISQUALIFICATION K 54 7540 5/25/2019 Andrzej Citak, Vice-President 556 Humboldt Street Brooklyn NY 11222 CONSTRUCTION DEBARMENT F 62 4550 9/24/2014 09/23/2017 N A.J. Skora Inc. Andrzej Skora, President 1982 Route 9 Toms River NJ 08753 67 Cox Cro Road Toms River NJ 08755 CONSTRUCTION DEBARMENT F 62 4550 8/19/2013 08/18/2016 N ANDUJAR, EDWARD (MD) 516 E. WOOD STREET VINELAND NJ 07410 MEDICAL DISQUALIFICATION K 54 7540 1/20/2006 N ANELLO, ALLYSON (PHARM TECH) 708 FOX HILL DRIVE DOVER NJ 07801 MEDICAL DISQUALIFICATION K 54 7540 2/5/2018 Y ANEROUSIS, MARY DEE (DDS) 1871675769 283 SOUTH ORANGE AVENUE LIVINGSTON NJ 07039 MEDICAL DISQUALIFICATION K 54 7540 5/20/2019 N ANGEL, CHRISTINA (CHHA) 145 PRESIDENTIAL BOULEVARD, APT. 16J PATERSON NJ 07522 MEDICAL DISQUALIFICATION K 54 7540 2/20/2017 ANGELES, KATHERINE (MD) 191 ROUTE 37 WEST TOMS RIVER NJ 08755 MEDICAL DEBARMENT K 54 7540 6/23/1995 DECEASED N I.K.E. Electrical Corp. Angelo Castelli, President 48 E. Central Blvd. Palisades Park NJ 07650 100 W Forest Ave Building E ENGLEWOOD NJ 07631 CONSTRUCTION DEBARMENT F 62 4550 7/21/2014 07/20/2017 N ANGELO, JOSEPH 34 STONEHEDGE ROAD LINCROFT NJ 07738 MEDICAL DISQUALIFICATION A 54 7540 4/27/1993 Y Lombardi Enterprises, Inc. Ann Lombardi, Secretary 26 Whispeiring Way Berkeley Heights NJ 07922 2901 South Clinton Ave South Plainfield NJ 07080 CONSTRUCTION DEBARMENT F 62 4550 12/10/2014 12/09/2017 N ANODIDE, PAUL A. (DDS) 1841317625 23 BLUE DEVIL LANE TRENTON NJ 08619 MEDICAL DISQUALIFICATION K 54 7540 2/3/2006 N ANSERE, PATIENCE (CHHA) 305 COOLIDGE AVENUE ENGLEWOOD NJ 07631 MEDICAL DISQUALIFICATION K 54 7540 7/17/2018 N ANTELL, CLIFF #65502-050 FCI CUMBERLAND, PO BOX 1000 CUMBERLAND MD 21501 MEDICAL DISQUALIFICATION K 54 7540 5/18/2019 Anthony Davis, Vice-President 363 Northfield Avenue Livingston NJ 07039 CONSTRUCTION DEBARMENT F 62 4550 10/29/2013 10/28/2016 N Samco Construction Co. LLC Anthony Mirabile, President 413-415 South Seventh St. Elizabeth NJ 07202 413-415 South Seventh St. Elizabeth NJ 77202 CONSTRUCTION DEBARMENT F 62 4550 7/3/2013 07/02/2016 N ANTHONY, QUINT (LPN) PO BOX 214 BAYVILLE NJ 08721 MEDICAL DISQUALIFICATION K 54 7540 6/5/2017 ANTONE, JULIE (LCSW) 366 CAMBRIDGE DRIVE RAMSEY NJ 07446 MEDICAL DEBARMENT A 54 7540 2/20/2013 5/25/2023 N Crossroad Construction Corp. Antonio Gomes Sr., President 312 Emmet Street Newark NJ 07114 164 Green Street Newark NJ 07105 CONSTRUCTION DEBARMENT F 62 4550 5/13/2013 05/12/2016 N Pax Construction Corp. Antonio Pereira, President 159 Locust Avenue West Long Branch NJ 07764 67 Highway 36 West Long Branch NJ 07764 CONSTRUCTION DEBARMENT F 62 4550 10/17/2014 10/16/2017 N ANTWI, ISAAC (CHHA) 549 BOLTON AVENUE #1 BRONX NY 10473 MEDICAL DEBARMENT K 54 7540 6/28/2018 ANZALONE, ANTHONY (MD) 1124071857 203 DIETZ STREET CRANFORD NJ 07016 MEDICAL DISQUALIFICATION K 54 7540 2/8/2019 N New Jersey State Floring, Inc. APGAR, CHERYL 109 Greentree Road Brick NJ 08724 109 Greentree Road Brick NJ 08724 CONSTRUCTION DEBARMENT F 82 2650 4/8/2016 4/10/2019 N APGAR, ROY 109 Greentree Road Brick NJ 00872 109 Greentree Road Brick NJ 08724 CONSTRUCTION DEBARMENT F 82 2650 4/8/2016 4/10/2019 N APONTE, DENNIS (MD) 1053458018 MDC BROOKLYN - PO BOX 329002 BROOKLYN NY 11232 MEDICAL DISQUALIFICATION K 54 7540 5/20/2015 N APPIAH-KUBI, LESLEI (LPN) 1205351582 1457 OGDEN AVENUE, APT 2H BRONX NY 10452 MEDICAL DISQUALIFICATION K 54 7540 11/20/2023 N AQUILANTE, JOHN C. (RPH) 27 ROCKLEDGE PLACE CEDAR GROVE NJ 07009 MEDICAL DISQUALIFICATION G 54 7540 9/23/1983 DECEASED Y ARDAN, MARGO (RN) 161 CONAWAGA TRAIL MEDFORD NJ 08055 MEDICAL DISQUALIFICATION K 54 7540 6/28/2017 ARDEHALI, MOHAMMED (MD) 193 ELMWOOD AVENUE NEWARK NJ 07104 MEDICAL SUSPENSION K 54 7540 2/20/2001 ARGUETA, ALVARO (MD) 1194851618 9408 BIG VIEW DRIVE AUSTIN TX 78730 MEDICAL DISQUALIFICATION K 54 7540 7/22/2017 Y ARGUETA, EDWARD A. (CNA) 604 N. BAYVIEW AVENUE SEASIDE PARK NJ 08752 MEDICAL SUSPENSION K 54 7540 9/13/1999 ARGUETA, EDWARD A. (CNA) 604 N. BAYVIEW AVENUE SEASIDE PARK NJ 08752 MEDICAL SUSPENSION A 54 7540 4/8/1999 ARIF, MOHAMMED 147-14 14TH AVENUE WHITESTONE NY 11375 MEDICAL DISQUALIFICATION K 54 7540 12/1/1998 Y Real Construction LLC Arkadiusz Chwedczuk, Owner 1984 Whitesville Rd Toms River NJ 08757 719 11th Ave Toms River NJ 08757 CONSTRUCTION DEBARMENT F 62 4550 11/24/2014 11/23/2017 N Conex Construction Corp. Armando Piedade, President 265 Wilson Avenue Kea(RN)y NJ 07032 265 Wilson Avenue Kearny NJ 07032 CONSTRUCTION DEBARMENT F 62 4550 1/20/2016 01/19/2019 N ARMBRISTER, KATIMA (CHHA) 301 BELMAR AVENUE NEPTUNE NJ 07753 MEDICAL DISQUALIFICATION K 54 7540 2/20/2017 ARNESON, VICTORIA (RN) 42 HOLLY STREET CRANFORD NJ 07016 MEDICAL SUSPENSION K 54 7540 9/19/2003 N AROWOSAYE, EMILY (RN) 24 CUNNINGHAM DRIVE WEST ORANGE NJ 07052 MEDICAL DISQUALIFICATION A 54 7540 7/31/2010 N AROWOSAYE, EMILY (RN) 24 CUNNINGHAM DRIVE WEST ORANGE NJ 07052 MEDICAL DEBARMENT A 54 7540 5/20/2012 N AROWOSAYE, ISAAC 24 CUNNINGHAM DRIVE WEST ORANGE NJ 07052 PROFESSIONAL DEBARMENT K 54 7540 3/30/2010 DECEASED N AROWOSAYE, ISAAC 24 CUNNINGHAM DRIVE WEST ORANGE NJ 07052 MEDICAL DEBARMENT A 54 7540 7/4/2014 DECEASED N MG Topflight Ashish Thomas, Owner 6 Spruce Meadows Dr Monroe NJ 08831 6 Spruce Meadows Drive Monroe NJ 08831 CONSTRUCTION DEBARMENT F 62 4550 7/29/2014 07/28/2017 N ASHOKAN, ANNAMALAI (MD) 1497857270 7 ROCKLEDGE DRIVE SUFFERN NY 10901 MEDICAL DEBARMENT K 54 7540 5/1/2004 N ASKANAZI, JEFFREY (MD) 2322 OLDE FARM LANE HUDSON OH 44236 MEDICAL DEBARMENT K 54 7540 7/19/1999 Y ASLAM, ZAHID (MD) 1306906854 1814 E. 2ND STREET SCOTCH PLAINS NJ 07076 MEDICAL DISQUALIFICATION K 54 7540 1/16/2019 Y ASTON, ALEXIA L. (LPN) 15 PRIMROSE LANE, APT. 3 DELRAN NJ 08075 MEDICAL DISQUALIFICATION K 54 7540 6/18/2009 N ASTORE, MARYANN (CHHA) 45 KOHOMO AVENUE ERIAL NJ 08081 MEDICAL DEBARMENT K 54 7540 4/30/2019 N ATIENZA, CESAR P. (MD) 1164491494 56 COLD INDIAN SPRING RD OCEAN NJ 07712 MEDICAL DISQUALIFICATION A 54 7540 8/6/1991 Y ATKINS, DAWN AKA STILL, DAWN (CHHA) 697 EVERETT STREET CAMDEN NJ 08104 MEDICAL DISQUALIFICATION K 54 7540 3/6/2018 N AUFSEESER, LESLIE (DPM) 111 MEADOWS LANE WAYSIDE NJ 07712 MEDICAL DEBARMENT K 54 7540 2/12/2018 N AURANGZEB, MUHAMMED 2330 ROUTE 33, SUITE 311 TRENTON NJ 08691 MEDICAL SUSPENSION K 54 7540 5/2/2023 N AUSTIN, BRITTANY (CHHA) 420 N. SOUTH CAROLINA AVENUE ATLANTIC CITY NJ 08401 MEDICAL DISQUALIFICATION K 54 7540 6/6/2018 N GERI CARE CENTERS INC AUSTIN, DONALD P 31 MADISON AVENUE MONTCLAIR NJ 07042 31 MADISON AVENUE MONTCLAIR NJ 07042 MEDICAL DISQUALIFICATION A 54 7540 6/1/1993 Y AUSTIN, NIDERIA (CHHA) 822 GALINDEZ COURT CAMDEN NJ 08102 MEDICAL DISQUALIFICATION K 54 7540 12/15/2017 N AVETIAN, CHARLES GARO aka AVETIAN, GARO CHARLES (MD) 1013936400 2 MILL COURT NEWTOWN SQUARE PA 19073 MEDICAL DISQUALIFICATION K 54 7540 11/20/2023 N AVICOLLI, NICHOLAS (RPH) 985 PAPEN ROAD BRIDGEWATER NJ 08807 MEDICAL DISQUALIFICATION K 54 7540 5/19/2022 AVILES, REBECCA (CHHA) 67 MILL ROAD LEVITTOWN PA 19057 MEDICAL DISQUALIFICATION K 54 7540 2/20/2017 AYALA, ANDRES 33 MADISON AVENUE CHERRY HILL NJ 08002 MEDICAL SUSPENSION K 54 7540 9/11/2017 10/3/2019 N AYALA, ANDRES 33 MADISON AVENUE CHERRY HILL NJ 08002 MEDICAL DISQUALIFICATION K 54 7540 10/3/2019 N AYODELE, SIMISOLA (CHHA) 165 N 6TH STREET NEWARK NJ 07107 MEDICAL DISQUALIFICATION K 54 7540 5/17/2023 AZAM, CHOWDHURY F. (MD) 1922053792 38 ORIOLE DRIVE HACKETTSTOWN NJ 07840 MEDICAL DEBARMENT K 54 7540 2/1/1999 6/30/2015 N AZAM, CHOWDHURY F. (MD) 1922053792 30 DUNSTON LANE MONMOUTH JUNCTION NJ 08852 MEDICAL DEBARMENT K 54 7540 10/26/2016 N AZEEZ, ALABA (CHHA) 806 S 16TH STREET, FLOOR 2 NEWARK NJ 07108 MEDICAL DISQUALIFICATION K 54 7540 7/5/2023 N AZER, MERFAT (CHHA) 335 ARMSTRONG AVENUE, FLOOR 2 JERSEY CITY NJ 07305 MEDICAL DISQUALIFICATION K 54 7540 7/19/2023 N AZIZ-DURRANI, MUMLIKAT 328 SIP AVENUE JERSEY CITY NJ 07306 MEDICAL SUSPENSION K 54 7540 9/19/2002 N GOODWILL PHARMACY AZU, PHILIP N. (RPH) 2836 DEBRA WAY UNION NJ 07083 2836 DEBRA WAY UNION NJ 07083 MEDICAL DISQUALIFICATION A 54 7540 5/20/1999 Y AZU, PHILIP N. (RPH) 1094 CLINTON AVENUE IRVINGTON NJ 07111 MEDICAL DISQUALIFICATION A 54 7540 4/19/2001 Y AZZAM, DOAA (CHHA) 10 LAKE AVENUE PATERSON NJ 07503 MEDICAL DISQUALIFICATION K 54 7540 7/5/2023 N BABARIA, ASHOKKUMAR (MD) 1538100599 FCI FORT DIX PO BOX 2000 FORT DIX NJ 08640 MEDICAL DISQUALIFICATION A 54 7540 11/4/2014 N BABARIA, ASHOKKUMAR (MD) 1538100599 5756 HARTFIELD/POINTVILLE FORT DIX NJ 08640 MEDICAL DISQUALIFICATION A 54 7540 2/28/2015 N BABARIA, ASHOKKUMAR (MD) 1538100599 208 QUAKERBRIDGE COURT MOORESTOWN NJ 08057 MEDICAL SUSPENSION A 54 7540 1/10/2012 N BABAYANTS, ALEXANDER (MD) 1194779371 184 S. LIVINGSTON AVENUE #9272 LIVINGSTON NJ 07039 MEDICAL DEBARMENT K 54 7540 2/10/2018 10/21/2021 N BACSENKO, JENNIFER (PHARM TECH) 103 STATE STREET LINWOOD NJ 08221 MEDICAL SUSPENSION K 54 7540 1/20/2011 N BADAWT, BADAWY AKA BADAWY BADAWY (MD) 1679615553 2738 KENNEDY BOULEVARD 1ST FL JERSEY CITY NJ 07306 MEDICAL DISQUALIFICATION K 54 7540 2/11/2016 N BADAWT, BADAWY AKA BADAWY BADAWY (MD) 1679615553 2738 KENNEDY BLVD 1ST FL JERSEY CITY NJ 07306 MEDICAL SUSPENSION A 54 7540 3/25/2013 N BADAWY, BADAWY AKA BADAWY BADAYT (MD) 1679615553 2738 KENNEDY BOULEVARD 1ST FL JERSEY CITY NJ 07306 MEDICAL DISQUALIFICATION K 54 7540 2/11/2016 N BADAWY, BADAWY AKA BADAWY BADAYT (MD) 1679615553 2738 KENNEDY BLVD 1ST FL JERSEY CITY NJ 07306 MEDICAL SUSPENSION A 54 7540 3/25/2013 N BADAWY, HOSSAM (CHHA) 51 SMITHFIELD DRIVE SPRINGFIELD NJ 07081 MEDICAL DISQUALIFICATION K 54 7540 10/4/2023 BADO, JEFFREY (DO) 1801908173 1615 ASHBOURNE ROAD ELKINS PARK PA 19027 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 N BADO, JEFFREY (DO) 1801908173 FDC PHILADELPHIA #71927-066, PO BOX 562 PHILADELPHIA PA 19105 MEDICAL DISQUALIFICATION K 54 7540 11/20/2017 N BADUINI, JOLIE (RN) 1300 32ND AVE SW, APT 307 MINOT ND 58701 MEDICAL DISQUALIFICATION K 54 7540 5/20/2015 N BAER, MICHAEL L. (DC) 1053654616 BAYSIDE STATE PRISON LLESBURG NJ 08327 MEDICAL SUSPENSION A 54 7540 9/20/2004 N BAEZ, ANNA V. (DDS) 911 VILLAGE DRIVE SOMERSET NJ 08873 MEDICAL SUSPENSION K 54 7540 3/20/2002 N BAFFOWAAH, ZIBORAH 4345 DIAMOND DRIVE SAINT PAUL MN 55122 MEDICAL DISQUALIFICATION A 54 7540 2/20/2015 N BAGDASAROVA, ANGELICA (RN) 11981 AUDUBON AVENUE PHILADELPHIA PA 19116 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 BAH, HUSAINATU (RN/LPN) 2510 BIRCHWOOD COURT NORTH BRUNSWICK NJ 08902 MEDICAL DISQUALIFICATION K 54 7540 1/15/2016 12/10/2019 N BAH, HUSAINATU (RN/LPN) 2510 BIRCHWOOD COURT NORTH BRUNSWICK NJ 08902 MEDICAL DISQUALIFICATION K 54 7540 11/28/2013 12/10/2019 N BAHNSON, WILLIAM F. (MD) 28 HIGH STREET TREENFIELD MA 01301 MEDICAL DISQUALIFICATION G 54 7540 9/2/1988 DECEASED N BAILEY, FREDERICK (DDS) 1205048410 41 WEST GLEN ROAD DENVILLE NJ 07834 MEDICAL DISQUALIFICATION K 54 7540 9/29/2016 BAILEY, KENNETH 231 MAIN ST., PO BOX 12 HEISLERVILLE NJ 08342 VENDOR CONSTRUCTION G 82 2050 5/7/2015 5/7/2020 N BAIRD, DAVID B. (MD) 4107 MERCHANT SQ. PLACE LANSDALE PA 19446 MEDICAL SUSPENSION K 54 7540 5/20/2004 N BAJAKIAN, BRYAN (DC) 1679618094 3105 STOWE LANE MAHWAH NJ 07430 MEDICAL DISQUALIFICATION K 54 7540 10/18/2010 N BAJWA, LATIF AHMAD PO BOX 633 LANGHORNE PA 19047 MEDICAL SUSPENSION K 54 7540 2/9/2009 N BAKER, MONIQUE (CHHA) 1521 NEWPORT STREET CAMDEN NJ 08104 MEDICAL DISQUALIFICATION K 54 7540 2/28/2019 N BAKER, SCOTT (CNA) 215 BURLINGTON RD. SOUTH BRIDGETON NJ 08302 MEDICAL DISQUALIFICATION A 54 7540 5/24/2002 N BAKMAN, MILANA (CHHA) 4 IVY WAY DAYTON NJ 08810 MEDICAL DEBARMENT K 54 7540 6/19/2018 N BALLERAS, ALFREDO B. (RPH) 1 VISTA DRIVE MOUNT OLIVE NJ 07836 MEDICAL DISQUALIFICATION K 54 7540 9/14/2010 9/13/2013 N BAMDAD, BABAK (RPH) 2 SOUTH GATE ROAD, APT 736 GREAT NECK NY 11023 MEDICAL DISQUALIFICATION A 54 7540 7/26/2011 5/25/2023 N BAMDAD, BABAK (RPH) 333 RIVER STREET HOBOKEN NJ 07030 MEDICAL DEBARMENT A 54 7540 6/1/2010 5/25/2023 N BAMGBOYE, PATRICK (DDS) 1720175508 358 MEISEL AVENUE SPRINGFIELD NJ 07081 MEDICAL DEBARMENT K 54 7540 11/7/2012 N BANDY, ANHUAR 141 CRINE ROAD COLTS NECK NJ 07722 MEDICAL DISQUALIFICATION K 54 7540 6/20/2018 N BANDY, KARIM 141 CRINE ROAD COLTS NECK NJ 07722 MEDICAL DISQUALIFICATION K 54 7540 6/20/2018 N BANGOURA, ALPHA 200 EXECUTIE DRIVE WEST ORANGE NJ 07050 MEDICAL SUSPENSION K 54 7540 3/22/2006 N BANKA, VIDYA (MD) 2101 BRIGHTON STREET PHILADELPHIA PA 19149 1588659965 237 STACEY ROAD PENN VALLEY PA 19072 MEDICAL DISQUALIFICATION K 54 7540 3/19/2018 N BANKOLE, ADEJOKE (CHHA) 986 18TH AVENUE, APT. 1 NEWARK NJ 07106 MEDICAL DISQUALIFICATION K 54 7540 7/19/2023 N GENE'S PHARMACY BANKS, KENNETH 640 PINE STREET CAMDEN NJ 08103 640 PINE STREET CAMDEN NJ 08103 MEDICAL DEBARMENT K 54 7540 8/14/2003 N BANNON, JOSEPH 250 GORGE ROAD CLIFFSIDE PARK NJ 07010 CONSTRUCTION DEBARMENT F 62 4550 11/25/2011 11/24/2014 N BAPTISTE, STANLEY (CHHA) 401 WEST VIRGINIA AVENUE, APT. B-16 NEPTUNE NJ 07753 MEDICAL DISQUALIFICATION K 54 7540 4/19/2018 N BARAHONA, RONY 549 SUMMIT AVENUE MAPLEWOOD NJ 07040 MEDICAL DEBARMENT K 54 7540 3/26/2013 BARAKAT, FATIMA (CHHA) 267 N 7TH STREET, FLOOR 1 PROSPECT PARK NJ 07508 MEDICAL DISQUALIFICATION K 54 7540 7/5/2023 N BARAN-DICRISCIO, LORRAINE (CHHA) 309 IRIS ROAD CHERRY HILL NJ 08620 MEDICAL SUSPENSION K 54 7540 3/20/2002 N BARAQUE, IVAN DARIO (MD) 1811059967 4 WOODCREST COURT WEST NYACK NY 10994 MEDICAL DISQUALIFICATION K 54 7540 2/20/2015 N BARASCH, MILTON (RPH) 12 IVY WAY ABERDEEN NJ 07747 MEDICAL DEBARMENT K 54 7540 8/3/2000 DECEASED Y BARATTI, CARMEN (DO) 150 KIRKBRIDGE ROAD VOORHEES NJ 08043 MEDICAL SUSPENSION K 54 7540 9/4/1997 BARBA, FIDELIS (MD) 2 POWDER HILL SADDLE RIVER NJ MEDICAL DISQUALIFICATION K 54 7540 10/11/2000 Y BARBANEL, JACOB 4656 PARK LANE WALNUTPORT PA 18088 CONSTRUCTION DEBARMENT F 62 4550 4/7/2015 4/6/2018 N The Boca Bay Group Barbara Marano, President 163 Hillcrest Ave Cranford NJ 07016 16 South Ave West Suite 267 Cranford NJ 07016 CONSTRUCTION DEBARMENT F 62 4550 5/21/2013 05/20/2016 N BARBER-HINSON, CONNIE 7011 SHADOW RUN SAN ANTONIO TX 78250 MEDICAL SUSPENSION A 54 7540 4/20/2011 N BARBERS-WEBER, JENNIFER 8 ELKRIDGE PARKWAY MANALAPAN NJ 07726 MEDICAL SUSPENSION A 54 7540 11/5/2009 N BARDEN, BRENDA (RN) 19 INTERVALE ROAD SALEM MA 01970 MEDICAL DISQUALIFICATION A 54 7540 12/20/2012 N BARDO, MANUEL 11756 SW 14TH TERRACE MIAMI FL MEDICAL SUSPENSION K 54 7540 8/19/2004 N BARET, MICHELLE (CHHA) 135 MARINA DRIVE EDISON NJ 06076 MEDICAL DISQUALIFICATION K 54 7540 2/8/2017 BARGE, NICHOLAS 716 NAUTILUS STREET FORKED RIVER NJ 08731 MEDICAL DEBARMENT K 54 7540 3/16/2011 N BARGER, SHERRY (LPN) 187 KINGS HIGHWAY MIDDLETOWN NJ 07748 MEDICAL DISQUALIFICATION K 54 7540 2/24/2022 N BARI, ABDUL 264 PROSPECT STREET NUTLEY NJ 07110 MEDICAL DISQUALIFICATION A 54 7540 6/19/2009 N BARIEXCA, CARLA (LPN) 107 DAYTON STREET TRENTON NJ 08610 MEDICAL SUSPENSION K 54 7540 8/20/2006 N BARNA, ARLENE (RN) 205 KRAFT AVE. OAKLYN NJ 08107 MEDICAL SUSPENSION K 54 7540 9/19/2003 N BARNES, LIANNA C. (LPN) 4906 SCHINDLER TERRACE BRIDGEWATER NJ 08807 MEDICAL DISQUALIFICATION K 54 7540 5/16/2023 BARNEY, WILLIAM 73 HAMPTON GATE DRIVE SICKLERVILLE NJ 08061 VENDOR SUSPENSION A 82 2050 8/27/2001 BARNWELL, LATANYA 1048 PENNINGTON ROAD EWING NJ 08618 MEDICAL DEBARMENT A 54 7540 9/16/2011 9/17/2014 N BARON, MICHAEL B. (MD) SE 1256 BISHOP BLVD, STE1 PULMAN WA 99163 MEDICAL DEBARMENT K 54 7540 9/11/2000 Y BARONE, THOMAS (DO) 1780898965 255 17TH STREET PHILADELPHIA PA 19103 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 BARRETTI SR., PHILIP 466 BLOOMFIELD AVENUE NEWARK NJ 07107 466 BLOOMFIELD AVENUE NEWARK NJ 07107 VENDOR SUSPENSION B 82 2050 1/9/1996 BARROUS, FELIPE (EMT) 40 KNOLL TERRACE HAZLET NJ 07730 MEDICAL DISQUALIFICATION K 54 7540 2/28/2015 N BARSH, LAUREN AKA MCCABE, LAUREN (RN) 9 FIELDCREST WAY HAZLET NJ 07730 MEDICAL DISQUALIFICATION K 54 7540 12/30/2019 N BARTEK, MARY H. (DC) 1427048701 3225 NAZARETH ROAD, APT 3943 EASTON PA 18045 MEDICAL DISQUALIFICATION A 54 7540 8/20/2023 BARTLOW, BRIAN 551 PARKWOOD AVENUE TOMS RIVER NJ 08753 MEDICAL SUSPENSION K 54 7540 7/17/2003 N BAS, KONSTANTIN 2800 COYLE STREET #625 BROOKLYN NY 11235 MEDICAL DISQUALIFICATION A 54 7540 9/14/2018 N BASBUS, VICTOR M. (MD) 33 5TH AVENUE, APT 1B NEW YORK NY 10003 MEDICAL DEBARMENT K 54 7540 2/6/2009 Y BASCUS, NAOMI AKA DERRICK, NAOMI (RN) 6 ENGLISH IVY DRIVE SICKLERVILLE NJ 08081 MEDICAL DISQUALIFICATION K 54 7540 4/9/2020 N BASCUS, NAOMI AKA DERRICK, NAOMI (RN) 6 ENGLISH IVY DRIVE SICKLERVILLE NJ 08081 MEDICAL DISQUALIFICATION K 54 7540 12/26/2016 BASNETT, BETHANY (NP) 1487718938 4940 PEPYS LN, APT 219 WILMINGTON NC 28403 MEDICAL DISQUALIFICATION K 54 7540 10/15/2022 N BASSO, NICHOLAS V. (MD) 7665 MAPLE AVENUE PENNSAUKEN NJ 08109 MEDICAL DEBARMENT K 54 7540 2/1/2000 Y BATARSEH, BASEL (MD) 1063602696/1891803318 620 FAIRLAWN AVENUE GLEN ROCK NJ 07410 MEDICAL DEBARMENT K 54 7540 12/31/2017 N BATARSEH, BASEL (MD) 1063602696/1891803318 85 VINCENT DRIVE CLIFTON NJ 07013 MEDICAL DISQUALIFICATION K 54 7540 8/20/2018 N BATARSEH, BASEL (MD) 1891803318 6-20 PLAZA ROAD FAIR LAWN NJ 07410 MEDICAL DISQUALIFICATION K 54 7540 8/20/2018 N BATEMAN, PAMELA (LPN) 91 CHESTNUT STREET SALEM NJ 08079 MEDICAL SUSPENSION K 54 7540 7/21/2008 BATES, NANCY M. (DO) 38 PALSA AVENUE ELMWOOD PARK NJ 07407 MEDICAL DEBARMENT K 54 7540 4/3/2001 Y BATISTA-ALCANTARA, YOKAURI (LPN) 286 COMSTOCK STREET NEW BRUNSWICK NJ 08901 MEDICAL DISQUALIFICATION K 54 7540 10/27/2022 BATTISTI, RENATO PIETRO (DC) 1134392145 6 MARLBORO ROAD WESTBURY NY 11590 MEDICAL DISQUALIFICATION K 54 7540 12/20/2023 N BATTLE, TIFANY (CHHA) 393 IRVINE TURNER BOULEVARD, APT. 4D NEWARK NJ 07108 MEDICAL DISQUALIFICATION K 54 7540 2/20/2017 BAUBLITZ, CARRIE (RN) 80 CONEWAGO DRIVE HANOVER PA 17331 MEDICAL DISQUALIFICATION K 54 7540 12/29/2015 BAUTISTA, FILOMENA (CHHA) 133 PAMRAPO AVENUE #1 JERSEY CITY NJ 07305 MEDICAL DISQUALIFICATION K 54 7540 7/14/2017 BAXTER, LOUIS E. (MD) 1962527051 2 MANCHESTER COURT COLUMBUS NJ 08022 MEDICAL DISQUALIFICATION G 54 7540 10/26/1983 4/2/2013 N BAYOUMY, MAHETAB (CHHA) 47 BYRNE CT # B WAYNE NJ 07470 MEDICAL DISQUALIFICATION K 54 7540 7/19/2023 N BEACHUM-THOMPSON, AMY (CHHA) 201 WEBSTER STREET WOODBINE NJ 08270 MEDICAL DISQUALIFICATION K 54 7540 1/17/2018 8/20/2018 BEALS, PAUL V. (MD) 1427175652 4120 WESTFIELD AVENUE PENNSAUKEN NJ 08110 MEDICAL SUSPENSION K 54 7540 6/24/2014 N BEASLEY, BRANDI (C N A) 433 ALFRED ROAD TOMS RIVER NJ 08757 MEDICAL DISQUALIFICATION A 54 7540 2/11/2019 Y BEAUCEJOUR, MONIQUE (CHHA/CNA) 204 BERKELEY AVENUE, APT. 323 BLOOMFIELD NJ 07003 MEDICAL DISQUALIFICATION K 54 7540 8/29/2019 BECK, ALLAN G. (MD) 1833 ARROWHEAD DRIVE WATERFORD NJ 08089 MEDICAL SUSPENSION K 54 7540 2/20/2001 BECKETT, DONALD (DPM) 1871692285 10144 DEERCLIFF DRIVE TAMPA FL 33647 MEDICAL DISQUALIFICATION K 54 7540 11/4/2005 N BECKFORD, AUDREY L. 566 NORTH MAPLE AVENUE EAST ORANGE NJ 07017 MEDICAL SUSPENSION K 54 7540 1/20/2002 N BEDRICK, BERNARD A. 300 EAST 56TH STREET NEW YORK NY 10022 MEDICAL DISQUALIFICATION A 54 7540 6/1/1993 Y BEECHER, GEORGE (MD) 1073574059 137 EVERGREEN AVENUE NW PROVIDENCE NJ 07974 MEDICAL SUSPENSION K 54 7540 6/8/2016 9/19/2018 N BEECHER, GEORGE (MD) 1073574059 137 EVERGREEN AVENUE NW PROVIDENCE NJ 07974 MEDICAL DISQUALIFICATION A 54 7540 9/19/2018 N BEHRMAN, EDWARD (DO) 520 HAMBURG TURNPIKE WAYNE NJ 07470 MEDICAL DISQUALIFICATION K 54 7540 12/1/1998 Y BEIRNE, MARY F. (MD) 1881782662 75 ABE VORHEES AVENUE MANASQUAN NJ 08736 MEDICAL DISQUALIFICATION K 54 7540 7/19/2001 5/16/2011 N BEKHIT, CHRISTINA (RPH) 1952616922 9 PEGGY ROAD EAST BRUNSWICK NJ 08816 MEDICAL SUSPENSION K 54 7540 8/2/2022 N BEKIER, JACQUELYN (CHHA) 518 LAKE TERRACE BRADLEY BEACH NJ 07720 MEDICAL DISQUALIFICATION K 54 7540 1/31/2017 10/28/2022 BELIAEV, KIRA (CHHA) 108 36TH STREET UNION CITY NJ 07087 MEDICAL DISQUALIFICATION K 54 7540 2/20/2017 BELKHAOUDA, FATMA (CHHA) 277 HARRISON AVENUE, APT. D1 JERSEY CITY NJ 07304 MEDICAL DISQUALIFICATION K 54 7540 7/5/2023 N BELKOFF, MEYER (DO) 29 ELMORA AVENUE ELIZABETH NJ 07202 MEDICAL DEBARMENT K 54 7540 7/17/1998 DECEASED N BELL, BEANA 9926 HALDEMAN AVENUE PHILADELPHIA PA 19115 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 BELL, KIMBERLY (RN) 2030 HIGHWAY 35 N. UNIT K ORTLEY BEACH NJ 08735 MEDICAL SUSPENSION K 54 7540 6/20/2001 2/7/2020 N BELL, SHANNON (PHARM TECH) 6591 MILL ROAD EGG HARBOR TOWNSHIP NJ 08234 MEDICAL DISQUALIFICATION K 54 7540 5/23/2017 BELLAMY, BERNICE 27 VILLAGE DRIVE LUMBERTON NJ 08060 MEDICAL DEBARMENT K 54 7540 10/20/2004 Y H & B TRANSP BELLAMY, HARVEY OWNER 401 SOUTH WHITEHORSE PIKE MAGNOLIA NJ 08049 CRAF PO BOX 7450 TRENTON NJ 08625 MEDICAL DISQUALIFICATION K 54 7540 10/20/2004 Y BELLO, REY N. 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(MD) 1032 ROUTE 34 MATAWAN NJ 07747 MEDICAL DEBARMENT K 54 7540 9/30/2000 Y BERKELHAMMER, EDWARD (MD) 230 W. JERSEY ST. ELIZABETH NJ 07202 MEDICAL DISQUALIFICATION A 54 7540 8/30/1990 Y BERKOWITZ, ANDREW (MD) 1952454928 725 LISA CIRCLE, APT 11 HUNTINGDON VALLEY PA 19006 MEDICAL DISQUALIFICATION K 54 7540 9/20/2023 BERMAN, LARRY R. (DDS) 1326191347 308 RARITAN DRIVE HIGHLAND PARK NJ 08904 MEDICAL DISQUALIFICATION A 54 7540 8/24/2010 N BERMAN, LARRY R. (DDS) 1326191347 308 RARITAN AVENUE HIGHLAND PARK NJ 08904 MEDICAL DISQUALIFICATION A 54 7540 12/20/2012 N BERNSTEIN, IRA S. (DPM) 1629008271 301 OLD TERRYTOWN ROAD WHITE PLAINS NY 10603 MEDICAL DISQUALIFICATION K 54 7540 3/1/2018 N BERRY, BRADLEY D. (MD) PO BOX 2008 GRUNDY VA 24614 MEDICAL DISQUALIFICATION G 66 1050 6/13/1991 DECEASED N BESEN, LEE (MD) 1770559213 325 OAKFORD ROAD WAVERLY PA 18471 MEDICAL DISQUALIFICATION A 54 7540 3/5/2024 N BEST, ALEXANDER C. P.O. 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(DPM) 36 COLLEGE DRIVE JERSEY CITY NJ 07305 MEDICAL SUSPENSION K 54 7540 11/20/2003 N BLAZAK, ROBERT (PRESIDENT) 1700 BEACON STREET TOMS RIVER NJ 08757 CONSTRUCTION DEBARMENT F 62 4550 12/29/2011 12/28/2014 N BLEIMAN, MICHAEL (MD) 1821086463 1100 ROUTE 72 WEST, SUITE 304 MANAHAWKIN NJ 08050 MEDICAL SUSPENSION K 54 7540 1/27/2017 4/27/2017 BLOT, EDWARD (MD) 274 NORTH CENTER STREET ORANGE NJ 07050 MEDICAL DEBARMENT K 54 7540 7/5/2000 Y BLUM, NOEL 74 TWIN RIVERS DRIVE EAST WINDSOR NJ 08561 MEDICAL DISQUALIFICATION A 54 7540 6/1/1993 Y BLY, RODNEY 4737 FRANKFORD AVENUE, 3RD FLOOR PHILADELPHIA PA 19124 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 BLYN, CHARLOTTE (MD) 1669700910 511 WINDING WAY MERION PA 19066 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 BOADU, JACOB (RPH) EUCLID TERRACE PARSIPPANY NJ 07054 MEDICAL SUSPENSION K 54 7540 8/20/2007 N BOAMAH, KWAKU (MD) 1154413029 101 HAVEN WAY MORGANVILLE NJ 07751 MEDICAL DEBARMENT K 54 7540 6/7/2017 8/2/2019 N BOBADILLA, MARIA (CHHA) 85 PRESIDENTIAL BOULEVARD, APT. 2K PATERSON NJ 07522 MEDICAL DISQUALIFICATION K 54 7540 3/5/2018 BOBADILLA, MARIA (CHHA) 85 PRESIDENTIAL BOULEVARD, APT. 2K PATERSON NJ 07522 MEDICAL DISQUALIFICATION K 54 7540 3/5/2018 BOBRYSHEVA, SVETLANA (CHHA) 29 FOREST GARDEN DRIVE MATAWAN NJ 07747 MEDICAL DISQUALIFICATION K 54 7540 9/26/2017 N BOCRA, WILLIAM PRESIDENT ONE NORTH RHODA STREET MONROE TWP NJ 08831 CONSTRUCTION DEBARMENT F 62 4550 2/7/2012 2/6/2015 N BODINE, DENISE (RN) 66 YORK STREET APT. 12 LAMBERTVILLE NJ 08530 MEDICAL DISQUALIFICATION K 54 7540 5/25/2011 N BOEHM, GREGORY (MD) 1972678894 26777 LORAIN AVENUE, SUITE 716 NORTH OLMSTEAD OH 44070 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 12/28/2021 BOGNER, EZRA 823 GRANGE ROAD TEANECK NJ 07666 MEDICAL SUSPENSION K 54 7540 3/29/2024 N BOGNER, GAIL 481 HARRISON AVENUE HIGHLAND PARK NJ 08904 MEDICAL SUSPENSION K 54 7540 3/29/2024 N BOGUSLAVSKIY, VADIM 1903 MADALINE DRIVE AVENEL NJ 07001 MEDICAL SUSPENSION K 54 7540 12/20/2001 N A&B INVALID COACH, INC. BOGUSLAVSKIY, VADIM OWNER 655 AMBOY AVENUE WOODBRIDGE NJ 07095 1903 MADALINE DRIVE AVENEL NJ 07001 MEDICAL DISQUALIFICATION A 54 7540 3/25/2002 Y BOHDAN, IWASKO 46 HIGGINSVILLE ROAD NESHANIC STATIONH NJ 08853 CONSTRUCTION DISQUALIFICATION K 82 2065 7/23/2018 N BOHRER, ARTHUR 13796 RIVOLI DRIVE W. PALM BEACH FL 33410 13796 RIVOLI DRIVE W. PALM BEACH FL 33410 VENDOR SUSPENSION A 82 2050 9/17/2000 BOHUSLAWSKY, NINA (RN) P.O. BOX 4004 CLINTON NJ 08809 MEDICAL DISQUALIFICATION K 54 7540 2/20/2010 N BOISVERT, RAYMOND JOHN (RN) 2701 NW 23 BLVD, APT 225 GAINESVILLE FL 32605 MEDICAL DISQUALIFICATION K 54 7540 8/20/2015 BOND, CLIFTON (MD) 418 JAMESTOWN COURT MT LAUREL NJ 08054 MEDICAL DISQUALIFICATION G 54 7540 2/21/1992 Y BONDAR, SOFIYA (DDS) 1952355158 2815 COYLE ST. APT 210 BROOKLYN NY 11235 MEDICAL DISQUALIFICATION K 54 7540 11/18/2011 N BONETT, OLGA 5105 N. PARK DRIVE PENNSAUKEN NJ 08109 MEDICAL SUSPENSION A 54 7540 4/29/2003 N BONILLA, CLEMY (CHHA) 2809 YORKSHIP ROAD CAMDEN NJ 08104 MEDICAL DISQUALIFICATION K 54 7540 2/8/2017 BONNELL, STEPHANIE (RN) 165 DEY GROVE RD MONROE NJ 08831 MEDICAL SUSPENSION K 54 7540 2/20/2002 N BONSU, ACHIAA (CHHA) 1414 BIRCHWOOD COURT NORTH BRUNSWICK NJ 08902 MEDICAL DISQUALIFICATION K 54 7540 7/14/2017 3/3/2020 BONSU, KWADWO (CHHA) 911 AZALEA DRIVE NORTH BRUNSWICK NJ 08902 MEDICAL DISQUALIFICATION K 54 7540 1/31/2017 BONSU, NANA (CHHA) 68 MYRTLE AVENUE IRVINGTON NJ 07111 MEDICAL DEBARMENT K 54 7540 3/6/2018 N BOODRAM, VERONA 134 EVERGREEN PLACE 8TH EAST ORANGE NJ 07018 MEDICAL SUSPENSION K 54 7540 3/22/2006 N BOONE, LESLIE (RN) 122 SUMMIT AVENUE TRENTON NJ 08628 MEDICAL SUSPENSION K 54 7540 6/20/2002 N BOOS, GEORGE (PRESIDENT) 551 STANTON AVENUE FRANKLINVILLE NJ 08322 CONSTRUCTION DEBARMENT F 62 4550 11/25/2011 11/24/2014 N BORCHARDT, KAREN (RN) 4145 MILL CREEK DRIVE N. CHARLESTON SC 29420 MEDICAL SUSPENSION K 54 7540 6/17/2004 N BORGES, JOHN MANUEL 550 BUCKINGHAM DRIVE PISCATAWAY NJ 08854 MEDICAL DISQUALIFICATION K 54 7540 8/20/2010 N BORNHOLDT, HAE SUK (THERAPIST) P. O. BOX 1288 MCAFEE NJ MEDICAL SUSPENSION K 54 7540 9/19/2002 N BORNSTEIN, KATHLEEN (LPN) 136 73RD STREET NORTH BERGEN NJ 07047 MEDICAL SUSPENSION K 54 7540 2/19/2004 N BOROWEC, LAWRENCE W. (MD) 202 STATESBURG AVENUE NEWFIELD NJ 08344 MEDICAL SUSPENSION K 54 7540 11/18/1997 12/1/1998 BOROWEC, LAWRENCE W. (MD) 202 STOTESBURY AVENUE NEWFIELD NJ 08344 MEDICAL DISQUALIFICATION K 54 7540 12/1/1998 Y BORRELLI, HENRY (DPM) 1902839830 49 PROSPECT STREET LITTLE FALLS NJ 07424 MEDICAL DEBARMENT A 54 7540 4/6/2010 10/27/2017 N BORTZ, AMANDA (PHARM TECH) 13 SWEET BRIAR DRIVE SICKLERVILLE NJ 08081 MEDICAL DISQUALIFICATION K 54 7540 11/21/2016 4/5/2018 BOSTICK, MICHELLE (CHHA) 87 TILLINGHAST STREET NEWARK NJ 07108 MEDICAL DISQUALIFICATION K 54 7540 2/20/2017 BOTTENBLEY, CECIL J. (DMD) 16 FIRESIDE CT. WILLINGBORO NJ 08046 MEDICAL DISQUALIFICATION G 54 7540 4/9/1987 Y BOUCHE, JASON 6641 E. MEADOWLARK LANE PARADISE VALLEY AZ 85253 MEDICAL DISQUALIFICATION A 54 7540 5/20/2012 N BOULOS-PLUDOWSKI, GEORGEANN (RPH) 493 RINGWOOD AVENUE PHILLIPSBURG NJ 08865 MEDICAL SUSPENSION K 54 7540 5/19/2005 3/11/2013 N BOWERS JR., THOMAS ROBERT 14 AMITY STREET LITTLE FALLS NJ 07424 MEDICAL DISQUALIFICATION A 54 7540 12/20/2022 BOWICK, JUDY C. (CHHA) 1503 BOND STREET ASBURY PARK NJ 07712 MEDICAL SUSPENSION K 54 7540 8/20/2002 N BOYD, DARRYL PO BOX 38, FCI FORT DIX NJ 08640 MEDICAL DISQUALIFICATION K 54 7540 7/18/2002 N BOYKIN, ASHLEE (CHHA) 602 HARBOR LANE SICKLERVILLE NJ 08081 MEDICAL DEBARMENT K 54 7540 3/6/2018 BOYKINS, TAMIKA (CHHA) 235 ABLETT VILLAGE CAMDEN NJ 08105 MEDICAL DEBARMENT K 54 7540 5/16/2018 N BRABHAM, THEODORE J. 14 HAZARD STREET ELIZABETH NJ 07208 MEDICAL DISQUALIFICATION K 54 7540 12/20/2001 Y BRACCIA, VITO, PRESIDENT 184 FAIRWAY ROAD AMBLER PA 19002 CONSTRUCTION DEBARMENT F 62 4550 7/27/2012 7/26/2015 N BRACUTO, ANNMARIE (RN) 1319 ST. GEORGE AVENUE RAHWAY NJ 07065 MEDICAL DISQUALIFICATION 54 7540 9/12/2016 Brothers LandscapingJ.H. Brothers Inc. Brad J. Moini, President 169 Robertsville Rd. Freehold NJ 07728 101 Buttonwood Lane Freehold NJ 07728 CONSTRUCTION DEBARMENT F 62 4550 1/6/2015 01/05/2018 N BRADLEY, EARL B. (MD) 1669414553 1181 PADDOCK ROAD SMYRNA DE 19977 MEDICAL DISQUALIFICATION A 54 7540 10/20/2012 N BRANCO, DOROTHY (LPN) 1012 W. GENEVA STREET EGG HARBOR CITY NJ 08215 MEDICAL DISQUALIFICATION K 54 7540 5/11/2019 5/31/2022 N BRANDT, DOUGLAS A. 5 HOWARD STREET VERONA NJ 07044 MEDICAL DISQUALIFICATION A 54 7540 2/20/2011 N BRANDT, HERBERT L. (RPH) 6 DEVONSHIRE DRIVE RANDOLPH NJ 07689 MEDICAL DISQUALIFICATION A 54 7540 2/20/2011 N BRANDT, JEFFREY M. 24 CRESTVIEW LANE MOUNT ARLINGTON NJ 07856 MEDICAL DISQUALIFICATION A 54 7540 11/17/2011 N BRAUNSTEIN, MOSES 2404 BRONX PARKWAY BRONX NY 10458 MEDICAL DISQUALIFICATION A 54 7540 6/1/1993 Y BRAVER, ALEXANDER (MD) 1811098650 127 CROAK AVENUE STATEN ISLAND NY 10314 MEDICAL DISQUALIFICATION K 54 7540 7/20/2007 N BREEN, NICHOLAS (DMD) 1730307836 7731 RUDDEROW AVENUE PENNSAUKEN NJ 08109 MEDICAL DISQUALIFICATION K 54 7540 8/18/1995 9/27/2013 N BREEN, NICHOLAS (DMD) 1730307836 7731 RUDDEROW AVENUE PENNSAUKEN NJ 08109 MEDICAL DISQUALIFICATION K 54 7540 5/14/1996 9/27/2013 N BREEN, NICHOLAS (DMD) 1730307836 926 HADDONFIELD ROAD CHERRY HILL NJ 08002 MEDICAL DISQUALIFICATION K 54 7540 9/6/2023 N BREIHOF, PETER 51 COEYMAN AVENUE NUTLEY NJ 07110 MEDICAL DISQUALIFICATION K 54 7540 2/5/2019 N BRESSMAN, DANIELLE (RN) 40 HARBORAGE AVENUE BAYVILLE NJ 08721 MEDICAL DISQUALIFICATION K 54 7540 1/29/2019 N BRETTLER, NORBERT AKA BRETTLER, NORMAN 401 COUNTRY CLUB DRIVE CHERRY HILL NJ 08003 MEDICAL DISQUALIFICATION K 54 7540 5/12/2016 BREWINGTON, CYNTHIA (CHHA) 379 MILLBRIDGE ROAD CLEMENTON NJ 08021 MEDICAL DISQUALIFICATION K 54 7540 1/31/2017 American Welding ServicesAmerican Welding Services, Inc. Brian O'Shea, Owner 1041 Glassboro Rd D-2 Williamstown NJ 08094 1041 Glassboro Rd D-2 Williamstown NJ 08094 CONSTRUCTION DEBARMENT F 62 4550 7/10/2014 07/09/2017 N Brian Patterson Mechanical Contracting, Inc. Brian Patterson, President 5 Cindy Lane Ocean NJ 07712 11 Arlene Drive West Long Branch NJ 07764 CONSTRUCTION DEBARMENT F 62 4550 3/30/2015 03/29/2018 N BRICK, ROGER (MD) 31-33 WEST 11TH STREET NEW YORK NY 10026 MEDICAL SUSPENSION K 54 7540 12/15/2006 N AMERICAN MEDICAL SVCS. PC BRIGHAM, STEVEN C. (MD) 1 ALPHA AVENUE VOORHEES NJ 08043 1306012539 1 ALPHA AVENUE VOORHEES NJ 08043 MEDICAL DISQUALIFICATION K 54 7540 6/20/2018 N BRINT, SAMUEL (DO) 1538326780 515 BROADWAY CAMDEN NJ 08103 MEDICAL DISQUALIFICATION A 54 7540 12/15/1987 Y BRISTOL, KENNETH (RN) PO BOX 931 FLAGSTAFF AZ 06002 MEDICAL SUSPENSION K 54 7540 10/19/2006 N BRITT, JANICE (RN) 28 SCHOOL STREET SWANSEA MA 02777 MEDICAL DISQUALIFICATION K 54 7540 4/27/2019 N BRIZER, DAVID ALLEN (MD) 1518181270 6766 108TH STREET, APT A62 FOREST HILLS NY 11375 MEDICAL DISQUALIFICATION A 54 7540 2/20/2015 N BRIZER, DAVID ALLEN (MD) 1518181270 255 W 85TH STREET, APT 5B NEW YORK NY 10024 MEDICAL DISQUALIFICATION K 54 7540 6/30/2014 N BROADNAX, DEITRICH 347 BELLEVILLE AV, #B8 BLOOMFIELD NJ 07003 MEDICAL DISQUALIFICATION A 54 7540 11/25/1998 Y BROCCOLI, CHRISTOPHER 126 CRESCENT AVENUE DEPTFORD NJ 08096 MEDICAL DEBARMENT A 54 7540 10/25/2023 N BRODSKY, KONSTANTIN (CHHA) 55 WEST 45TH STREET, FLOOR 7R NEW YORK NY 10036 MEDICAL DEBARMENT K 54 7540 5/2/2017 BROOKHIM, ROBEN (DDS) 120 LAWRENCE DRIVE SHORT HILLS NJ 07078 MEDICAL DISQUALIFICATION K 54 7540 5/20/2015 BROOKHIM, ROBEN (DDS) 444 MORRIS AVENUE ELIZABETH NJ 07208 MEDICAL SUSPENSION K 54 7540 8/20/2000 BROOKMAN, HARVEY (MD) 301 OXFORD VALLEY ROAD YARDLEY PA MEDICAL DISQUALIFICATION K 54 7540 4/13/1995 BROOKS JR., OSCAR (COUNSELOR) 27 E VILLAGE OF STONEY RD MAPLE SHAE NJ 08052 MEDICAL DISQUALIFICATION A 54 7540 4/17/1995 Y BROOKS, MAUREEN R. (LPN) 110 THIRD AVENUE BELMAR NJ 07719 MEDICAL SUSPENSION A 54 7540 10/9/2003 N BROWN, ALEXANDRIA N. (RN) 803 DAWN LANE WILLIAMSTOWN NJ 08094 MEDICAL SUSPENSION K 54 7540 5/19/2005 N BROWN, DANNY (CHHA) 527 CENTRE STREET EASTON PA 18042 MEDICAL DISQUALIFICATION K 54 7540 8/6/2018 Y BROWN, DEANNA (CHHA) 611 B. BINGHAM STREET NEPTUNE NJ 07753 MEDICAL DISQUALIFICATION K 54 7540 1/23/2018 N BROWN, DERVENT (CHHA) 151 FIRST STREET ENGELWOOD NJ 07631 MEDICAL DEBARMENT K 54 7540 1/26/2018 BROWN, IMAN (CHHA) 717 N. MICHIGAN AVENUE ATLANTIC CITY NJ 08401 MEDICAL DEBARMENT K 54 7540 7/14/2017 BROWN, KAYDIA (CHHA) 1033 SEWALL AVENUE ASBURY PARK NJ 07712 MEDICAL DISQUALIFICATION K 54 7540 1/31/2017 BROWN, LAFONDA (CHHA) 485 EAST 19TH STREET, APT. #4-F PATERSON NJ 07524 MEDICAL DEBARMENT K 54 7540 10/26/2017 N BROWN, LOUIS S (DC) 1780735787 1082 MAURICE AVENUE RAHWAY NJ 07065 MEDICAL DISQUALIFICATION K 54 7540 3/2/2022 BROWN, ROGER H. (DMD) 1457460305 601 ROUTE 206, UNIT 30 BELLE MEAD NJ 08844 MEDICAL DEBARMENT K 54 7540 5/27/2005 10/28/2022 N BROWN, SAO (LPN) 9 ALAN STREET WEST ORANGE NJ 07052 MEDICAL DEBARMENT K 54 7540 6/5/2017 BROWN-COLEY, KELLI (LPN) 88 WEST 6TH STREET BAYONNE NJ 07002 MEDICAL DISQUALIFICATION K 54 7540 10/11/2017 BRUNELLE, ELIZABETH (LPN) 5902 EAST 2ND STREET TUCSON AZ 85711 MEDICAL SUSPENSION K 54 7540 10/19/2006 N BRUNO, MARK 18 RIDGEWOOD COURT NORTHFIELD NJ 08225 MEDICAL DISQUALIFICATION K 54 7540 7/11/2023 N BRUNO, ROBERT 22 OLSEN DRIVE WARREN NJ 07059 VENDOR DEBARMENT A 66 1000 3/18/2021 3/18/2026 N BRYANT SR., DAVID V. 4984 LAKE ROAD NEWFIELD NJ 08318 107 MADISON ROAD PITTSGROVE NJ 08344 VENDOR DEBARMENT A 66 1000 9/13/2013 9/12/2018 N GULF COAST POLYMER SERVICES, INC. BRYANT, GERALD 4984 LAKE ROAD NEWFIELD NJ 08344 VENDOR DEBARMENT A 66 1000 9/13/2013 9/12/2018 N BRYANT-DERRICK, KISHARA (LPN) 107 DEAL AVENUE NEPTUNE NJ 07753 MEDICAL DISQUALIFICATION 54 7540 9/12/2016 BUCKLER, BERT L., PRESIDENT 182 WYCOFF WAY WEST EAST BRUNSWICK NJ 08816 CONSTRUCTION DEBARMENT F 62 4550 1/3/2013 1/2/2016 N BUCKLEY, MARIANNE (LPN) 83 IRVING COURT TRENTON NJ 08610 MEDICAL SUSPENSION K 54 7540 5/20/2001 BUFANIO, NICHOLAS A (DC) 1336195825 1530 GREYSTONE PLACE HELLERTOWN PA 18055 MEDICAL DISQUALIFICATION K 54 7540 2/20/2022 N BUFANIO, NICHOLAS A (DC) 1336195825 1530 GREYSTONE PLACE HELLERTOWN PA 18055 MEDICAL DISQUALIFICATION K 54 7540 2/20/2022 BUITRAGO, CARMEN (LPN) 412 CLIFF STREET, APT. 1 FAIRVIEW NJ 07022 MEDICAL DISQUALIFICATION K 54 7540 7/12/2018 N BULGER, PATRICE (RN) 117 MILL CREEK ROAD BAYVILLE NJ 08721 MEDICAL DISQUALIFICATION K 54 7540 7/15/2002 N BULLARD, ANGELA (CHHA) 268 E. 21ST STREET, 3RD FLOOR PATERSON NJ 07513 MEDICAL DISQUALIFICATION K 54 7540 12/26/2017 N BUNCH, LATITIA (LPN) 212 S. 27TH STREET CAMDEN NJ 08105 MEDICAL SUSPENSION K 54 7540 2/20/2002 N BUNN, YAHMINAH (CHHA) 22 GATLING COURT NEW BRUNSWICK NJ 08901 MEDICAL DISQUALIFICATION K 54 7540 5/2/2017 BUONO, DONNA (RN) 61 S. LOCUST AVE MARLTON NJ 08053 MEDICAL SUSPENSION K 54 7540 9/19/2003 N BURDETTE, KAYLA F. (CHHA) 31 ISLAND AVENUE SEASIDE PARK NJ 08752 MEDICAL DISQUALIFICATION A 54 7540 11/14/2014 N BURDUCEA, ALEXANDRU (DO) 1558540807 223 SHOREWARD DRIVE GREAT NECK NY 11021 MEDICAL DISQUALIFICATION K 54 7540 1/15/2022 N BURGOS, LEALYNN (CHHA) 636 BILLINGS AVENUE PAULSBORO NJ 08066 MEDICAL DISQUALIFICATION K 54 7540 1/31/2017 BURKARD, JUDITH (LPN) 320 7TH AVENUE APT 16 ASBURY PARK NJ 07712 MEDICAL DISQUALIFICATION K 54 7540 11/23/2009 11/23/2010 N BURKE, WILLIAM (MD) PO BOX 670 NEW VERNON NJ 07976 MEDICAL SUSPENSION K 54 7540 11/20/2006 N BURKES, JEFFREY (DDS) 1073690137 176 LAKEWOOD AVENUE HO-HO-KUS NJ 07423 MEDICAL DISQUALIFICATION A 54 7540 2/19/2009 N BURKETT, EILEEN (PHARM TECH) 1407 VIRGINIA COURT MARLTON NJ 08053 MEDICAL SUSPENSION A 54 7540 4/20/2011 N BURNETT, RASHEEDAH (CHHA) 860 SOUTH 11TH STREET, APT. 4-B NEWARK NJ 07108 MEDICAL DISQUALIFICATION K 54 7540 1/31/2017 BURNS, MARGARET 2429 WESTFIELD AVENUE SCOTCH PLAINS NJ 07076 MEDICAL SUSPENSION K 54 7540 9/19/2003 N BURRELL, TIARA (CHHA) 141 STRANGER AVENUE GLASSBORO NJ 08028 MEDICAL DISQUALIFICATION K 54 7540 7/19/2019 N BURTON, FREDERICK (MD) 1811932874 1455 CITY AVENUE WYNNEWOOD PA 19096 MEDICAL DISQUALIFICATION K 54 7540 7/15/2021 N BURWELL-ADENIJI, LORIN (CHHA) 1004 HIGH STREET BURLINGTON NJ 08016 MEDICAL DISQUALIFICATION K 54 7540 2/20/2017 BUSSEY, PAUL (MD) 1356341424 187 KIRSCHLING DRIVE SWEDESBORO NJ 08095 MEDICAL DEBARMENT K 54 7540 1/22/2016 BUSSEY, PAUL (MD) 1356341424 1 MILL STREET WOODSTOWN NJ 08098 MEDICAL DEBARMENT K 54 7540 10/13/2015 BUTT, ATIQ (PRESIDENT) 2524 FORD ROAD BRISTOL PA 19007 2524 FORD ROAD BRISTOL PA 19007 MEDICAL DISQUALIFICATION A 54 7540 6/15/2001 Y BUTTERHOF, TRACY (RN) 501 S. BERLIN AVE. EGG HARBOR CITY NJ 08215 MEDICAL SUSPENSION K 54 7540 4/20/2003 N BUTTS, YOLANDA (CNA) 600 PACIFIC AVENUE, APT. A102 ATLANTIC CITY NJ 08401 MEDICAL DISQUALIFICATION K 54 7540 3/2/2020 N BYADGI, CHETHAN (MD) 1063537215 LACKAWANNA COUNTY PRISON, 1371 NORTH WASHINGTON AVENUE SCRANTON PA 18509 MEDICAL DISQUALIFICATION K 54 7540 7/20/2017 N BYAHATTI, PRAMILA (MD) 1841212800 200 EXCHANGE STREET, UNIT 217 PROVIDENCE RI 02903 MEDICAL DISQUALIFICATION K 54 7540 7/23/2020 N R & B MEDICAL TRANSPORTATION BYERS, FAYE AKA BYERS, RAYMOND 844 JEROME AVENUE HILLSIDE NJ 07205 3108 844 JEROME AVENUE HILLSIDE NJ 07205 MEDICAL DEBARMENT K 54 7540 10/14/2005 N BYRNE, RACHEL (LPN) 6 STOWE DRIVE SHAMONG NJ 08088 MEDICAL DISQUALIFICATION K 54 7540 10/5/2023 CABALEIRO, YODALIO (MD) 3700 KENNEDY BLVD. UNION CITY NJ 07087 MEDICAL DISQUALIFICATION A 54 7540 4/18/1986 Y CABALERIO, THERESA 4611 BERGENLINE AVE. UNION CITY NJ 07087 MEDICAL DISQUALIFICATION A 54 7540 6/1/1993 Y CABAN, DESTINY (CHHA) 105 BOYD STREET CAMDEN NJ 08105 MEDICAL DISQUALIFICATION K 54 7540 2/8/2017 CABATIC, VIRGINIA C. (RN) 14 SPARROW ROAD RANDOLPH NJ 07869 MEDICAL SUSPENSION K 54 7540 5/19/2005 N CABRERA, RAMON BRETON 486 ZAMBORY STREET, APT. PERTH AMBOY NJ 08861 MEDICAL DEBARMENT A 54 7540 9/19/2011 N CACERES, MARIO 328 MARKET STREET CAMDEN NJ 08102 MEDICAL SUSPENSION K 54 7540 10/20/1998 NEW HOPES OF NJ, INC. CACERES, MARIO ( CO-OWNER) 328 MARKET STREET CAMDEN NJ 08102 328 MARKET STREET CAMDEN NJ 08102 MEDICAL SUSPENSION K 54 7540 10/5/2000 CACI, FRANCIS R. (DDS) 248 SOUTH SUMMIT AVENUE HACKENSACK NJ 07601 MEDICAL DISQUALIFICATION G 54 7540 12/8/1997 DECEASED N CACOILO, MARIA (OFF. MGR.) 1150 AMBOY AVENUE EDISON NJ 08837 MEDICAL DISQUALIFICATION A 54 7540 4/29/2003 N CAI, PING (DMD) 1275667362 22 SAGE STREET HOLMDEL NJ 07733 MEDICAL DISQUALIFICATION A 54 7540 9/10/2012 9/15/2017 N CALABRESE, ANGELO (MD) 1891722237 FCI-SCHUYLKILL, PO BOX 759 MINERSVILLE PA 17954 MEDICAL DISQUALIFICATION K 54 7540 1/22/2016 CALABRESE, ANTHONY (RN) 105 JOAN COURT JACKSON NJ 08527 MEDICAL DISQUALIFICATION K 54 7540 1/22/2020 N CALDERON, TANISHA (CHHA) 108 N. 16TH EAST ORANGE NJ MEDICAL SUSPENSION K 54 7540 3/20/2002 N CALLAHAN, VICTORIA (PHARM TECH) 130 FROST AVENUE PHILLIPSBURG NJ 08865 MEDICAL DISQUALIFICATION K 54 7540 7/21/2017 Y CALVELO, ARSENIO C. (RN) 13515 SCENIC GLADE DR. HOUSTON TX 77059 MEDICAL SUSPENSION K 54 7540 6/19/2003 N Calvin's Floor Service,aka Calvin's Carpet Service Calvin Hudson, Owner 126 Winding Ridge Road Dover DE 19904 126 Winding Ridge Road Dover DE 19904 CONSTRUCTION DEBARMENT F 62 4550 6/12/2013 06/11/2016 N CAMACHO, OLGA (CHHA) 176 KNAPP AVENUE CLIFTON NJ 07011 MEDICAL DISQUALIFICATION K 54 7540 1/17/2018 N CAMP, SUZANNE (RN) P.O. BOX 423 PORT ELIZABETH NJ 08348 MEDICAL SUSPENSION K 54 7540 10/21/2010 N CAMPANELLA, ANDRE, V. PRESIDENT 948 SINCLAIR AVE STATEN ISLAND NY 10309 CONSTRUCTION DEBARMENT F 62 4550 2/7/2013 2/6/2016 N CAMPANELLA,-KAPLAN, DONNA (LPN) 1355 W. POINT AVENUE MAYS LANDING NJ 08330 MEDICAL DISQUALIFICATION K 54 7540 4/10/2018 N CAMPBELL JR., HIGHLAND (MD) 1043270143 1009 MEADOWVIEW LANE MONT CLARE PA 19453 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 12/18/2020 N CAMPIONE JR., FRANK (PA) 1598856924 431 STONEY POINT ROAD BRICK NJ 08733 MEDICAL DISQUALIFICATION K 54 7540 9/16/2016 2/19/2020 N CANALES JR., DELOVI 11 ALBERT STREET TOMS RIVER NJ 08953 MEDICAL DEBARMENT K 54 7540 4/30/2010 4/30/2013 N CANARES, ALEXANDER (RN) 60 RBOOKSIDE AVENUE, APT. 2-B SOMERVILLE NJ 08876 MEDICAL DISQUALIFICATION K 54 7540 5/20/2018 CANE, LAMONT (NURSES AIDE) P.O. BOX 90431 CAMDEN NJ 08012 MEDICAL SUSPENSION A 54 7540 8/18/1997 CANNON, JEROME 4221 NORTH 6TH STREET PHILADELPHIA PA 19140 MEDICAL DISQUALIFICATION K 54 7540 12/29/2015 CANTAVE, MARIE (CHHA) 1217 OCEAN AVENUE, APT. C-12 BRADLEY BEACH NJ 07720 MEDICAL DISQUALIFICATION K 54 7540 4/18/2017 CANTERMEN, LYNN (RN) 518 N. HILDEBRAND AVENUE GLENDORA NJ 08029 MEDICAL DISQUALIFICATION K 54 7540 5/2/2018 CAPACIO, RICHARD (DC) 1245230929 99 ANNAPOLIS DRIVE SICKLERVILLE NJ 08081 MEDICAL SUSPENSION K 54 7540 12/20/2006 N CAPILLI, MICHAEL A. (DC) 427 HOYT STREET LONG BRANCH NJ 07740 MEDICAL SUSPENSION K 54 7540 8/9/2001 CAPITANO, PETER (RPH) SCHUYLKILL FCI, PO BOX 759 MINERSVILLE PA 17954 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 CAPO, LASARAH (CHHA) 50-52 ROSA PARK BOULEVARD, APT. 5 PATERSON NJ 07501 MEDICAL DISQUALIFICATION K 54 7540 1/31/2017 CAPOBIANCO, LEO J. (DO) 1063483097 7 CASTLE COURT RANDOLPH NJ 07860 MEDICAL DISQUALIFICATION A 54 7540 9/5/2002 6/8/2018 N CAPPIELLO, RAFAEL (MD) 2704 BRIENZA WAY LAS VEGAS NV 89117 MEDICAL DEBARMENT K 54 7540 8/19/1999 Y CAPRIOLA, EDWARD (MD) 313 S. FRANK ROGERS HARRISON NJ 07029 MEDICAL SUSPENSION K 54 7540 12/20/2006 DECEASED N CARABALLO, CARLA (CHHA) 742 EAST SEVENTH STREET PLAINFIELD NJ 07062 MEDICAL DISQUALIFICATION K 54 7540 6/13/2017 Y CARAGINE JR., PAUL J. (MD) 1 SAWMILL ROAD KINNELON NJ 07504 MEDICAL DISQUALIFICATION K 54 7540 7/18/2001 Y CARCHIA, ETTORE (DC) 994 SANDY CIRCLE MANAHAWKIN NJ 08050 MEDICAL SUSPENSION K 54 7540 2/20/2006 N CARDENAS, PRESENTACION E. (RN/LPN) 274 BATH AVE., #22 LONG BRANCH NJ 07740 MEDICAL SUSPENSION K 54 7540 5/20/2001 CARDILLO, JOHN 162 GARFIELD STREET BERKELEY HEIGHT NJ 07922 MEDICAL DEBARMENT K 54 7540 5/20/2006 N CARDILLO, JOHN 162 GARFIELD STEET BERKELEY HEIGHT NJ 07922 MEDICAL SUSPENSION K 54 7540 9/4/2005 N CARDILLO, RICHARD C. (MD) 1477520807 2893 BIRCH ROAD SUAMICO WI 54173 MEDICAL DEBARMENT K 54 7540 3/27/2002 8/30/2023 N CARDINAL, PETER (MD) 1104985142 520 WALNUT STREET, APT. 3 LEMOYNE PA 17043 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 CARDOSO SR., LUCIO (MD) 1639119019 FCI FORT DIX FORT DIX NJ 08640 MEDICAL DISQUALIFICATION A 54 7540 2/3/2014 N CARDOSO SR., LUCIO (MD) 1639119019 253 LAFAYETTE STREET NEWARK NJ 07105 MEDICAL SUSPENSION A 54 7540 2/22/2012 N CAREY JR., CHARLES B. 218 BRIANT PARK DRIVE SPRINGFIELD NJ 07081 MEDICAL DISQUALIFICATION K 54 7540 5/20/2015 N CARIDAD, MICHELLE (CHHA) 10 BROOKSIDE COURT TOMS RIVER NJ 08753 MEDICAL DISQUALIFICATION K 54 7540 2/8/2017 CARIDEO, IDA (MD) 1578842977 7 MALKE DRIVE WAYSIDE NJ 07712 MEDICAL DISQUALIFICATION A 54 7540 6/7/1999 8/1/2012 N CARINO, JOVY 37 JAMES STREET BLOOMFIELD NJ 07003 MEDICAL SUSPENSION K 54 7540 5/29/2009 N CARLSON, LILLIAN MAE (RN) 275 HIGH STREET APT. Q334 GLASSBORO NJ 08028 MEDICAL DISQUALIFICATION K 54 7540 6/18/2009 N CARLUCCI JR., WILLIAM A (RPH) 1902120363 FCI FORT DIX FORT DIX NJ 08640 MEDICAL DEBARMENT A 54 7540 9/25/2014 N CARLUCCI, ROBERT A. (RPH) 1639493091 PO BOX 759 MINERSVILLE PA 17954 MEDICAL DEBARMENT A 54 7540 9/25/2014 Y CARMENATY, ANTHONY (LPN) 28 SUMMER STREET PASSAIC NJ 07055 MEDICAL DISQUALIFICATION K 54 7540 5/25/2019 N CARMONA, ALICE Y. 78 DAWN STREET VINELAND NJ 08302 MEDICAL DEBARMENT K 54 7540 10/23/2000 Y CARR, JOEL R. (DO) 1275586489 8 JASMINE ROAD LUMBERTON NJ 08048 MEDICAL SUSPENSION K 54 7540 3/2/2011 N CARR, PATRICIA P.O. BOX 91 BROWNS MILLS NJ 08015 MEDICAL DISQUALIFICATION K 54 7540 7/19/2001 N CARRION, NANCY (CHHA) 76 ZABRISKIE STREET JERSEY CITY NJ 07307 MEDICAL DEBARMENT K 54 7540 3/5/2018 CARRION, SARAH (CHHA) 1086 KENYON AVENUE PLAINFIELD NJ 07060 MEDICAL DEBARMENT K 54 7540 8/9/2018 N CARROLL, KIMBERLY J. (LPN) 18 LEE AVENUE HADDOMFIELD NJ 08033 MEDICAL DISQUALIFICATION K 54 7540 8/18/2011 N CARSON, YOLANDA (CHHA) 65 DALES AVENUE, APT. 1137 JERSEY CITY NJ 07306 MEDICAL DISQUALIFICATION K 54 7540 1/31/2017 CARTER, DARRICKA C. (DPM) 2505 ST. REGIS DRIVE RICHMOND VA 23236 MEDICAL DISQUALIFICATION K 54 7540 7/20/2010 N CARUSO, EDMUND M. (DMD) 1811132442 2275 KENNEDY BLVD. JERSEY CITY NJ 07304 MEDICAL DISQUALIFICATION K 54 7540 11/10/1994 Y CASAS, JOSE (MD) 215 PASSAIC AVENUE PASSAIC NJ 07055 MEDICAL DEBARMENT K 54 7540 5/24/1999 Y CASAVINA, PHILIP 244 KNOX AVENUE CLIFFSIDE PARK NJ 07650 MEDICAL DISQUALIFICATION A 54 7540 Y CASCIO, DANIEL (RN) 17 SEGUR STREET DOVER NJ 07801 MEDICAL SUSPENSION K 54 7540 5/20/2002 N CASSELL, BINDU 830 CALLOWHILL ROAD PERKASIE PA 18944 MEDICAL SUSPENSION A 54 7540 12/14/2022 N CASSELL, DANIEL 830 CALLOWHILL ROAD PERKASIE PA 18944 MEDICAL SUSPENSION A 54 7540 12/14/2022 N CASTANEDA, JOSE (APN) 1699840264 194 E. 7TH STREET CLIFTON NJ 07011 MEDICAL DISQUALIFICATION A 54 7540 1/26/2015 2/16/2022 N CASTANEDA, JOSE (APN) 1699840264 1925 PACIFIC AVENUE ATLANTIC CITY NJ 08401 MEDICAL SUSPENSION A 54 7540 2/22/2012 2/16/2022 N CASTANON, ROBERTO 555 GEO DRIVE PHILLIPSBURG PA 16866 MEDICAL DISQUALIFICATION A 54 7540 9/16/2011 N PASSAIC FAMILY MEDICAL CASTELLANO, DOLORES (OWNER) 540 BROADWAY PASSAIC NJ 07055 4300 SW 57TH STREET MIAMI FL 33155 MEDICAL SUSPENSION K 54 7540 6/17/2004 Y CASTILLO, AL JEHDD (CHHA) 170 32ND STREET WEST BAYONNE NJ 07002 MEDICAL DISQUALIFICATION K 54 7540 6/28/2018 CASTILLO, HECTOR L. (MD) 1528198124 1000 MADISON AVENUE PATERSON NJ 07501 MEDICAL DEBARMENT A 54 7540 2/19/2012 N CASTILLO, STEVEN A. (DDS) 1134342017 P.O. BOX 16421 JERSEY CITY NJ 07306 MEDICAL DISQUALIFICATION K 54 7540 5/5/1997 Y CASTRO, FRANKLIN CHACHO (RN) 41 MIDDLE AVENUE SUMMIT NJ 07901 MEDICAL DISQUALIFICATION K 54 7540 9/20/2023 CATANIA, RAYMOND (DO) 1023094711 5 BRIARWOOD DRIVE EAST WARREN NJ 07059 MEDICAL DISQUALIFICATION K 54 7540 4/16/2021 N CATANIA, RAYMOND J. (DO) 1023094711 5 BRIARWOOD DRIVE E. WARREN NJ 07059 MEDICAL DISQUALIFICATION K 54 7540 12/20/2023 N CATANZARO, DANIEL (DC) 28 ETOWAH RIDGE DRIVE, SW CARTERSVILLE GA 30120 MEDICAL SUSPENSION K 54 7540 12/20/2005 N CATANZARO, VINCENT F. (MD) 560 MAIN STREET ALLENHURST NJ 07711 MEDICAL DISQUALIFICATION A 54 7540 6/1/1993 DECEASED N CATHERS, THOMAS (LPN) 707 BURLINGTON AVENUE DELANCO NJ 08075 MEDICAL DISQUALIFICATION K 54 7540 4/6/2019 N CAVALLARO, KEVIN (RN) 630 SALEM AVENUE FRANKLINVILLE NJ 08322 MEDICAL DISQUALIFICATION K 54 7540 5/11/2019 Y CAVALLI, DEAN 762 BROADWAY CAMDEN NJ 08103 MEDICAL DISQUALIFICATION A 54 7540 Y CAVE, SANDY 109 BOBWHITE ROAD ROYAL PALM BEACH FL 33411 MEDICAL DISQUALIFICATION A 54 7540 5/20/2012 N CECE, ANGELO (DMD) 1033396593 566 NYE AVENUE IRVINGTON NJ 07111 MEDICAL DISQUALIFICATION K 54 7540 1/19/1996 Y CEDENO, HUMBERTO (RPH) 601 ELIZABETH AVENUE ELIZABETH NJ 07206 MEDICAL DISQUALIFICATION A 54 7540 5/3/1984 Y CENTENO, JOSEPH (LPN) 9 SURBURBIA COURT JERSEY CITY NJ 07305 MEDICAL DISQUALIFICATION K 54 7540 12/5/2017 Y CENTRELLI, MARC (DC) 176 ALPINE TRAIL SPARTA NJ 07871 MEDICAL SUSPENSION K 54 7540 7/21/2008 N CERELLI NICK (MEMBER) 1640 NIXON DR., STE. 285 MOORESTOWN NJ CONSTRUCTION DEBARMENT F 62 4550 2/6/2013 2/5/2016 N Demanual Drywall Services, Inc. Cesar Garcia, Owner 64 Grandview Ave North Plainfield NJ 07060 64 Grandview Ave North Plainfield NJ 07060 CONSTRUCTION DEBARMENT F 62 4550 5/1/2014 04/30/2017 N CHA, DONG S. (MD) 608 S. BROAD STREET WOODBURY NJ 08096 MEDICAL DISQUALIFICATION K 54 7540 12/1/1998 Y CHACK, JOEL (DO) 1093739096 5 GWEN COURT CHERRY HILL NJ 08003 MEDICAL DISQUALIFICATION K 54 7540 8/13/2011 1/6/2012 N CHACKER, JASON (PA) 1609058916 1030 DOMINO LANE WARMINSTER PA 18974 MEDICAL DISQUALIFICATION K 54 7540 7/10/2020 N CHAI, CHRISTINA (RPH) 1689997835 2561 LEIGHTON STREET FORT LEE NJ 07024 MEDICAL DISQUALIFICATION K 54 7540 3/24/2016 CHAIKEN, BARBARA (LCSW) 60-64 NORTH AVENUE GARWOOD NJ 07027 1871768465 419 OTISCO DRIVE WESTFIELD NJ 07090 MEDICAL DISQUALIFICATION A 54 7540 6/1/1993 Y RADIATION ONCOLOGY GROUP CHAM, WILLIAM C. (MD) 100 FORD ROAD DENVILLE NJ 07107 11 HICKORY DRIVE CHESTER TWP NJ 07930 MEDICAL SUSPENSION K 54 7540 8/29/1997 CHAMBERS, CAROL (CHHA) 1022 STUYVESANT AVENUE IRVINGTON NJ 07111 MEDICAL SUSPENSION K 54 7540 1/20/2004 N CHAMPAGNE, CIARA C. (RN) 3106 TREMLEY POINT ROAD LINDEN NJ 07036 MEDICAL DEBARMENT K 54 7540 2/8/2024 N CHAMPION, MARY M. (RN) 91 SOUTH MT AIRY AVE EGG HARBOR TOWNSHIP NJ 08234 MEDICAL DISQUALIFICATION K 54 7540 5/3/2022 CHAMPION, MARY MARGARET (RN/CHHA) 91 MOUNT AIRY AVE., SOUTH EGG HARBOR NJ 08234 MEDICAL SUSPENSION K 54 7540 6/20/2005 6/11/2013 N CHANDLER, BRYAN K. 10 ELLINGTON STREET #1 EAST ORANGE NJ 07017 MEDICAL DISQUALIFICATION A 54 7540 8/28/2008 N CHANDLER, CHARLES 1417996901 219 N. WALNUT STREET, FL. 1 EAST ORANGE NJ 07017 MEDICAL DISQUALIFICATION K 54 7540 11/4/2009 Chaney, James 610 County Meadows Road Nicholls GA 31553 CONSTRUCTION DEBARMENT F 62 4550 8/11/2015 8/10/2018 N CHANSKY, CHRISTINE (MD) 1508125600 820 NORTH AVENUE WESTFIELD NJ 07090 MEDICAL DISQUALIFICATION K 54 7540 3/20/2018 N CHAPLAN, ABRAHAM (MD) 384 NORTH WOODLAND ST. ENGLEWOOD NJ 07631 MEDICAL DISQUALIFICATION A 54 7540 6/1/1993 Y All Jersey Fence Co. Charles Viola, President 266 Columbus Ave Hasbrouck Heights NJ 07604 10 Route 46 West Clifton NJ 07011 CONSTRUCTION DEBARMENT F 62 4550 9/15/2016 9/14/2019 N CHARLES, ERIC 396 CHERRY LANE MENDHAM NJ 07945 CONSTRUCTION DEBARMENT F 62 4550 4/22/2014 4/21/2017 N CHARLES, ESTHER (CHHA) 380 UNION AVENUE IRVINGTON NJ 07111 MEDICAL DISQUALIFICATION K 54 7540 3/6/2018 N CHATMON, ALTON (RPH) 1790091742 RR8, BOX 370 BRIDGETON NJ 08302 MEDICAL DEBARMENT K 54 7540 3/3/2017 CHAUDHRY, YASMIN (OWNER) 333 NORTH BROAD STREET ELIZABETH NJ 07028 333 NORTH BROAD STREET ELIZABETH NJ 07028 MEDICAL SUSPENSION K 54 7540 7/21/1997 CHEESE, EPHONIA (CHHA) 18 PATRIOT LANE WILLINGBORO NJ 08046 MEDICAL DISQUALIFICATION K 54 7540 5/16/2018 N CHEN, BONNIE (MD) 1750373486 243 HORSENECK ROAD FAIRFIELD NJ 07004 MEDICAL DISQUALIFICATION K 54 7540 8/12/2018 Y CHEN, KENNETH (MD) 244 BROADWAY NEWARK NJ 07104 MEDICAL SUSPENSION K 54 7540 5/7/1999 N CHEN, TAN (MD) 12 LORRAINE DRIVE PINE BROOK NJ 07058 MEDICAL DISQUALIFICATION K 54 7540 11/5/1999 Y CHERVIN, ARON 36 LAKE DRIVE NORTH BRUNSWICK NJ 08902 MEDICAL DISQUALIFICATION K 54 7540 2/11/2016 Cheryl Apgar, Vice-President 109 Greentree Road Brick NJ 08724 CONSTRUCTION DEBARMENT F 62 4550 2/11/2016 2/10/2019 N CHESS, JEFFREY S. (MD) 1073511929 1570 OLD CEDAR SWAMP ROAD GLEN HEAD NY 11545 MEDICAL DISQUALIFICATION K 54 7540 9/26/2023 Y CHESTON, EBONY (CHHA) 33 NEWELL AVENUE TRENTON NJ 08618 MEDICAL DISQUALIFICATION K 54 7540 3/6/2018 CHHADEH, AHED 401 NEW BRUNSWICK AVENUE, APT. 221 EAST BRUNSWICK NJ 08816 MEDICAL DISQUALIFICATION K 54 7540 11/21/2016 CHIAPETTA, THERESA 8 STEINHARDT AVENUE OLD BRIDGE NJ 08857 MEDICAL DEBARMENT K 54 7540 9/15/2008 N CHIAPETTA, THERESA 8 STEINHARDT AVENUE OLD BRIDGE NJ 08857 MEDICAL DISQUALIFICATION A 54 7540 11/12/2009 N CHICCO, LUKE #65503-050 FCI FAIRTON, PO BOX 420 FAIRTON NJ 08320 MEDICAL DISQUALIFICATION K 54 7540 2/5/2019 N CHIKOWSKI, JOHN (RN) 121 WEST 29TH STREET, 2ND FLOOR BAYONNE NJ 07002 MEDICAL DISQUALIFICATION K 54 7540 10/24/2018 4/9/2019 N CHILLEMI, SALVATORE 29 BERKSHIRE DRIVE SEWELL NJ 08080 MEDICAL DISQUALIFICATION A 54 7540 6/10/2011 N CHIRUMAMILLA, RAMABU (RPH) 212 E PITTSBURGH AVENUE WILDWOOD CREST NJ 08260 MEDICAL DISQUALIFICATION A 54 7540 3/11/1985 Y CHIZHOV, ELLA 200 WINSTON DRIVE #C1104 CLIFFSIDE PARK NJ 07010 MEDICAL SUSPENSION K 54 7540 7/21/2008 N CHIZHOV, SERGEY 200 WINSTON DRIVE CLIFFSIDE PARK NJ 07010 MEDICAL DISQUALIFICATION A 54 7540 9/20/2007 N CHLOROS, STACY (LPN) 323 GILL LANE ISELIN NJ 08830 MEDICAL SUSPENSION K 54 7540 5/18/2006 N CHOI, JEHEE (RN) 31 PINE RIDGE LANE MANSFIELD CENTER CT 06250 MEDICAL DISQUALIFICATION K 54 7540 3/27/2018 N CHOI, STANLEY S. aka CHOI, STAN S. (MD) 1053337253 12 ANTHONY AVENUE EDISON NJ 08820 MEDICAL DISQUALIFICATION K 54 7540 12/5/2023 Y CHRISTENSEN, CYNTHIA (RN) 20 SKYLINE DRIVE HAZLET NJ 07730 MEDICAL SUSPENSION K 54 7540 10/18/2001 Christine Charles, Vice-President 396 Cherry Ln Mendham NJ 07945 CONSTRUCTION DEBARMENT F 62 4550 4/22/2014 04/21/2017 N CHRISTJOHN, COLLEEN M. (LPN) 144 CORSON TAVERN ROAD SOUTH SEAVILLE NJ 08246 MEDICAL DISQUALIFICATION K 54 7540 8/11/2007 Y CHRISTMAS, ARTHUR 66 NORTH 11TH STREET NEWARK NJ 07107 MEDICAL DEBARMENT K 54 7540 6/16/2006 Y IBS, Inc. Christopher Rymal, Owner 1929 Darby Rd Havertown PA 19083 1929 Darby Rd Havertown PA 19083 CONSTRUCTION DEBARMENT F 62 4550 5/16/2014 05/15/2017 N CHRISTPHONTE, CAIRY (CHHA) 1976 OSTWOOD TERRACE UNION NJ 07083 MEDICAL DISQUALIFICATION K 54 7540 9/9/2019 Y CHU, ALICE (MD) 1356505127/1962513366 1512 PALISADE AVENUE, APT. 6P FORT LEE NJ 07024 MEDICAL DISQUALIFICATION K 54 7540 9/24/2019 N CHUDRY, RAZA RD #5 FEDERAL PRISON LEWISBURG PA 17837 MEDICAL SUSPENSION K 54 7540 9/19/2002 N CHUGH, JAGDISH (MD) 1 CORINE COURT LONG VALLEY NJ 07853 MEDICAL DISQUALIFICATION K 54 7540 12/2/2019 N CHUKWUANI, ROSETTA (CHHA) 3 LISZKA LANE SAYREVILLE NJ 08872 MEDICAL SUSPENSION K 54 7540 2/28/2009 N CHULAK, GENADY (PRESIDENT) 242 COMMUNITY CIRCLE OLD BRIDGE NJ 08857 242 COMMUNIT CIRCLE OLD BRIDGE NJ 08857 MEDICAL DISQUALIFICATION A 54 7540 4/15/1996 Y CHUN, KYE (DO) 1356371819 53 MEADOWBROOK ROAD SHORT HILLS NJ 07078 MEDICAL DISQUALIFICATION K 54 7540 8/31/2022 N CHUNMUANG, PRASERT (MD) 401 DEVONSHIRE PL FRANKLIN LAKES NJ 07417 MEDICAL DISQUALIFICATION G 54 7540 6/14/1993 Y CHUPREVICH, EILEEN, D. (RN) 8 STANTON PLACE BUTLER NJ 07405 MEDICAL SUSPENSION K 54 7540 1/20/2003 N CIALLELLA, GINA AKA GARCEN, GINA (DC) 57 GREEN STREET WOODBRIDGE NJ 07095 MEDICAL DISQUALIFICATION A 54 7540 3/24/2000 Y CICCONE, GREGORY 5 WATERS EDGE DR. LITTLE EGG HARB NJ 08087 MEDICAL SUSPENSION K 54 7540 5/15/2005 N CICERO, BARBARA (RN) 91 LINCOLN AVENUE SOMERVILLE NJ 08876 MEDICAL SUSPENSION K 54 7540 8/20/2001 CICERO, RALPH (DDS) 1740449305 245 BALDWIN STREET SUCCASUNNA NJ 07876 MEDICAL DEBARMENT A 54 7540 3/6/2014 N CICERON, ANDRE (MD) 1265526586 621 BANNING AVENUE NORTHFIELD NJ 08225 MEDICAL DISQUALIFICATION K 54 7540 2/8/2019 Y CLACKLEY, MACK O. (LPN) PO BOX 150 DELMONT NJ 08314 MEDICAL SUSPENSION K 54 7540 9/20/2001 CLAPPER, STEPHANIE (LPN) 169 NAUTILUS MANAHAWKIN NJ 08050 MEDICAL DISQUALIFICATION A 54 7540 2/26/2010 N CLARK, JAMES 380 MOUNTAIN ROAD #12 UNION CITY NJ 07087 MEDICAL SUSPENSION K 54 7540 9/27/2007 N CLARK, ALLAN (MD) 1033260120 1200 VILLAGE DRIVE, APT 2413 PITTSBURGH PA 15241 MEDICAL DISQUALIFICATION K 54 7540 10/15/2021 N CLARK, ANDREW 1627 WYKOFF ROAD WALL NJ 07727 VENDOR DEBARMENT A 66 1000 11/13/2020 11/13/2025 N CLARK, ANDREW 624 RANKIN ROAD BRIELLE NJ 08730 VENDOR DEBARMENT A 66 1000 11/13/2020 11/13/2025 N CLARK, INDIA (CHHA) 55 SECOND AVENUE TOMS RIVER NJ 08757 MEDICAL DISQUALIFICATION K 54 7540 7/14/2017 5/6/2021 N CLARK, JOVONNE (CHHA) 1605 SEWALL AVENUE ASBURY PARK NJ 07712 MEDICAL DISQUALIFICATION K 54 7540 8/22/2017 CLARK, KEVIN 537 TRINITY PLACE WESTFIELD NJ 07090 MEDICAL SUSPENSION A 54 7540 10/5/2009 N CLARK, NORMAN L. (MD) 5 TARA DRIVE PARSIPPANY NJ 07054 MEDICAL SUSPENSION K 54 7540 3/2/1999 CLARK, RAYONNE 844 CENTRE STREET TRENTON NJ 08611 MEDICAL DISQUALIFICATION K 54 7540 8/13/2003 N CLARK, RAYONNE 844 CENTRE STREET TRENTON NJ 08611 MEDICAL SUSPENSION K 54 7540 7/20/2003 N CLARK. NYKEBA (CHHA) 807 N. INDIANA AVENUE ATLANTIC CITY NJ 08401 MEDICAL DEBARMENT K 54 7540 1/24/2018 N CLARKE, KIRK (CHHA) 218 YOUNGS ROAD TRENTON NJ 08619 MEDICAL DISQUALIFICATION K 54 7540 7/30/2019 Y CLARKE, MICHELLE (CHHA) 75 NORTH WALNUT STREET, APT. 6C EAST ORANGE NJ 07017 MEDICAL DISQUALIFICATION K 54 7540 1/30/2017 Y CLAVIJO, LAURA 908 CLARK CIRCLE FLEMINGTON NJ 08822 MEDICAL DISQUALIFICATION K 54 7540 8/28/2017 CLAYTON, ROBERT (RN) 14 WALNUT DRIVE BURLINGTON NJ 08016 MEDICAL DISQUALIFICATION K 54 7540 8/16/2022 N CLEMENTE, JOHN (MD) 20 PILGRIM WAY COLTS NECK NJ 07722 MEDICAL DEBARMENT K 54 7540 11/29/2015 CLEMENTE, JOHN (MD) 20 PILGRIM WAY COLTS NECK NJ 07722 MEDICAL DISQUALIFICATION K 54 7540 4/20/2015 CLEMMENTS, RALPH W. (MD) 7304 CENROSE CIRCLE WESTWOOD NJ 07675 MEDICAL DEBARMENT K 54 7540 9/12/2008 N COACHI, DANIEL P. (MD) 1245222991 209 STENTON AVENUE BLUE BELL PA 19422 MEDICAL DISQUALIFICATION K 54 7540 8/25/2021 N COBB, ROY (MD) 1548350556 504 SUMMIT AVENUE MAPLEWOOD NJ 07040 MEDICAL DISQUALIFICATION K 54 7540 6/5/2017 Y COBB, WILLIAM A. (MD) 1679666903 2 WEST RIVER STYX ROAD HOPATCONG NJ 07843 MEDICAL DEBARMENT K 54 7540 3/16/2011 Y COCCO, KRISTEN 44 SYRACUSE DRIVE CHERRY HILL NJ 08056 MEDICAL DISQUALIFICATION K 54 7540 6/5/2017 CODDINGTON, DE'LYNNE (CHHA) 904 MAIN STREET BRADLEY BEACH NJ 07720 MEDICAL DISQUALIFICATION K 54 7540 11/8/2017 N COHEN, BARRY E. 6326 NW 80TH TERRACE POMPANO BEACH FL 33067 MEDICAL SUSPENSION K 54 7540 3/20/2006 N COHEN, JUDAH L. (MD) 1000 GALLOPING HILL RD. UNION NJ 07083 MEDICAL DISQUALIFICATION K 54 7540 4/24/1998 Y COHEN, MITCHELL (MD) 1114972874 144 WHITE CAP LANE NEWPORT COAST CA 92657 MEDICAL DISQUALIFICATION K 54 7540 2/20/2020 N COHEN, ROBERT G. (RN/APN) 51 KRISTEN COURT MATAWAN NJ 07747 MEDICAL DISQUALIFICATION A 54 7540 3/24/2003 N COHEN, WENDY E. (MD) 151 N. DEAN STREET ENGLEWOOD NJ 07631 MEDICAL SUSPENSION K 54 7540 5/10/2012 DECEASED N COLADONATO, JOSEPH P. (MD) 9760 EVERGREEN AVENUE SEAFORD DE 19973 MEDICAL DEBARMENT K 54 7540 2/3/2006 N COLBERT, DONNA (CHHA) 183 ROUTE 35 WALL TOWNSHIP NJ 07719 MEDICAL DISQUALIFICATION K 54 7540 7/14/2017 Y COLEMAN, BARBARA (CHHA) 81 LINCOLN PARK, APT. 5B NEWARK NJ 07102 MEDICAL DISQUALIFICATION K 54 7540 1/31/2017 COLEMAN, BETH (RN) 1598919466 12 NORTH ELMIRA STREET ATHENS PA 18810 MEDICAL DISQUALIFICATION K 54 7540 5/12/2016 COLETTI, ROGER (MD) 1770508053 324 CAPTAINS CL LEWES DE 19958 MEDICAL DISQUALIFICATION K 54 7540 1/5/2018 Y COLEY, CHERYL (CHHA) 17 NORTH 3RD STREET PATERSON NJ 07522 MEDICAL DISQUALIFICATION K 54 7540 1/22/2018 N COLLIER, BERT D. (MD) 4933E N. WINDWOOD AVENUE MILWAUKEE WI 53217 MEDICAL DEBARMENT K 54 7540 5/29/2001 9/20/2013 N COLLIER, KENYA (CHHA) 708 THIRD AVENUE, APT. 13-B ASBURY PARK NJ 07712 MEDICAL DISQUALIFICATION K 54 7540 1/31/2017 3/28/2024 COLLIER, KISHA (CHHA) 54 FEDERAL COURT GALLOWAY NJ 08205 MEDICAL DISQUALIFICATION K 54 7540 5/2/2017 5/31/2022 COLLIER, SARA (MD) 1750556924 2825 NW 155TH STREET EDMOND OK 73013 MEDICAL DISQUALIFICATION K 54 7540 3/15/2023 N COLLINS, JEAN (RN) 218 COPELAND AVENUE LYNDHURST NJ 07071 MEDICAL DISQUALIFICATION K 54 7540 4/24/2018 N COLON, KAREN L. (LPN) 1020 MCGUIRE DRIVE TOMS RIVER NJ 08753 MEDICAL SUSPENSION K 54 7540 6/20/2005 N COLON-TORRES, FRANCIS M. 437 STUYVESANT AVENUE IRVINGTON NJ 07111 MEDICAL SUSPENSION K 54 7540 11/7/2008 N COMESANAS, MARIO (MD) 1508922659 COLUMBIA TPK. FLORHAM PARK NJ 07932 MEDICAL DISQUALIFICATION A 54 7540 8/10/2007 Y COMPAS, JEAN CLAUDE (MD) 1720178148 255 EASTERN PARKWAY BROOKLYN NY 11238 MEDICAL DISQUALIFICATION K 54 7540 7/20/2015 N COMRIE, SHIRLEY M. (CHHA) 7 DUFFELD DRIVE TRENTON NJ 08628 MEDICAL SUSPENSION K 54 7540 7/18/2002 N CONARD, MICHELLE (LPN) 16 ELDRIDGE AVENUE TRENTON NJ 08648 MEDICAL DISQUALIFICATION K 54 7540 7/20/2009 N CONDON, MARJORIE (DO) 1528098068 327 FRANKLIN AVENUE RIDGEWOOD NJ 07450 MEDICAL DEBARMENT K 54 7540 11/2/2019 N CONNER, BYRON (MD) 1669412243 15418 CRUISER STREET, UNIT A CORPUS CHRISTI TX 78418 MEDICAL DISQUALIFICATION K 54 7540 11/20/2018 N CONNERS, LAURA (LPN) 11 FENWAY ROAD HAMILTON NJ 08620 MEDICAL SUSPENSION K 54 7540 3/20/2002 N CONOVER, WILLIAM S. (LPN) 225 RUTLAND AVE. MT. HOLLY NJ 08060 MEDICAL SUSPENSION K 54 7540 5/20/2004 N CONTE, SALVATORE (MD) 1174688493 NEW YORK RRM, PO BOX 329014 BROOKLYN NY 11232 MEDICAL DISQUALIFICATION K 54 7540 10/3/2019 N CONTEH, AMARA S. (MD) 3 OLD TAPPAN ROAD OLD TAPPAN NJ 07675 MEDICAL SUSPENSION K 54 7540 9/20/2007 N CONTI, VINCENT (MFT) 1023189644 180 PROSPECT AVENUE MORRIS PLAINS NJ 07950 MEDICAL DISQUALIFICATION K 54 7540 9/23/2016 CONTRERAS, MICHAEL 77 LITTLETON RD MORRIS PLAINS NJ 07950 CONSTRUCTION DEBARMENT F 62 4550 4/12/2013 4/11/2016 N COPLIN, BRUCE (MD) 1699755868 7 HOSPITAL DRIVE TOMS RIVER NJ 08755 MEDICAL DEBARMENT K 54 7540 9/6/2021 COPLIN, GEORGE J. (MD) 528 EAST JERSEY ST ELIZABETH NJ 07206 MEDICAL DISQUALIFICATION A 54 7540 6/1/1993 DECEASED N COPPOLA, KELLY AKA FURLONG, KELLY (PHARM TECH) 52 CORNELL DRIVE HAZLET NJ 07730 MEDICAL DISQUALIFICATION K 54 7540 9/23/2016 CORIANO, ALFRED 31 POPLAR STREET, APT 1 JERSEY CITY NJ 07307 VENDOR DEBARMENT K 66 1020 Y CORNELY, MICHAEL P. (DC) 1326199803 6650 BROWINING ROAD MERCHANTVILLE NJ 08109 MEDICAL DISQUALIFICATION K 54 7540 12/1/1998 Y CORREA-HUNTER, LOUISA (DDS) 372 FOREST AVENUE PARAMUS NJ 07652 MEDICAL SUSPENSION K 54 7540 10/22/2010 N CORSON KENNETH E. (MD) 5 SOUTH MYRTLE ST VINELAND NJ 08360 MEDICAL DISQUALIFICATION G 54 7540 DECEASED Y CORTEZ, JESSICA (CHHA) 114 EDWARDS AVENUE LANDISVILLE NJ 08326 MEDICAL DISQUALIFICATION K 54 7540 9/6/2017 COSTA, LAWRENCE J. 441 PENN AVE. FORKED RIVER NJ 08731 MEDICAL DISQUALIFICATION A 54 7540 Y COSTA, PAULA, PRESIDENT 33 E. KUPSCH STREET SAYREVILLE NJ 07032 CONSTRUCTION DEBARMENT F 62 4550 1/19/2012 1/18/2015 N COSTA, RICHARD (DO) 1982693511 16 BRIDLE COURT CHERRY HILL NJ 08003 MEDICAL DISQUALIFICATION K 54 7540 8/20/2023 COSTIGAN, KEVIN (LCSW) 132 FRANKLIN AVE, APT. 2 LONG BRANCH NJ 07740 MEDICAL SUSPENSION K 54 7540 3/21/2000 COSTINO JR., JOHN (DO) 1811978414 404 SURF AVENUE WILDWOOD NJ 08260 MEDICAL DISQUALIFICATION K 54 7540 8/18/2011 N COTTRELL, LISA L. (CHHA) 290 ROUTE 9 NORTH APT C5 WARETOWN NJ 08758 MEDICAL DISQUALIFICATION K 54 7540 9/30/2010 N COUCH, SUSAN (CHHA) 10 PLACID LANE WILLINGBORO NJ 08046 MEDICAL DISQUALIFICATION K 54 7540 2/8/2017 COUGHLIN, CATHERINE K. (RN) PO BOX 22 LIMESTONE PA 16234 MEDICAL DISQUALIFICATION K 54 7540 9/18/2009 N COULTON, DIANE (LPN) 272 BIRCH DRIVE LEVITTOWN PA 19054 MEDICAL DISQUALIFICATION K 54 7540 9/13/2018 N COVERDALE, JULIE ANN (RN) 909 CINNAMINSON AVE. PALMYRA NJ 08065 MEDICAL SUSPENSION K 54 7540 4/20/2003 N COVILLE, FREDERICK A. (MD) 1679728307 230 N. MAPLE AVENUE MARLTON NJ 08050 MEDICAL DEBARMENT K 54 7540 4/17/1997 8/16/2012 N COVILLE, FREDERICK A. (MD) 1679728307 51-37 HAVEN AVENUE OCEAN CITY NJ 08226 MEDICAL DISQUALIFICATION K 54 7540 10/26/1998 8/16/2012 N COVONE, DOMINICK (DME OWN) FORT DIX F.C.I. BOX 38 FORT DIX NJ 08640 MEDICAL DISQUALIFICATION K 54 7540 10/18/2001 Y COWAN JR., JAMES (MD) 1063527026 572 WEST SADDLE RIVER ROAD RIDGEWOOD NJ 07450 MEDICAL DISQUALIFICATION K 54 7540 9/20/2016 Y COWAN JR., JAMES (MD) 1063527026 28 W. 3RD STREET, APT. 1347 SOUTH ORANGE NJ 07079 MEDICAL DISQUALIFICATION K 54 7540 12/6/2017 Y COWAN, MARYANNE (LCSW) 572 WEST SADDLE RIVER ROAD RIDGEWOOD NJ 07450 MEDICAL DISQUALIFICATION K 54 7540 12/21/2016 DECEASED N COWINS, KIMBLINS (CHHA) 75 SHADY LANE HAMBURG NJ 07419 MEDICAL DISQUALIFICATION K 54 7540 9/20/2019 Y COWINS, KIMBLINS (LPN) 75 SHADY LANE HAMBURG NJ 07419 MEDICAL DISQUALIFICATION K 54 7540 9/20/2019 N CRAIN, GREGORY 60 HAWKINS ROAD TABERNACLE NJ 08088 VENDOR SUSPENSION A 82 2050 8/27/2001 CRAPANZANO SR., PETER (DDS) 1861566960 46 VILLAGE COURT HAZLET NJ 07730 MEDICAL SUSPENSION K 54 7540 4/26/2011 N CRAWFORD, KENNETH (CNA) B-8 ABBINGTON DRIVE PHILLIPSBURG NJ 08865 MEDICAL DISQUALIFICATION K 54 7540 4/6/2006 N CRAWFORD, KENNETH (CNA) 199A FIDDLER ELBOW ROAD PHILLIPSBURG NJ 08865 MEDICAL SUSPENSION K 54 7540 8/20/2006 N CRAY, JASON E. (COTT. AID) WARREN COUNTY JAIL BELVIDERE NJ 07823 MEDICAL DISQUALIFICATION A 54 7540 8/21/2000 Y CRESTA, NICOLE AKA RIVERA, NICOLE (RN) 2009 KICKAPOO TERRACE VINELAND NJ 08361 MEDICAL DISQUALIFICATION K 54 7540 3/28/2017 CREWS, VERN (DIRECTOR) 844 N. MAIN STREET AKRON OH 44310 CONSTRUCTION DEBARMENT F 62 4550 4/5/2013 4/4/2016 N CRIDER, STEVEN 507 PRESSLER STREET AUSTIN TX 78703 CONSTRUCTION DEBARMENT F 62 4550 5/11/2014 5/10/2017 N CRISCITO, MARIO (MD) 1063411957 32 CHELSEA DRIVE LIVINGSTON NJ 07039 MEDICAL DISQUALIFICATION K 54 7540 7/1/2017 Y CRISSIEN, CINDY 78 FORNELIOUS AVENUE CLIFTON NJ 07013 MEDICAL SUSPENSION K 54 7540 1/18/2007 N CRITCHFIELD, CYNTHIA AKA SULLIVAN, CYNTHIA (RPH) PIN OAK COURT SHAMONG NJ 08088 MEDICAL SUSPENSION K 54 7540 4/20/2008 6/15/2017 N CROCKER JR., KENNETH W. 15 VIOLA AVENUE LEONARDO NJ 07737 MEDICAL DEBARMENT A 54 7540 7/17/2009 7/17/2014 N CROMARTIE, CHERISE (CHHA) 25 RONALD ROAD LAKEWOOD NJ 08701 MEDICAL DEBARMENT K 54 7540 7/19/2018 N CRON, EVA (RN) 31 CHERRY STREET WARWICK NY 10990 MEDICAL SUSPENSION K 54 7540 9/27/2007 N CROUSE, FARRELL R. (MD) 1386795292 101 NORTH MAIN STREET WOODSTOWN NJ 08098 MEDICAL DEBARMENT K 54 7540 3/18/2015 N CROWDER, CLAXTON L. (MD) 115 ASHBY COURT MOUNT LAUREL NJ 08054 MEDICAL DISQUALIFICATION K 54 7540 1/13/2006 N CROWLEY, TERRI (RN) 5 THOREAU ROAD HAMILTON SQUARE NJ 08690 MEDICAL DEBARMENT K 54 7540 11/13/2017 CRUCIANI, RICARDO (MD) 1881615268 77 HUDSON STREET, APT. 4401 JERSEY CITY NJ 07302 MEDICAL DISQUALIFICATION A 54 7540 4/16/2018 Y CRUZ III, ORLANDO (LPN) 10 ORCHID STREET APT 19 PASSAIC NJ 07055 MEDICAL DISQUALIFICATION K 54 7540 8/11/2022 N CRUZ, ANGELICA (CHHA) 2566 SOUTH 8TH STREET CAMDEN NJ 08104 MEDICAL DISQUALIFICATION K 54 7540 7/14/2017 CRUZ, DELIA (CHHA) 3 RAY PLACE FAIRFIELD NJ 07004 MEDICAL DEBARMENT K 54 7540 3/5/2018 CRUZ, EDNA (CHHA) PO BOX 535 VINELAND NJ 08362 MEDICAL DISQUALIFICATION K 54 7540 1/31/2017 CRUZ, JAHAIRA (CHHA) 559 BAILEY STREET CAMDEN NJ 08102 MEDICAL DISQUALIFICATION K 54 7540 5/2/2017 CRUZ, MARIA C. 128-65 MCCARTHY CIRCLE PHILADELPHIA PA 19154 MEDICAL DEBARMENT A 54 7540 12/5/2003 N CRUZ-SLEDGE, ANICIA 13 Tremont Street Apt 2 IRVINGTON NJ 07111 MEDICAL DEBARMENT K 54 7540 3/3/2015 CUETO, PAOLA (CHHA) 619 THIRTY-EIGHTH STREET UNION CITY NJ 07087 MEDICAL DISQUALIFICATION K 54 7540 10/20/2017 CUEVAS, ASHLEY 372-3 VAN HOME STREET JERSEY CITY NJ 07304 VENDOR DEBARMENT K 66 1020 Y CUFFE, MAXINE (RN) 33 GREENBROOK DRIVE BLOOMFIELD NJ 07003 MEDICAL DISQUALIFICATION K 54 7540 3/3/2017 8/22/2019 N CUI, XIN (CHHA) 119 S. ADELAIDE LANE HIGHLAND PARK NJ 08904 MEDICAL DISQUALIFICATION K 54 7540 4/24/2008 N CULLEN, CHARLES (RN) PO BOX 861 TRENTON NJ 08625 MEDICAL SUSPENSION K 54 7540 1/18/2007 N CULLEN, KENNETH 100 MARSHALL AVENUE TUCKERTON NJ 08087 MEDICAL SUSPENSION A 54 7540 1/19/2010 N CUNNINGHAM, MICHAEL D. (MD) PO BOX 505 GLEN SPEY NY 12737 MEDICAL SUSPENSION K 54 7540 9/19/2002 N CUPO, DAWN (LPN) 129 ADELPHIA ROAD FARMINGDALE NJ 07727 MEDICAL SUSPENSION K 54 7540 6/20/2001 CUPOLO, STACY J. (DENTAL HYGIENTIST) 897 INVERNESS CT. APT. A LAKEWOOD NJ 08701 MEDICAL SUSPENSION K 54 7540 6/20/2005 N CURETON, WILLIE T. 61 CHELSEA AVENUE NEWARK NJ 07106 MEDICAL DISQUALIFICATION K 54 7540 5/27/2011 N CURETON, WILLIE T. 5 UNAMI LANE SCOTCH PLAINS NJ 07076 MEDICAL DISQUALIFICATION A 54 7540 2/23/2009 Y CJC Builders Corp. Curillo Guaman, Owner 220 Mount Pleasant Ave. Newark NJ 07104 197 Broad Street Newark NJ 07104 CONSTRUCTION DEBARMENT F 62 4550 1/8/2016 01/07/2019 N CURRY, CHARLES M. (MD) 816 BURNT MILLS ROAD OLDWICK NJ 08858 MEDICAL DISQUALIFICATION K 54 7540 12/1/1998 Y CUSTIS, KEVIN (MD) 1811976970 908 MAIN STREET ASBURY PARK NJ 07712 MEDICAL DISQUALIFICATION K 54 7540 7/22/2017 Y CUTLER, JAZMERE (LPN) 131 HUNTLEY AVENUE BAYVILLE NJ 08721 MEDICAL DISQUALIFICATION K 54 7540 8/17/2019 N CUVIELLO, CHRISTINA (LPN) 1647 WHITTIER AVENUE TOMS RIVER NJ 08753 MEDICAL DISQUALIFICATION K 54 7540 4/24/2018 N CZYZYK, LISA M. (RN) 12 VILLAGE COURT APT A TRENTON NJ 08690 MEDICAL SUSPENSION K 54 7540 9/13/2013 N DACONTI, JOHN (DO) 1063460939 13 MEDFORD ROAD MORRIS PLAINS NJ 07950 MEDICAL DEBARMENT K 54 7540 6/13/2016 DADAIAN, JON PAUL (MD) 1629081013 77 W 24TH STREET, APT 21H NEW YORK NY 10010 MEDICAL DISQUALIFICATION A 54 7540 6/21/2023 N DAFTARY, REKHA B. (MD) 81 B EAST MAIN STREET MENDHAM NJ 07943 MEDICAL DISQUALIFICATION K 54 7540 2/29/2008 N DAHAB, YASIR 5 PARK STREET ROSELAND NJ 07068 MEDICAL DISQUALIFICATION A 54 7540 12/12/2001 Y DAHHAN, MOHAMED Z. (MD) 1417279779 WINDING WAY WEST PATERSON NJ 07424 MEDICAL SUSPENSION K 54 7540 11/20/2008 4/3/2014 N DAILY, GALE (CHHA) 14 SUDBERRY LANE WILLINGBORO NJ 08046 MEDICAL SUSPENSION K 54 7540 7/19/2001 DALEY, ROBERTA (LPN) 36 HOLLY DRIVE PARLIN NJ 08859 MEDICAL SUSPENSION K 54 7540 8/20/2001 D'ALLEGRO, FRANK (RPH) 32 SUMMIT AVENIE CEDAR GROVE NJ 07009 MEDICAL DISQUALIFICATION A 54 7540 8/5/1990 Y DALMACY, KESLER 1306037940 3427 COLONY DRIVE BALDWIN NY 11510 MEDICAL DISQUALIFICATION K 54 7540 6/15/2022 N DALTON, ERIN (RN) 14 VICTORIAN WAY WEST DEPTFORD NJ 08090 MEDICAL DEBARMENT A 54 7540 2/20/2013 10/27/2020 N DALY, JAMES J. (EMT) 504 EAST FRANKLIN AVENUE EDGEWATER PARK NJ 08010 MEDICAL DISQUALIFICATION A 54 7540 8/7/2013 N DALY, LAUREN (MD) 1952492233 SCI CAMBRIDGE SPRINGS, 451 FULLERTON AVENUE CAMBRIDGE SPRINGS PA 16403 MEDICAL DISQUALIFICATION K 54 7540 8/5/1990 DALY, LAUREN (MD) 1952492233 SCI CAMBRIDGE SPRINGS, 451 FULLERTON AVENUE CAMBRIDGE SPRINGS PA 16403 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 FIVE BROS. SERV. CO., INC D'AMBROSIO, MICHAEL 266 BROADWAY JERSEY CITY NJ 07306 266 BROADWAY JERSEY CITY NJ 07306 VENDOR SUSPENSION B 82 2050 1/9/1996 ROBROS RECYCLING CORP. D'AMBROSIO, MICHAEL 266 BROADWAY JERSEY CITY NJ 07306 VENDOR SUSPENSION B 82 2050 1/9/1996 D'AMICO, DENNIS (RPH) 28021285000 91 OTTOWA RD SOUTH MARLBORO NJ 08817 91 OTTOWA RD SOUTH MARLBORO NJ 08817 MEDICAL DISQUALIFICATION A 54 7540 3/11/1985 Y DAMMERS, SEAN 255 SANTIAGO AVE RUTHERFORD NJ 07070 MEDICAL DEBARMENT A 54 7540 9/2/2012 N Dane DeForest Demolition, Inc. Dane DeForest, President 1508 Beaver Dam Road Point Pleasant NJ 08742 2406 Herbertsville Road Point Pleasant NJ 08742 CONSTRUCTION DEBARMENT F 62 4550 2/16/2016 02/15/2019 N DANESHVAR, GERALD (MD) 1548427164 3425 LONE PINE ROAD WEST BLOOMFIELD MI 48323 MEDICAL DISQUALIFICATION K 54 7540 9/20/2018 N DANIEL, ALAN (LCSW) 3 HARRISON PARK LANE BURLINGTON NJ 08016 MEDICAL SUSPENSION A 54 7540 3/17/2000 DANIEL, ALAN L. (LCSW) 415 KEIM BOULEVARD BURLINGTON NJ 08016 MEDICAL SUSPENSION K 54 7540 8/20/1999 DANIEL, ALAN L. (LCSW) 202 SPRING GARDEN RD ANCORA NJ 08037 MEDICAL DISQUALIFICATION K 54 7540 10/20/2002 N DANIEL, THERESA D. 3 HARRISON PARK LANE BURLINGTON NJ 08016 MEDICAL SUSPENSION A 54 7540 3/17/2000 DANIEL-CONOVER, NAHLA (CHHA) 191 RUTLEDGE AVENUE EAST ORANGE NJ 07017 MEDICAL DEBARMENT K 54 7540 8/1/2017 N DANIELS, BERLYN E. (CHHA) WHITE HORSE AVENUE TRENTON NJ 08610 MEDICAL DISQUALIFICATION K 54 7540 10/13/2008 N DANIELS, CLIFTON 37 HUGHES STREET MAPLEWOOD NJ 07040 MEDICAL DEBARMENT A 54 7540 7/17/2009 7/17/2014 N D'ANTIGNAC, CHARLOTTE 3 CHURCHILL DOWNS W. LONG BRANCH NJ 07764 MEDICAL SUSPENSION K 54 7540 3/10/2000 DARA, PARVEZ (MD) 1215952775 214 COMMONS WAY, BLDNG B TOMS RIVER NJ 08755 MEDICAL DEBARMENT K 54 7540 10/12/2011 N DARBY, MARK 1245 ADEE AVENUE, APT 4C BRONX NY 10469 MEDICAL DEBARMENT A 54 7540 11/18/2010 N DARBY, MARK SBI305830E, EJSP RAHWAY NJ 07065 MEDICAL DEBARMENT A 54 7540 1/1/2010 N D'ASCOLI, BARTHOLOMEW (MD) PO BOX 1869 MONTAGUE NJ 07827 MEDICAL DEBARMENT K 54 7540 8/18/2000 Y DASS, SUMAN K. (MD) 4 BALDWIN AVENUE JERSEY CITY NJ 07304 MEDICAL DEBARMENT K 54 7540 10/4/2000 Y DATCHER, ANTHONY SCI DALLAS, FOLLIES RD., DRAWER K DALLAS PA 18612 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 DATESHIDZE, JANE (RPH) 617 STOKES ROAD, SUITE 4 MEDFORD NJ 08055 MEDICAL DEBARMENT A 54 7540 6/28/2017 DATILUS, SHELSIE (CHHA) 533 NORWOOD STREET, FL. 1 EAST ORANGE NJ 07018 MEDICAL DISQUALIFICATION K 54 7540 8/22/2017 Y DAVID, GABRIELLA (CHHA) 130 W 49th STREET BAYONNE NJ 07002 MEDICAL DISQUALIFICATION K 54 7540 5/31/2023 8/16/2023 DAVID, RICHARD 819 EDGEWOOD AVENUE TRENTON NJ 08618 MEDICAL DEBARMENT A 54 7540 9/17/2009 2/17/2016 N DAVID, VANESSA (LPN) 204 N. 17TH STREET BLOOMFIELD NJ 07003 MEDICAL DISQUALIFICATION K 54 7540 12/17/2018 N DAVIS, ANTOINETTE 43 VERNON COURT SICKLERVILLE NJ 08081 MEDICAL DISQUALIFICATION K 54 7540 4/23/2007 N DAVIS, CHARLES M. (COUNSELOR) 381 BALA AVENUE BALA CYNWYD PA 19004 MEDICAL SUSPENSION K 54 7540 3/31/2008 N DAVIS, CONITA (CHHA) 2 SUTTON DRIVE, APT. 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(CNA) RR #6 BOX 280-D PLEASANTVILLE NJ 08232 MEDICAL DISQUALIFICATION G 54 7540 4/26/1996 Y ELITE DEMOLITION, LLC DeFilippi, Stephen 46419517500 180 Oliver Street Paterson NJ 07501 CONSTRUCTION DEBARMENT F 82 2065 7/14/2016 7/14/2021 N DEGILIO, MICHAEL (PSYD) 1356329528 144 DOGWOOD DRIVE JIM THORPE PA 18229 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 DEGUZMAN, DAISY (MD) 1699865097 111 MULBERRY STREET NEWARK NJ 07102 MEDICAL DISQUALIFICATION A 54 7540 2/20/2014 9/22/2020 N DEIXLER, GLENN (CHHA) 262 PRIVATEER ROAD MANAHAWKIN NJ 08050 MEDICAL DISQUALIFICATION K 54 7540 4/19/2018 N DEJESUS, YAZMIN (CHHA) 654 OHIO AVENUE EWING NJ 08638 MEDICAL DISQUALIFICATION K 54 7540 7/19/2019 N DEKU, FAUSTINA (CHHA) 10 MARSHALL STREET IRVINGTON NJ 07111 MEDICAL DISQUALIFICATION K 54 7540 2/8/2017 N DEL PIANO, ANTHONY (MD) 1922032770 24 DRINKING BROOK ROAD MONMOUTH JUNCTION NJ 08052 MEDICAL DISQUALIFICATION K 54 7540 10/15/2015 4/1/2022 DELA GENTE, ROBERT AKA DELAGENTE, ROBERT (MD) 1891886230 12 HUNTERS RUN OAKLAND NJ 07436 MEDICAL DISQUALIFICATION K 54 7540 6/12/2019 N DELA GENTE, ROBERT S. aka ROBERT DELAGENTE (DO) 1891886230 P.O. 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HILL ROAD GLEN GARDNER NJ 08826 MEDICAL DISQUALIFICATION A 54 7540 4/7/2010 N DELLAPENNA, LINDA (CNA) 52 VAN NESS DRIVE BRICK NJ 08723 MEDICAL DISQUALIFICATION K 54 7540 11/13/2003 N DELL'AQUILA, PATRICK 55 BROOKVIEW DRIVE WOODCLIFF LAKE NJ 07677 CONSTRUCTION DEBARMENT F 62 4550 2/25/2014 2/24/2017 N DELLAQUILLA, PATRICK 55 BROOKVIEW DR. WOODCLIFF LAKE NJ 07677 CONSTRUCTION DEBARMENT F 62 4550 2/25/2014 2/24/2017 N DELLBENI, FRANK (LPN) P.O. BOX 89 MARTINS CREEK PA 18063 MEDICAL DISQUALIFICATION K 54 7540 8/4/2021 Y DELOACH, LORRAINE (CHHA) 9 DAVID STREET, APT. 3 SOUTH RIVER NJ 08882 MEDICAL DISQUALIFICATION K 54 7540 1/31/2017 N DELUANTO, LILIANA (CHHA) 1160 SUMMIT LANE MOUNTAINSIDE NJ 07092 MEDICAL DISQUALIFICATION K 54 7540 7/2/2018 DELUCA, ANTHONY (MD) 1043257744 630 PRINCETON AVEMUE BRICK NJ 08724 MEDICAL DEBARMENT K 54 7540 12/16/2015 DELUCA, ANTHONY (MD) 1043257744 FCI-FORT DIX, PO BOX 2000 JOINT BASE MDL NJ 08640 MEDICAL DISQUALIFICATION K 54 7540 2/11/2016 DELUCA, WENDY (LPN) 108 GRANDVIEW ROAD HIGHLAND LAKES NJ 07422 MEDICAL DISQUALIFICATION K 54 7540 3/15/2018 N DEMARCO, CHARLENE C. (DO) P O BOX 898801 OKLAHOMA CITY OK 73189 MEDICAL SUSPENSION K 54 7540 7/20/2008 N DEMARIA JR., WILLIAM R. ( AGENT) 104 WINDSOR COURT PALM BEACH FL 33480 104 WINDSOR COURT PALM BEACH FL 33480 MEDICAL DEBARMENT A 54 7540 1/5/2001 N DEMASSI, MICHAEL A. 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(RN) COLUMBIA AVENUE NORTH BERGEN NJ 07047 MEDICAL SUSPENSION K 54 7540 10/18/2007 N DEPHILLIPS, DONNA (MD) 1386657971 7 WESTMINSTER PLACE OLD TAPPAN NJ 07675 MEDICAL DISQUALIFICATION K 54 7540 6/15/2023 N DEROSIER-BEAUBRUN, SABRINA (CHHA) 754 SOUTH BROAD STREET TRENTON NJ 08611 MEDICAL DISQUALIFICATION K 54 7540 6/28/2018 DERRICK, NAOMI AKA BASCUS, NAOMI (RN) 6 ENGLISH IVY DRIVE SICKLERVILLE NJ 08081 MEDICAL DISQUALIFICATION K 54 7540 4/9/2020 N DERRICK, NAOMI AKA BASCUS, NAOMI (RN) 6 ENGLISH IVY DRIVE SICKLERVILLE NJ 08081 MEDICAL DISQUALIFICATION K 54 7540 12/26/2016 DESAI, BAKUL (MD) 1376654624 15 MOUNTAIN RIDGE DRIVE LIVINGSTON NJ 07039 MEDICAL SUSPENSION A 54 7540 3/8/2010 9/10/2019 N DESAI, BAKUL (MD) 1376654624 15 MOUNTAIN RIDGE DRIVE LIVINGSTON NJ 07039 MEDICAL DISQUALIFICATION K 54 7540 9/20/2012 9/10/2019 N DESAI, NEMISH (DDS) 1598908295 248 BOONTON TURNPIKE LINCOLN PARK NJ 07035 MEDICAL DISQUALIFICATION K 54 7540 5/18/2019 3/5/2024 DESAI, USHA (DDS) 1407988173 23 REYNOLDS AVENUE PARSIPPANY NJ 07054 MEDICAL SUSPENSION A 54 7540 5/2/2023 10/5/2023 DESAI, USHA (DDS) 1407988173 23 REYNOLDS AVENUE PARSIPPANY NJ 07054 MEDICAL DISQUALIFICATION A 54 7540 10/5/2023 DESANTIS, ANTHONY (RPH) 105 FRANKLIN STREET BELLEVILLE NJ 07109 MEDICAL DEBARMENT K 54 7540 2/24/2003 N DESIMONE, EUGENE (MD) 1427098268 FCI FORT DIX, PO BOX 38 JOINT BASE MDL NJ 08640 MEDICAL DISQUALIFICATION K 54 7540 10/28/2015 DESIR, MELISSA (CHHA) 20 WILLOW DRIVE, APT. 8 OCEAN NJ 07712 MEDICAL DISQUALIFICATION K 54 7540 4/18/2017 N DESTASIO, VINCENT (MD) 1043215650 1851 HOOPER AVENUE TOMS RIVER NJ 08753 MEDICAL DEBARMENT K 54 7540 5/13/2016 DESTASIO, VINCENT (MD) 1043215650 1851 HOOPER AVENUE TOMS RIVER NJ 08753 MEDICAL SUSPENSION K 54 7540 4/12/2016 5/13/2016 N DETROLIO, DANIEL (RN) 23 FOXWOOD DRIVE, APT. D MORRIS PLAINS NJ 07950 MEDICAL DISQUALIFICATION K 54 7540 3/27/2018 N DEVARIS, HELENA D. (DMD) 1679723589 35-08 MORLOT AVENUE 1X FAIR LAWN NJ 07410 MEDICAL SUSPENSION K 54 7540 5/21/2013 N DEVARSO, ANGELA (RN) FCI DANBURY, RTE 37 DANBURY CT 06811 MEDICAL DEBARMENT A 54 7540 5/20/2012 12/18/2023 N DEVERA, MONICA T. 118 BEACON STREET DUMONT NJ 07628 MEDICAL SUSPENSION K 54 7540 8/20/2002 N 360 Golf, LLC Devin, Lemere, Partner 300 Mamaroneck Avenue, #733 White Plains NY 10605 300 Mamaroneck Avenue, #733 White Plains NY 10605 CONSTRUCTION DEBARMENT F 62 4550 6/30/2015 06/29/2018 N DEVLIN, MARYELLEN (RN) 809 DEVON ROAD RIVERSIDE NJ 08075 MEDICAL DISQUALIFICATION K 54 7540 6/4/2018 Y DEZENHALL, MERVIN (RPH) 0 SUNSET RD AT SUMMIT TURN WILLINGBORO NJ 08046 MEDICAL DISQUALIFICATION A 54 7540 6/1/1993 Y DI SPALTRO, FRANKLIN L. (MD) 1740627082 MELROSE LANE GREEN VILLAGE NJ 07935 MEDICAL SUSPENSION K 54 7540 10/18/2007 N DIAZ, CHRISTINA (CHHA) 40 MORRIS STRET, APT. 402 PASSAIC NJ 07055 MEDICAL DISQUALIFICATION K 54 7540 2/22/2019 N DIAZ, PEDRO P. 80 SKYTOP ROAD NEWTON NJ 07860 MEDICAL DISQUALIFICATION A 54 7540 5/20/2011 N DIAZ-PELLOT, NORMA 500 BERKELY DRIVE BROWNS MILLS NJ 08015 MEDICAL DISQUALIFICATION A 54 7540 3/24/2000 Y DIAZ-PELLOT, NORMA 258 UNIVERSITY AVE PEMBERTON NJ 08068 MEDICAL DISQUALIFICATION K 54 7540 7/19/2001 Y DICARLO, ANTHONY G. 35 GALT OCEAN DR FT LAUDERDALE FL 33308 MEDICAL DISQUALIFICATION G 54 7540 6/1/1993 Y DICICCO, RICHARD (DC) 1073668265 1 MYERS AVENUE BERLIN NJ 08009 MEDICAL DISQUALIFICATION K 54 7540 6/5/2017 DICK, SHONDELL (CHHA) 196 22ND STREET IRVINGTON NJ 07111 MEDICAL DISQUALIFICATION K 54 7540 1/29/2018 Y DICKERSON, DENISE M. (RN) 126 HILLCREST AVE, 2A BLACKWOOD NJ 08012 MEDICAL DISQUALIFICATION K 54 7540 9/22/2010 N DICOVSKIY, CLAUDIO (MD) 1932282845 1308 ABBOTT BOULEVARD FORT LEE NJ 07024 MEDICAL DISQUALIFICATION K 54 7540 8/7/2017 11/13/2023 DICOVSKIY, CLAUDIO (MD) 1932282845 1308 ABBOTT BOULEVARD FORT LEE NJ 07024 MEDICAL DISQUALIFICATION K 54 7540 2/23/2015 11/13/2023 DICUBELLIS, MICHELE R. (LCSW) 4030 ANDERSON AVE, SE ALBURQUERQUE NM 87108 MEDICAL DISQUALIFICATION C 54 7540 6/23/2011 10/22/2014 N DIEM, MICHELLE C. (CHHA) 821 NEVILLE STREET TOMS RIVER NJ 08753 MEDICAL DEBARMENT A 54 7540 9/23/2014 N DIETERLE, KAREN M. (RN) 51 STURBRIDGE DRIVE SICKLERVILLE NJ 08081 MEDICAL SUSPENSION K 54 7540 8/19/2004 N DIETRICH, LISA B. DOGWOOD TRAIL RANDOLPH NJ 07869 MEDICAL SUSPENSION K 54 7540 11/20/2008 N DIETZ, MICHAEL (CHHA) 1602 AQUEDUCT COURT TOMS RIVER NJ 08755 MEDICAL DISQUALIFICATION K 54 7540 2/20/2017 N DIGIORGIO, DAWN K. 13 EAST PINE ST. 13D WESTVIEW NJ 08093 MEDICAL SUSPENSION K 54 7540 2/19/2004 N DIKENGIL, MEHMET #79773-054 (DDS) 1255608279 FCI FORT DIX, PO BOX 2000 JOINT BASE MDL NJ 08640 MEDICAL DISQUALIFICATION K 54 7540 10/10/2019 N DILER, NISHA a.k.a. NISHA RANA (RPH) 1265831242 6 BOULDER LANE HICKSVILLE NY 11801 MEDICAL DISQUALIFICATION K 54 7540 3/20/2022 DILLARD, LATICIA 4208 NORTH DRIVE ATLANTIC CITY NJ 08401 MEDICAL DEBARMENT A 54 7540 8/24/2013 N DILLIGARD, LATASHA (CHHA) 320 W. BRANCH AVENUE, APT. 47C CAMDEN NJ 08021 MEDICAL DISQUALIFICATION K 54 7540 2/8/2017 N DILORENZO, PAUL (MD) 1699841056 22 NORTHWOODS ROAD OCEAN NJ 07712 MEDICAL DISQUALIFICATION K 54 7540 4/17/2017 DILUIGI, KENNETH (RN) RAVENSWOOD WAY SEWELL NJ 08080 MEDICAL DEBARMENT A 54 7540 12/17/2008 N DIMEO, ALEXANDER 19355 LASERENA DRIVE FORT MEYERS FL 33967 MEDICAL DISQUALIFICATION K 54 7540 3/3/2017 DIN, TARIQ 22 CAMERON ROAD SADDLE RIVER NJ 07458 MEDICAL SUSPENSION A 54 7540 5/2/2023 DINKEL, ARTHUR R. (LCSW) 2 FREEMAN LANE DENVILLE NJ 07834 MEDICAL DISQUALIFICATION K 54 7540 4/19/2001 Y DINKEL, ARTHUR R. (LCSW) 2 FREEMAN LANE DENVILLE NJ 07834 MEDICAL DEBARMENT K 54 7540 9/29/2000 Y DIPAOLO, EDMONDO (LPN) 136 DANIELS AVENUE BROWNS MILLS NJ 08015 MEDICAL DISQUALIFICATION K 54 7540 5/9/2020 N DIPIERRO, CHARLES G. PRESIDENT 404 SPOTSWOOD GRAVEL HILL MONROE TWP NJ 08831 CONSTRUCTION DEBARMENT F 62 4550 11/25/2011 11/24/2014 N DIPIERRO, KEVIN J. V-PRESIDENT 402 SPOTSWOOD GRAVEL HILL MONROE TWP. NJ 08831 CONSTRUCTION DEBARMENT F 62 4550 11/25/2011 11/24/2014 N DIRENZO, ALFRED M. (DO) 167 GROVE STREET LODI NJ 07644 MEDICAL DISQUALIFICATION K 54 7540 2/21/1995 Y DISCENZA, RONALD (MD) 1528137882 2578 WOLF HOLLOW ROAD ANDES NY 13731 MEDICAL DISQUALIFICATION K 54 7540 4/17/2017 DITURO, JOSEPH (MD) 1194871459 376 WOOD RIDGE ROAD WOODRIDGE NJ 07075 MEDICAL DEBARMENT K 54 7540 2/15/2016 DIXIT, DIVY R. (RPH) 1619125135 3022 EDWARD STEC BLVD EDISON NJ 08837 MEDICAL DISQUALIFICATION K 54 7540 4/30/2015 DIXON, SHANNON 501 IRVING STREET CLEMNTON NJ 08021 MEDICAL DEBARMENT K 54 7540 3/18/2010 3/18/2013 N DJAMBA, MONDJA (CHHA) 17 PHEASANT ROAD CLEMENTON NJ 08021 MEDICAL DISQUALIFICATION K 54 7540 12/6/2017 Y DJAVID, ISMAIL F. 160 EAST 89TH STREE NEW YORK CITY NY 10028 MEDICAL DISQUALIFICATION A 54 7540 Y DLUZNIEWSKI, MICHELE (RN) 137 STEPHAN ROAD BRICK NJ 08724 MEDICAL DISQUALIFICATION K 54 7540 2/7/2019 5/31/2023 N DOBIECKA, DOROTHY 556 HUMBULT STREET BROOKLYN NY 11222 CONSTRUCTION DEBARMENT F 62 4550 8/4/2014 8/3/2017 N DOBRE, FLORAN 526 SHERIDAN AVE. ROSELLE NJ 07203 CONSTRUCTION DEBARMENT F 62 4550 12/2/2013 12/1/2016 N DOBROWOLSKI, DONALD A. (DMD) 1184764664 45 BRICK BLVD. S-108 BRICK NJ 08723 MEDICAL DISQUALIFICATION K 54 7540 12/29/1995 Y DOLINER, PAUL (MD) 401 US HIGHWAY 22 N PLAINFIELD NJ 07060 MEDICAL DISQUALIFICATION A 54 7540 9/15/1980 Y DOMINGUES, JOHN 402 MARKET STREET NEWARK NJ 07105 CONSTRUCTION DEBARMENT F 62 4550 5/28/2014 5/27/2017 N DOMINIC JR., ANTHONY J. (MD) 216 2ND AVENUE UPPER MANASQUAN NJ 08736 MEDICAL SUSPENSION K 54 7540 1/20/2002 N C & E Contracting, Inc. DOnald Fleming, President PO Box 690 Boonton NJ 07005 340 Reservoir Road Boonton NJ 07005 CONSTRUCTION DEBARMENT F 62 4550 12/16/2015 12/15/2018 N DONALDSON, DENISE 2650 SPRUCE DRIVE LAKEHURST NJ 08733 MEDICAL DISQUALIFICATION A 54 7540 12/29/1995 DECEASED N DONALDSON, DENISE 33 3RD AVENUE TOMS RIVER NJ 08757 MEDICAL DISQUALIFICATION K 54 7540 7/9/2003 DECEASED N Antiveros Construction, Inc. Donnie Antiveros, President 677 Old Highway 64 Etowah NC 28729 677 Old Highway 64 Etowah NC 28729 CONSTRUCTION DEBARMENT F 62 4550 10/20/2015 10/19/2018 N DONOFRIO, CHRISTINE (RN) 207 TULIP LANE FREEHOLD NJ 07728 MEDICAL DISQUALIFICATION K 54 7540 8/3/2017 DONOFRIO, DOUG 1 SPRING LAKE DRIVE FAR HILLS NJ 07931 MEDICAL DISQUALIFICATION K 54 7540 1/4/2012 N DONSKY, DMITRY (MD) 1407807803 126 SHINNECOCK DRIVE MANALAPAN NJ 07726 MEDICAL DISQUALIFICATION K 54 7540 3/15/2022 N DOOLEY, CHRISTOPHER J. (PHD) 10 DEER RUN FREEHOLD NJ 07728 MEDICAL SUSPENSION K 54 7540 2/9/2009 N DORBOR, BONGO (CHHA) 2341 LIBERTY STREET HAMILTON NJ 08629 MEDICAL DISQUALIFICATION K 54 7540 2/20/2017 N DORIA, LAWRENCE (RPH) 6 BROOK PLAZA JACKSON NJ 08527 MEDICAL DISQUALIFICATION A 54 7540 2/7/1984 Y Cityline Contracting Inc. Dorothy Dobiecka, President 556 Humboldt Street Brooklyn NY 11222 556 Humboldt Street Brooklyn NY 11222 CONSTRUCTION DEBARMENT F 62 4550 9/24/2014 09/23/2017 N DORSEY, KIONA (CHHA) 670 W. 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MAYS LANDING NJ 08330 MEDICAL SUSPENSION K 54 7540 6/4/2007 Y D'OTTAVIO, PAOLA (RPH) 504 WILLOW OAK DRIVE MAYS LANDING NJ 08330 MEDICAL DISQUALIFICATION A 54 7540 9/20/2011 N DOUGHERTY-PRICE, ANITA JO (CHHA) 212 WESTMONT AVENUE WESTMONT NJ 08108 MEDICAL DISQUALIFICATION K 54 7540 5/22/2017 DOYLE, GINA PRESIDENT 716 WHITE HORSE PIKE HAMMONTON NJ 08037 CONSTRUCTION DEBARMENT F 62 4550 4/5/2012 4/4/2015 N DOYLE, JUDITH M. (RN) 71 WILDFLOWER LANE MORRISTOWN NJ 07960 MEDICAL DEBARMENT K 54 7540 10/20/2004 N RONCONE CONSTRUCTION, LLC DOYLE, WILLIAM J. 200 PINE ROAD HAMMONTON NJ 08031 CONSTRUCTION DEBARMENT F 62 4550 12/17/2014 12/16/2017 N DRAGERT, ROBERT (MD) 1558522821 12 E. SEUDDER COURT PENNINGTON NJ 08534 MEDICAL DEBARMENT K 54 7540 9/26/2018 7/21/2020 N DRISCOLL, PETER V. 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(RN) 119 GRAF AVENUE LAWRENCEVILLE NJ 08648 MEDICAL SUSPENSION K 54 7540 12/20/2000 DUFFY, BARBARA AKA GONZOPH, BARBARA (LPN) 208 WAYNE TERRACE COLLINGSWOOD NJ 08108 MEDICAL SUSPENSION K 54 7540 8/19/2004 N DULL, JOHN W. 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(RN) 9 IVY LANE MIDDLETOWN NJ 07748 MEDICAL DISQUALIFICATION K 54 7540 6/3/2016 GLOBAL MEDICAL SYSTEMS DZIUBA, STANISLAW 69 WEST SHORE ROAD PENNINGTON NJ 08534 CONSTRUCTION DEBARMENT F 62 4550 2/11/2015 2/10/2018 N DZUIK, CAROL (CHHA) 416 CABLE AVENUE BEACHWOOD NJ 08722 MEDICAL DISQUALIFICATION K 54 7540 2/8/2017 N EASTBURN, NORMAN W. (DC) 1013056670 424 MATTHEWS LANE JACKSON NJ 08527 MEDICAL DISQUALIFICATION A 54 7540 11/14/2014 N EASTMAN, DONALD (OWNER) 292 CHURCH STREET ABERDEEN NJ 07747 CONSTRUCTION DEBARMENT F 62 4550 9/15/2012 9/16/2015 N EATOUGH, PHILIP (DO) 1972681674 5 SYCAMORE LANE RUMSON NJ 07748 MEDICAL DISQUALIFICATION A 54 7540 2/26/2010 N EDANIEWSKI, EDWARD R. 0 113 FRONT STREET SECAUCUS NJ 07094 113 FRONT STREET SECAUCUS NJ 07094 MEDICAL DISQUALIFICATION A 54 7540 Y EDDIB, LATIFA (CHHA) 8700 LAZY HOLLOW DRIVE, APT. 142 HOUSTON TX MEDICAL DISQUALIFICATION K 54 7540 7/19/2023 N Eddy Drywall, LLC Eddy Rodriguez 1100 W. 7th St., Apt. A9 Plainfield NJ 07060 1100 W. 7th St., Apt. A9 Plainfield NJ 07060 CONSTRUCTION DEBARMENT F 62 4550 5/14/2015 5/13/2016 N EDMILAO, CANUNITA 645 NEWARK AVE. JERSEY CITY NJ 07305 MEDICAL SUSPENSION A 54 7540 4/9/2004 N EDMONDS, KIANNAH (CHHA) 916 4TH AVENUE WALL TOWNSHIP NJ 07719 MEDICAL DEBARMENT K 54 7540 12/6/2017 N Sandora & Spina Contracting Inc. Edward Sandora, President 15 North Branch River Rd. Branchburg NJ 08876 15 North Branch River Rd. Branchburg NJ 08876 CONSTRUCTION DEBARMENT F 62 4550 6/29/2015 06/28/2018 N EGANEY, BETH (LPN) 46 REA AVENUE MIDLAND PARK NJ 07432 MEDICAL DISQUALIFICATION K 54 7540 10/28/2019 N EGBERT, JENNIFER (CHHA) PO BOX 1129 FORKED RIVER NJ 08731 MEDICAL DISQUALIFICATION K 54 7540 12/26/2018 1/19/2022 N EGENBERG, IRIS 153 AVENUE "B" BAYONNE NJ 07002 MEDICAL DISQUALIFICATION A 54 7540 Y EGLOFF, MARY ANN (RN) 1100 KELLY LANE FRMINGDALE NJ 07727 MEDICAL SUSPENSION K 54 7540 5/19/2005 N EIB, KEVIN G. 29 MONMOUTH ROAD MONROE NJ 08831 CONSTRUCTION DEBARMENT F 62 4550 4/3/2014 4/2/2017 N EICHHORN, WARREN (DC) 1326412297 447 NEW ROAD SOUTHAMPTON NJ 08088 MEDICAL DISQUALIFICATION K 54 7540 2/28/2019 N EIDMAN, STEVEN (DDS) 73 E. LINCOLN AVE. ENGLEWOOD NJ 07631 MEDICAL SUSPENSION A 54 7540 1/19/2003 N EISEMANN, OSHER 345 OAK STREET LAKEWOOD NJ 08701 MEDICAL SUSPENSION K 54 7540 7/23/2018 EJIOFOR, UDOKA (RN/APN) 1295096584/1982024790 47 KENMORE AVENUE NEWARK NJ 07106 MEDICAL DEBARMENT K 54 7540 4/26/2018 10/20/2020 N EKSTEROWICZ, DEBORAH (LPN) 283 S. BLACKHORSE PIKE MOUNT EMPHRAIM NJ 08059 MEDICAL SUSPENSION K 54 7540 7/18/2002 N EL SOURY, AHMED #70613-050 (MD) 1497745905 FCI FORT DIX, PO BOX 2000 JOINT BASE MDL NJ 08640 MEDICAL DISQUALIFICATION K 54 7540 4/4/2018 N ELAMIR, MADGY (MD) 1710081336 14 HIGH MEADOW ROAD N SADDLE RIVER NJ 07458 MEDICAL DEBARMENT K 54 7540 3/18/2015 N ELAMIR, MAGDY (MD) 1710081336 550 SUMMIT AVENUE JERSEY CITY NJ 07306 MEDICAL DEBARMENT K 54 7540 11/5/2010 N ELBASHIR, IMAD MAHGOUB P.O. BOX 7450 TRENTON NJ 08628 MEDICAL SUSPENSION K 54 7540 6/17/2004 N ELBASHIR, IMAD MAHGOUB 160 ALABAMA AVENUE PATERSON NJ 07505 MEDICAL SUSPENSION A 54 7540 1/28/2001 ITPL DIAGNOSTIC LAB, INC./READY CARE CORPORATION ELCHAGEA, ISMAIL 470 CHAMBERLAIN AVENUE PATERSON NJ 07522 470 CHAMBERLAIN AVE PATERSON NJ 07522 MEDICAL DEBARMENT K 54 7540 7/1/2000 N ELHAG, ABUBAKER O. 10 HILL STREET APT. 9W NEWARK NJ 07102 MEDICAL DEBARMENT K 54 7540 11/23/2007 N ELIA, HARRY R. (DC) 1104034578 136 BROADWAY WESTWOOD NJ 07675 MEDICAL DISQUALIFICATION K 54 7540 12/1/1998 Y ELIA-RAGGIO, LORI (LPN) 4001 BURRYPORT WAY MOUNT LAUREL NJ 08054 MEDICAL SUSPENSION K 54 7540 3/18/2004 N ELIAS, AHDI I (MD) 1700808219 1042 MORRIS TPKE SHORT HILLS NJ 07078 MEDICAL DEBARMENT K 54 7540 4/29/2022 Y Ellen Petric, President 1162 Greenpond Road Newfoundland NJ 07435 CONSTRUCTION DEBARMENT F 62 4550 6/8/2015 06/07/2018 N ELLIEN, WILLIAM (MD) 1437196375 39 CABBAGE XING SAVANNAH GA 31411 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 ELLIOTT, CLAUDIA (CHHA) 345 PARK AVENUE, APT. 4 PATERSON NJ 07504 MEDICAL DEBARMENT K 54 7540 9/26/2017 N ELLIOTT, ROISIN M. (LPN) 115 S MAHWAH ROAD MAHWAH NJ 07430 MEDICAL DISQUALIFICATION K 54 7540 5/18/2022 N ELLIS, FREDERICK PRESIDENT 2 ISLAND POND ROAD DERRY NH 03038 CONSTRUCTION DEBARMENT F 62 4550 8/27/2012 8/26/2015 N ELLIS, JAMES (MD) 1578566733 763 GLENWILD DRIVE CANTON MS 39046 MEDICAL DISQUALIFICATION K 54 7540 2/11/2021 N ELLIS, KENT R. (MD) 1005 N. WASHINGTON AVE GREEN BROOK NJ 08812 MEDICAL DEBARMENT K 54 7540 6/15/2001 Y ELLIS, MICHAEL A. 33 FERRIS LANE OAK RIDGE NJ 07438 MEDICAL DISQUALIFICATION A 54 7540 2/1/2024 N ELLISON, RAEFORD (LAC) 8 N. SACRAMENTO AVENUE VENTNOR NJ 08406 MEDICAL SUSPENSION K 54 7540 4/18/2002 N ELSAYED, ABEER (CHHA) 290 GETTY AVENUE, FLOOR 2 PATERSON NJ 07503 MEDICAL DISQUALIFICATION K 54 7540 7/28/2023 N ELYAS, EVON (CHHA) 14 CROSSGATE ROAD, APT. B JERSEY CITY NJ 07305 MEDICAL DISQUALIFICATION K 54 7540 7/28/2023 N J.C. Maintenance & Repair Emanuel Cucco, Owner 1435 71st Street Brooklyn NY 11228 6725 13th Avenue Brooklyn NY 11219 CONSTRUCTION DEBARMENT F 62 4550 3/15/2016 03/14/2019 N EMERSON, BARBARA L. (RN) 45 HAWTHORNE ST. BROWNS MILLS NJ 08015 MEDICAL SUSPENSION K 54 7540 5/20/2004 N REFOCUS GROUP LLC EMMERICH, MICHELE 200 ROUND HILL DRIVE FREEHOLD NJ 07728 1306342373 200 ROUND HILL DRIVE FREEHOLD NJ 07728 MEDICAL SUSPENSION A 54 7540 4/29/2019 N ENEMUO, JOHNNY 215 JACOBY ST., 1ST FLOOR MAPLEWOOD NJ 215 JACOBY ST., 1ST FLOOR MAPLEWOOD NJ 07040 MEDICAL DISQUALIFICATION A 54 7540 5/1/1999 Y ENEMUO, KENNETH (RPH ) 236-242 S. ORANGE AVENUE NEWARK NJ 07103 MEDICAL DISQUALIFICATION K 54 7540 3/20/1999 10/26/2017 N ENGRISSEI, PATRICIA LEISE (RN) 700 GROVE STREET HADDONFIELD NJ 08033 MEDICAL SUSPENSION K 54 7540 8/18/2005 N FAMILY CARE PHARMACY ENOGWE, FELIX (RPH) 456 BERGEN AVENUE JERSEY CITY NJ 07304 51 CLIFTON AVE., C-401 NEWARK NJ 07104 MEDICAL DISQUALIFICATION K 54 7540 5/24/1999 Y ENOGWE, FELIX (RPH) 25 CLIFTON AVENUE NEWARK NJ 07104 MEDICAL DEBARMENT K 54 7540 2/24/2006 N ENRICO JR., ANTHONY (DPM) 1013095975 57 STONEYRIDGE DRIVE LINCOLN PARK NJ 07035 MEDICAL DISQUALIFICATION K 54 7540 5/2/2017 ENRICO JR., ANTHONY (DPM) 1013095975 99 SUNCREST AVENUE NORTH HALEDON NJ 07508 MEDICAL DEBARMENT K 54 7540 2/8/2017 ENRICO JR., ANTHONY #71171-050 (DPM) 1013095975 USP LEWISBURG, PO BOX 1000 LEWISBURG PA 17837 MEDICAL DISQUALIFICATION K 54 7540 2/5/2019 N Ohana Metal & Iron Works Inc. Erezy Ohana, Owner 60 Miller Rd Montgomery NY 12549 60 Miller Rd Montgomery NY 12549 CONSTRUCTION DEBARMENT F 62 4550 8/6/2014 08/05/2017 N All County Pipeline & Site Excavation Inc. Eric Charles, President 164 Ball Ave Parsippany NJ 07054 396 Cherry Ln Mendham NJ 07945 CONSTRUCTION DEBARMENT F 62 4550 4/22/2014 04/21/2017 N ERKOBONI, PATRICIA (RN) 1850 W. MCGALLIARD AVENUE TRENTON NJ 08610 MEDICAL DISQUALIFICATION K 54 7540 5/14/2018 N ERNST, DAVID J. (DDS) 5 BRUNSWICK WOOD DRIVE E. BRUNSWICK NJ 08816 MEDICAL DISQUALIFICATION K 54 7540 3/31/1995 Y ESCALERA, EMILY (CHHA) 3716 UNION AVENUE, APT. 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MAIN STREET, STE 2 NEW CITY NY 10956 MEDICAL SUSPENSION A 54 7540 10/20/2013 N ESTAMBUL, BERNARDO 605 W.141 STREET, APT 51 NEW YORK NY 10031 MEDICAL DEBARMENT K 54 7540 1/31/2008 N ESTERMAN, SIDNEY (DPM) 185 CENTRAL AVE, STE. 412 EAST ORANGE NJ MEDICAL DISQUALIFICATION K 54 7540 8/31/2001 Y ETIENNE, FERNANDE (CHHA) 1205 MORRIS STREET #2L ROSELLE NJ 07203 MEDICAL SUSPENSION K 54 7540 3/20/2006 N EUSEBIO, EDWIN (CHHA) 220 S. 30TH STREET CAMDEN NJ 08105 MEDICAL DISQUALIFICATION K 54 7540 1/31/2017 N EVANS JR., EUGENE (MD) 1033284930 301 E. LINCOLN AVENUE ROSELLE PARK NJ 07204 MEDICAL DISQUALIFICATION K 54 7540 2/9/2017 EVANS, ROLAND A. (DC) 263 NORTH 3RD AVE. MANVILLE NJ 08835 MEDICAL DISQUALIFICATION A 54 7540 9/3/2003 N EVDOKIMOW, DAVID (MD) 1508930678 96 S. FINLEY AVENUE BASKING RIDGE NJ 07920 MEDICAL DISQUALIFICATION A 54 7540 4/12/2018 N Ribles Locksmith & Hardware Evelyn McDermott, Owner 613 15th Ave. Belmar NJ 07719 613 15th Ave. Belmar NJ 07719 CONSTRUCTION DEBARMENT F 62 4550 7/11/2014 07/10/2017 N EVRA, JOANEL (CHHA) 1551B ASBURY AVENUE ASBURY PARK NJ 07712 MEDICAL DISQUALIFICATION K 54 7540 8/29/2017 N EWING, DIONNA (CHHA) 909 HADDON AVENUE CAMDEN NJ 08103 MEDICAL DEBARMENT K 54 7540 7/2/2018 N EZELL, PAUL (MD) 1235130741 251 SAGEMORE ROAD HAVERTOWN PA 19083 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 EZEONYIM, CHARLES I. (RPH) 2153 TYLER STREET UNION NJ 07083 MEDICAL DEBARMENT K 54 7540 1/16/2009 1/6/2012 N EZINWA, JENNIFER (CHHA) 509 COVENTRY LANE, APT. 210 SALIBURY MD 21804 MEDICAL DISQUALIFICATION K 54 7540 7/28/2023 N Old City Remodeling Fabricio Franco, Owner 1406 Lexington Pl Elizabeth NJ 07208 1406 Lexington Place Elizabeth NJ 07208 CONSTRUCTION DEBARMENT F 62 4550 6/10/2013 06/09/2016 N FABULIAN, PETER (DO) 1023184835 26 WEST MAIN STREET STRASBURG PA 17579 MEDICAL DISQUALIFICATION K 54 7540 2/20/2013 N FAENZA, MATTHEW (RPH) 64 COVENTRY WAY RINGWOOD NJ 07456 MEDICAL SUSPENSION K 54 7540 1/20/2004 N FAERMAN, VLADIMIR (CHHA) 2506 GATES COURT MORRIS PLAINS NJ 07950 MEDICAL DISQUALIFICATION K 54 7540 6/16/2017 FAHE, MIREILLE (RN) 269 MAIN STREET, APT. B NEW MILFORD NJ 07646 MEDICAL DISQUALIFICATION K 54 7540 3/3/2017 10/24/2018 N FAISON, LAUREN 1804 EAST THAYER STREET PHILADEPHIA PA 19134 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 FAKONDO, VICTOR 180 HANSON AVE PISCATAWAY NJ 08854 MEDICAL DISQUALIFICATION A 54 7540 8/18/2011 N FALLAH, KEBEH (CHHA) 365 SCHLEY STREET, APT. A8 NEWARK NJ 07112 MEDICAL DISQUALIFICATION K 54 7540 7/14/2017 6/12/2018 N FALLUCCA, KARLA JANE (APN/RN) 1053734095 21 STONEHAM DRIVE DELRAN NJ 08075 MEDICAL DEBARMENT K 54 7540 10/20/2020 3/28/2024 N FALOWO, YETUNDE 301 MAPLE AVE., APT266 N. PLAINFIELD NJ 07060 MEDICAL DISQUALIFICATION K 54 7540 1/6/2006 N FARL. 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WHITEHORSE PIKE HAMMONTON NJ 08009 MEDICAL SUSPENSION A 54 7540 5/5/2003 N FAULX, LORI (RN) 4444 N. 7TH AVENUE, APT. 417 PHOENIX AZ 85013 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 FAUSTINO, ALAN (MD) 1669482568 110 WEST CHURCH STREET ABSECON NJ 08201 MEDICAL SUSPENSION K 54 7540 8/29/2016 3/8/2019 N FAUSTINO, ALAN (MD) 1669482568 28 W. GILMAR CIRCLE MARGATE CITY NJ 08402 MEDICAL DISQUALIFICATION A 54 7540 3/8/2019 Y FAUSTINO, ALAN (MD) 1669482568 830 PLYMOUTH PLACE, UNIT 2 OCEAN CITY NJ 08226 MEDICAL DISQUALIFICATION K 54 7540 10/3/2019 N FEE, CATHERINE ANN (RPH) 7353 CLUBHOUSE CIRCLE EGG HARBOR CITY NJ 08215 MEDICAL SUSPENSION K 54 7540 10/19/2006 8/30/2022 N FEIGIN, LESLIE C. (MD) 1447336250 160 POWDER MILL ROAD MORRIS PLAINS NJ 07950 MEDICAL DISQUALIFICATION K 54 7540 5/25/2022 Y FEINBERG, IRA 411 CHELSEA STREET PARAMUS NJ 07652 MEDICAL DISQUALIFICATION A 54 7540 6/1/1993 Y FEINMAN, BRIAN (DPM) 418 WALNUT STREET NEWARK NJ 07105 MEDICAL SUSPENSION K 54 7540 12/20/2006 Y FEIT, FREDRIC (MD) 1093835308 2 TWIN LAKES DRIVE MANALAPAN NJ 07726 MEDICAL DEBARMENT A 54 7540 7/13/2009 N FELDMAN, BRUCE J. 807 NORTHWINDS DRIVE BRYN MAWR PA 19010 MEDICAL SUSPENSION K 54 7540 3/18/2004 N FELDMON, DORON (MD) 1194704627 FCI MCKEAN, PO 8000 BRADFORD PA 16702 MEDICAL DISQUALIFICATION K 54 7540 12/29/2015 FELDNER, EDWARD S. (MD) 50 E MAIN STREET LITTLE FALLS NJ 07424 MEDICAL DEBARMENT K 54 7540 11/16/1999 DECEASED N Felipe Villagomez Felipe Villagomez, Owner 160 Lincoln Street Bridgeton NJ 08302 160 Lincoln St Bridgeton NJ 08302 CONSTRUCTION DEBARMENT F 62 4550 3/9/2016 03/08/2019 N FELIX, JESSICA (CHHA) 40 PASSAIC STREET, APT. 4D HACKENSACK NJ 07601 MEDICAL DISQUALIFICATION K 54 7540 8/14/2015 N FELLUS, JONATHAN L. (MD) 1053309195 57 WOODLAND AVENUE GLEN RIDGE NJ 07028 MEDICAL DISQUALIFICATION K 54 7540 8/20/2015 5/21/2020 N FELSENBERG, SANFORD 517 SO ORANGE AVENUE NEWARK NJ 07103 MEDICAL DISQUALIFICATION A 54 7540 6/1/1993 Y FERMIN, ESPERANZA (CHHA) 229 MADISON AVENUE, APT. #1 PATERSON NJ 07524 MEDICAL DISQUALIFICATION K 54 7540 2/8/2017 N FERNANDES, HUGO 90 WILLOW STREET CARTERET NJ 07008 CONSTRUCTION DEBARMENT F 62 4550 1/28/2015 1/27/2018 N FERNANDEZ, LUIS (DPM) 293 MONROE STREET PASSAIC NJ 07055 MEDICAL SUSPENSION A 54 7540 3/26/1997 Y MF Speed Construction, LLC. Fernando Lopes, President 65-67 7th Ave. 1st Floor Newark NJ 07104 65-67 7th Ave 1st Floor Newark NJ 07104 CONSTRUCTION DEBARMENT F 62 4550 10/17/2013 10/16/2016 N FERRANDINO, LUIGI (MD) 8 EAST RAMAPO AVENUE MAHWAH NJ 07430 MEDICAL DISQUALIFICATION G 54 7540 5/20/2007 Y FERRARI, FRANCIS M. (DPM) 482 KEARNEY AVENUE KEARNY NJ 07032 MEDICAL DISQUALIFICATION K 54 7540 2/16/1995 Y FERREIRA, NUNO PRESIDENT 295 BALTURSOL WAY SPRINGFIELD NJ 07081 CONSTRUCTION DEBARMENT F 62 4550 5/8/2012 5/7/2015 N FERRINGO, MICHAEL J. 616 GLEN COURT TURNERSVILLE NJ 08012 MEDICAL DISQUALIFICATION K 54 7540 6/20/2012 4/12/2022 N FERSTANDIG, RUSSELL A. (MD) 1780779702 179 MAPLE AVE. RIDGEWOOD NJ 07450 MEDICAL DISQUALIFICATION A 54 7540 12/7/1987 1/1/2013 N FIELDS, CARENE (CHHA) 190 HAMILTON AVENUE, APT. #8 PATERSON NJ 07501 MEDICAL DISQUALIFICATION K 54 7540 2/20/2017 N FIGUEREO, ESTHER J. (RN) 83 CLIFTON AVENUE CLIFTON NJ 07011 MEDICAL DISQUALIFICATION K 54 7540 2/8/2024 N FIGUEROA, DESIREE (CHHA) 11 COLLETON STREET LAKEWOOD NJ 08701 MEDICAL DISQUALIFICATION K 54 7540 2/20/2017 N FIGUEROA, JORGE (MD) 1770542151 493 21ST AVENUE PATERSON NJ 07513 MEDICAL DEBARMENT K 54 7540 1/23/2018 N FIGUEROA, JORGE (MD) 1770542151 USP LEWISBURG, PO BOX 1000 LEWISBURG PA 17837 MEDICAL DISQUALIFICATION K 54 7540 4/19/2018 N FILIPONE JR., DENNIS R. (MD) 147 STANTON ROAD FLEMINGTON NJ 08822 MEDICAL DEBARMENT K 54 7540 11/21/1998 Y FILIPPONE, MARK A.P. (MD) 1710063797 15 MORRISSEE AVENUE WALLINGTON NJ 07057 MEDICAL DISQUALIFICATION K 54 7540 11/18/2021 FINDER, RICHARD (DC) 810 ABBOTT BLVD. FORT LEE NJ 07024 MEDICAL DEBARMENT A 54 7540 5/1/2004 N FINE, EDWARD (MD) 271 MOORE LANE HADDONFIELD NJ 08033 MEDICAL DISQUALIFICATION A 54 7540 9/28/1983 Y FINELLI, PETER K (DO) 1427067156 919 MAIN STREET BELMAR NJ 07719 MEDICAL DISQUALIFICATION K 54 7540 11/15/2022 Y FINESMITH, ROSS (MD) PARKVIEW AVENUE BASKING RIDGE NJ 07920 MEDICAL DISQUALIFICATION A 54 7540 8/10/2007 Y FINK, DAVID (PSYCH) 139 HIGHLAND AVENUE METUCHEN NJ 08840 MEDICAL SUSPENSION K 54 7540 5/20/2003 N FINKEL, MARINA EDNA MAHAN CORRECTIIONAL CLINTON NJ 08809 MEDICAL DISQUALIFICATION A 54 7540 6/15/2014 N FINKEL, MARINA 75 STONEGATE DRIVE STATEN ISLAND NY 10304 MEDICAL DISQUALIFICATION A 54 7540 10/3/2013 N FISCHBERG, JUAN C. (MD) 354 RUSSELL AVENUE EDGEWATER NJ 07020 MEDICAL SUSPENSION K 54 7540 6/19/2008 N FISCHGRUND, JOEL (MD) 1427097534 56 CORNELL DRIVE LIVINGSTON NJ 07039 MEDICAL DEBARMENT K 54 7540 8/30/2014 FISCHGRUND, JOEL (MD) 1427097534 56 CORNELL DRIVE LIVINGSTON NJ 07039 MEDICAL DISQUALIFICATION K 54 7540 3/24/2017 FISCHMAN, HAROLD (MD) 56 BOWDOIN ST MAPLEWOOD NJ 07040 MEDICAL DISQUALIFICATION G 66 1050 6/1/1993 Y FISH, MICHAEL (DMD) 1500 PINE PARK AVENUE LAKEWOOD NJ 08701 MEDICAL DEBARMENT K 54 7540 4/20/2007 7/17/2013 N FISHER, CALLETTA (PHARM TECH) 115 SENACA BOULEVARD BARNEGAT NJ 08005 MEDICAL DISQUALIFICATION K 54 7540 11/21/2016 FISHER, DARRYL 55 SHELBOURNE STREET BURLINGTON NJ 08016 MEDICAL DISQUALIFICATION K 54 7540 3/6/2006 7/24/2023 N FITZPATRICK, TIA LYNETTE (LPN) 4 PERSIA COURT SICKLERVILLE NJ 08081 MEDICAL DISQUALIFICATION K 54 7540 11/4/2022 FLANNERY, PATRICIA 2023 LEITHSVILLE ROAD HELLERTOWN PA 18055 MEDICAL DISQUALIFICATION K 54 7540 11/20/2023 N FLEISCHER, MARK H. (MD) FCI-OTISVILLE, PO BOX 600 OTISVILLE NY 10963 MEDICAL SUSPENSION K 54 7540 4/20/2005 N FLEISCHMAN, EDWARD (DO) 3804 CHURCH ROAD MOUNT HOLLY NJ 08054 MEDICAL SUSPENSION A 54 7540 8/25/1998 FLEMING, KEVIN M. (MD) 1508816075 710 STATION AVENUE 2 FLR HADDON HEIGHTS NJ 08035 MEDICAL SUSPENSION J 54 7540 11/20/2010 N FLEMING, STEPHANIE LYNN 1073819934 FCI DANBURY ROUTE 37 DANBURY CT 06811 MEDICAL DISQUALIFICATION A 54 7540 3/20/2023 FLEURANTIN, MARIE (RN) 14 OAK TREE COURT WESTAMPTON NJ 08060 MEDICAL DISQUALIFICATION K 54 7540 10/24/2018 N FLEURANTIN, RUBEN J. SCOTLAND ROAD SO. ORANGE NJ 07079 MEDICAL SUSPENSION K 54 7540 3/20/2008 N FLEURY, DIANE (RN) 552 PENNY STREET FRANKLINVILLE NJ 08322 MEDICAL SUSPENSION K 54 7540 5/20/2001 FLEYSHMAKHER, ALEX 211 WALNUT DRIVE MORGANVILLE NJ 07751 MEDICAL DISQUALIFICATION A 54 7540 2/6/2024 N FLEYSHMAKHER, IGOR 26 WINCHESTER LANE HOLMDEL NJ 07733 MEDICAL DISQUALIFICATION K 54 7540 10/19/2023 N FLORES, CARMEN (CHHA) 95 PROSPECT STREET, APT. #1 PASSAIC NJ 07055 MEDICAL DISQUALIFICATION K 54 7540 3/6/2018 N FLORES, MARIE MIRAVITE (RN) 258 DEEP BROOK COURT PISCATAWAY NJ 08854 MEDICAL DEBARMENT K 54 7540 9/20/2004 N FLORES, MELBA (CHHA) 106 MAPLE AVENUE BOONTON NJ 07005 MEDICAL DISQUALIFICATION K 54 7540 2/20/2017 N B & B Atlantic LLC Florian Dobre, Partner 526 Sheridan Ave. Roselle NJ 07203 526 Sheridan Ave. Roselle NJ 07203 CONSTRUCTION DEBARMENT F 62 4550 8/27/2013 08/26/2016 N FLOUNDERS, JOSEPH P. (LPN) 106 W. MIAMI AVE. VILLAS NJ 08251 MEDICAL SUSPENSION K 54 7540 10/20/2005 N FLOWERS JR., HERMAN J. (CHHA) 143 URSINUS COURT PEMBERTON NJ 08075 MEDICAL DISQUALIFICATION A 54 7540 12/10/1997 Y FLOWERS, FELICIA (CHHA) 321 NEPTUNE BOULEVARD NEPTUNE NJ 07753 MEDICAL DISQUALIFICATION K 54 7540 7/14/2017 9/5/2023 N FLOWERS, HERMAN T. 143 URSINUS COURT PEMBERTON NJ 08075 MEDICAL SUSPENSION K 54 7540 3/16/1999 FLOYD, JAMES A. (PHD) 1733 BLAKE BOTTOM ROAD NW HUNTSVILLE AL 35806 MEDICAL DISQUALIFICATION A 54 7540 2/26/2010 N FOGLER, SEAN (MD) 1548322068 1900 HAMILTON STREET PHILADELPHIA PA 19130 MEDICAL DISQUALIFICATION K 54 7540 8/28/2017 N FOGLER, SEAN (MD) 1548322068 201 N. 8TH STREET, UNIT 911 PHILADELPHIA PA 17105 MEDICAL DISQUALIFICATION K 54 7540 5/20/2019 N FOLK, THOMASA A. 463 IRVINGTON AVENUE ELIZABETH NJ 07201 MEDICAL DISQUALIFICATION K 54 7540 3/19/2006 N FOLKERTS, ANNAMARIA M. (MD) 32 OAK PLACE HAWTHORNE NJ 07506 MEDICAL DISQUALIFICATION G 66 7540 12/8/1993 Y FONTANELLA, DANIEL (DC) 27 MOUNTAINWOOD COURT TOTOWA NJ 07512 MEDICAL SUSPENSION K 54 7540 11/20/2003 N FONTANEZ, MODESTO (MD) 1851395826 1838 2ND AVENUE NEW YORK NY 10128 MEDICAL DISQUALIFICATION K 54 7540 10/7/2011 N FORBES, AASE (RN) 882 DEWEY STREET UNION NJ 07083 MEDICAL DISQUALIFICATION K 54 7540 4/20/2009 N FORD, MARYKATE (RN) 103 SWEETWATER DRIVE CINNAMINSON NJ 08077 MEDICAL DISQUALIFICATION K 54 7540 7/30/2018 N FORD, TAMIKA (CHHA) 600 ELM STREET CAMDEN NJ 08102 MEDICAL DISQUALIFICATION K 54 7540 1/31/2017 N FORDE, SHIVONNE 57 CHESTNUT STREET C4 EAST ORANGE NJ 07018 MEDICAL DISQUALIFICATION K 54 7540 3/8/2010 3/8/2015 N FORMAN, STEVEN (DPM) 1700850096 15 CANTERBURY PLACE SICKLERVILLE NJ 08081 MEDICAL DEBARMENT K 54 7540 4/18/2017 FORMICOLA, JENNIFER L (CSW) 1174163026 1282 S COLUMBINE STREET DENVER CO 80210 MEDICAL DISQUALIFICATION K 54 7540 2/20/2022 FORNEY, DONALD 354 CRESCENT STREET HARRISBURG PA 17104 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 FORSHAY, LAUREN (RN) 2201 RIVER ROAD PT. PLEASANT BORO NJ 08742 MEDICAL DISQUALIFICATION K 54 7540 10/25/2016 6/26/2017 N FORTE, GARY 44 SUMMIT AVENUE BERLIN NJ 08009 VENDOR SUSPENSION A 82 2050 8/27/2001 FORTI, PAUL J. (PSYCH) 6 SILVER SPRING COURT EAST HANOVER NJ 07936 MEDICAL DISQUALIFICATION K 54 7540 7/19/2001 Y FORTUNATO, FRANKLIN (MD) 1548278930 FMC-DEVENS, PO BOX 879 AYERS MA 01432 MEDICAL DISQUALIFICATION K 54 7540 2/11/2016 FORTUNATO, FRANKLIN D. (MD) 1548278930 127 PINE STREET MONTCLAIR NJ 07042 MEDICAL DISQUALIFICATION K 54 7540 6/29/2015 FOSTER, DEBRA (CHHA) 714 ZLOTKIN CIRLCE, APT. 6 FREEHOLD NJ 07728 MEDICAL DISQUALIFICATION K 54 7540 4/18/2017 N FOWLER, BERNARD J. (MD) 1326105032 1341 MIDDLE GULF DRIVE 12D SANIBEL FL 33957 MEDICAL DISQUALIFICATION K 54 7540 8/20/2015 FOWLER, BERNARD J. (MD) 1326105032 15 GRIST MILL RUN MAHWAH NJ 07430 MEDICAL DISQUALIFICATION K 54 7540 3/27/2014 N FOX, SUSAN (DMD) 1952661472 2300 WALNUT STREET PHILADEPHIA PA 19103 MEDICAL DISQUALIFICATION K 54 7540 12/29/2015 FRAENKEL, DAVID M. (DDS) 1790774271 BERGEN MALL DENTAL OFFICE PARAMUS NJ 07652 MEDICAL DISQUALIFICATION G 54 7540 11/4/1991 4/5/2018 N FRAJDENBERG, THERESA 110 S. HARDING HIGHWAY LANDISVILLE NJ 08326 CONSTRUCTION DEBARMENT F 62 4550 2/2/2016 2/1/2019 N FRANCILLON, CARLINE (LPN) 98 ASHLAND ACENUE, 2ND FLOOR WEST ORANGE NJ 07052 MEDICAL DEBARMENT K 54 7540 11/13/2017 7/27/2022 FRANCISCO, DALMACIO HONASAN (MD) 1922084763 9303 90TH AVENUE, 1ST FLOOR WOODHAVEN NY 11421 MEDICAL DEBARMENT A 54 7540 10/19/2023 N FRANCO, DAISY (CHHA) URB JARDIN DE S. ANNA COAMO NJ 00769 MEDICAL DISQUALIFICATION K 54 7540 8/10/2007 Y FRANCOIS, EMMANUEL (MD) 1457383382 187 HOBART GAP ROAD LIVINGSTON NJ 07039 MEDICAL DISQUALIFICATION K 54 7540 10/10/2016 7/19/2019 N FRANCOIS, ESTHER (CHHA) 514 LIDGERWOOD AVENUE ELIZABETH NJ 07202 MEDICAL DISQUALIFICATION K 54 7540 1/17/2018 8/30/2023 N Heritage Hills Estates Frank Carpine, Owner 100 Liberty Dr Millville NJ 08332 3730 S. Delsea Dr Vineland NJ 08360 CONSTRUCTION DEBARMENT F 62 4550 1/4/2016 01/03/2019 N East Coast Touch Enterprises, LLC Frank Loutner, Vice President 152 Jackson St Newark NJ 07105 152 Jefferson St Newark NJ 07105 CONSTRUCTION DEBARMENT F 62 4550 8/12/2014 8/11/2017 N Frank Montgomery Builder Frank Montgomery, Owner 42 Bryant Rd. Waretown NJ 08758 42 Bryant Rd Waretown NJ 08758 CONSTRUCTION DEBARMENT F 62 4550 7/11/2014 07/10/2017 N FRANK, OLEG (MD) 1457469090 40 FERRY STREET NEWARK NJ 07105 MEDICAL DEBARMENT A 54 7540 9/9/2016 2/7/2020 N FRARE, ROBERT (DMD) 1740477553 15 PROMENADE PLACE VOORHEES NJ 08043 MEDICAL DISQUALIFICATION K 54 7540 8/29/2014 Y FRASCA, CLIFFORD C. 637 WESTON DRIVE TOMS RIVER NJ 08755 MEDICAL SUSPENSION K 54 7540 4/8/1999 Y FRASER, KEITH (MD) 1881621266 6 WEDGEWOOD DRIVE, UNIT7 VERONA NJ 07044 MEDICAL DISQUALIFICATION A 54 7540 1/10/2011 12/4/2014 N FRASER, SHAWN E. P.O. BOX 7000 FORT DIX NJ 08640 MEDICAL SUSPENSION K 54 7540 10/20/2005 N FREDERICK, KIMBERLY M. (RN) 78 BOUNDARY AVENUE HANOVER PA 17331 MEDICAL DEBARMENT K 54 7540 9/12/2008 N FREE, JOSEPH 149 GARFIELD AVENUE STATEN ISLAND NY 10305 CONSTRUCTION DEBARMENT F 62 4550 3/6/2013 3/5/2016 N FREE, KEVIN R. (MD) 14 PATTEN TERRACE CEDAR GROVE NJ 07009 MEDICAL DISQUALIFICATION K 54 7540 7/14/1998 Y FREILER, JOHN (DMD) 1295815710 2307 WARRENS WAY WANAQUE NJ 07465 MEDICAL DISQUALIFICATION A 54 7540 12/26/2018 N FREMPONG, EBENEZER (CHHA) 30 POST STREET, APT. 6M YONKERS NY 10705 MEDICAL DEBARMENT K 54 7540 7/2/2018 FRENCH, EUGENE (MD) 1215927843 241 SUMMIT AVENUE HACKENSACK NJ 07601 MEDICAL DEBARMENT K 54 7540 4/18/2016 FRICK, JAEMS 1626 ABBOT AVENUE TOMS RIVER NJ 08753 MEDICAL DISQUALIFICATION K 54 7540 5/5/2004 N FRIDMAN, LEV (CHHA) 6 SALT MEADOW ROAD EAST BRUNSWICK NJ 08816 MEDICAL DEBARMENT K 54 7540 5/2/2017 N FRIED, MARTIN (MD) 1407087802 5 SHINNECOCK HILLS DRIVE ASBURY PARK NJ 07712 MEDICAL DISQUALIFICATION K 54 7540 9/17/2018 N FRIED, MARTIN (MD) 1407087802 5 SHINNECOCK HILLS DRIVE ASBURY PARK NJ 07712 MEDICAL DEBARMENT K 54 7540 10/21/2019 N FRIEDMAN, AMIR (MD) 1417907361 390 N. BROADWAY, STE 1000 PENNSVILLE NJ 08070 MEDICAL DEBARMENT K 54 7540 8/1/2014 8/11/2016 N FRIEDMAN, AMIR (MD) 1689662041 6928 PESCADO CIRCLE #5 RANCHO MURIETA CA 95683 MEDICAL DISQUALIFICATION K 54 7540 3/15/2022 N FRIEDMAN, LAWRENCE A. OWNER 1555 ROCKAWAY PARKWAY BROOKLYN NY 11024 1688-90 54TH STREET BROOKLYN NY 11024 MEDICAL DISQUALIFICATION A 54 7540 6/16/2002 N FRIEDMAN, SHERRY (RN) 12 HOPI TRAIL OAK RIDGE NJ 07348 MEDICAL SUSPENSION K 54 7540 9/19/2003 N FRIEDMAN, STRASSMAD BARB 5 ROANOKE AVENUE ROCKAWAY NJ 07866 5 ROANOKE AVENUE ROCKAWAY NJ 07866 DISQUALIFICATION A 82 2065 12/1/1998 Y FRIEND, CHARLES (LPN) 2336 CORBETT RD PENNSAUKEN NJ 08109 MEDICAL SUSPENSION K 54 7540 6/19/2003 N FRIMPONG, JOSEPH (CHHA) 357-363 LINCOLN AVENUE, APT. 3D ORANGE NJ 07050 MEDICAL DISQUALIFICATION K 54 7540 1/31/2017 FRIMPONG, KOFI (LPN/RN) ESSEX ROAD MAPLEWOOD NJ 07040 MEDICAL DEBARMENT K 54 7540 12/20/2007 N FRISCH, FREDERICK (MD) 7 SOUTH DUDLEY AVE. VENTOR NJ 08406 MEDICAL DISQUALIFICATION G 54 7540 3/5/1994 DECEASED N FRITTS, LARRY F. (RN) 5 AUTUMN RIDGE LANE PHILLIPSBURG NJ 08865 MEDICAL SUSPENSION K 54 7540 6/20/2005 N FRITZ, GINA (LPN) 52718-2 PIMA COURT KILEEN TX 76543 MEDICAL DISQUALIFICATION K 54 7540 5/14/2018 N FROHWIRTH, DANIEL H. (MD) MEADOW RD P O BOX 274 WHITEHOUSE NJ 08888 MEDICAL DISQUALIFICATION A 54 7540 4/18/1992 Y FROMER, CARL H. (MD) 1000 CLOVER ROAD, APT 7R STATEN ISLAND NY 10314 MEDICAL DISQUALIFICATION K 54 7540 6/20/2000 Y FROMM, JOSEPH MICHAEL 28301 ATLANTIC AVE.#110 S ATLANTIC CITY NJ 08401 MEDICAL DISQUALIFICATION A 54 7540 3/17/1991 Y FROSCH, LISA AKA PLOTTS, LISA (RN) 111 BEECHWOOD AVENUE OAKLYN NJ 08107 MEDICAL SUSPENSION K 54 7540 10/18/2001 4/5/2022 FRYE, ROBIN (CHHA) 1224 WASHINGTON AVENUE CAMDEN NJ 08104 MEDICAL DISQUALIFICATION K 54 7540 2/13/2018 Y FRYER, CYNTHIA (LPN) PO BOX 121 MERRY HILL NC 27957 MEDICAL DISQUALIFICATION K 54 7540 12/29/2017 N FURLONG, KELLY AKA COPPOLA, KELLY (PHARM TECH) 52 CORNELL DRIVE HAZLET NJ 07730 MEDICAL DISQUALIFICATION K 54 7540 9/23/2016 GABER, ROBERT A. (DDS) 100 VAIL ROAD PARSIPPANY NJ 07054 MEDICAL DISQUALIFICATION A 54 7540 12/19/1988 Y Galindo Const. LLC Gabino Galindo, Owner 1025 23rd St Paterson NJ 07513 1025 23rd St Paterson NJ 07513 CONSTRUCTION DEBARMENT F 62 4550 8/7/2015 08/06/2018 N GABRIEL, NWALA (RPH) 34 SCHOOL STREET PISCATAWAY NJ 08854 MEDICAL DISQUALIFICATION K 54 7540 2/23/2010 N GADHOK, RAJINDER S. 120 CIRCEL AVE., BOX 121 BERKELY HGHTS NJ 07922 MEDICAL DISQUALIFICATION K 54 7540 8/12/1997 Y GADIRAJU, SRINIVAS (RPH) 76 MORRIS STREET MORRISTOWN NJ 07960 MEDICAL DISQUALIFICATION A 54 7540 6/1/2023 GAFFNEY, JOHN (DO) 1710985387 9501 VENTNOR AVENUE MARGATE CITY NJ 08402 MEDICAL DISQUALIFICATION K 54 7540 7/24/2017 GAINER, JAHNIA (PHARM TECH) 11 14TH AVENUE NEWARK NJ 07103 MEDICAL DEBARMENT K 54 7540 4/26/2016 2/12/2024 GAINES, TONI 4650 COLES MILL ROAD R-3 WILLIAMSTOWN NJ 08094 MEDICAL DISQUALIFICATION A 54 7540 8/4/2012 8/3/2014 N GAITHER, HERBERT (MD) 1453 HILLCREST COURT, APT. 407 CAMP HILL PA 17011 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 GALCIK, DIANE (LPN) 34 MAHAN STREET TENAFLY NJ 07670 MEDICAL SUSPENSION K 54 7540 8/20/2001 GALIN, MILES A. (MD) EAST END AVENUE NEW YORK NY 10128 MEDICAL DEBARMENT A 54 7540 9/19/2008 N GALINSKY, KIMBERLY (RPH) 220 VAN FLEET AVENUE SOUTH PLAINFIELD NJ 07080 MEDICAL DISQUALIFICATION K 54 7540 8/10/2017 GALINSKY, RONALD C. (PSYCH) 34 DUNHILL DRIVE VOORHEES NJ 08043 MEDICAL DISQUALIFICATION K 54 7540 12/1/1998 Y GALL, WILLIAM J. (DO) 22 STONEGATE COURT BLACKWOOD NJ 08012 MEDICAL DISQUALIFICATION K 54 7540 7/20/2009 Y GALLAGHER JR., WALTER B. (RN) 132 TULIP LANE SUMMIT NJ 07901 MEDICAL SUSPENSION K 54 7540 9/20/2005 N GALLAGHER, BRENDA JO (RN/LPN) 14B WISHING WELL ROAD HAMBURG NJ 07419 MEDICAL SUSPENSION K 54 7540 4/19/2001 GALLAGHER, JOANNE M. (DC) 108 BENJAMIN AVENUE CONYNGHAM PA 18219 MEDICAL SUSPENSION K 54 7540 10/20/2005 N GALLAGHER, PATRICIA A. (RN) 111 QUAKER ROAD MICKLETON NJ 08056 MEDICAL DISQUALIFICATION A 54 7540 8/20/2014 N GALLAGHER, STEPHEN OWNER 221 COOLIDGE ST, STE. 11 LINDEN NJ 07036 CONSTRUCTION DEBARMENT F 62 4550 7/30/2012 7/29/2015 N GALLE, JAMES (RPH) 105 ELM AVENUE HACKENSACK NJ 07644 MEDICAL DISQUALIFICATION K 54 7540 9/16/2003 N GALLETTA, ERNEST FCI FAIRTON P.O. BOX 420 FAIRTON NJ 08320 MEDICAL SUSPENSION K 54 7540 2/19/2009 N GALLETTA, GEORGE W. 3001 E. CHESTNUT AVE A1 VINELAND NJ 08361 MEDICAL DISQUALIFICATION A 54 7540 2/19/2009 N GAMAO, EDDIE (MD) 1639479397/1770500423 375 NORTH DRIVE, J9 NORTH PLAINFIELD NJ 07060 MEDICAL DISQUALIFICATION K 54 7540 3/14/2018 N GAMAO, EDDIE (MD) 1639479397/1770500423 375 NORTH DRIVE, J9 NORTH PLAINFIELD NJ 07060 MEDICAL DISQUALIFICATION K 54 7540 10/31/2018 Y GAMUZZA, VINCENT #70500-050 (OPTOMETRIST) 1063851285 FCI FORT DIX, PO BOX 2000 JOINT BASE MDL NJ 08640 MEDICAL DISQUALIFICATION A 54 7540 11/20/2018 N GANDHI, HIREN 120 ROLLING BROOK DRIVE EDISON NJ 08820 MEDICAL SUSPENSION K 54 7540 10/20/2005 N GANETSKY, SVETLANA (PT) 1407180037 197 SOUTH EDWARDS DRIVE SOUTHAMPTON PA 18966 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 GANTI, SHASHI (MD) 2035 HAMBURG PIKE WAYNE NJ 07410 MEDICAL DISQUALIFICATION K 54 7540 8/20/1997 3/3/2020 N GARCEN, GINA AKA CIALLELLA, GINA (DC) 57 GREEN STREET WOODBRIDGE NJ 07095 MEDICAL DISQUALIFICATION A 54 7540 3/24/2000 Y GARCIA, DIANE (LCSW) 6612 TERRA DOLCE AVE NW ALBUQUERQUE NM 87114 MEDICAL DISQUALIFICATION K 54 7540 1/18/2012 N GARCIA, SHEILA (CHHA) 1003 W. CHAPLAIN ROAD MANVILLE NJ 08835 MEDICAL DISQUALIFICATION K 54 7540 5/2/2017 N GARDINER, MICHAEL A. (DC) 1346524907 2066 MILBURN AVENUE MAPLEWOOD NJ 07040 MEDICAL SUSPENSION A 54 7540 2/3/2003 N GARIPALLI, LAXMIPATHI (MD) 1851325500 11 COLTS GAIT LANE COLTS NECK NJ 07722 MEDICAL SUSPENSION K 54 7540 4/21/2008 N GARIPALLI, LAXMIPATHI (MD) 1851325500 11 COLTS GAIT LANE COLTS NECK NJ 07722 MEDICAL DISQUALIFICATION K 54 7540 9/20/2012 N GARRETSON, MATTHEW (PHARM TECH) 119 GLEN AVENUE LAKEWOOD NJ 08701 MEDICAL DISQUALIFICATION K 54 7540 9/23/2016 GARRITANO, RALPH E. (MD) 281 GROVE ST ORADELL NJ 07649 MEDICAL DISQUALIFICATION A 54 7540 6/1/1993 Y GAULT, TYMIER (CHHA) 180 HAYNES AVENUE BRIDGETON NJ 08302 MEDICAL DEBARMENT K 54 7540 7/22/2017 N GAYLE, DELORES (MD) 1508886664 249 GREGORY AVENUE WEST ORANGE NJ 07052 MEDICAL DEBARMENT K 54 7540 12/16/2015 6/5/2017 N GAYLE, DELORES (MD) 1508886664 249 GREGORY AVENUE WEST ORANGE NJ 07052 MEDICAL DISQUALIFICATION K 54 7540 6/5/2017 Y GAYLE, LURINE (CHHA) 2144 ALDRIN ROAD, #5A OCEAN NJ 07712 MEDICAL DISQUALIFICATION K 54 7540 2/8/2017 GAZI, MUKARAM (MD) 1679527188 9 EMBRY FARM RD MARLBORO NJ 07746 MEDICAL SUSPENSION A 54 7540 7/25/2023 N GECYS, GINTARE T. (DO) 1504 BLACKWOOD CLEMENTON BLACKWOOD NJ 08012 MEDICAL DEBARMENT K 54 7540 9/22/2015 5/21/2020 N GEFFEN, STEVEN 50 SKYLARK COURT MARLBORO NJ 07746 MEDICAL DISQUALIFICATION A 54 7540 8/15/2000 Y GENNINGER, LEWIS E. (MD) 95 SOUTH MAIN ST PHILLIPSBURG NJ 08865 MEDICAL DISQUALIFICATION G 54 7540 1/10/1988 DECEASED N GENSHEIMER, MAUREEN (LPN) 1409 EDGEMERE ROAD WALL NJ 07719 MEDICAL SUSPENSION K 54 7540 9/19/2002 N Midwest Construction, Inc. George Antonas, President 114 Brace Rd Cherry Hill NJ 08034 114 Brace Road Cherry Hill nJ 08034 CONSTRUCTION DEBARMENT F 62 4550 7/24/2014 07/23/2017 N Low Bid, Inc. SUSPENDED PENDING DEBARMENT George McNulty, President 125 East Broadway Suite 507 Long Beach NY 11581 125 East Broadway Suite 507 Long Beach NY 11561 CONSTRUCTION DEBARMENT F 62 4550 1/0/1900 SUSPENDED N GEORGE, JOBY (RPH) 1255481917 395 MYRTLE STREET CLIFFWOOD NJ 07721 MEDICAL DEBARMENT A 54 7540 7/18/2011 N GERALDO, PHILIP K. (RN) 2075 SPRINGFIELD AVENUE, FL 2 VAUXHALL NJ 07088 MEDICAL DISQUALIFICATION K 54 7540 4/5/2023 GERARD, ROBERT 144 DORSETT DRIVE WALL NJ 08719 VENDOR DEBARMENT A 66 1020 4/12/2017 4/12/2027 N GERARDO, LETRICIA M. (MD) 317 MT. PROSPECT AVE. NEWARK NJ 07104 MEDICAL DISQUALIFICATION K 54 7540 5/30/1997 Y GERMAN, MARIA (CHHA) 195 BROADWAY PATERSON NJ 07505 195 BROADWAY PATERSON NJ 07505 MEDICAL DEBARMENT K 54 7540 5/24/2002 N GERNER, JASON 1295191005 A 16 COLEBRICK COURT SHAMONG NJ 08088 MEDICAL DISQUALIFICATION K 54 7540 1/19/2023 GETSON, LEE 7 HAMILTON COURT SOUTHAMPTON NJ 08088 MEDICAL DISQUALIFICATION K 54 7540 5/12/2016 GIACALONE-HEWSON, MARIA (DC) 1487782504 FCI COLEMAN MEDIUM, PO BOX 1032 COLEMAN FL 33521 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 GIALANELLA, CRAIG (MD) 1467596502 4 OXFORD ROAD NORTH CALDWELL NJ 07006 MEDICAL DISQUALIFICATION K 54 7540 7/19/2017 N GIAMPORCARO, STEVEN (MD) 1255356994 15 GLEN AIRE DRIVE EGG HARBOR TOWNSHIP NJ 08234 MEDICAL DISQUALIFICATION K 54 7540 2/22/2019 Y INTERCONTINENTAL MEDICAL GIANETTI JR., JOSEPH P. (DC) 185 BROADWAY #14 PATERSON NJ 07505 LINDEMAN AVENUE CLOSTER NJ 07624 MEDICAL SUSPENSION K 54 7540 9/18/2008 N GIANNOTTO, ANTHONY (MD) 31 PALM STREET NEWARK NJ 07106 MEDICAL DISQUALIFICATION G 54 7540 11/24/1988 Y GIARRETTA, MARY SUEANNE (RPH) 9 KINGWOOD AVE FRENCHTOWN NJ 08825 MEDICAL DISQUALIFICATION A 54 7540 2/15/2001 Y GIBBONS, SHANIKA (CHHA) 11 LINDEN AVENUE EDISON NJ 08817 MEDICAL DISQUALIFICATION K 54 7540 1/31/2017 N GIBBONS, SHAWN S. 40 DOVER STREET NEWARK NJ 07106 MEDICAL DEBARMENT K 54 7540 11/24/2007 N GIBBONS, WAYNE L. (MD) 2 EAST RIVER DRIVE WILLINGBORO NJ 08046 MEDICAL DEBARMENT A 54 7540 1/12/2001 Y GIBBS, ARLENE (CHHA) 18 BELLEVILLE CT APT C BELLEVILLE NJ 07109 MEDICAL DEBARMENT K 54 7540 5/20/2007 N GIBBS, ARLENE (CHHA) 35 CIVIC SQUARE, #23 IRVINGTON NJ 07111 MEDICAL DISQUALIFICATION K 54 7540 1/28/2006 N GIBBS, MARY ELLEN (CHHA) 157 ANDREW STREET HAMILTON NJ 08610 MEDICAL SUSPENSION A 54 7540 2/14/2002 N GIBNEY, EDWARD D. 10 CEDAR LAKE DENVILLE NJ 07834 MEDICAL DISQUALIFICATION A 54 7540 6/1/1993 Y GIBSON, MARY E. 376 MADISON AVENUE RAHWAY NJ 07065 MEDICAL DISQUALIFICATION K 54 7540 7/18/2001 Y GIFFINS-MATLACK, DEANNE (LPN) 46 BURT STREET BRIDGETON NJ 08302 MEDICAL DISQUALIFICATION K 54 7540 8/28/2017 GILL, ALYSON R. (RN) 115 BRADLEY COURT LAUREL SPRINGS NJ 08021 MEDICAL SUSPENSION K 54 7540 6/19/2003 N GILL, JEFFREY J. (DPM) 1168 BEACON AVENUE MANAHAWKIN NJ 08050 MEDICAL DEBARMENT K 54 7540 9/13/1999 Y GILL, YURI (CHHA) 13 PINE GLEN DRIVE SICKLERVILLE NJ 08081 MEDICAL DISQUALIFICATION K 54 7540 9/19/2017 N GILLARD, MARY (RN) 321 SUNSET AVE., APT.2H ASBURY PARK NJ 07712 MEDICAL SUSPENSION K 54 7540 4/20/2003 N GILLER, LEONID 1473 RIDGEWAY STREET UNION NJ 07083 4 WOODFERN STREET EDISON NJ 08820 MEDICAL DEBARMENT K 54 7540 8/27/1999 Y GILLIARD, MICHELLE (CHHA) 2929 HURLEY POND ROAD WALL NJ 07719 MEDICAL DEBARMENT K 54 7540 1/20/2017 N GILLISS, ADAM (DO) 1982741328 27 EAST CHESTNUT AVENUE MERCHANTVILLE NJ 08109 MEDICAL DEBARMENT K 54 7540 12/16/2015 GILMAN, DANIEL FCI - FAIRTON, PO BOX 420 FAIRTON NJ 08320 MEDICAL DISQUALIFICATION K 54 7540 7/20/2017 GILMAN, DENISE (DO) 1689986960 108 WOODCREST DRIVE CORAOPOLIS PA 15108 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 9/19/2016 N GILMORE, BRUCE STEWART (MD) 1306985882 FRANKLIN DRIVE ARDMORE OK 73401 MEDICAL SUSPENSION K 54 7540 9/18/2008 N JEROME DRUGS GILTMAN, JEROME (RPH) 7320 VENTOR AVENUE VENTOR NJ 08406 7320 VENTOR AVENUE VENTOR NJ 08406 MEDICAL DISQUALIFICATION A 54 7540 4/30/2007 Y Cobra Communications & Installations, LLC Giovanny Bustos, Owner 26 Spencer Place Garfield NJ 07026 265 Wilson Avenue Kearny NJ 07032 CONSTRUCTION DEBARMENT F 62 4550 12/11/2014 12/10/2017 N GIRARDY, MATTHEW (DDS) 1831278118 1285 BRADFORD RUN SPRING LAKE NJ 07762 MEDICAL DISQUALIFICATION K 54 7540 5/20/2019 N GITKIN, SAMUEL 1288 15TH STREET FORT LEE NJ 07024 MEDICAL SUSPENSION K 54 7540 4/18/2002 N GLASER, VICTORIA M. (RN) 1612 THIRD STREET RENSSELAER NY 12144 MEDICAL SUSPENSION K 54 7540 7/18/2002 N GLASS, JOEL (MD) 1861537219 2027 SPRING GARDEN STREET PHILADEPHIA PA 19130 MEDICAL DISQUALIFICATION K 54 7540 6/28/2017 Y GLASS, JOEL (MD) 1861537219 2027 SPRING GARDEN STREET PHILADEPHIA PA 19130 MEDICAL DISQUALIFICATION K 54 7540 10/27/2017 Y GLASS, MICHAEL (MD) 1345 SLATERVILLE ROAD ITHACA NY 14850 MEDICAL DEBARMENT K 54 7540 1/18/2007 N GLEASON, WALTER 252 LILLBRIDGE APTS. CLEMENTON NJ VENDOR VENDOR A 82 2050 8/27/2001 GODBOLT, KIMISHA (CHHA) 190 HAMILTON AVENUE PATERSON NJ 07501 MEDICAL DEBARMENT K 54 7540 8/24/2017 N GODWIN, LASTAISA (PHARM TECH) 6 HILLSIDE TERRACE SUSSEX NJ 07461 MEDICAL DISQUALIFICATION K 54 7540 2/1/2018 N GOEPFERT, SARAH (LPN) 21 HOPKINS DRIVE LAWRENCEVILLE NJ 08648 MEDICAL DISQUALIFICATION K 54 7540 9/8/2022 N GOLDBERG, ARTHUR PO BOX 239 AVERNE NY 11692 VENDOR SUSPENSION A 82 2050 9/7/2000 GOLDBERG, CHARLES S. (MD) 1164443958 FCI-OTISVILLE, PO BOX 1000 OTISVILLE NY 10963 MEDICAL DISQUALIFICATION K 54 7540 1/22/2016 GOLDBERG, JESSE G. AKA BLACKFORD, JOSHUA 316 SEATON AVENUE ROSELLE PARK NJ 07204 VENDOR SUSPENSION G 82 2050 10/12/2004 N GOLDBERG, RICHARD (MD) 1629136320 FEDERAL BUREAU PRISONS-RRM #66231-050, 100 29TH STREET BROOKLYN NY 11232 MEDICAL DISQUALIFICATION K 54 7540 2/9/2017 GOLDBERG, RICHARD (MD) 1629136320 95 DAVIS HILL ROAD WESTON CT 06883 MEDICAL DEBARMENT K 54 7540 7/1/2015 GOLDIS, MICHAEL (MD) 1982603247 36 STOKES ROAD MOUNT LAUREL NJ 08054 MEDICAL DISQUALIFICATION K 54 7540 10/30/2020 N GOLDSTEIN, JACK (DO) 1154355055 695A MAIN STREET LUMBERTON NJ 08048 MEDICAL DEBARMENT K 54 7540 8/28/2014 DECEASED N GOLDSTEIN, JACK (DO) 1154355055 695A MAIN STREET LUMBERTON NJ 08048 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 DECEASED N GOLDSTEIN, JEFFREY (DO) 1831158088 90 BARNARD ROAD NEW ROCHELLE NY 10801 MEDICAL DISQUALIFICATION K 54 7540 4/14/2021 PERMANENT Y GOLDTHWAITE, JENNIFER (LPN) 507 KENBURY ROAD BRANCHBURG NJ 08876 MEDICAL DISQUALIFICATION K 54 7540 3/15/2018 N GOLEJ, IVY (RN) 631 MARION ROAD NEPTUNE NJ 07753 MEDICAL DISQUALIFICATION 54 7540 9/9/2016 GOLEMBIOSKI, RICHARD C. (DMD) 1831107150 5 ROUTE 94 VIKING VILLAGE, SUITE H VERNON NJ 07462 MEDICAL DISQUALIFICATION K 54 7540 7/15/2023 N GOLEV, DIMO 7 ROSELAND AVENUE TOTOWA NJ 07512 CONSTRUCTION DEBARMENT F 62 4550 6/10/2014 6/9/2017 N GOLIN, MARK W. (MD) 172 FRANKLIN AVE., SUITE4 RIDGEWOOD NJ 07450 MEDICAL SUSPENSION K 54 7540 3/20/2003 N GOMEZ, ALFREDO (CHHA) 148 NORTH 10TH STREET, 2ND FLOOR PATERSON NJ 07522 MEDICAL DISQUALIFICATION K 54 7540 4/26/2018 N GOMOLINSKI, NANCY ( LCSW) 1700986890 23 FORSHEE CIRCLE MONTVALE NJ 07645 MEDICAL DISQUALIFICATION A 54 7540 5/7/2014 N GONCALVES, COURTNEY J. (RN) 312 TEABERRY COURT TOMS RIVER NJ 08753 MEDICAL DISQUALIFICATION K 54 7540 7/25/2023 N GONSHERY, DENISE C. (RPH) 900 MCELWEE ROAD MOORESTOWN NJ 08057 MEDICAL SUSPENSION K 54 7540 2/20/2005 N GONZALEZ, ARELIS (CHHA) 28 MADOLE PLACE PENNS GROVE NJ 08069 MEDICAL DISQUALIFICATION K 54 7540 1/31/2017 N GONZALEZ, EFRAIN 256 GROVE STREET NORTH PLAINFIEL NJ 07060 CONSTRUCTION DEBARMENT F 62 4550 3/6/2012 3/5/2015 N GONZALEZ, FELICIA E. (DO) 1598850935 1203 GREEN VIEW WAY TOMS RIVER NJ 08753 MEDICAL DEBARMENT A 54 7540 9/19/2011 6/17/2013 N GONZALEZ, JORDAN (RPH) 1992073167 FCI FAIRTON #66214-050, PO BOX 420 FAIRTON NJ 08320 MEDICAL DISQUALIFICATION K 54 7540 2/9/2017 GONZALEZ, KALER E. (RN) 113 WALNUT STREET NEPTUNE NJ 07753 MEDICAL DISQUALIFICATION K 54 7540 3/31/2023 GONZALEZ, LEAH (CHHA) 5 TWIN RIVERS DRIVE EAST WINDSOR NJ 08520 MEDICAL DEBARMENT K 54 7540 1/16/2017 5/6/2021 N GONZALEZ, MIGUEL A. (MD) 1275543340 P.O. BOX 208 HELLERTOWN PA 18055 MEDICAL DEBARMENT K 54 7540 4/10/2022 GONZOPH, BARBARA AKA DUFFY, BARBARA (LPN) 208 WAYNE TERRACE COLLINGSWOOD NJ 08108 MEDICAL SUSPENSION K 54 7540 8/19/2004 N GOOBERMAN, LANCE (MD) 1194998682 1 SOUTH CENTRE STREET MERCHANTVILLE NJ 08109 MEDICAL SUSPENSION K 54 7540 2/24/2004 7/23/2012 N GOODEY, KATHLEEN 333 WHITTIER AVENUE DUNELLEN NJ 08812 MEDICAL SUSPENSION A 54 7540 5/23/1997 GOODIN, RICHARD C. (MD) RIVERVIEW CORRECTIONAL OGDENSBURG NY 13669 MEDICAL SUSPENSION A 54 7540 8/19/2004 N GOODNIGHT, JAMES W. (MD) 1144313131 535 HIGH MOUNTAIN ROAD NORTH HALEDON NJ 07508 MEDICAL DEBARMENT K 54 7540 1/17/2014 4/11/2017 N GOODWIN, BARBARA G. (RN) 1201 NORTH CHARLOTTE ST. DICKSON TN 37055 MEDICAL SUSPENSION K 54 7540 12/19/2002 N GORCEY, STEVEN (MD) 1679512941 32 VALLEY FORGE ROAD EATONTOWN NJ 07724 MEDICAL DISQUALIFICATION K 54 7540 6/11/2019 1/7/2021 N GORDON, BARBARA (X -RAY TECH) 133 MORTON AVENUE S. PLAINFIELD NJ 07080 MEDICAL DISQUALIFICATION A 54 7540 4/5/2001 Y GORDON, CRAIG W. (MD) 164 RIVEREDGE DRIVE #164 CHATHAM NJ 07928 MEDICAL DISQUALIFICATION K 54 7540 9/4/2007 N GORDON, CRAIG W. (MD) 8 SHERWOOD CIRCLE LINDEN NJ 07036 MEDICAL DISQUALIFICATION A 54 7540 3/18/1993 Y GORDON, HOWARD L. (MD) 222 BROADWAY NEWARK NJ 07104 MEDICAL DISQUALIFICATION A 54 7540 6/1/1993 Y GORDON, RAHSHEEDA (CHHA) 445 SOUTH 11TH STREET NEWARK NJ 07103 MEDICAL DISQUALIFICATION K 54 7540 2/8/2017 N GORIGANTI, MAHENDER (MD) 1144202805 7187 WOODCHUCK HILL ROAD FAYETTEVILLE NY 13066 MEDICAL DISQUALIFICATION K 54 7540 7/20/2015 N GOROVITS, LILIA (MD) 1427163427 1157 METTLER ROAD HUNTINGTON VALLEY PA 19006 MEDICAL DISQUALIFICATION K 54 7540 8/7/2017 GORUKANTI, SURENDER (MD) 1750488292 4324 BEDFORD AVENUE BROOKLYN NY 11229 MEDICAL DISQUALIFICATION K 54 7540 8/20/2018 N GORUKANTI, SURENDER (MD) 1750488292 4324 BEDFORD AVENUE BROOKLYN NY 11229 MEDICAL DISQUALIFICATION K 54 7540 1/31/2019 Y GOTAY, ALEXANDER (LCSW) SSCF, P.O. BOX 150 DELMONT NJ 08314 MEDICAL DISQUALIFICATION A 54 7540 2/24/2008 N GOUDA, NEEMAT G. (CHHA) 78 FREMONT STREET JERSEY CITY NJ 07302 MEDICAL DISQUALIFICATION K 54 7540 10/4/2023 GOULBOURNE, MARIANA (CHHA) 430 S. 13TH STREET NEWARK NJ 07103 MEDICAL DISQUALIFICATION K 54 7540 3/6/2018 N GRANGER, MAI AKA GRIFFITHS, MAI (CHHA) 15 PEPPERMINT LANE WILLINGBORO NJ 08046 MEDICAL DISQUALIFICATION A 54 7540 9/29/1999 Y GRANT, NICOLE (CHHA) 18 BUCKNELL DRIVE TOMS RIVER NJ 08757 MEDICAL DISQUALIFICATION K 54 7540 1/31/2017 N GRANVILLE, PEDRO JULIO (CLIN LAB TECH) 823 BROAWAY WEST LONG BRANCH NJ 07764 MEDICAL DISQUALIFICATION K 54 7540 8/20/2015 GRASSER, JENNIFER B. AKA KROWICKI, JENNIFER (RN) 232 CLUB DRIVE WALL NJ 07719 MEDICAL SUSPENSION K 54 7540 10/20/2002 N GRAUERHOLZ, JOHN E. (MD) P.O. BOX 2172 LEESBURG VA 22075 MEDICAL SUSPENSION K 54 7540 9/19/2002 N GRAY, KEVIN 129 CHANCELLOR AVE NEWARK NJ 07112 MEDICAL DISQUALIFICATION A 54 7540 6/1/1993 Y GRAY-KEARLY, ASHLEE (CHHA) 10 CORAL DRIVE HOWELL NJ 07731 MEDICAL DISQUALIFICATION K 54 7540 1/31/2017 N GRAYOVSKI, ELIZABETH (CHHA) 206 NORTHFIELD ROAD MILLINGTON NJ 07946 MEDICAL DEBARMENT K 54 7540 7/14/2017 N THIRO AND GRAYSON INC GRAYSON, MURRAY A. (RPH) 449 AVENUE C BAYONNE NJ 07002 163 HAMPTON GREEN STATEN ISLAND NY 10312 MEDICAL DISQUALIFICATION A 54 7540 6/1/1993 Y GRAZIADEI, PAMELA J. (RN) 175 N MAIN STREET YARDLEY PA 19067 MEDICAL DISQUALIFICATION K 54 7540 5/2/2023 GRAZIANO, NATALE (MD) 470 BROOKSIDE LANE SOMERVILLE NJ 08876 MEDICAL DISQUALIFICATION K 54 7540 12/1/1998 Y GREEN, JOHN N. (MD) 1114072444 3 PADDOCK COURT BASKING RIDGE NJ 07920 MEDICAL DEBARMENT A 54 7540 9/25/2014 N GREEN, JOHN N. (MD) 1114072444 61 MAIN STREET WEST ORANGE NJ 07102 MEDICAL SUSPENSION A 54 7540 2/22/2012 6/21/2012 N GREEN, JOYCE D. (CHHA) PO BOX 145 WOODBINE NJ 08270 MEDICAL SUSPENSION K 54 7540 8/20/2003 N GREEN, ROBERT (MD) 22 OLD SHORT HILLS ROAD LIVINGSTON NJ 07039 MEDICAL DISQUALIFICATION G 54 7540 9/2/1992 DECEASED N GREEN, SHANNON R. (LPN) 19 MADELEY COURT SICKLERVILLE NJ 08081 MEDICAL DISQUALIFICATION K 54 7540 5/3/2022 N GREENBERG, ANTHONY (MD) 1487641239 576 STATE ROUTE 94 COLUMBIA NJ 07832 MEDICAL DISQUALIFICATION K 54 7540 10/29/2016 N ORANGE DRUG & SURGICAL IN GREENBERG, EDMUND (RPH) 270 HIGHLAND ROAD S. ORANGE NJ 07079 270 HIGHLAND ROAD S. ORANGE NJ 07079 MEDICAL DISQUALIFICATION A 54 7540 2/7/2000 DECEASED N GREENBERG, LAUREN (LPN) 2376 WEST MAIN STREET MILLVILLE NJ 08332 MEDICAL DISQUALIFICATION K 54 7540 5/25/2019 N GREENE, LIZA (RN) 57 N. RIVER DRIVE PENNSVILLE NJ 08070 VENDOR SUSPENSION K 54 7540 9/19/2003 N GREENFARB, IRVING (DO) 160 LITTLETON ROAD MORRIS PLAINS NJ 07950 MEDICAL DISQUALIFICATION G 54 7540 12/19/1988 DECEASED N GREENFIELD, RONALD W. 227 CLUB DRIVE WALL NJ 07719 MEDICAL SUSPENSION K 54 7540 7/19/2001 GREENLEAF, JANICE (LPN) 110 EAST JUNIPER AVENUE NORTH WOLDWOOD NJ 08260 MEDICAL SUSPENSION K 54 7540 6/20/2005 N GREENSPAN, BERNARD (DO) 1245231406 484 LAFAYETTE AVENUE HAWTHORNE NJ 07506 MEDICAL DISQUALIFICATION K 54 7540 8/4/2017 Y GREENSPAN, BERNARD (DO) 1245231406 150 OVERLOOK AVENUE, 10C HACKENSACK NJ 07601 MEDICAL DISQUALIFICATION K 54 7540 9/29/2017 Y GREENSPAN, WILLIAM GILL LANE ISELIN NJ 08830 VENDOR SUSPENSION A 82 2050 9/27/2000 Jack Mack Commercial Roofing, Inc. Gregorio Soto, Owner 153 Lewis Street Perth Amboy NJ 08861 768 Courtlandt St Perth Amboy NJ 08861 CONSTRUCTION DEBARMENT F 62 4550 3/18/2015 03/17/2018 N GRETZULA, CHAD (DMD) 1558422311 616 EAST LANCASTER AVENUE BERWYN PA 19312 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 GREUNER, DAVID (MD) 1063627347 14 E 60TH STREET, STE 501 NEW YORK NY 10022 MEDICAL DISQUALIFICATION K 54 7540 12/14/2022 GRIETZER, JOY (RN) 406 EAST FRANKLIN AVENUE WEST BERLIN NJ 08091 MEDICAL DEBARMENT K 54 7540 7/22/2017 GRIFFIN, CHARLES (RPH) 1669757530 HAZELTON USP, PO BOX 2000 BRUCETON WV 26525 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 GRIFFIN, REMY (CHHA) 490 PARK AVENUE, APT. #3-B PATERSON NJ 07504 MEDICAL DISQUALIFICATION K 54 7540 5/2/2017 N GRIFFITHS, MAI AKA GRANGER, MAI (CHHA) 15 PEPPERMINT LANE WILLINGBORO NJ 08046 MEDICAL DISQUALIFICATION A 54 7540 9/29/1999 Y GRIMES, BRIDGET 293 LINCOLN STREET PHILLIPSBURGH NJ 08865 MEDICAL DEBARMENT A 54 7540 10/29/2012 N GRINBERG, SAGY (MD) 1093177503 201 LYONS AVENUE NEWARK NJ 07112 MEDICAL DEBARMENT A 54 7540 6/1/2023 GRINBERG, SAGY (MD) 1093177503 900 AVE AT PORT IMPERIAL BLVD APT 1018 WEEHAWKEN NJ 07086 MEDICAL DISQUALIFICATION K 54 7540 11/20/2023 N GRINSHPUN, LEV (CHHA) 201-F MORRIS AVENUE ELIZABETH NJ 07208 MEDICAL DEBARMENT K 54 7540 7/22/2017 N GRISSON, SANDRA 30 SOUTH CHURCH STREET, APT. 5 WAYNESBORO PA 17268 MEDICAL DISQUALIFICATION K 54 7540 12/29/2015 GROSS, KENNETH (DC) 1740488709 333 PROVINCIAL DRIVE MORGANVILLE NJ 07751 MEDICAL DISQUALIFICATION K 54 7540 6/20/2018 N GROSSETT II, KENNETH W. (RPH) SOUTH DUPONT ROAD CARNEYSPOINT NJ 08069 MEDICAL SUSPENSION K 54 7540 3/20/2008 N GRULLON, KADIA (CHHA) 204 ACKERMAN AVENUE CLIFTON NJ 07011 MEDICAL DISQUALIFICATION K 54 7540 4/19/2018 N GUALTIERI, CHRISTOPHER 109 KARENLYNN DRIVE FRANKLINVILLE NJ 08322 MEDICAL DISQUALIFICATION A 54 7540 11/29/2023 N GUANMESIA, EUNICE AKA MANJO, EUNICE (RN) 1811443815 128 FIELDBROOK DRIVE MAGNOLIA DE 19962 MEDICAL DISQUALIFICATION K 54 7540 10/3/2019 N GUDE, ROBERT 9 WYCOFF TERRACE FAIRLAWN NJ 07410 CONSTRUCTION DEBARMENT F 62 4550 2/6/2013 2/5/2016 N GUENSCH, LISA M. (RN) 85 MORNING GLORY ROAD WARREN NJ 07059 MEDICAL DISQUALIFICATION K 54 7540 5/20/2009 N GUERRERO, RAUL 110 JEROME AVENUE SOUTH BOUND BRO NJ MEDICAL SUSPENSION K 54 7540 1/20/2004 N GUERRERO, THAMARA (CHHA) 327 OUTWATER LANE #2 GARFIELD NJ 07026 MEDICAL DISQUALIFICATION K 54 7540 4/6/2018 N GUERRIERO, LU ANN M. (DC) 21 KILMER DR, STE 2A MORGANVILLE NJ 07751 MEDICAL SUSPENSION K 54 7540 9/24/1997 GUICE SR., JASON C. 725 ELIZABETH AVE. NEWARK NJ 07112 MEDICAL SUSPENSION K 54 7540 9/15/2004 N GUICE, AZIE VICE PRESIDENT 725 ELIZABETH AVENUE NEWARK NJ 07112 MEDICAL DEBARMENT K 54 7540 9/5/2005 N GUILBERT, RICARDO (LPN) SOUTHERN STATE CORREC FAC DELMONT NJ 08314 MEDICAL DISQUALIFICATION A 54 7540 11/21/1995 Y GUILIANO, GINA (RN) 1 KINDERKAMACK ROAD WOODCLIFF LAKE NJ 07677 MEDICAL SUSPENSION K 54 7540 12/18/2003 N GUINTU, PHILLIPPE M. (LPN) 80 SUNSET STREET DUMONT NJ 07628 MEDICAL DISQUALIFICATION K 54 7540 2/3/2022 N GULLA, FRANK T. (MD) 113 RTE. 46 W. WILLOW SQ. WAYNE NJ 07470 MEDICAL DISQUALIFICATION A 54 7540 12/7/1999 Y GUPTA PHARMACY GUPTA, NAVEEN (RPH) 1700 OAK TREE ROAD EDISON NJ 08820 1700 OAK TREE ROAD EDISON NJ 08820 MEDICAL DEBARMENT K 54 7540 3/4/1999 Y GUPTA, RASHMI J. (COUNSELOR) 203 HASSE AVENUE PARAMUS NJ 07652 MEDICAL DEBARMENT A 54 7540 7/30/2012 N GUPTA, RASHMI J. (COUNSELOR) 10913 CORY LAKE DRIVE TAMPA FL 33647 MEDICAL DEBARMENT A 54 7540 7/3/2013 N GUPTA, ROHIT #000263228G BAYSIDE STATE PRISON, PO BOX F-1 LEESBURG NJ 08327 MEDICAL DISQUALIFICATION K 54 7540 7/4/2019 N GURBAN, ELHAN 14 FAHRNER STREET BERGENFIELD NJ 07621 MEDICAL DISQUALIFICATION K 54 7540 8/16/2016 GURBAN, ELHAN SOUTHERN STATE CORRECTIONAL, 4295 ROUTE 47 DELMONT NJ 08314 MEDICAL DEBARMENT K 54 7540 12/16/2015 GUREVICH, NATALIA (MD) 31-23 CRESCENT ST. APT 2C ASTORIA NY 11106 MEDICAL SUSPENSION K 54 7540 9/20/2005 N GUSSMAN, MICHAEL (DPM) 141 GREENBROOK DRIVE MARLTON NJ 08053 MEDICAL SUSPENSION K 54 7540 6/20/2001 GUSTAFSON, JOHN 39 CHARLES STREET MONTGOMERY NY CONSTRUCTION DEBARMENT F 62 4550 4/10/2013 4/9/2016 N GUTIERREZ, SALLY (CHHA) 1005 MADISON AVENUE, STE 2 PATERSON NJ 07501 MEDICAL DISQUALIFICATION K 54 7540 7/5/2023 N GUYTON, KATHLEEN 228 SANFORD STREET EAST ORANGE NJ 07018 MEDICAL DISQUALIFICATION K 54 7540 8/20/2002 N GUZZI, NICOLE (CHHA) 117 SHERIDAN AVENUE ROSELLE PARK NJ 07204 MEDICAL DISQUALIFICATION K 54 7540 7/2/2018 GYAPONG, WILLIAM (CHHA) 5 LORETTO STREET NEWARK NJ 07112 MEDICAL DISQUALIFICATION K 54 7540 6/29/2019 N HABIB, IMAD 1529 39TH STREET 1ST FL NORTH BERGEN NJ 07047 MEDICAL DISQUALIFICATION A 54 7540 9/30/2011 N HAHN, JENNIFER I. (APN/RN) 1184645772 6125 N. GUAVA LANE LAKE WORTH FL 33462 MEDICAL DISQUALIFICATION K 54 7540 2/8/2024 N EAST BROADWAY MEDICAL ASSOCIATES HAIDER, MOHAMMED M. 195 BROADWAY PATERSON NJ 07505 195 BROADWAY PATERSON NJ 07505 MEDICAL SUSPENSION A 54 7540 12/7/1999 HAINES, KEITH (MD) 1210 BRACE ROAD CHERRY HILL NJ 08034 MEDICAL DISQUALIFICATION G 54 7540 10/15/1991 DECEASED N HAINES, RAMONA L. (RN) 103 MEADOWVIEW CIRCLE MARLTON NJ 08053 MEDICAL SUSPENSION K 54 7540 8/19/2004 6/16/2022 N HAINES, ROBBIE A. (RN) WHITE POND COURT ABSECON NJ 08205 MEDICAL SUSPENSION K 54 7540 10/18/2007 N HAITMANEK, OTTILLIE M. (LPN) 4162 BAYBERRY COURT MONMOUTH JUNCTION NJ 08852 MEDICAL DISQUALIFICATION K 54 7540 3/28/2017 HALAS, JOHN 144 WHITEHALL DRIVE VOORHEES NJ 08043 MEDICAL SUSPENSION K 54 7540 5/20/2002 N HALL, AFRIKA AKA JACKSON, AFRIKA BRIARWOOD DRIVE TOBYHANNA PA 18466 MEDICAL DISQUALIFICATION A 54 7540 10/2/2007 6/28/2018 N HALL, ANNA M. (RN) 44 LAKE TRAIL EAST WAYNE NJ 07470 MEDICAL SUSPENSION K 54 7540 10/18/2001 HALL, KIM 5 UNAMI LANE SCOTCH PLAINS NJ 07076 MEDICAL DISQUALIFICATION A 54 7540 1/23/2009 Y HUDSON MEDICAL LIVERY HAMAD, ALHIBER K. 100 RESERVOIR AVENUE JERSEY CITY NJ 07307 100 RESERVOIR AVENUE JERSEY CITY NJ 07307 MEDICAL DISQUALIFICATION K 54 7540 12/1/1998 Y HAMBERG, IVAN (OD) 49 W. CHELTEN AVENUE PHILADEPHIA PA 19144 MEDICAL DISQUALIFICATION K 54 7540 8/27/2001 Y HAMDAN, AIMAN (MD) 1336186600 7 OAK HILL DRIVE WAYNE NJ 07470 MEDICAL DISQUALIFICATION K 54 7540 8/20/2018 N HAMDAN, KRISTINA 7 OAK HILL DRIVE WAYNE NJ 07470 MEDICAL DISQUALIFICATION K 54 7540 11/16/2017 N HAMDAN, KRISTINA #70919-050 ALDERSON FPC, GLEN RAY ROAD, BOX A ALDERSON WV 21910 MEDICAL DISQUALIFICATION K 54 7540 7/4/2019 N ANDAS PHARMACEUTICAL SUPPLY CORP. HAMED, AHMED 592 PALISADE AVENUE TEANECK NJ 07666 592 PALISADE AVENUE TEANECK NJ 07666 MEDICAL DISQUALIFICATION K 54 7540 5/20/2018 N HAMEEDI, FAWAD (MD) 1124318068 79 WASHINGTON AVENUE NORTH HAVEN CT 06473 MEDICAL DISQUALIFICATION K 54 7540 3/20/2022 N HAMENOO, LOVESDALE AKA ADADEVOH, LOVESDALE (CHHA) 1 SKYTOP GARDENS, APT. 19 PARLIN NJ 08859 MEDICAL DISQUALIFICATION K 54 7540 7/16/2019 N HAMM, CARRIE (RN) 1134 N. STILES STREET LINDEN NJ 07036 MEDICAL DEBARMENT K 54 7540 2/23/2010 2/23/2013 N HAMM, CARRIE (RN) 1134 N STILES STREET LINDEN NJ 07036 MEDICAL SUSPENSION K 54 7540 9/19/2003 2/23/2013 N HAMPTON, GLYNDA 571 MONTGOMERY STREET JERSEY CITY NJ 07302 MEDICAL DISQUALIFICATION K 54 7540 3/29/2002 Y HAN, DANIEL 481 WALKER STREET, APT. 1D FAIRVIEW NJ 07022 MEDICAL DISQUALIFICATION K 54 7540 11/29/2016 HANDERHAN, LEROY (RN) 909 ABINGTON ROAD CHERRY HILL NJ 08034 MEDICAL DISQUALIFICATION K 54 7540 5/20/2007 N HANDS, EVELYN (CHHA) 789 WHEATLAND COURT CAMDEN NJ 08104 MEDICAL DISQUALIFICATION K 54 7540 1/27/2006 N HANLEY, KEVIN 10203 SPRINGRIDGE AVENUE BATON ROUGE LA 70810 MEDICAL DISQUALIFICATION A 54 7540 9/20/2023 HANNA, ALEXANDRA (LPN) 51 NORTHRUP DRIVE BRICK NJ 08724 MEDICAL DISQUALIFICATION K 54 7540 5/2/2018 HANNA, ASHRAF (PHARM TECH) 50 WILLETT AVENUE SOUTH RIVER NJ 08882 MEDICAL DISQUALIFICATION K 54 7540 11/21/2016 N HANNAN, SR., PAUL (MD) 1639166572 6619 WALLASTON COURT BROOKLYN NY 11204 MEDICAL DISQUALIFICATION K 54 7540 1/15/2021 N HANSCOM, CRYSTAL (RPH) 1407 BROMLEY ESTATES PINE HILL NJ 08021 MEDICAL DISQUALIFICATION A 54 7540 8/8/2011 9/6/2016 N HARLOW, ALBERT J. 515 SUMMIT LANE RIEGELSVILLE PA 18077 CONSTRUCTION DEBARMENT F 62 4550 4/22/2013 4/21/2016 N Harold Marshall, Jr., Member 1800 Eva Street Austin TX 78704 CONSTRUCTION DEBARMENT F 62 4550 5/12/2014 05/11/2017 N HARPER, JENNIFER R. (RN) 131 HEMLOCK COURT WOODBURY NJ 08096 MEDICAL SUSPENSION K 54 7540 6/19/2003 N HARRELL, PAMELA L. (RN) 1150 REDROCK CANYON RD KATY TX 77450 MEDICAL SUSPENSION K 54 7540 8/20/2002 N HARRIGAN, DAVID C. (DC) 1932155736 161 W. WHITE HORSE PIKE ABSECON NJ 08201 MEDICAL DISQUALIFICATION K 54 7540 12/29/1995 N HARRIS, AMBER 19 RUFFED GROUSE PATH LAKE ARIEL PA 18436 MEDICAL DISQUALIFICATION A 54 7540 3/5/2024 N HARRIS, JOHNNIE 2 LAKE BLVD EWING NJ 08638 MEDICAL DISQUALIFICATION K 54 7540 4/22/2006 Y HARRIS, PAUL AKA PATEL, HARISH (MD) GB-46 PO BOX 26010 BEAUMONT TX 77720 MEDICAL SUSPENSION K 54 7540 11/20/2006 N HARRISON, RONISHA (CHHA) 96 KNIGHTS BRIDGE WAY MAYS LANDING NJ 08330 MEDICAL DISQUALIFICATION K 54 7540 10/9/2018 N HARRIS-POOLE, IRENE (PTA) 708G LUCAS LANE VOORHEES NJ 08043 MEDICAL DEBARMENT K 54 7540 8/20/2003 N Harry Gallo, Secretary 245 Emanuel St. Trenton NJ 08610 CONSTRUCTION DEBARMENT F 62 4550 4/5/2016 4/4/2019 N HARVILIK, DOROTHEA (RN) 20 EAST ALLENDALE ROAD SADDLE RIVER NJ 07458 MEDICAL DISQUALIFICATION K 54 7540 6/28/2017 Y HASSAN, FAWZIA (CHHA) 3413 JOHN F. KENNEDY BLVD., APT. 3 JERSEY CITY NJ 07307 MEDICAL DISQUALIFICATION K 54 7540 7/28/2023 N HASSAN, SALAH A. 105 TONNELLE AVENUE JERSEY CITY NJ 07305 MEDICAL DISQUALIFICATION K 54 7540 5/31/2001 Y HASSETT, IRENE (PHD) 1801894803 950 MORGAN HIGHWAY 226 SOUTH ABINGTON PA 18411 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 HATCHER-MURPHY, KIMBERLY AKA HURBAN, KIMBERLY (LPN) 966 HERMAN DRIVE DEPTFORD NJ 08051 MEDICAL DEBARMENT K 54 7540 7/18/2018 N HATTON, JOSEPH R. (RN) 41 DOGWOOD DRIVE SOMERS POINT NJ 08244 MEDICAL DISQUALIFICATION K 54 7540 3/14/2023 HEGGS, PAMELA B. P.O. BOX 4004 CLINTON NJ 08809 MEDICAL DISQUALIFICATION K 54 7540 10/18/2007 N HEIGEL, GEORGE 350 MAIN STREET KERSEY PA 15846 CONSTRUCTION DEBARMENT F 62 4550 5/30/2013 5/29/2016 N HEINRICH, SARATU (CHHA) 435 STUYVESANT AVENUE, FLOOR 1 IRVINGTON NJ 07111 MEDICAL DISQUALIFICATION K 54 7540 7/19/2023 N E & S ENTERPRISES, LLC HELEN HENRIQUEZ, OWNER PO Box 2050 Vineland NJ 08360 101 South Orachard Rd Vineland NJ 08360 CONSTRUCTION DEBARMENT F 62 4550 1/28/2016 1/27/2019 N HELLER, ELLIOT M. (MD) 1770688723 1150 AMBOY AVENUE EDISON NJ 08837 MEDICAL DISQUALIFICATION A 54 7540 4/29/2003 6/25/2014 N HENRIQUEZ, HELEN 101 S. ORCHARD ROAD VINELAND NJ 08360 CONSTRUCTION DEBARMENT F 62 4550 1/28/2016 1/27/2019 N HENRY, SARA (RN) 54 CARVER AVENUE LINDENWOLD NJ 08021 MEDICAL DISQUALIFICATION K 54 7540 3/7/2008 N HERMAN, LAWRENCE S. (DC) 1881664761 8908 DANVILLE TERRACE FREDERICK MD 21701 MEDICAL DISQUALIFICATION K 54 7540 12/29/2015 HERMAN, THERESA (RN) 676 HARBOR ROAD BRICK NJ 08724 MEDICAL SUSPENSION K 54 7540 5/20/2004 N HERNANDEZ, FRANCHESCA (CHHA) 256 N 11TH STREET NEWARK NJ 07107 MEDICAL DISQUALIFICATION K 54 7540 10/4/2023 HERNANDEZ, JENNIFER OFELIA (CHHA) 1410 OAK TREE DRIVE (H) NORTH BRUNSWICK NJ 08902 MEDICAL DISQUALIFICATION A 54 7540 6/25/2013 N HERNANDEZ, NORA LEE (LPN) 4820 OLD HARRISBURG ROAD, LOT 27 GETTYSBURG PA 17325 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 HERNANDO, GILDA 669A CHAMBERS STREET TRENTON NJ 08611 MEDICAL DISQUALIFICATION A 54 7540 11/8/2002 N HERSCHMAN, ZVI J. (MD) 1033217492 1 OLD SHORT HILLS ROAD LIVINGSTON NJ 07039 MEDICAL DEBARMENT K 54 7540 10/28/2013 N HERSCHMAN, ZVI J. (MD) 1033217492 346 WILSON STREET WEST HEMPSTEAD NY 11552 MEDICAL DISQUALIFICATION A 54 7540 4/20/2013 N HERSHAN, DAVID (MD) 1740280957 33 OWATONNA STREET HAWORTH NJ 07641 MEDICAL DISQUALIFICATION K 54 7540 5/18/2017 HESSEIN, AMGAD A. (MD) 1578637260 483 SOUTH ORANGE AVENUE SOUTH ORANGE NJ 07079 MEDICAL SUSPENSION A 54 7540 1/26/2012 5/25/2016 N HESSEIN, AMGAD A. (MD) 1578637260 24 DOGWOOD COURT WOODLAND PARK NJ 07424 MEDICAL DEBARMENT K 54 7540 5/25/2016 HESSEIN, AMGAD A. (MD) 1578637260 BAYSIDE STATE PRISON, PO BOX F-1 LEESBURG NJ 08327 MEDICAL DISQUALIFICATION K 54 7540 5/1/2017 HEYMACH, GEORGE (MD) 1568588317 801 W. 57TH TERRACE KANSAS CITY MO 64113 MEDICAL DISQUALIFICATION K 54 7540 8/27/2001 Y HEYMAN, JACK (DO) 124 E MT PLEASANT AVENUE LIVINGSTON NJ 07039 MEDICAL DISQUALIFICATION A 54 7540 1/7/1983 DECEASED N HIBBS, ELIZABETH AND ELIZABETH O'BRIEN 2201 BENJAMIN FRANKLIN PARKWAY, APT. 807 PHILADEPHIA PA 19130 MEDICAL DISQUALIFICATION K 54 7540 5/18/2019 HICKS, MYASIA (CHHA) 38-40 JOHNSON AVENUE NEWARK NJ 07108 MEDICAL DISQUALIFICATION K 54 7540 11/8/2017 N HIGGINS, GARY W. (RN) 548 WAYSIDE ROAD NEPTUNE NJ 07753 MEDICAL SUSPENSION K 54 7540 10/20/2002 N HIGGINS, MARTIN 706 BLOOMFIELD AVENUE NUTLEY NJ 07110 MEDICAL SUSPENSION K 54 7540 7/20/2005 N HIGGINS, RANDALL T. (RPH) 17 WAVERLY PLACE MATAWAN NJ 07747 MEDICAL DISQUALIFICATION K 54 7540 3/3/2017 HILLA,ALAN 612 CHEROKEE LANE BRIELLE NJ 08730 VENDOR A 66 1020 6/6/2017 6/6/2027 HILLEY, KATHLEEN M. 219 CENTER STREET TUCKERTON NJ 08087 MEDICAL DISQUALIFICATION A 54 7540 10/15/2010 N HILT, JOE PRESIDENT 79 MYRTLE AVENUE MICKELTON NJ 08056 CONSTRUCTION DEBARMENT F 62 4550 8/23/2012 8/22/2015 N HILTON JR., JAMES R. (DO) 28 BROCKTON COURT BEACON FALLS CT 06403 MEDICAL DEBARMENT K 54 7540 4/3/2002 N HIMMELWRIGHT, VICTOR 44 LONDONBERRY WAY SUMMIT NJ 07901 MEDICAL DISQUALIFICATION A 54 7540 6/1/1993 Y HINSON, ANTHONY (RN) 566 RECTOR STREET PHILADEPHIA PA 19128 MEDICAL DISQUALIFICATION K 54 7540 5/21/2020 N HINSON, ANTHONY M. (RN) 566 RECTOR STREET PHILADELPHIA PA 19128 MEDICAL DISQUALIFICATION K 54 7540 6/30/2023 Y HIRES, STEPHANIE (RN) 725 FORD AVENUE LANGHORNE PA 19047 MEDICAL DISQUALIFICATION K 54 7540 2/20/2018 N HIRSCH, SCOTT 871 CORONADO CENTER DR., SUITE 200 HENDERSON NJ 89052 MEDICAL DISQUALIFICATION A 54 7540 3/20/2022 HIRSH, HOWARD (RPH) 1811204605 163 EINSTEIN WAY EAST WINDSOR NJ 08512 MEDICAL DISQUALIFICATION K 54 7540 10/25/2016 HO, SHING (MD) 6 JAMOR COURT NESCONSET NY 11767 MEDICAL SUSPENSION K 54 7540 10/19/2000 HOANG, NGOC aka ANNIE HOANG (RN) 12046 COURSEY BLVD BATON ROUGE LA 70816 MEDICAL DISQUALIFICATION K 54 7540 9/22/2022 N HOCHBERG, JOHN (MD) 1134280480 288 PLEASANT VALLEY ROAD MORGANVILLE NJ 07751 MEDICAL DISQUALIFICATION K 54 7540 9/14/2016 9/23/2022 HOCHBERG, JOHN (MD) 1134280480 288 PLEASANT VALLEY ROAD MORGANVILLE NJ 07751 MEDICAL DISQUALIFICATION K 54 7540 4/17/2017 9/23/2022 HODGKISS, KATHLEEN (PSYCH) 1013179233 151 KNOLLCROFT ROAD LYONS NJ 07939 MEDICAL DEBARMENT K 54 7540 7/22/2017 HOFFMAN, KATHLEEN AKA SULIMENKO-HOFFMAN, KATHLEEN (LPN) 99 CREEK ROAD BRICK NJ 08724 MEDICAL DISQUALIFICATION K 54 7540 9/13/2018 N HOFFMAN, LISA M. 405 OLCOTT STREET ORANGE NJ 07050 MEDICAL DISQUALIFICATION A 54 7540 5/31/2022 HOFFMAN, LISA M. FCI DANBURY ROUTE 37 DANBURY CT 06811 MEDICAL DISQUALIFICATION K 54 7540 11/20/2023 N HOFFMAN, MARTIN L. (MD) 7 CAREFREE LANE SUFFERN NY 10901 MEDICAL DEBARMENT K 54 7540 3/29/2002 N HOFFSPIEGEL, PAUL 56 SULLLIVAN DRIVE WEST ORANGE NJ 07052 MEDICAL SUSPENSION A 54 7540 8/6/1998 HOFSTETTER, DAVID OWNER 114 COUNTY ROAD 513 PITTSTOWN NJ 08867 MEDICAL SUSPENSION K 54 7540 6/14/2000 HOLCA, LIVIU (MD) 1053348417 1137 BEACON AVENUE MANAHAWKIN NJ 08050 MEDICAL SUSPENSION K 54 7540 11/25/2014 HOLLENBAUGH, JUSTIN E. (RN) 616 LESTERSSHIRE DRIVE SEWELL NJ 08080 MEDICAL DISQUALIFICATION K 54 7540 2/8/2024 N HOLLEY, AKEYA (CHHA) 11 MONTICELLO AVENUE, 2ND FLOOR NEWARK NJ 07106 MEDICAL DISQUALIFICATION K 54 7540 7/13/2018 HOLLOWAY, JAZMINE (CHHA) 95 CUMMINGS AVENUE IRVINGTON NJ 07111 MEDICAL DISQUALIFICATION K 54 7540 1/23/2018 HOLLOWAY, LAKEZIA (CHHA) 1306 SUMMERFIELD AVENUE ASBURY PARK NJ 07712 MEDICAL DISQUALIFICATION K 54 7540 7/13/2018 PARTNERS FOR HOPE HOLLOWAY, QUINCEY (LSW) 447 EAST 42ND STREET PATERSON NJ 07504 1689883001 447 EAST 42ND STREET PATERSON NJ 07504 MEDICAL DISQUALIFICATION K 54 7540 1/17/2019 4/24/2019 HOLMES, THERESA (CHHA) 1290 N. 27TH STREET CAMDEN NJ 08105 MEDICAL DISQUALIFICATION K 54 7540 2/12/2018 HOMAN, WALTER W. (CHHA) FORECASTLE AVENUE BEACHWOOD NJ 08722 MEDICAL SUSPENSION K 54 7540 8/21/2008 N HONG, JOSEPH S. (MD) 1346258001 34 FOREST DRIVE WATCHUNG NJ 07069 MEDICAL DISQUALIFICATION K 54 7540 9/29/2016 HOOKE, KNYCKHOLLE 1050 HARRISON AVENUE ROSELLE NJ 07203 MEDICAL SUSPENSION A 54 7540 12/14/2022 N HOPKINS, TANYA (CHHA) 433 EAST 18TH STREET, 2ND FLOOR PATERSON NJ 07524 MEDICAL DISQUALIFICATION K 54 7540 9/20/2019 N HOPPE, GERALD BOX 483A RD 1 MONROEVILLE NJ 08343 MEDICAL DISQUALIFICATION A 54 7540 6/1/1993 Y HORN, MURRAY 287 GARFIELD AVE HAWORTH NJ 07641 MEDICAL DISQUALIFICATION A 54 7540 8/19/1984 Y HORVATH, CHARLYN (RN) 3072 BORDENTOWN AVENUE PARLIN NJ 08859 MEDICAL DISQUALIFICATION K 54 7540 3/27/2018 N HORWITZ, KENNETH (RPH) 8 MOHAWK PLACE RANDOLPH NJ 07869 MEDICAL DEBARMENT K 54 7540 10/31/2003 7/20/2011 N HOUSTON, PLATINUM (CHHA) 15 COURTLAND LANE WILLINGBORO NJ 08046 MEDICAL DISQUALIFICATION K 54 7540 9/19/2017 N HOUTAN, FARAH (PTA) 269 STEELMANVILLE ROAD EGG HARBOR NJ 08234 MEDICAL DEBARMENT A 54 7540 5/1/2012 N HOUTAN, FARAH (PTA) 269 STEELMANVILLE ROAD EGG HARBOR TOWN NJ 08234 MEDICAL SUSPENSION A 54 7540 10/27/2009 N HOWARD, REGINA R. 104 E. 8TH STREET LAKEWOOD NJ 08701 MEDICAL DISQUALIFICATION A 54 7540 10/30/2013 N HOWARD, ROBIN A. (RN) 196 KING AVENUE TRENTON NJ 08638 MEDICAL DISQUALIFICATION K 54 7540 7/19/2001 Y HOWELL, BRIAN (LPN) 106 PARKER AVENUE #2 FORKED RIVER NJ 08731 MEDICAL DISQUALIFICATION K 54 7540 7/27/2017 HOWELL, CHRISTOPHER (CHHA) 978 JOLSON COURT MANCHESTER TOWNSHIP NJ 08759 MEDICAL DEBARMENT K 54 7540 10/26/2017 N HOWELL, CLIFTON (MD) 1942247622 15 COLONY DRIVE WEST WEST ORANGE NJ 07052 MEDICAL DISQUALIFICATION A 54 7540 8/19/2011 N HOWELL, CLIFTON (MD) 1942247622 15 COLONY DRIVE WEST WEST ORANGE NJ 07052 MEDICAL DEBARMENT A 54 7540 10/18/2012 N HRABARCHUK, EUGENE (MD) 925 CLIFTON AVENUE CLIFTON NJ 07013 MEDICAL DISQUALIFICATION K 54 7540 12/1/1998 Y HSIA, VINCENT (RPH) 1710209291 SCHUYLKILL FCI MINERSVILLE PA 17954 MEDICAL DISQUALIFICATION A 54 7540 5/1/2014 N HU, HSUN TUAN 154 HOMESTEAD PLACE BOGOTA NJ 07603 MEDICAL DISQUALIFICATION K 54 7540 5/10/1999 Y HUBBARD, PETER (RN) 1051 WASHINGTON STREET, APT. 4 EASTON PA 18042 MEDICAL DISQUALIFICATION K 54 7540 10/25/2016 7/12/2022 HUDSON, FITZGERALD (MD) 1639367725 PO BOX 1000 MILAN MI 48160 MEDICAL DEBARMENT A 54 7540 6/12/2014 N HUERTA JR., FRANK 25 CHAPEL STREET BROOKLYN NY 11201 25 CHAPEL STREET BROOKLYN NY 11201 MEDICAL SUSPENSION K 54 7540 1/10/1997 HUERTAS, CARLOS 47 GARRISON AVENUE JERSEY CITY NJ 07306 VENDOR DEBARMENT K 66 1020 Y HFC Painting Hugo Canabe, CEO 696 Elm St Kearny NJ 07032 696 Elm St Kearny NJ 07032 CONSTRUCTION DEBARMENT F 62 4550 3/18/2015 03/17/2018 N DM FERNANDES CONTRACTS, LLC Hugo Fernandes, Owner 551 North Broad St Elizabeth NJ 07208 90 Willow Street Cartaret NJ 07008 CONSTRUCTION DEBARMENT f 62 4550 1/28/2015 1/27/2018 N HUNDA, RAFAEL (MD) 472 RIVER STREET PATERSON NJ 07524 MEDICAL DISQUALIFICATION K 54 7540 9/21/2001 Y HUNTER, CHRISTOPHER (LPN) 430 BARTINE STREET SOMERVILLE NJ 08876 MEDICAL SUSPENSION K 54 7540 6/20/2002 N HUNTER, FRANK L. 6 HARTZ DRIVE BRIDGETON NJ 08302 MEDICAL SUSPENSION K 54 7540 2/20/2005 N HURBAN, KIMBERLY AKA HATCHER-MURPHY, KIMBERLY (LPN) 966 HERMAN DRIVE DEPTFORD NJ 08051 MEDICAL DEBARMENT K 54 7540 7/18/2018 N HURLEY, DOUGLAS #65501-050 FCI FAIRTON #66214-050, PO BOX 420 FAIRTON NJ 08320 MEDICAL DISQUALIFICATION K 54 7540 5/18/2019 N Jamali Developers, LLC SUSPENDED PENDING DEBARMENT Hussain Burhanpurwala, Member 553 Main Street North Brunswick NJ 08902 238 Fresh Ponds Rd Suite 100 Monroe NJ 08816 CONSTRUCTION DEBARMENT F 62 4550 1/0/1900 SUSPENDED N HUSSAIN, IFTIKHAR 9 VAN COURTLAND AVENUE STATEN ISLAND NY 10301 MEDICAL DISQUALIFICATION A 54 7540 1/29/2003 Y HUSSAIN, ZAHID (MD) 1992733232 301 ROUTE 9 NORTH FREEHOLD NJ 07728 MEDICAL SUSPENSION K 54 7540 9/30/2011 7/22/2016 N HUSSKE, JULIE (RN) 1105 CRENDALL WAY WAKE FOREST NC 27587 MEDICAL DISQUALIFICATION K 54 7540 11/10/2019 N HUSTON JR., JOHN A. DN2591 (CHHA) 8 PRODUCTION WAY AVENEL NJ 07001 MEDICAL SUSPENSION K 54 7540 8/29/1997 HYMAN, DEBORAH 6 HASTINGS LANE FLEMINTON NJ 08822 MEDICAL SUSPENSION K 54 7540 8/20/2006 N HYMAN, RONALD M. (RPH) 3845 DEMPSEY HUNTINGTON VALLEY PA 19006 MEDICAL SUSPENSION K 54 7540 1/19/2005 N IBRAHIM, ELHADI 125 HALF MILE RD, BOX 190 MIDDLETOWN NJ 07748 MEDICAL DEBARMENT K 54 7540 1/29/2001 Y ATA MEDICAL TRANSPORTATION IBRAHIM, GASIM 55 WASHINGTON STREET, SUITE 600 EAST ORANGE NJ 07017 340 FAIRMOUNT JERSEY CITY NJ 07306 MEDICAL DISQUALIFICATION K 54 7540 12/11/1996 Y IBRAHIM, MOHAMMAD (MD) 1265494645 871 MCBRIDE AVENUE WOODLAND PARK NJ 07424 MEDICAL DEBARMENT K 54 7540 1/22/2016 IGBERASE, OLUWAFEMI AKA IGBERASE, CHARLES AKA AKODA, CHARLES (RN) 1609033042 14909 DOWNEY COURT, SUITE 200 BOWIE MD 20721 MEDICAL DISQUALIFICATION K 54 7540 5/20/2018 N IGBINADUWA, NEWTON (RPH) 116-35 139TH STREET JAMAICA NY 11436 MEDICAL SUSPENSION K 54 7540 5/19/2005 N IGHAMA-AMEGOR, IBIOLA (MD) 1639251804 59 MAPLE AVENUE VAUXHALL NJ 07088 MEDICAL DISQUALIFICATION K 54 7540 8/16/2017 IGHAMA-AMEGOR, IBIOLA (MD) 1639251804 204 KEER AVENUE NEWARK NJ 07112 MEDICAL DISQUALIFICATION K 54 7540 5/18/2019 N IGNACCOLO, EMANUELE (MD) 688 WYCHOFF AVENUE MAHWAH NJ 07430 MEDICAL DISQUALIFICATION A 54 7540 6/1/1993 DECEASED N IKEH, CHIDI ETHELBERT PO BOX 26030 BEAUMONT TX 77720 MEDICAL DISQUALIFICATION A 54 7540 3/9/2008 N ILEM, PRISCILLA G. (MD) 1699860684 782 ALPS ROAD WAYNE NJ 07470 MEDICAL DISQUALIFICATION A 54 7540 10/27/2013 N ILLINGWORTH, DONNA (LPN) 1505 CLAIRE ROAD FORKED RIVER NJ 08731 MEDICAL SUSPENSION K 54 7540 5/19/2005 N IMANE, HARRAFI (CHHA) 30 WASHINGTON PKWY, APT. B BAYONNE NJ 07002 MEDICAL DISQUALIFICATION K 54 7540 7/19/2023 N INGALLS, ANDREA (CHHA) 36 NORWOOD STREET, 3RD FLOOR NEWARK NJ 07106 MEDICAL DISQUALIFICATION K 54 7540 4/19/2018 N INNES JR., GEORGE MICHAEL (MD) 1736 EAST GENESEE STREET FAYETTEVILLE NY 13066 MEDICAL SUSPENSION K 54 7540 7/20/2005 N Envirocare Enterprises, Inc.Envirocare Enterprises, Inc. Inno Obiorah, Manager 658 Rutgers Pl Paramus NJ 07652 358 Broadway Suite 202 Newark NJ 07104 CONSTRUCTION DEBARMENT F 62 4550 5/16/2014 05/15/2017 N INNOCENZI, ANTHONY (DPM) 1255336079 7972 AQUADALE DRIVE YOUNGSTOWN OH 44512 MEDICAL DISQUALIFICATION K 54 7540 12/29/2015 INSABELLA, HARRY (DDS) 591 SOMERSET ST. SOMERSET NJ 08873 MEDICAL DISQUALIFICATION A 54 7540 7/1/1997 Y INTELISANO, RONALD (DO) 1235200775 46 BUCKINGHAM DRIVE BERLIN NJ 08009 MEDICAL DISQUALIFICATION K 54 7540 3/3/2017 INTELISANO, RONALD (DO) 1235200775 1504 BLACKWOOD CLEMENTON ROAD BLACKWOOD NJ 08012 MEDICAL DISQUALIFICATION K 54 7540 12/29/2017 N IOSIM, ANATOLY (CHHA) 9217 FALSTON CIRCLE OLD BRIDGE NJ 08857 MEDICAL DEBARMENT K 54 7540 1/20/2017 N IQBAL, MOHAMMED S. (MD) 1972564078 LINWOOD AVENUE RIDGEWOOD NJ 07450 MEDICAL DEBARMENT A 54 7540 9/12/2008 N IRBY, ARCHER (DC) 1801927520 115 GRAND AVENUE ENGLEWOOD NJ 07631 MEDICAL DISQUALIFICATION K 54 7540 10/25/2016 Euro Construction Ireneusz Waluk, Owner 70 Bordentown-Chesterfied Chesterfield NJ 08022 70 Bordentown Chesterfield Rd Chesterfield NJ 08022 CONSTRUCTION DEBARMENT F 62 4550 2/25/2014 02/24/2017 N IRVING, EDWARD J. 202 SEYMOUR AVENUE NEWARK NJ 07108 MEDICAL SUSPENSION K 54 7540 4/20/2004 N ISAACSON, STEVEN (RPH) 1959 BIRCHWOOD PARK DRIVE CHERRY HILL NJ 08034 MEDICAL DISQUALIFICATION A 54 7540 4/6/1995 Y ISHAK, ABRAM (CHHA) 132 EILEEN DRIVE CEDAR GROVE NJ 07009 MEDICAL DISQUALIFICATION K 54 7540 7/19/2023 N ISKANDARANI, NIMER (MD) 1457498768 38 PATTEN TERRACE CEDAR GROVE NJ 07009 MEDICAL DEBARMENT K 54 7540 11/16/2021 Y ISLAMBEKOV, ALLANUR 11 ARBORETUM DRIVE JACKSON NJ 08527 CONSTRUCTION DEBARMENT F 62 4550 5/12/2014 5/11/2017 N ISMAIL, KHADEJAH (CHHA) 827 E. FRONT STREET, APT. C PLAINFIELD NJ 07062 MEDICAL DISQUALIFICATION K 54 7540 7/5/2023 N ISMAIL, MOHAMMAD (RPH) 4 GRAHAM COURT PARSIPPANY NJ 07054 MEDICAL SUSPENSION K 54 7540 12/18/2003 N IVASHENKO, ALEXANDER (PT) 1134289796 31 GOLDSMITH DRIVE HOLMDEL NJ 07333 MEDICAL SUSPENSION K 54 7540 5/25/1999 IYENGAR, DEVARAJAN (MD) 1689620700 27 EAST 29TH STREET BAYONNE NJ 07002 MEDICAL SUSPENSION C 54 7540 8/25/2015 1/10/2017 N JACKSON, AFRIKA AKA HALL, AFRIKA BRIARWOOD DRIVE TOBYHANNA PA 18466 MEDICAL DISQUALIFICATION A 54 7540 10/2/2007 6/28/2018 N JACKSON, AMINATU (CHHA) 26 JAMES STREET, C12 LAKEWOOD NJ 08701 MEDICAL DISQUALIFICATION K 54 7540 2/8/2017 N JACKSON, AVILA TYRELL a.k.a. JACKSON, AVIA TYRELL 1811196488 100 PHILLIPS ROAD, APT 62 SOMERSET NJ 08873 MEDICAL DISQUALIFICATION K 54 7540 7/18/2020 JACKSON, DESHONETTE (CHHA) 419 EAST 27TH STREET, 2ND FLOOR PATERSON NJ 07515 MEDICAL DISQUALIFICATION K 54 7540 4/19/2018 N JACKSON, GEORGE D. (PSYCH) 367 FAIRVIEW AVE. ORANGE NJ 07050 MEDICAL DISQUALIFICATION A 54 7540 6/30/1997 Y JACKSON, MAKEBA (CHHA) 15 MILL STREET EATONTOWN NJ 07724 MEDICAL DISQUALIFICATION K 54 7540 7/14/2017 N JACKSON, ZEKIA (CHHA) 232 JUSTIN WAY WILLIAMSTOWN NJ 08094 MEDICAL DISQUALIFICATION K 54 7540 10/19/2017 N JACKSON-GILLARD, CRYSTALYNN (CHHA) 3 BORDEN AVENUE, APT. 8 ASBURY PARK NJ 07712 MEDICAL DISQUALIFICATION K 54 7540 4/24/2018 N JACOBS, AMY (LPN) 620 MOUNTAIN ROAD BUTLER NJ 07405 MEDICAL DISQUALIFICATION K 54 7540 6/5/2017 JACOBS, ROSS M. 15 MAST DRIVE BARNEGAT NJ 08005 VENDOR SUSPENSION G 82 2050 10/12/2004 N JACOBSON, CRAIG (DC) 1219 LIBERTY AVENUE HILLSIDE NJ 07205 MEDICAL DISQUALIFICATION A 54 7540 3/24/2000 DECEASED N JACOBSON, DEBRA 661 RT. 9 BAYVILLE NJ 08721 MEDICAL DISQUALIFICATION A 54 7540 1/25/2011 1/25/2013 N JACOBSON, JAY P. (DC) 1508084385 25 DEER PATH HOLMDELL NJ 07733 MEDICAL DISQUALIFICATION K 54 7540 4/12/1996 Y JACQUES, ARNOLD J. (MD) 1124170899 31 BRIDGEWATER COURT JACKSON NJ 08527 MEDICAL DISQUALIFICATION K 54 7540 7/30/2011 N JACQUEZ, MADELIN (CHHA) 2141 SOUTH CLINTON AVENUE HAMILTON NJ 08610 MEDICAL DISQUALIFICATION K 54 7540 2/12/2018 JAFARI, MARYAM (MD) 1831276880 80 LINDEN STREET APT. M MILLBURN NJ 07041 MEDICAL DISQUALIFICATION A 54 7540 9/20/2014 N JAFARI, MARYAM (MD) 1831276880 176 BLOOMFIELD AVENUE NEWARK NJ 07104 MEDICAL SUSPENSION A 54 7540 2/22/2012 N JAFFERY, SYED (MD) 1235153685 109 TROTTER ROAD EGG HARBOR NJ 08234 MEDICAL DEBARMENT K 54 7540 2/15/2016 JAGTIANI, RAJA (MD) 1659320281 10 ONTARIO STREET DUMONT NJ 07628 MEDICAL SUSPENSION K 54 7540 6/6/2016 11/29/2016 JAGTIANI, RAJA (MD) 1659320281 10 ONTARIO STREET DUMONT NJ 07628 MEDICAL DEBARMENT A 54 7540 9/28/2015 JAKUBCZAK, ARTHUR F. (DC) 1053493718 465 RATHBURN PLACE PERTH AMBOY NJ 08861 MEDICAL SUSPENSION K 54 7540 1/18/2001 10/26/2001 JC Builders James Chaney, President 610 County Meadows Road Nicholls GA 31554 610 County Meadows Road Nicholls GA 31554 CONSTRUCTION DEBARMENT F 62 4550 8/11/2015 08/10/2018 N James DiLorenzo, Vice-President 440 Mantua Avenue Paulsboro NJ 08066 CONSTRUCTION DEBARMENT F 62 4550 2/3/2016 2/2/2019 N Perrone Trucking LLC James Perrone, Owner 74 Glen Roy Road East Fairfeild NJ 07004 74 Glenroy Road East Fairfield NJ 07004 CONSTRUCTION DEBARMENT F 62 4550 10/28/2015 10/27/2018 N The Grace Brothers James T. Grace, Owner 14 Surrey Lane Williingboro NJ 08046 311 Colonial Road Edgewater Park NJ 08010 CONSTRUCTION DEBARMENT F 62 4550 1/9/2014 01/08/2017 N Top Notch Tree & Landscape, LLC James Van Wyckhouse, Owner 46 Tam O Shanter Rd Mahwah NJ 07430 70 East Allendale Rd Saddle River NJ 07458 CONSTRUCTION DEBARMENT F 62 4550 12/7/2015 12/06/2018 N JAMES, EDWARD (DO) 1598789703 505 GROVE STREET SEWICKLEY PA 15143 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 JAMES, GLORIA M. (RN) 18 LINDEN COURT JERSEY CITY NJ 07305 MEDICAL SUSPENSION K 54 7540 7/20/2005 N JAMES, SULENNY (CHHA) 293-295 BROAD STREET, 2ND FLOOR NEWARK NJ 07104 MEDICAL DISQUALIFICATION K 54 7540 2/27/2017 N JAMISON, ROBERT W. (DO) 79 PARTRIDGE LANE CHERRY HIL NJ 08003 MEDICAL DEBARMENT K 54 7540 9/11/2000 Y JANKULOSKI, MARIA 4 QUARTZ LANE PATERSON NJ 07501 CONSTRUCTION DEBARMENT F 62 4550 6/10/2014 6/9/2017 N JANOF, ROY 502 WASHINGTON STREET HOBOKEN NJ 07030 MEDICAL DISQUALIFICATION A 54 7540 1/9/1983 Y JANVIER-PIERRE, MARY 6400 BRIDGEPORT LANE LAKE WORTH FL 33463 MEDICAL DEBARMENT A 54 7540 5/20/2012 N JARMON, ROBERT G. (MD) 8 BRIGHTON AVENUE SPRING LAKE NJ 07762 MEDICAL DEBARMENT K 54 7540 5/9/2002 N JASCALEVICH, MARIO E. (MD) 10 PRISCILLA LANE ENGLEWOOD CLIFF NJ 07632 MEDICAL DISQUALIFICATION A 54 7540 6/1/1993 DECEASED N JASINSKI, DARIUS (DPM) 1013995182 1225 MCBRIDE AVENUE WOODLAND PARK NJ 08424 MEDICAL DEBARMENT K 54 7540 12/29/2016 9/22/2020 N JASPER, SARAH (CHHA) 187 SIERRA COURT WOODBRIDGE NJ 07095 MEDICAL DISQUALIFICATION K 54 7540 1/31/2017 N JASPER, THEODORE (MD) 1528171972 1010 CLIFTON AVENUE CLIFTON NJ 07013 MEDICAL DEBARMENT K 54 7540 12/16/2015 JASPER, THEODORE (MD) 1528171972 1010 CLIFTON AVENUE CLIFTON NJ 07013 MEDICAL DEBARMENT K 54 7540 8/12/2015 JASZCZULT, JOAN E. (DO) 50 NEWARK AVENUE, APT 309 BELLEVILLE NJ 07109 MEDICAL DEBARMENT K 54 7540 2/3/2006 N JAVID, MOHAMMAD A. E. JERSEY STATE PRISON RAHWAY NJ 07065 MEDICAL SUSPENSION K 54 7540 8/20/2000 JAVID, MOHAMMAD A. 63 FEDERAL STREET METUCHEN NJ 08840 MEDICAL DISQUALIFICATION K 54 7540 4/11/1996 Y JAYARAM, AJIT (MD) 1295773869 215 SOUTH BURLINGTON ROAD BRIDGETON NJ 08302 MEDICAL DISQUALIFICATION A 54 7540 8/20/2013 N JAYARAM, AJIT (MD) 1295773869 215 SOUTH BURLINGTON ROAD BRIDGETON NJ 08302 MEDICAL DISQUALIFICATION A 54 7540 4/4/4014 N JEAN-BAPTISTE, DEMESVAR A. (MD) 1831227719 775 MOUNTAIN BLVD STE 1 WATCHUNG NJ 07069 MEDICAL SUSPENSION K 54 7540 9/19/2011 DECEASED N Twin Industries Jeanne Crispino, Vice-President 15 Lewis Street Eatontown NJ 07724 15 Lewis Street Eatontown NJ 07724 CONSTRUCTION DEBARMENT F 62 4550 4/5/2016 04/04/2019 N JECK, CHARLES N. (DO) 1 CHICKORY PLACE NEWTOWN PA 18940 MEDICAL SUSPENSION A 54 7540 7/5/2002 N JEDJU, LINDA (CHHA) 33 NINTH STREET, PO BOX 644 FLAGSTOWN NJ 08824 MEDICAL DISQUALIFICATION K 54 7540 11/27/2016 JEFFERSON, MICHAEL K. (DMD) 1811956238 408 PADDOCK COURT SEWELL NJ 08080 MEDICAL DISQUALIFICATION K 54 7540 8/16/2016 5/12/2017 Turfscapes LLC Jeffrey Grize, Owner 3477 S. Blackhorse Pike Williamstown NJ 08094 PO Box 950 Williamstown NJ 08094 CONSTRUCTION DEBARMENT F 62 4550 5/28/2014 05/27/2017 N JEFFRIES, MARC 2 MILLER LANE WHITEHOUSE STAT NJ 08889 MEDICAL DISQUALIFICATION A 54 7540 3/13/2014 N JELKS, SAMARRA (CHHA) 3309 RIDGEWAY ROAD MANCHESTER TOWNSHIP NJ 08759 MEDICAL DISQUALIFICATION K 54 7540 3/28/2017 N JEMINI, DAVID PO BOX 280, HWY. 698 FAIRTON NJ 08320 MEDICAL SUSPENSION K 54 7540 7/18/2002 N JEMINI, JACK PO BOX 600 ELGIN FL 32542 MEDICAL SUSPENSION K 54 7540 7/18/2002 N Saravia Concrete Pumping Corp. Jerson Saravia, Owner 223-10 113th St Queens Village NY 11429 223-10 113th St Queens Village NY 11429 CONSTRUCTION DEBARMENT F 62 4550 8/19/2013 08/18/2016 N Jethro Grace Jr., Owner 311 Colonial Road Edgewater Park NJ 08010 CONSTRUCTION DEBARMENT F 62 4550 1/9/2014 01/08/2017 N JIBEAU, GUY 40 ENTERPRISE AVENUE TRENTON NJ 08638 VENDOR DEBARMENT H 82 2050 4/10/2013 Y JIMENEZ, CRISTIAN (RN) 61 CHESTNUT STREET, APT. 3C ONEONTA NY 13820 MEDICAL DEBARMENT K 54 7540 6/10/2019 N JIMENEZ, JOSE (COUNSELOR) EXTENSION VILLA RITA SAN SEBASTIAN PR 00685 MEDICAL SUSPENSION K 54 7540 12/8/2003 12/8/2011 N JIMENEZ, ZOILA (CHHA) 458 PROSPECT STREET, APT. 3 LAKEWOOD NJ 08701 MEDICAL DISQUALIFICATION K 54 7540 7/5/2023 N JIN, JINHUA 405 CELEBRATION AVENUE KISSIMMEE FL 34747 MEDICAL DISQUALIFICATION K 54 7540 1/19/2022 JITAN, RAED (MD) 1033167986 1 BETHANY ROAD HAZLET NJ 07730 MEDICAL DEBARMENT K 54 7540 3/10/2021 JOACHIM, LEONARD (MD) 1720023005 26 LAKE DRIVE MOUNTAIN LAKES NJ 07046 MEDICAL DISQUALIFICATION K 54 7540 12/5/1997 Y JOACHIM, LEONARD (MD) 1720023005 25 HIDEAWAY LANE SPARTA NJ 07871 MEDICAL DISQUALIFICATION K 54 7540 5/5/2017 JOACHIM, STEPHANEM (CHHA) 15 LINDSLEY PLACE, APT. 1R EAST ORANGE NJ 07018 MEDICAL DISQUALIFICATION K 54 7540 1/31/2017 N JODELKA, ERIK (RPH) 1003103946 391 BEECROFT PLACE OAKHURST NJ 07755 MEDICAL DEBARMENT K 54 7540 8/20/2006 2/23/2011 N J.D.S Electric, Inc. Joe DeSalvo, Jr., Owner 149 Montross Ave Rutherford NJ 07070 149 Montross Ave Rutherford NJ 07070 CONSTRUCTION DEBARMENT F 62 4550 1/7/2015 01/06/2018 N JOHAL, GURVINDRA S. (DO) 1871551721 16 PARSON PLACE COLONIA NJ 07067 MEDICAL DISQUALIFICATION K 54 7540 3/8/2023 Metal Fab Atlantic LLC John Dever, Owner 1086 Mays Landing Rd Somers Point NJ 08234 353 Zion Road Egg Harbor Twp NJ 08234 CONSTRUCTION DEBARMENT F 62 4550 1/22/2015 01/21/2018 N Precise Builders LLC John Domingues, Owner 402 Market St Newark NJ 07105 402 Market St Newark NJ 07105 CONSTRUCTION DEBARMENT F 62 4550 5/28/2014 05/27/2017 N John Ettere, Owner 1453 Tooz Place South Plainfield NJ 07080 CONSTRUCTION DEBARMENT F 62 4550 1/5/2016 1/4/2019 N Garza Contracting LLC John Garza, Owner 768 Chambers Street Trenton NJ 08619 768 Chambers Street Trenton NJ 08619 CONSTRUCTION DEBARMENT F 62 4550 4/28/2014 04/27/2017 N D & B Partners LLCsame John Giannattasio, Member 89 Jeanne Court Stamford CT 06905 89 Jeanne Court Stamford CT 06905 CONSTRUCTION DEBARMENT F 62 4550 8/9/2013 08/08/2016 N Advantage Contracting & Entertainment Services Inc John H. Madara, President 319 Terrace Street Rahway NJ 07065 319 Terrace St Rahway NJ 07065 CONSTRUCTION DEBARMENT F 62 4550 5/8/2015 05/07/2018 N J&D Plumbing & Heating Inc. John J. Benedetti Jr., President 193 Natrona Avenue Mercerville NJ 08619 193 Natrona Avenue Mercerville NJ 08619 CONSTRUCTION DEBARMENT F 62 4550 11/2/2015 11/01/2018 N Mullen & Sons Contractors, Inc. John Mullen, Jr., Owner 45 Fairfield Place West Caldwell NJ 07006 PO Box 773 West Caldwell NJ 07006 CONSTRUCTION DEBARMENT F 62 4550 3/1/2016 02/28/2019 N John Mullen, Sr, President 45 Fairfield Place West Caldwell NJ 07006 CONSTRUCTION DEBARMENT F 62 4550 3/1/2016 2/28/2019 N Ocean Blue Builders LLC John Riley Jr, Managing Member 140 Harrison Ave Fair Haven NJ 07704 711 Carol Ave Oakhurst NJ 07755 CONSTRUCTION DEBARMENT F 62 4550 11/6/2014 11/05/2017 N Jamcon Construction LLC John Schiavo, Managing Member 6 Justa Lane Cherry Hill NJ 08003 100 Springdale Road Cherry Hill NJ 08003 CONSTRUCTION DEBARMENT F 62 4550 1/13/2014 01/12/2017 N Barzzini Construction John Sorrentino, Owner 65 Fern St Browns Mills NJ 08015 65 Fern Street Browns Mills NJ 08015 CONSTRUCTION DEBARMENT F 62 4550 9/16/2014 09/15/2017 N JOHNSON, ALICIA (LPN) 20 SKYTOP GARDENS PARLIN NJ 08859 MEDICAL DISQUALIFICATION K 54 7540 9/12/2016 JOHNSON, BEVERLY (CHHA) 909 ARMSTRONG BOULEVARD, APT 3A ASBURY PARK NJ 07712 MEDICAL DISQUALIFICATION K 54 7540 7/17/2018 N JOHNSON, BRENDA C. (LPN) 232 OAK STREET WILLIAMSTOWN NJ 08094 MEDICAL SUSPENSION K 54 7540 1/19/2003 N JOHNSON, CALLISHA (CHHA) 1250 PRINCESS AVENUE CAMDEN NJ 08103 MEDICAL DISQUALIFICATION K 54 7540 3/5/2019 N JOHNSON, DARLA (LPN) 4 STELTON ROAD UNIT C PISCATAWAY NJ 08854 MEDICAL DISQUALIFICATION K 54 7540 8/25/2022 N JOHNSON, DEMETRIA (CHHA) 21 ROSA PARK BOULEVARD PATERSON NJ 07524 MEDICAL DISQUALIFICATION K 54 7540 7/31/2017 N JOHNSON, DENISE M. (RN) 12 SIOUX TRAIL DENVILLE NJ 07834 MEDICAL SUSPENSION K 54 7540 4/20/2005 N JOHNSON, DUWANA L. (CHHA) 213 MARTIN LUTHER KING DR LAKEWOOD NJ 08701 MEDICAL SUSPENSION K 54 7540 9/14/2005 N JOHNSON, HENRY (OWNER) 1258 N. EAST AVENUE VINELAND NJ 08360 CONSTRUCTION DEBARMENT F 62 4550 1/25/2013 1/24/2016 N JOHNSON, JOANNA N. (LPN) 70 LAUREL DRIVE MAPLE SHADE NJ 08052 MEDICAL DISQUALIFICATION K 54 7540 7/18/2022 N JOHNSON, JOHN 33 GRAPEVINE ROAD LEVITTOWN PA 19057 MEDICAL SUSPENSION A 54 7540 12/14/2022 N JOHNSON, JULIE ANN (CHHA) 1145 MANTUA PIKE MANTUA NJ 08051 MEDICAL SUSPENSION K 54 7540 6/19/2001 JOHNSON, KIM E. (LPN) 68 JANS WAY BYRAM TOWNSHIP NJ 07821 MEDICAL DISQUALIFICATION K 54 7540 11/16/2017 N JOHNSON, LARHONDA (CHHA) 1704 CENTENNIAL VILLAGE CAMDEN NJ 08105 MEDICAL DISQUALIFICATION K 54 7540 2/8/2017 N JOHNSON, MICHAEL (LPN/RN) 899 DIANE COURT WOODBRIDGE NJ 07095 MEDICAL DISQUALIFICATION K 54 7540 3/28/2017 JOHNSON, ROBERT 1608 4TH AVE. ASBURY PARK NJ 07712 MEDICAL DISQUALIFICATION K 54 7540 1/6/2006 N JOHNSON, SHYKIRA (CHHA) 152 BELMONT AVENUE, APT. 2 PATERSON NJ 08522 MEDICAL DISQUALIFICATION K 54 7540 11/28/2018 N JOHNSTON, JAMES 25 IRELAND BROOK DRIVE NORTH BRUNSWICK NJ 08902 VENDOR A 66 1020 6/6/2017 6/6/2027 JOHNSTON, KELLIE (RN) 1697 SYLVAN DRIVE BLUE BELL PA 19422 MEDICAL SUSPENSION K 54 7540 10/19/2006 N JOHNSTON, MICHAEL #MX4261 (MFT) SCI CAMP HILL, PO BOX 200 CAMP HILL PA 17001 MEDICAL DISQUALIFICATION K 54 7540 9/29/2017 N Warbeck Construction Group LLC Jon J Warbeck, President 680 West Pine Brook Road Lincoln Pakr NJ 07035 63 Beaver Brook Rd Suite 305 Lincoln Park NJ 07035 CONSTRUCTION DEBARMENT F 62 4550 3/1/2016 02/28/2019 N Jonathan Ettere, President 7 Craig Road Readington NJ 08853 CONSTRUCTION DEBARMENT F 62 4550 1/5/2016 1/4/2019 N JONES, AARAON DASHAWN (MEDICAL ASSISTANT) 30 TIPTON LANE WILLINGBORO NJ 08046 MEDICAL DISQUALIFICATION A 54 7540 12/20/2022 JONES, ANIECE (LPN) 625 DREXEL AVENUE ATLANTIC CITY NJ 08401 MEDICAL DEBARMENT K 54 7540 6/4/2018 N JONES, CYNTHIA R. (RN) 1089 HAWSER AVENUE MANAHAWKIN NJ 08050 MEDICAL SUSPENSION K 54 7540 8/20/2002 N JONES, DAVID (LPN) 97 LINCOLN PARK NEWARK NJ 07102 MEDICAL SUSPENSION K 54 7540 3/20/2003 N JONES, IMAJE (CHHA) 287 ABLETT VILLAGE CAMDEN NJ 08105 MEDICAL DISQUALIFICATION K 54 7540 2/8/2017 N JONES, JASMINE (CHHA) 304 ERIAL ROAD SICKLERVILLE NJ 08081 MEDICAL DISQUALIFICATION K 54 7540 2/8/2017 N JONES, KEVIN (PHARM TECH) 734 STERLING STREET PLAINFIELD NJ 07062 MEDICAL DISQUALIFICATION K 54 7540 7/22/2017 JONES, MICHELLE N. 446 PROSPECT STREET-B16 LAKEWOOD NJ 08701 MEDICAL SUSPENSION K 54 7540 9/30/2005 11/25/2019 N JONES, ROSALIN (CHHA) 159 PFEIFFER STREET CAMDEN NJ 08105 MEDICAL DISQUALIFICATION K 54 7540 2/20/2017 N JONES, VANESSA (CHHA) 156 NORTH 18TH STREET EAST ORANGE NJ 07017 MEDICAL DEBARMENT K 54 7540 7/17/2018 N JONES-HATTOH, CHATIQUA (CHHA) 3 ROANOKE AVENUE, APT. 2C NEWARK NJ 07108 MEDICAL DISQUALIFICATION K 54 7540 1/23/2018 JONES-PRICE, ANTIONETTE PO BOX 1006 WENDELL NC 27591 MEDICAL DISQUALIFICATION A 54 7540 6/1/2000 Y JONES-PRICE, ANTOINETTE 120 S. 20TH STREET IRVINGTON NJ 07111 120 S. 20TH STREET IRVINGTON NJ 07111 MEDICAL SUSPENSION A 54 7540 3/16/1998 Y K & J Drywall Contractor, Inc. Jonny Ayala, Owner 68 Westervell Ave Plainfield NJ 07060 705 Taft Ave North Plainfield NJ 07063 CONSTRUCTION DEBARMENT F 62 4550 3/17/2016 03/16/2019 N JOO, EUI D. (MD) 29 TIP TOP WAY BERKELEY HGHTS NJ 07922 MEDICAL DISQUALIFICATION G 54 7540 10/14/1985 Y JORDAN, SANDRA (LPN) 15 CANIS COURT SEWELL NJ 08080 MEDICAL DISQUALIFICATION K 54 7540 6/5/2017 JOSE, DELIA V. 185 S.EUCLID ST, SUITE 111 PASADENA CA 91101 MEDICAL SUSPENSION K 54 7540 4/22/1997 J & B Plumbing LLC Joseph Battista, Owner 11 Hummingbird Way Jackson NJ 08527 644 Cross Street LAKEWOOD NJ 08701 CONSTRUCTION DEBARMENT F 62 4550 5/4/2015 05/03/2018 N Joseph Csakvary, Inc. Joseph Csakvary, President 163 Breakneck Road Highland Lakes NJ 07422 163 Breakneck Road Highland Lakes NJ 07422 CONSTRUCTION DEBARMENT F 62 4550 11/4/2013 11/03/2016 N Niceta Electric Joseph Niceta, Owner 2119 Merritt Drive Northfield NJ 08225 2119 Merritt Drive Northfield NJ 08225 CONSTRUCTION DEBARMENT F 62 4550 10/20/2015 10/19/2018 N JOSEPH, ALEX (CHHA) 1531 SEWALL AVENUE, #2 ASBURY PARK NJ 07712 MEDICAL DISQUALIFICATION K 54 7540 6/26/2018 JOSHI, JAYENDRA B. 95-05 37TH AVE., APT 1-A JACKSON HEIGHTS NY 11373 MEDICAL DISQUALIFICATION K 54 7540 6/4/1997 Y JOSHI, KAJALBEN (LPN) 476 EBONY TREE AVENUE GALLOWAY NJ 08205 MEDICAL DISQUALIFICATION K 54 7540 3/12/2018 N JOSS, ETHAN E. 111 9TH AVENUE HADDON HEIGHTS NJ 08035 CONSTRUCTION DEBARMENT A 82 2065 6/29/2007 Y JOY, RENEE (RN) 34 LUTHER ALLEN LANE BRUSH CREEK TN 38547 MEDICAL DISQUALIFICATION K 54 7540 11/16/2017 N JOYNER, VALERIA (CHHA) 19 SCHIRRA DRIVE WANAQUE NJ 07465 MEDICAL DEBARMENT K 54 7540 6/18/2018 N Camelot Roofing, LLC Juan J. Barquero, Owner 1455 St. George Ave. Roselle NJ 07203 533 South 5th Street Elizabeth NJ 07206 CONSTRUCTION DEBARMENT F 62 4550 2/18/2015 02/17/2018 N Super Stars Construction Inc Juan Riano, Owner 58 Steiner Ave. Neptune City NJ 07753 58 Stiner Ave Neptune City NJ 07753 CONSTRUCTION DEBARMENT F 62 4550 8/12/2014 08/11/2017 N JUDGE, SCHREATHA R. (CHHA) 49 WALNUT STREET WOODBURY NJ 08096 MEDICAL DISQUALIFICATION K 54 7540 5/2/2023 JUISTON, PEGGY A. 17 MYRTLE AENUE IRVINGTON NJ 07111 MEDICAL DISQUALIFICATION A 54 7540 6/5/2000 Y Julio Pereira, Vice-President 304 Crimson Circle Oakhurst NJ 07755 CONSTRUCTION DEBARMENT F 62 4550 10/17/2014 10/16/2017 N JUNGER, SYLVAIN S. (MD) 1497975551 270 PENNINGTON AVENUE PASSAIC NJ 07055 MEDICAL DISQUALIFICATION A 54 7540 4/20/2011 N JUODENKO, ANDREW 949 SPRING VIEW DRIVE SOUTH HAMPTON PA 19114 CONSTRUCTION DEBARMENT F 62 4550 10/25/2012 10/24/2015 N JUPITER, RONALD (DDS) 1023125879 119 EYLAND AVENUE SUCCASUNNA NJ 07876 MEDICAL DISQUALIFICATION A 54 7540 5/5/2014 N JUPITER, RONALD (DDS) 1023125879 111 EAST DEWEY AVENUE APT 365 WHARTON NJ 07885 MEDICAL DEBARMENT K 54 7540 4/15/2016 JURGENSON, THEODORE W. (DPM) 438 BROADWAY LONG BRANCH NJ 07746 MEDICAL DISQUALIFICATION G 54 7540 6/1/1993 DECEASED N Arete Development Inc.Arete Development Inc. Justin Ettere, Vice-President 20 Industrial Road Fairfield NJ 07004 52 Brass Castle Road Washington NJ 07882 CONSTRUCTION DEBARMENT F 62 4550 1/5/2016 01/04/2019 N JYAMFI, CHARLES (RPH) 71 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 MEDICAL SUSPENSION J 54 7540 3/22/2006 N KACHADOURIAN, ANISE A. (MD) 1205861861 / 1750349395 2233 MORRIS AVENUE, SUITE B-206 UNION NJ 07083 MEDICAL DISQUALIFICATION A 54 7540 6/21/2023 N KACHMAR, DAVID, PRESIDENT 11 BLUE RIDGE AVENUE GREEN BROOK NJ 08812 CONSTRUCTION DEBARMENT F 62 4550 11/18/2011 11/17/2014 N KAHF, AHMAD (MD) 1922069517 401 HALEDON AVENUE HALEDON NJ 07508 MEDICAL DISQUALIFICATION K 54 7540 12/12/2023 N KAHN, MARK 910 CEDAR STREET MILLVILLE NJ 08332 CONSTRUCTION DEBARMENT F 62 4550 2/4/2016 2/3/2019 N KAHONU, ANNE N. 315 MILL ST. S. PLAINFIELD NJ 07080 MEDICAL DEBARMENT A 54 7540 1/19/2013 N KAJI, VIKRAM (MD) 1346326634 310 COVE LANE BEACH HAVEN NJ 08008 MEDICAL DISQUALIFICATION K 54 7540 4/10/2019 Y KALFUS, DENIS H. (DPM) 1015 EAST GLEN AVE. WASHINGTOWN TWP NJ 07606 MEDICAL SUSPENSION K 54 7540 6/19/2003 DECEASED N KALINOSKI, STEPHEN (RPH) 178 KINGFISHER DRIVE MIDDLETOWN NJ 07748 MEDICAL DISQUALIFICATION K 54 7540 9/20/2018 N KALINOWSKI, KAROL (RN) 31 COVINGTON LANE VOORHEES NJ 08043 MEDICAL DISQUALIFICATION K 54 7540 3/28/2017 11/18/2019 N KALLEN, HERBERT 274 RIVER ROAD ST JAMES ISLAND NY 11780 MEDICAL DISQUALIFICATION A 54 7540 6/1/1993 Y KAMARA, HELEN H. (CHHA) P.O. BOX 509 PALMYRA NJ 08065 MEDICAL SUSPENSION K 54 7540 10/20/2002 N KANATSOULIS, GIORGIA (CHHA) 470 PIAGET AVENUE, APT. K6 CLIFTON NJ 07011 MEDICAL DISQUALIFICATION K 54 7540 7/19/2023 N KANE, TINA (APN/RN) 157 EVERGREEN AVENUE VILLAS NJ 08251 MEDICAL DISQUALIFICATION K 54 7540 11/9/2019 N KANEVSKY, ZHANNA (MD) 1073551065 28 KEPPEL AVENUE #10307 STATEN ISLAND NY 10307 MEDICAL DISQUALIFICATION A 54 7540 2/4/2014 Y KANG, BYUNG (MD) 1164599213 122 LONG HILL ROAD LITTLE FALLS NJ 07424 MEDICAL DISQUALIFICATION K 54 7540 9/23/2016 KANIA, RAMESHCHAN (MD) 1235158403 310 CENTRAL AVE SUITE 10 EAST ORANGE NJ 07018 MEDICAL SUSPENSION A 54 7540 2/22/2012 10/3/2019 N KANIA, RAMESHCHAN (MD) 1235158403 310 CENTRAL AVE STE. 106 EAST ORANGE NJ 07018 MEDICAL DISQUALIFICATION A 54 7540 1/20/2014 10/3/2019 N KANKAM, MARTIN 13 G READING RD. EDISON NJ 07083 MEDICAL DEBARMENT K 54 7540 7/30/2005 N KANZ JR., JOHN T. (RPH) 136 HILLCREST AVENUE HILLTOP NJ 07542 MEDICAL DISQUALIFICATION A 54 7540 9/17/1984 Y KAPLAN, DONALD (DPM) 1952433567 701 PALMER AVENUE ALLENHURST NJ 07711 MEDICAL SUSPENSION A 54 7540 3/25/2010 N KAPLAN, HARMON B. (DDS) 1093991044 1251 PATERSON PLANK RD. SECAUCUS NJ 07094 MEDICAL DISQUALIFICATION A 54 7540 8/26/1988 Y KARASEK, ROBERT D. (DMD) 1689794042 64 DOCKSIDE DRIVE SOMERS POINT NJ 08244 MEDICAL DISQUALIFICATION K 54 7540 9/19/2016 KARASEK, ROBERT D. (DMD) 1689794042 559 PLAINFIELD AVENUE BERKELEY HEIGHT NJ 07922 MEDICAL DISQUALIFICATION K 54 7540 11/20/2014 N KARES, FRANCES (RPH) 615 SUMMIT ROAD UNION NJ 07083 MEDICAL DISQUALIFICATION A 54 7540 2/16/1983 2/16/1991 N KARFUNKEL, DAVID M. 100 HOWARD AVENUE PASSAIC NJ 07055 MEDICAL DISQUALIFICATION K 54 7540 4/2/2008 10/25/2013 N KARGE, FREDRICK PO BOX 190 AVENEL NJ 07001 MEDICAL SUSPENSION K 54 7540 1/28/2007 N KARNER, ANNA (EMT) 17 MAPLE AVENUE PINE BROOK NJ 07058 MEDICAL DISQUALIFICATION A 54 7540 7/23/2002 N KARSHENBOYM, ALEXANDER 90 WEST HILL ROAD WOODCLIFF LAKE NJ 07677 MEDICAL DEBARMENT A 54 7540 9/20/2007 N KATTUPALLI, GERONAMI (MD) 1992901433 175 BARRENS COURT, SUITE 100 PORT MATILDA PA 16870 MEDICAL DISQUALIFICATION K 54 7540 10/15/2022 N KAUFMAN, SHOSHANA AKA STOKELBERG, SHOSHANA (LCSW) 349 JESTER COURT OLD BRIDGE NJ 08857 MEDICAL DISQUALIFICATION A 54 7540 7/15/2009 11/7/2014 N KAUL, RICHARD (MD) 1902838790 292 ATLANTIC STREET HACKENSACK NJ 07601 MEDICAL DEBARMENT K 54 7540 8/1/2014 N KAVROS, STEVEN J. (DPM) 1316912801 12 HERITAGE COURT CHERRY HILL NJ 08034 MEDICAL DISQUALIFICATION A 54 7540 6/1/1993 8/22/2019 N KAWAN JABAKJI, MOHAMED (MD) 1760541312 160 HALEDON AVENUE PROSPECT PARK NJ 07508 MEDICAL DEBARMENT K 54 7540 5/16/2016 KAWAN JABAKJI, MOHAMED (MD) 1760541312 6 BARKER PLACE WAYNE NJ 07470 MEDICAL DISQUALIFICATION K 54 7540 7/20/2017 KAY, KWAME (CHHA) PO BOX 961186 MIAMI FL 33296 MEDICAL DISQUALIFICATION K 54 7540 2/8/2017 N KEE, TERRAYA C. 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(MD) 47 MAPLE STREET, STE. 204 SUMMIT NJ 07901 MEDICAL DISQUALIFICATION K 54 7540 1/9/1996 2/28/2014 N KELLUM, BETZAIDA (CHHA) 1936 S. 8TH STREET, APT. B13 CAMDEN NJ 08104 MEDICAL DISQUALIFICATION K 54 7540 2/8/2017 N KELLUM, EARLENE (CHHA) 279 S. BLACKHORSE PIKE MOUNT EPHRAIM NJ 08059 MEDICAL DISQUALIFICATION K 54 7540 3/5/2018 3/11/2024 KELLY, MICHELLE 963 PARK AVENUE PLAINFIELD NJ 07060 MEDICAL DEBARMENT K 54 7540 3/24/2002 N KELLY-UPPER, DENISE 2200 ATLANTIS AVENUE MAYS LANDING NJ 08330 MEDICAL DISQUALIFICATION A 54 7540 12/1/1998 Y KEMENY, GEORGE (MD) 39 THIRD STREET ELIZABETH NJ 07206 MEDICAL DISQUALIFICATION G 54 7540 11/22/1977 Y KEMOKAI, JOSEPHINE (LPN) 29 BENNETT AVENUE RANDOLPH NJ 07869 MEDICAL DISQUALIFICATION K 54 7540 11/21/2016 KENDRICK, SOPHIA (CHHA) 4 OAK WALK CAMDEN NJ 08104 MEDICAL DISQUALIFICATION K 54 7540 7/17/2018 N KENNEALLY, CHRISTOPHER (RN) 1308 NOREEN DRIVE BURLINGTON NJ 08016 MEDICAL DISQUALIFICATION K 54 7540 9/30/2019 N KENNEDY, SHANELYN 50 N. GARFIELD AVE, APT B SCRANTON PA 18504 MEDICAL DISQUALIFICATION A 54 7540 3/5/2024 N Ranco Mechanical, Inc. Kenneth Davis, President 2 Melba Drive Newton NJ 07860 P. O. Box 510 Augusta NJ 07869 CONSTRUCTION DEBARMENT F 62 4550 10/29/2013 10/28/2016 N Shoreline Marine Construction, LLC Kenneth Pontari, Partner 213 West Edgewood Ave Linwood NJ 08221 213 West Edgewood Avenue Linwood NJ 08821 CONSTRUCTION DEBARMENT F 62 4550 6/4/2013 06/03/2016 N KEREKES, KEVIN #65504-050 FCI SCHUYKILL, PO BOX 759 MINERSVILLE PA 17954 MEDICAL DISQUALIFICATION K 54 7540 3/1/2019 N KESHISHIAN, PAUL (DO) 1437207610 625 COBH ROAD RIVER VALE NJ 07675 MEDICAL DEBARMENT K 54 7540 4/22/1999 3/15/2000 N Division Ten Installations, LLC Kevin G. Eib 29 Monmouth Road Monroe Twp. NJ 08831 29 Monmouth Rd Monroe NJ 08831 CONSTRUCTION DEBARMENT F 62 4550 4/3/2014 4/2/2017 N KEYES, DONNA (CHHA) 4433 EAST MILLS ROAD MAPLE SHADE NJ 08052 MEDICAL DISQUALIFICATION K 54 7540 2/20/2017 N I & I INVALID COACH, INC. KHAIR, IMADELIN A. 85 CENTRAL AVENUE CLIFTON NJ 07015 160 ALABAMA AVENUE PATERSON NJ 07505 MEDICAL SUSPENSION A 54 7540 1/28/2001 KHAIR, IMADELIN A. FORT DIX FCI, PO BOX 2000 JOINT BASE MDL NJ 08640 MEDICAL DISQUALIFICATION K 54 7540 5/24/2017 KHAJAVI, ABDOLALI (MD) HIGHWAY 94 & OSBOW LANE FRANKLIN NJ 07416 MEDICAL DEBARMENT K 54 7540 8/20/1999 Y KHAMIS, HEBA (CHHA) 117 TONNELE AVENUE, APT. 5 JERSEY CITY NJ 07306 MEDICAL DISQUALIFICATION K 54 7540 7/19/2023 N KHAN, ASIF ALI 909A BROAD STREET NEWARK NJ 07102 MEDICAL SUSPENSION A 54 7540 6/5/1996 Y KHAN, AYSHA (RPH) 116 BOONTON AVENUE KINNELON NJ 07405 MEDICAL SUSPENSION A 54 7540 2/23/2024 N S. BROTHERS PHARMACY, INC. KHAN, AZAM HYAT 687 FRELINGHUYSEN AVENUE NEWARK NJ 07114 687 FRELINGHUYSEN AVENUE NEWARK NJ 07114 MEDICAL SUSPENSION K 54 7540 12/16/1998 S. BROTHERS PHARMACY, INC. KHAN, AZAM HYAT 687 FRELINGHUYSEN AVENUE NEWARK NJ 07114 687 FRELINGHUTSEN AVENUE NEWARK NJ 07114 MEDICAL DISQUALIFICATION K 54 7540 10/21/1999 Y KHAN, AZAM HYAT 107 CHARLESTON AVENUE STATEN ISLAND NY 10309 MEDICAL DISQUALIFICATION K 54 7540 7/7/2008 N KHAN, MUNIR 238 GRAND ST. APT. 1 JERSEY CITY NJ 07302 MEDICAL DEBARMENT A 54 7540 8/20/2009 Y KHAN, SALEEM M. 336 2ND ST. APT.1 JERSEY CITY NJ 07302 MEDICAL SUSPENSION K 54 7540 7/20/2003 N KHAN, TAUQIR 71 HEALTH COURT PENNINGTON NJ 08534 MEDICAL DISQUALIFICATION A 54 7540 2/1/2024 N KHAN, TAUQIR P.O. BOX 420 FAIRTON NJ 08320 MEDICAL SUSPENSION A 54 7540 7/20/2010 8/9/2010 N KHAN, TAUQIR P.O. BOX 420 FAIRTON NJ 08320 MEDICAL DISQUALIFICATION A 54 7540 8/9/2010 N KHANDWALA, NITIN (RPH) 225 MILLBURN AVENUE MILLBURN NJ 07041 MEDICAL DISQUALIFICATION K 54 7540 10/21/1999 11/29/2012 N KHAN-JAFFREY, KRANIZ (MD) 1629143979 / 1396131025 1127-1129 N. NEW ROAD, SUITE 102 ABSECON NJ 08201 MEDICAL DISQUALIFICATION K 54 7540 3/15/2021 N KHANNA, YASH (MD) 1093805012 310 CENTRAL AVENUE EAST ORANGE NJ 07018 MEDICAL DISQUALIFICATION A 54 7540 11/30/2014 N KHANNA, YASH K. (MD) 1093805012 825 BLOOMFIELD AVE ST L1 VERONA NJ 07044 MEDICAL SUSPENSION A 54 7540 2/22/2012 N KHANTHAN, SUBRAMANIAM (MD) 1003882663 327 SCHUYLER AVENUE KEARNY NJ 07032 MEDICAL DISQUALIFICATION K 54 7540 5/20/2019 N VIP CARE, INC. KHAPCHIK, DMITRY 49 GATES COURT MATAWAN NJ 07747 49 GATES COURT MATAWAN NJ 07747 MEDICAL DISQUALIFICATION K 54 7540 11/10/2019 N KHARKOVER, ALEKSANDR (PT) 1861594889 FCI FORT DIX PO BOX 2000 FORT DIX NJ 08640 MEDICAL DISQUALIFICATION A 54 7540 11/20/2013 N KHURANA, NORENDRA 32 ROLLING HILLS LANE HARRISON NY 10528 MEDICAL DISQUALIFICATION G 54 7540 6/1/1993 Y K&K Construction LLC Ki Kuk Kim, Partner 685 Bergen Blvd. Ridgefield NJ 07657 685 Bergen Blvd Ridgefield NJ 07651 CONSTRUCTION DEBARMENT F 62 4550 6/10/2014 06/09/2017 N KIBALLO, MARIAN B. (RN) 4 OJIBWA COURT WARETOWN NJ 08758 MEDICAL SUSPENSION K 54 7540 12/18/2003 N KIKTA, DANUTA (RN) 593 GREENWICH COURT HIGHTSTOWN NJ 08520 MEDICAL DISQUALIFICATION K 54 7540 2/25/2019 N KILLEN, DAWN (LPN) 804 COTSWOLD ROAD SOMERDALE NJ 08083 MEDICAL SUSPENSION K 54 7540 9/20/2006 N KILLMEYER, LINDA (RN) 875 QUAKER CHURCH ROAD PERRYOPOLIS PA 15473 MEDICAL DISQUALIFICATION K 54 7540 12/29/2015 KIM, DOYOUN (MD) 2302 BAY HEAD DRIVE PARLIN NJ 08859 MEDICAL DISQUALIFICATION K 54 7540 7/13/1999 Y KIM, DOYOUN (MD) 545 KEARNY AVENUE KEARNY NJ 07032 MEDICAL SUSPENSION K 54 7540 10/30/1998 KIM, JENNIFER J. (RPH) 1117 INWOOD TERRACE FORT LEE NJ 07024 MEDICAL DEBARMENT K 54 7540 10/23/2003 7/12/2022 N KIMBLE, SABRINA 341 OSBOURNE TERRACE, 2C NEWARK NJ 07106 MEDICAL DISQUALIFICATION A 54 7540 2/23/2009 N KIMMEL, STEVEN (CONTRACTS MANAGER) 420 DELAWARE ST. MINNEAPOLIS MN 55455 MEDICAL DEBARMENT K 54 7540 4/1/2002 N KINDER, EDWARD P. 5180 LA TERRA AVE. PAHRUMP NV 89061 MEDICAL DEBARMENT A 54 7540 7/17/2009 7/17/2014 N KING, DEBORAH AKA BENTON, DEBORAH (LPN) 9 RADFORD PLACE WILLINGBORO NJ 08046 MEDICAL DISQUALIFICATION K 54 7540 10/18/2001 11/5/2018 N KING, ELAM 6285 PLANK ROAD NARVON PA 17555 CONSTRUCTION DEBARMENT F 62 4550 9/15/2014 9/14/2017 N KING, JOHN ANDERSON (DO) 11310 S. ORANGE BLOSSOM ORLANDO FL 23837 MEDICAL SUSPENSION K 54 7540 3/20/2007 N KING, WILLIAM (MD) 1457411670 LEWISBURG USP, PO BOX 1000 LEWISBURG PA 17837 MEDICAL DISQUALIFICATION K 54 7540 8/20/2010 N KIRWIN, SHANNON (RN) 114 NORTHMONT AVENUE MOUNT EPHRAIM NJ 08059 MEDICAL SUSPENSION K 54 7540 1/18/2007 N KISSAM, JEFFREY 1506 RUSTIC DRIVE OCEAN TOWNSHIP NJ 07712 MEDICAL DISQUALIFICATION A 54 7540 11/28/1992 Y KLAUMENZER, JANE (RN) 8 TENNESSEE AVENUE LONG BEACH TWP. NJ 08008 MEDICAL SUSPENSION K 54 7540 4/20/2003 N KLAUSNER, MARC (RPH) 4515 BERGENLINE AVENUE UNION CITY NJ 07807 4515 BERGENLINE AVENUE UNION CITY NJ 07087 MEDICAL SUSPENSION K 54 7540 12/29/1999 KLAUSS, GUNNAR (MD) 1962685305 30 PROSPECT AVENUE HACKENSACK NJ 07601 MEDICAL DEBARMENT K 54 7540 8/1/2014 6/22/2017 KLEES, DAVID (DO) 1527 LINWOOD AVENUE ERIE PA 16510 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 KLEINER, MITCHELL (LCSW) 1316416662 108 SHINNECOCK DRIVE MANALAPAN NJ 07726 MEDICAL DISQUALIFICATION K 54 7540 6/8/2022 Y KLEINMAN, MARSHA (PSYCH 1043332893 32 NORTH 7TH AVENUE HIGHLAND PARK NJ 08904 MEDICAL DISQUALIFICATION K 54 7540 12/4/2012 KLEINMAN, MARVIN (AUDIOLOGIST) 1609995307 1 CLARIDGE DRIVE, APT. 508 VERONA NJ 07044 MEDICAL DISQUALIFICATION K 54 7540 2/11/2016 KLEMONS, IRA (DDS) 1841393386 23 DEERPATH LANE COLTS NECK NJ 07722 MEDICAL DISQUALIFICATION K 54 7540 8/7/2017 KLEYDMAN, YEKATERINA (DO) 1740589258 2960 OCEAN AVENUE, 2ND FLOOR BROOKLYN NJ 11235 MEDICAL DISQUALIFICATION K 54 7540 10/20/2022 N KLEYMAN, VLADIMIR (RPH) 1386957710 3 CATHEDRAL DRIVE LAKEWOOD NJ 08701 MEDICAL DEBARMENT K 54 7540 1/23/2016 KLEYMAN, VLADIMIR #66307-050 (RPH) 1386957710 FCI-OTISVILLE, PO BOX 1000 OTISVILLE NY 10963 MEDICAL DISQUALIFICATION K 54 7540 5/12/2016 KMET, BOGDAN 363 EAST ROOSEVELT BOULEVARD PHILADELPHIA PA 19120 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 KMET, NAZARIY 2284 SANTRAP ROAD JAMISON PA 18929 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 KMET, ROSTISLAV 13021 BLAKESLEE DRIVE, APT. A PHILADELPHIA PA 19116 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 KOBYLECKYJ, CRYSTYNA (RN) 35 WOODCOCK MOUNTAIN ROAD WASHINGTONVILLE NY 10992 MEDICAL DISQUALIFICATION K 54 7540 9/29/2017 KOCH, MARK (DO) 1528102647 336 BARNES ROAD MONROEVILLE AL 36460 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 KOGAN, VADIM (RN) 56 NORMANDY DRIVE PRINCETON JUNCT NJ 08550 MEDICAL SUSPENSION K 54 7540 12/18/2003 N KOHFELDT, LISA (RN) 242 WEST FRONT STREET, APT. 2 FLORENCE NJ 08518 MEDICAL DEBARMENT K 54 7540 2/7/2019 N KOLLMER, W. LANCE (MD) 101 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 MEDICAL DEBARMENT K 54 7540 7/18/2001 DECEASED N KONNY, GREGORY (RPH) 1396926432 990 CROMWELL ROAD WOODMERE NY 11598 MEDICAL DISQUALIFICATION A 54 7540 11/18/2021 KONTOS, DEMETRIUS D. (MD) 463 TENAFLY ROAD ENGLEWOOD NJ 07631 MEDICAL SUSPENSION K 54 7540 2/20/2000 KOPLITZ, MARSHALL 256 NORWOOD AVENUE DEAL NJ 07723 MEDICAL SUSPENSION K 54 7540 12/10/1999 KORNAK, PAUL H. (MD) ELKTON FCI, BOX 10 LISBON OH 44432 MEDICAL DISQUALIFICATION K 54 7540 4/19/2007 N KOSLOV, GLEB M. (DC) 1366584583 388 RAMAPO VALLEY ROAD OAKLAND NJ 07436 MEDICAL DISQUALIFICATION K 54 7540 12/1/1998 Y KOTHALANKA, SITARAMAKRISHNA (MD) 1184644080 562 SW ROMORA BAY PORT LUCIE FL 34986 MEDICAL DISQUALIFICATION K 54 7540 10/25/2016 KOTTURI, SHIVA (MD) 1013168251 512 KEARNY AVENUE, SUITE B KEARNY NJ 07032 MEDICAL DISQUALIFICATION K 54 7540 6/17/2018 Y KOUSOULIDES, LOUISE (RN) 34 TOPANEMUS LANE, APT. 14 FREEHOLD NJ 07728 MEDICAL DISQUALIFICATION K 54 7540 4/20/2009 N KOUZMA, NATALIA (CHHA) 122 CHELSEA WAY BRIDGEWATER NJ 08807 MEDICAL DISQUALIFICATION K 54 7540 2/8/2017 N KOVAR, GRACE M. (RN) 929 CHELSEA DRIVE BRICKTOWN NJ 08724 MEDICAL SUSPENSION K 54 7540 5/19/2005 N KOWALENKO, THOMAS A (DO) 1538136429 880 RARITAN ROAD CLARK NJ 07066 MEDICAL DEBARMENT K 54 7540 8/10/2021 1/19/2023 KOWNACKY, MEGAN (RN) 622 WALDEN WAY LUMBERTON NJ 08048 MEDICAL DISQUALIFICATION K 54 7540 8/28/2017 KOZIUPA, HELENE A. (LPN) 64 WESLEYAN DRIVE TRENTON NJ 08690 MEDICAL SUSPENSION K 54 7540 10/20/2002 N KRACKE, BARBARA (LPN) 44 COVINGTON COURT EAST BRUNSWICK NJ 08816 MEDICAL DEBARMENT K 54 7540 11/13/2018 N KRAEMER, LINDA (LPN) 436 SAINT ANDREW PLACE MANALAPAN NJ 07726 MEDICAL SUSPENSION K 54 7540 10/19/2006 N KRAKAUER, RANDALL (MD) 1588811012 900 W MAIN ST FREEHOLD NJ 07728 MEDICAL DISQUALIFICATION I 54 7540 2/25/1985 N KRAMER JR., EDWARD (DC) 1285762401 106 MOTT ROAD BLAIRSTOWN NJ 07825 MEDICAL DISQUALIFICATION K 54 7540 9/28/2017 Y KRAMER, LARRY S. (RPH) 650 PALISADES AVE ENGLEWOOD CLIFF NJ 07632 MEDICAL DISQUALIFICATION A 54 7540 1/10/2003 N KREISMAN, MARCIA 8800 BOULEVARD EAST, APT. 6J NORTH BERGEN NJ 07047 MEDICAL SUSPENSION K 54 7540 12/20/2004 Y KRESKI, CHRISTINA (RN) 2667 PAXTONVILLE ROAD MIDDLEBURG PA 17842 MEDICAL DISQUALIFICATION K 54 7540 12/29/2015 KRICHEVSKY, RITA (MD) 1851561963 4429 DRIFTWOOD DRIVE PHILADELPHIA PA 19129 MEDICAL DISQUALIFICATION K 54 7540 9/20/2017 N KRICHEVSKY, RITA (MD) 1851561963 712 KEEFE ROAD LAWRENCEVILLE NJ 08648 MEDICAL DISQUALIFICATION K 54 7540 2/26/2019 N KS Exteriors, LLCKS Exteriors, LLC Kris Brezinska, Owner 650 Ohio Ave Trenton NJ 08638 650 Ohio Ave Trenton NJ 08638 CONSTRUCTION DEBARMENT F 62 4550 3/9/2016 03/08/2019 N KRIVOSHIK, MARK (MD) 1669409306 16 YEGER DRIVE ALLENTOWN NJ 08501 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 10/27/2020 N KROHN, IVAN T. (MD) 1467429258 33 NORTHWOOD DRIVE VINELAND NJ 08360 MEDICAL DEBARMENT A 54 7540 5/20/2012 N KROHN, IVAN T. (MD) 1467429258 33 NORTHLAND DRIVE VINELAND NJ 08360 MEDICAL DISQUALIFICATION A 54 7540 4/20/2011 N KROMAH, ANGIE (RN) 3206 LAWNDALE DRIVE EAST GREENSBORO SC 27408 MEDICAL DISQUALIFICATION K 54 7540 5/2/2017 KROWICKI, JENNIFER B. AKA GRASSER, JENNIFER (RN) 232 CLUB DRIVE WALL NJ 07719 MEDICAL SUSPENSION K 54 7540 10/20/2002 N KRUTYOYARSKY, IRINA #65107-050 ALDERSON FEDERAL PRISON, GLEN RAY ROAD, BOX A ALDERSON WV 24910 MEDICAL DISQUALIFICATION K 54 7540 12/12/2016 KRYSIAK, KIMBERLY (LPN) 766 DUNEDIN STREET TOMS RIVER NJ 08753 MEDICAL DISQUALIFICATION K 54 7540 7/11/2023 N Old World Construction, Inc. Krzystof Oprzadek, President 19 Woodville Rd Hopewell NJ 08525 PO Box 35 Pennington NJ 08534 CONSTRUCTION DEBARMENT F 62 4550 2/11/2015 02/10/2018 N KUBACKI, JOSEPH (MD) 1306834213 PO BOX 3949 PENSACOLA FL 32516 MEDICAL DEBARMENT A 54 7540 5/20/2013 N KUBLIN, ANNE (MD) 182 WHALEPOND ROAD EATONTOWN NJ 07724 MEDICAL SUSPENSION A 54 7540 3/19/2004 N KUDLA, ALEXANDER 1449 LLOYD TERRACE MILLVILLE NJ 08332 MEDICAL DISQUALIFICATION K 54 7540 5/18/2019 N KUKASH, ABIGAIL 6648 WEXFORD AVENUE RICHMOND VA 23255 MEDICAL DISQUALIFICATION K 54 7540 12/1/1998 Y KUKASH, MAJDI AKA MIKE 87-02 PENNSBURY PLACE RICHMOND VA 23255 MEDICAL DISQUALIFICATION K 54 7540 12/1/1998 Y KUKREJA, NAV R. (MD) 1295739662 1331 COVENTRY COURT ISELIN NJ 08830 MEDICAL DEBARMENT K 54 7540 2/15/2016 KULYK, ODARKA (CHHA) 6 COLBY COURT LINCOLN PARK NJ 07035 MEDICAL DISQUALIFICATION K 54 7540 2/8/2017 N KUMAR, ANIL 184 OLD BEEKMAN ROAD MONMOUTH JUNCT. NJ 08852 MEDICAL DISQUALIFICATION K 54 7540 1/14/2005 Y KUMAR, SAROJ 184 OLD BEEKMAN ROAD MONMOUTH JUNCT. NJ 08852 MEDICAL DISQUALIFICATION K 54 7540 1/14/2005 Y KUNZ, BARBARA (RN) 55 THIRD STREET NEW YORK NY 10956 MEDICAL DEBARMENT K 54 7540 8/21/2018 10/21/2021 N KUNZ, BARBARA (RN) 55 THIRD STREET NEW CITY NJ 10956 MEDICAL DISQUALIFICATION K 54 7540 5/16/2023 KURAN, BASSEM FCI FAIRTON, PO BOX 420 FAIRTON WV 08320 MEDICAL DISQUALIFICATION K 54 7540 8/7/2017 KURBAN, HAKAN 41 SIDNEY AVENUE RUTHERFORD NJ 07070 MEDICAL DISQUALIFICATION A 54 7540 6/22/1999 Y KURIAN, LISSYAMMA (RN) 1253 COLLIDGE AVENUE UNION NJ 07083 MEDICAL SUSPENSION K 54 7540 10/20/2002 N KURIS, JAY (MD) 1003997453 160 MONTDALE DRIVE PRINCETON NJ 08540 MEDICAL DISQUALIFICATION K 54 7540 1/18/2019 N KURLANDER-ZAKARIA, TRACI (RN) 20 ROCK ROYAL ROAD TRENTON NJ 08620 MEDICAL DISQUALIFICATION A 54 7540 2/26/2010 N KURTZ, JOEL P. (DMD) 1285874743 9 WESTGATE ROAD LIVINGSTON NJ 07039 MEDICAL SUSPENSION K 54 7540 5/19/2005 N KUSHMAN, JOSEPH (MD) 1205025541 224 COLONIAL AVENUE UNION NJ 07083 MEDICAL DISQUALIFICATION K 54 7540 6/28/2017 KUSHNER, ALAN (DC) 1558398396 SCI GRATERFORD, JG1165, PO BOX 244 GRATERFORD PA 19426 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 KUYINU, MICHAEL (MD) 1235173568 24 VANDERVEER DRIVE BELLE MEAD NJ 08502 MEDICAL DEBARMENT K 54 7540 12/16/2015 Kwang Hee Kim, Partner 685 Bergen Blvd. Ridgefield NJ 07657 CONSTRUCTION DEBARMENT F 62 4550 6/10/2014 6/9/2017 N KYMER, RHIANNON (ROOSMA) (RN) 8 SPENCER LANE WARREN NJ 07059 MEDICAL DISQUALIFICATION K 54 7540 3/27/2018 N LABORDE, JAMES (DC) 1578541504 329 SOUTH HIGHLAND STREET DUBOIS PA 15801 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 LABOY, MICHELLE (LPN) 71 LYCEUM COURT STATEN ISLAND NY 10310 MEDICAL DISQUALIFICATION K 54 7540 5/2/2017 11/2/2017 LABRUNA, VINCENT A. (DDS) 1801192216 227 EAST 19TH STREET NEW YORK NY 10003 MEDICAL DISQUALIFICATION K 54 7540 7/22/2002 1/29/2018 N LABRUNA, VINCENT A. (DDS) 1801192216 EAST 19TH STREET NEW YORK NY 10003 MEDICAL SUSPENSION K 54 7540 9/19/2002 1/29/2018 N JRL HEALTH ASSOC., LTD LACEY, JOAN R. (RN) 479 INNES ROAD WOODBRIDGE NJ 07075 479 INNES ROAD WOODRIDGE NJ 07075 MEDICAL SUSPENSION K 54 7540 10/19/2000 N LACRICCHIO, RICHARD C. 150 ROUTE 150 DENVILLE NJ 07834 MEDICAL DISQUALIFICATION G 54 7540 Y LAFON, MICHAEL (MD) 1609168715 107 E. MANTUA AVE. WENONAH NJ 08090 MEDICAL DISQUALIFICATION A 54 7540 3/28/2004 2/16/2015 N LAGRADA, WILLIAM (MD) 1316996762 1300 MAIN STREET, STE2D CLIFTON NJ 07011 MEDICAL SUSPENSION A 54 7540 2/15/2012 9/25/2014 N LAGRADA, WILLIAM (MD) 1316996762 15 FORSYTHIA DRIVE EDISON NJ 08837 MEDICAL DEBARMENT A 54 7540 9/25/2014 N LAGUERRE, JEAN EDWARD (RPH) 1 62ND STREET APT 4C W. NEW YORK NJ 07093 MEDICAL DEBARMENT K 54 7540 8/16/2007 N LAGUERRE, JEAN EDWARD (RPH) 1 62ND STREET APT 4C WEST NEW YORK NJ 07093 MEDICAL DISQUALIFICATION K 54 7540 2/29/2008 N LAI, MYUNG-OK (RN) 40 PONY LANE FLEMINGTON NJ 08822 MEDICAL DISQUALIFICATION K 54 7540 9/13/2018 6/27/2019 N LAIDO, JOSEPH (CHHA) 722 SIXTH STREET LYNDHURST NJ 07071 MEDICAL DISQUALIFICATION K 54 7540 2/8/2017 N LAJEWSKI, WAYNE (MD) 1558364166 FCI FORT DIX, PO BOX 2000 JOINT BASE MDL NJ 08640 MEDICAL DISQUALIFICATION K 54 7540 10/20/2015 LALLEMAND JR., ROGER (MD) 1770575821 4 TYCOR COURT HOLMDEL NJ 07733 MEDICAL DISQUALIFICATION A 54 7540 12/20/2014 N LAM, MICHAEL CHUNG KAY (MD) 1184656050 28TH STREET ENGLEWOOD CLIFF NJ 07632 MEDICAL DISQUALIFICATION A 54 7540 11/14/2014 N LAM, MICHAEL CHUNG KAY (MD) 1184656050 1625 ANDERSON AVE FORT LEE NJ 07024 MEDICAL DEBARMENT A 54 7540 3/6/2014 N LAMBRIOLA, VINCENT P. (DDS) 143 LITTLE FALLS CEDAR GROVE NJ 07009 MEDICAL DISQUALIFICATION K 54 7540 2/20/2001 Y LaMONACA, TARA ANNE (LSW) 211 BELHAVEN AVENUE LINWOOD NJ 08221 MEDICAL DISQUALIFICATION K 54 7540 9/20/2022 N LAMP, REBECCA (RN/CNP) 1568511236 139 DERWOOD DRIVE NEW CUMBERLAND WV 26407 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 LAMPARELLI, NICHOLAS (RPH) 149 SUMMIT AVENUE ISLAND HEIGHTS NJ 08732 MEDICAL DISQUALIFICATION G 54 7540 4/30/2003 Y LAMPHIER, JENNIFER (DMD) 1487860649 38 SILVERSIDE ROAD LAKEWOOD NJ 08701 MEDICAL DISQUALIFICATION K 54 7540 10/23/2019 N LAMPROU JR., EMANUEL (MD) 1033104526 509 N. BROAD ST. WOODBURY NJ 08096 MEDICAL DEBARMENT A 54 7540 12/18/2012 12/18/2015 N LANCE-LANNIGAN, JUDITH 12 PROSPECT HILL FLEMINGTON NJ 08822 MEDICAL DISQUALIFICATION A 54 7540 7/23/2010 DECEASED N LANDOLFI (LANDOLPHI), CHRISTINA (LPN) 659 HERITAGE ROAD SEWELL NJ 08080 MEDICAL DISQUALIFICATION K 54 7540 5/27/2021 LANDOU, LISSA S. (DC) 17B 16TH AVENUE EMLMWOOD PARK NJ 07407 MEDICAL SUSPENSION K 54 7540 4/18/2002 N LANE, EDWIN (MD) BEACHWOOD BOULEVARD BEACHWOOD NJ 08722 MEDICAL DISQUALIFICATION G 54 7540 DECEASED N LANG, ANTHONY 151 SOUTH DURAND PLACE IRVINGTON NJ 07111 MEDICAL DISQUALIFICATION A 54 7540 10/19/2009 10/19/2014 N LANG, BRIAN E. (LPN) 634 SPROUL STREET CHESTER PA 19013 MEDICAL SUSPENSION K 54 7540 3/20/2006 N LANG, DEBRA (CHHA) 124 VAN BUSKIRK ROAD TEANECK NJ 07666 MEDICAL SUSPENSION K 54 7540 10/20/2002 N LANGERAAP, JOHN (DC) 1720299092 198 WHITE LAKE ROAD LAFAYETTE NJ 07848 MEDICAL DISQUALIFICATION A 54 7540 6/26/2018 N LANGERAAP, JOHN (DC) 1720299092 289 WEST MOUNTAIN ROAD SPARTA NJ 07871 MEDICAL DISQUALIFICATION K 54 7540 9/12/2020 N LANGLIEB, MARTIN S. (DDS) 0-94 MIDLAND AVENUE FAIRLAWN NJ 07410 MEDICAL DEBARMENT K 54 7540 8/25/1999 Y LANNON, JENNIFER (RN) 520 COLLINGS AVENNUE COLLINGSWOOD NJ 08108 MEDICAL DISQUALIFICATION K 54 7540 6/4/2018 N LAPIDES, DAVID (MD) 1255774311 3772 BUCK ISLAND ROAD CHARLOTTESVILLE VA 22902 MEDICAL DISQUALIFICATION K 54 7540 10/5/2023 Y LAPIDES, DAVID (MD) 1255774311 3772 BUCK ISLAND ROAD CHARLOTTESVILLE VA 22902 MEDICAL DISQUALIFICATION K 54 7540 10/19/2023 N LAPORTE, EDYNE (RN/LPN) 1107 FURTH ROAD VALLEY STREAM NY 11581 MEDICAL SUSPENSION K 54 7540 9/27/2007 N LASHKEVICH, JOHN P. 9 CHARLES LANE CHERRY HILL NJ 08003 MEDICAL SUSPENSION K 54 7540 5/8/1998 LASTIVKA, MARTA (CHHA) 28 WINDING WOOD, APT. 2-B SAYREVILLE NJ 08872 MEDICAL DISQUALIFICATION K 54 7540 2/8/2017 N LASTRA, ABRAHAM 1808 BERGENLINE AVENUE UNION CITY NJ 07087 MEDICAL SUSPENSION K 54 7540 12/20/2010 N LASTRA, ABRAHAM 500 HIGHLAND AVENUE NEWARK NJ 07102 MEDICAL DISQUALIFICATION A 54 7540 4/15/1999 Y LATAWIEC, ANDREA (RN) 1681 RARITAN ROAD CLARK NJ 07066 MEDICAL SUSPENSION K 54 7540 5/20/2002 N LATCHMAN, BHANWATIE (PHARM TECH) 76 WATSON AVENUE EAST ORANGE NJ 07052 MEDICAL DEBARMENT K 54 7540 5/16/2016 GST Power Service Group Inc. Lauchland Roberts, President 2801 Remington St Suite 3 Fort Collins CO 80526 2801 Remington Street Suite 3 Fort Collins CO 80525 CONSTRUCTION DEBARMENT F 62 4550 5/4/2015 05/03/2018 N LAURIA, SHANNON (CHHA) 86 FORT DE FRANCE AVENUE TOMS RIVER NJ 08757 MEDICAL DISQUALIFICATION K 54 7540 4/7/2017 N LAURITANO, LAURA (RN) 47 OLD ORCHARD COURT CEDAR GROVE NJ 07009 MEDICAL DISQUALIFICATION K 54 7540 6/28/2017 8/2/2019 N LAVELLE, BARBARA (RN/APN) 550 LINCOLN AVE. RIDGEFIELD NJ 07657 MEDICAL SUSPENSION K 54 7540 12/18/2003 N LAVINE, LAWRENCE M. (MD) 1336119171 926 HADDONFIELD ROAD CHERRY HILL NJ 08002 MEDICAL DISQUALIFICATION K 54 7540 12/27/2021 N LAVNEVICH, NAUM (CHHA) 11 HIAWATHA BLVD. OAKLAND NJ 07436 MEDICAL SUSPENSION A 54 7540 11/4/2014 N LAVNEVICH, NAUM (CHHA) 11 HIAWATHA BLVD. OAKLAND NJ 07436 MEDICAL DISQUALIFICATION K 54 7540 2/11/2016 N LAZOW, SOLOMON M. (MD) 199 MAIN ST MATAWAN NJ 07747 MEDICAL DISQUALIFICATION G 54 7540 6/1/1993 Y LEATHERDALE, LAURA (CHHA) 4 MEETINGHOUSE ROAD WRIGHTSTOWN NJ 08562 MEDICAL SUSPENSION K 54 7540 9/19/2003 N LEBAK, STEPHANIE (APN/RN) 92 EATON ROAD BORDENTOWN NJ 08505 MEDICAL DISQUALIFICATION K 54 7540 6/29/2019 8/30/2022 N SP-One LLc Lee Dinenberg, President 2816 Coronado Way Vero Beach FL 32960 2816 Coronado Way Vero Beach FL 32960 CONSTRUCTION DEBARMENT F 62 4550 7/22/2013 07/21/2016 N LEE JR., SAMUEL (RPH) 34 PINAFORE LANE WILLINGBORO NJ MEDICAL DISQUALIFICATION K 54 7540 7/30/1997 Y LEE, AUGUSTINE (MD) 1255478269 PO BOX 329002 BROOKLYN NY 11232 MEDICAL DEBARMENT A 54 7540 10/29/2013 N LEE, AUGUSTINE (MD) 1255478269 905 STUYVESANT AVENUE TRENTON NJ 08618 MEDICAL SUSPENSION A 54 7540 12/22/2011 N LEE, BRIAN (LPN) 1722 COPE STREET CAMDEN NJ 08104 MEDICAL SUSPENSION K 54 7540 10/20/2002 8/9/2013 N LEE, BRIAN (LPN) 1722 COPE STREET CAMDEN NJ 08104 MEDICAL DEBARMENT K 54 7540 7/18/2018 5/17/2022 N LEE, CHANG HO (MD) 1679795181 535A 7TH STREET PALISADES PARK NJ 07650 MEDICAL DISQUALIFICATION K 54 7540 7/20/2015 N LEE, DAVID (MD) 1275633562 46 CONSTITUTION DRIVE SOUTHAMPTON NJ 08088 MEDICAL DISQUALIFICATION K 54 7540 12/22/2016 Y LEE, HOE Y. (MD) 1043344377 30 MOHAWK ROAD, APT 1 SHORT HILLS NJ 07078 MEDICAL DISQUALIFICATION K 54 7540 12/5/2023 Y LEE, LAURA 7280 LEMINGTON AVENUE PITTSBURGH PA 15206 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 LEE, PAMELA (CNM) 1558779413 141 RED HILL ROAD PRINCETON NJ 08540 MEDICAL DISQUALIFICATION K 54 7540 2/6/2024 N LEE, STEVE Y. (DDS) 1219 MAIN AVENUE CLIFTON NJ 07111 MEDICAL SUSPENSION K 54 7540 7/19/2001 LEE, SYLVIA S. (MD) 1275518490 27 SUNSET PLACE EMERSON NJ 07630 MEDICAL DEBARMENT A 54 7540 8/26/2013 N LEEDS, GARY (MD) 1316005036 77 WEST 15TH STREET, APT. 6-H NEW YORK NY 10011 MEDICAL DEBARMENT C 54 7540 11/21/2016 LEEDS, GARY (MD) 1316005036 16 ELIZABETH LANE RIVERSIDE CT 06878 MEDICAL DISQUALIFICATION K 54 7540 5/24/2017 LEIBER, CHARLES 5804 BOARDWALK, APT. 104 VENTOR NJ 08406 MEDICAL SUSPENSION K 54 7540 5/22/2007 N LEIBMAN, JOSEPH B. (MD) PO BOX 1005 PORT JERVIS NY 12771 MEDICAL DEBARMENT K 54 7540 6/22/2000 Y LEISER, SHAUL (RN) 14 HICKORY HILL ROAD JACKSON NJ 08527 MEDICAL DEBARMENT K 54 7540 12/7/2018 6/8/2021 N TAU Associates Plumbing & Mechanical LLC Lek Tauthong, Owner 91 Graham St Jersey City NJ 07307 91 Graham St Jersey City NJ 07307 CONSTRUCTION DEBARMENT F 62 4550 12/18/2013 12/17/2016 N LEKWAUWA, CHIKWUEKE (RN) 1643 PARK STREET RAHWAY NJ 07065 MEDICAL DEBARMENT K 54 7540 8/28/2017 6/4/2019 N Lemere, Devin 300 Mamaroneck Ave. #733 White Plains NY 10605 CONSTRUCTION DEBARMENT F 62 4550 6/30/2015 6/29/2018 N LEMPERT, SELWYN 240 FOOD CENTER DRIVE BRONX NY 10474 VENDOR SUSPENSION A 82 2050 9/7/2000 Lenec, Michael 300 Mamaroneck Ave. #733 White Plains NY 10605 CONSTRUCTION DEBARMENT F 62 4550 6/30/2015 6/29/2018 N LEON, JACK 2991 E.CHESTNUT AV UN H80 VINELAND NJ 08360 MEDICAL DISQUALIFICATION A 54 7540 2/22/2000 Y LEON SCD UNLIMITED LEON, JACK 1071 E. LANDIS AVENUE VINELAND NJ 08360 1071 E. LANDIS AVENUE VINELAND NJ 08360 MEDICAL SUSPENSION A 54 7540 6/29/1998 LEONARD, BARRY A. (MD) 15 DARIEN DRIVE CHERRY HILL NJ 08003 MEDICAL DISQUALIFICATION K 54 7540 2/13/1996 Y LEONARD, JUDITH (RPH) 70 LAUREL DRIVE LITTLE SILVER NJ 07739 MEDICAL SUSPENSION K 54 7540 2/20/2005 N LEONARD, KEREN (RN) 44 COCHISE CIRCLE MEDFORD NJ 08055 MEDICAL DISQUALIFICATION K 54 7540 7/25/2023 N LEONARD, TROY (COUNSELOR) 1851691448 999 COLONIAL ROAD FRANKLIN LAKES NJ 07417 MEDICAL DISQUALIFICATION K 54 7540 11/22/2016 Y Roncone Construction, L.L.C.Roncone Construction, L.L.C. Leonardo Marques Roncone, Managing Member 192 Emmet St. Newark NJ 07105 275 Chestnut St Store B #113 Newark NJ 07714 CONSTRUCTION DEBARMENT F 62 4550 2/3/2015 02/02/2018 N LEPKO, ERVIN (MD) 18 JANE DRIVE ENGLEWOOD CLIFF NJ 07632 MEDICAL SUSPENSION K 54 7540 5/20/2002 N LERNER, ELIZABETH GLEN RAY ROAD, BOX A ALDERSON WV 24910 MEDICAL SUSPENSION K 54 7540 7/20/2008 N LERNER, JOEL (DPM) 1073540001 654 BROADWAY BAYONNE NJ 07002 MEDICAL DISQUALIFICATION A 54 7540 6/1/2023 LERNER, MARVIN H. (MD) 1321 WASHINGTON STREET HOBOKEN NJ 07030 MEDICAL DISQUALIFICATION K 54 7540 3/5/2002 Y LESLIE, GLENN (DO) 1285712950 FMC-LEXINGTON, PO BOX 14500 LEXINGTON KY 40512 MEDICAL DISQUALIFICATION K 54 7540 1/9/2016 LESLIE, GLENN (DO) 1285712950 10 FRANKLIN TURNPIKE MAHWAH NJ 07430 MEDICAL SUSPENSION C 54 7540 4/3/2014 11/20/2015 N LESLIE, GLENN (DO) 1285712950 10 FRANKLIN TURNPIKE MAHWAH NJ 07430 MEDICAL DEBARMENT C 54 7540 11/20/2015 N LETREN, DENISE (CHHA) 916 MADISON AVENUE UNION NJ 07083 MEDICAL DISQUALIFICATION K 54 7540 1/15/2021 N LEVELL, CRYSTAL (LPN) 143 N 12TH STREET NEWARK NJ 07107 MEDICAL SUSPENSION K 54 7540 8/20/2001 7/23/2012 N LEVIN, HARVEY M. (MD) 510 NORTH KINGS HIGHWAY CHERRY HILL NJ 08034 MEDICAL DISQUALIFICATION G 54 7540 6/1/1993 Y LEVINE, EDWARD J. (MD) 7 GREEN HILL ROAD COLTS NECK NJ 07722 MEDICAL SUSPENSION A 54 7540 6/22/1999 7/21/2020 N LEVY, EDWARD (DDS) 108-34 67TH AVENUE FOREST HILLS NY 11375 MEDICAL DEBARMENT K 54 7540 12/29/2011 N LEVY, RICHARD S. (DPM) 177 MAIN ST. SUITE 235 FORT LEE NJ 07024 MEDICAL SUSPENSION K 54 7540 12/20/2001 N LEWANDOWSKI, KENNETH (DO) 1114070398 100 ATLANTIC AVENUE CAMDEN NJ 08101 MEDICAL DEBARMENT K 54 7540 8/28/2014 N LEWANDOWSKI, KENNETH (DO) 1114070398 35 TATUM DRIVE MIDDLETOWN NJ 07748 MEDICAL DEBARMENT K 54 7540 6/30/2016 LEWANDOWSKI, KENNETH (DO) 1114070398 35 TATUM DRIVE MIDDLETOWN NJ 07748 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 LEWIN, TASHEIKA (CHHA) 139 B 14TH AVENUE ELMWOOD PARK NJ 07407 MEDICAL DISQUALIFICATION K 54 7540 7/14/2017 8/21/2018 N LEWIS, ERICA (CHHA) 1098 PENNSYLVANIA AVENUE FRANKLINVILLE NJ 08322 MEDICAL DISQUALIFICATION K 54 7540 1/29/2018 LEWIS, TOLIA (CHHA) 391 ISABELLA AVENUE IRVINGTON NJ 07111 MEDICAL DISQUALIFICATION K 54 7540 9/19/2017 N LEYBA, ROGELIO 24 WEBSTER STREET NEWARK NJ 07104 MEDICAL DISQUALIFICATION K 54 7540 2/11/2016 LEYKIN, ERIC (owner) 2612 WEST 2ND STREET BROOKLYN NY 11223 MEDICAL SUSPENSION K 54 7540 2/13/2023 LEYSON, JOSE (MD) 1528169539 6 RANNEY ROAD LONG VALLEY NJ 07853 MEDICAL DISQUALIFICATION K 54 7540 6/30/2018 Y LEYSON, JOSE (MD) 1528169539 6 RANNEY ROAD LONG VALLEY NJ 07853 MEDICAL DISQUALIFICATION K 54 7540 10/3/2019 N LI, STAN (MD) 1386631794 16 SECRETARIO WAY HAMILTON NJ 08690 MEDICAL DISQUALIFICATION K 54 7540 11/18/2015 Y LI, STAN (MD) 1386631794 16 SECRETARIO WAY HAMILTON NJ 08690 MEDICAL DISQUALIFICATION K 54 7540 8/20/2015 Y LIBERTOFF, STUART 11206976300 4901 GLENWOOD ROAD BROOKLYN NY 11234 4901 GLENWOOD ROAD BROOKLYN NY 11234 VENDOR SUSPENSION A 82 2050 9/7/2000 LIBRIZZI, MICHELLE H. (LPN) 5 BELLIS CT. RINGOES NJ 08551 MEDICAL DISQUALIFICATION K 54 7540 7/18/2001 Y LICKFIELD, KEVIN J. (DO) 524 JUSTICE DRIVE MARLTON NJ 08053 MEDICAL DISQUALIFICATION A 54 7540 3/3/2003 N LIEBOWITZ, LEONARD J. (MD) 5 POE COURT MORGANVILLE NJ 07741 MEDICAL DEBARMENT K 54 7540 8/18/2001 Y LIEF, BRUCE (MD) 1134228794 4641 E ROOSEVELT BLVD PHILADELPHIA PA 19124 MEDICAL DISQUALIFICATION K 54 7540 1/20/2019 N LILLO, CHRISTOPHER T. (DMD) 1720150675 191 HIGHWAY 37 WEST TOMS RIVER NJ 08755 MEDICAL DISQUALIFICATION A 54 7540 12/20/2012 N LIMIDO, GLEN CARL (RPH) 1 EAST PLEASANT AVENUE MAYWOOD NJ 07607 MEDICAL SUSPENSION K 54 7540 10/19/2006 N LIMONGELLI, WILLIAM (DDS) 679 SO ORANGE AVE NEWARK NJ 07106 MEDICAL DISQUALIFICATION A 54 7540 10/30/1986 Y LINDER, NORBERT (MD) 4711 BERGENLINE AVENUE UNION CITY NJ 07087 MEDICAL DISQUALIFICATION A 54 7540 3/23/1977 Y LINK, TIMOTHY (MD) 1477767705 904 SYCAMORE AVENUE TINTON FALLS NJ 07724 MEDICAL DISQUALIFICATION K 54 7540 11/16/2022 LINK, TIMOTHY (MD) 1477767705 63 MONMOUTH PARKWAY MONMOUTH BEACH NJ 07750 MEDICAL DISQUALIFICATION K 54 7540 2/5/2018 2/23/2022 N LIPMAN, CLIFFORD R. (MD) 1083676670 26 UNION AVENUE FREEHOLD NJ 07728 MEDICAL DEBARMENT K 54 7540 1/16/2015 5/30/2018 N LIPPIELLO, JENNIE A. (DC) 1366605966 2920 RT. 23 SOUTH NEWFOUNDLAND NJ 07435 MEDICAL SUSPENSION K 54 7540 4/19/2001 LIPSON, PHILIP A. (DO) 38 W. NORTON DRIVE SOUTHHAMPTON PA 18966 MEDICAL DISQUALIFICATION K 54 7540 10/19/2005 N LIRIANO, ANGELA (CHHA) 79 CLINTON AVENUE, APT. #2 JERSEY CITY NJ 07306 MEDICAL DISQUALIFICATION K 54 7540 11/22/2017 Y LIRIANO, ANGELA (CHHA) 79 CLINTON AVENUE, APT. #2 JERSEY CITY NJ 07306 MEDICAL DISQUALIFICATION K 54 7540 7/14/2017 N LIRIANO, ANGELA (CHHA) 79 CLINTON AVENUE, APT. #2 JERSEY CITY NJ 07306 MEDICAL DISQUALIFICATION K 54 7540 4/19/2018 N LIVSHITS, BORIS 1935 83RD STREET, APT E6 BROOKLYN NY 11214 MEDICAL DISQUALIFICATION K 54 7540 8/1/2009 N LIZIK, MICHELLE (LPN) 451 FULLERTON AVENUE CAMBRIDGE SPRINGS PA 16403 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 LLANOS, LATOYA (CHHA) 433 W. QUINCE STREET VINELAND NJ 08360 MEDICAL DEBARMENT K 54 7540 3/29/2002 N LOAIZA, ERIKA (CHHA) 206 COVENTRY LANE SOMERSET NJ 08873 MEDICAL DISQUALIFICATION K 54 7540 2/8/2017 N LOBO, ANGEL R. (MD) 661 14TH AVENUE PATERSON NJ 07504 MEDICAL DEBARMENT K 54 7540 6/11/2002 N LOBO, ANGEL R. (MD) 398 STEWART AVENUE GARDEN CITY NY 11530 MEDICAL SUSPENSION K 54 7540 5/20/2007 N LOBO, MERCY 22 HELEN PLACE CLIFTON NJ 07011 MEDICAL DISQUALIFICATION K 54 7540 4/23/2007 N LOCK, ABRAHAM J. (MD) 1801 AVENUE J BROOKLYN NY 12230 MEDICAL DEBARMENT K 54 7540 2/25/2001 Y LOCURATOLO, LUIS R. (MD) 104-01 ROOSEVELT AVENUE CORONA NY 11368 MEDICAL SUSPENSION K 54 7540 12/1/1995 Y LOGAN, JEANETTE E. (RN) 12 ARAGON COURT TRENTON NJ 08628 MEDICAL SUSPENSION K 54 7540 5/20/2004 N LOLL-VAN SICKLE, PATRICIA (RN) 416 SALEM STREET ELMER NJ 08318 MEDICAL SUSPENSION K 54 7540 4/20/2000 LOMBARDI, ALAN 26 WHISPERING WAY BERKLEY HEIGHTS NJ 07922 CONSTRUCTION DEBARMENT F 62 4550 12/9/2014 10/8/2017 N LOPEZ, ALFREDO (MD) 1518958040 10701 E 96TH STREET INDIANAPOLIS IN 46256 MEDICAL DISQUALIFICATION K 54 7540 11/20/2019 N LOPEZ, JOHN J. 428 N 16TH STREET KENILWORTH NJ 07033 MEDICAL DEBARMENT K 54 7540 12/11/2001 N FAMILY DIAGNOSTIC CENTER LOPEZ, JOSE A. (MD) 293 MONROE STREET PASSAIC NJ 07055 24 WOODLAND ROAD BLOOMFIELD NJ 07003 MEDICAL SUSPENSION K 54 7540 11/20/2006 N LOPEZ, JULIANA (CHHA) 236 GRAND AVENUE CAMDEN NJ 08105 MEDICAL DISQUALIFICATION K 54 7540 2/8/2017 N LOPEZ-FALCONE, JUAN ANTONIO 8385 SW 43RD STREET MIAMI FL 33155 MEDICAL DISQUALIFICATION A 54 7540 5/2/2003 N LOPRESTI, JACQUELINE A. (DO) 1043348220 FPC ALDERSON ALDERSON WV 24910 MEDICAL DISQUALIFICATION A 54 7540 3/20/2014 N LOPRESTI, JACQUELINE A. (DO) 1043348220 568 RIDGE ROAD FAIR HAVEN NJ 07704 MEDICAL SUSPENSION A 54 7540 12/20/2011 N LOTTERMAN, RANDEE (RN) 6 JUNIATA STREET WEST MILFORD NJ 07480 MEDICAL DISQUALIFICATION K 54 7540 6/15/2017 N LOUIS-BAPTISTE, GUERLINE (CHHA) 51 LINCOLN STREET EAST ORANGE NJ 07017 MEDICAL DISQUALIFICATION K 54 7540 10/20/2017 N LOUISSAINT, PARACLET (MD) 1164519179 669 ELIZABETH AVENUE NEWARK NJ 07112 MEDICAL DEBARMENT K 54 7540 1/1/2001 1/11/2017 LOUKHNATI, RAJAA (CHHA) 5 COLGATE DRIVE CHERRY HILL NJ 08034 MEDICAL DEBARMENT K 54 7540 2/20/2017 N LOVETT, BETTIE (CHHA) 212 SENACA TRAIL BROWNS MILLS NJ 08064 MEDICAL DEBARMENT A 54 7540 5/28/2013 N LOWREY, RODNEY 88 3RD AVE ATLANTIC HIGH NJ 07716 MEDICAL DISQUALIFICATION A 54 7540 Y LU, CHEH S. (DO) 1144370057 3 DORIS DRIVE WEST CHERRY HILL NJ 08003 MEDICAL DISQUALIFICATION K 54 7540 7/20/2023 Y LU, KANG (MD) 1467602953 5753 HIGHWAY 85 N #2442 CRESTVIEW FL 32536 MEDICAL DISQUALIFICATION K 54 7540 7/18/2022 LUCA, BONNIE J. 1016 WASHINGTON GARDEN AP WASHINGTON NJ 07882 MEDICAL DEBARMENT A 54 7540 6/10/2007 Y LUCA, NICOLE 12 RED FOX RUN MANALAPAN NJ 07726 CONSTRUCTION DEBARMENT F 62 4550 3/18/2015 3/17/2018 N LUCAS, KATINA (RN) 126 LAGUARDIA AVENUE STATEN ISLAND NY 10314 MEDICAL SUSPENSION K 54 7540 10/19/2006 N LUCAS, MARK OWNER 31 GLASSBORO ROAD MONROEVILLE NJ 08343 CONSTRUCTION DEBARMENT F 62 4550 10/12/2012 10/11/2015 N LUDDEN, JAMES W. (DPM) 1720054935 23 SOCIETY HILL WAY TINTON FALLS NJ 07724 MEDICAL DISQUALIFICATION K 54 7540 12/19/2016 LUDDEN, JAMES W. (DPM) 1720054935 23 SOCIETY HILL WAY TINTON FALLS NJ 07724 MEDICAL DISQUALIFICATION K 54 7540 6/8/2007 N LUDWICK, DONNA (RN) 7 DEER VALLEY LANE, UNIT 12 VERNON NJ 07462 MEDICAL DISQUALIFICATION K 54 7540 6/22/2019 N LUDWIKOWSKI, MICHAEL (RPH) FCI LORETTO, PO BOX 1000 CRESSON PA 16630 MEDICAL DISQUALIFICATION K 54 7540 5/14/2021 N MAIN PHARMACY, LLC. LUDWIKOWSKI, MICHAEL (RPH) 80 SOUTH MAIN ROAD, SUITE 112 VINELAND NJ 08360 1861705873 113 DIXONTOWN ROAD MEDFORD NJ 08055 MEDICAL DISQUALIFICATION K 54 7540 4/13/2018 N OLD MEDFORD PHARMACY LUDWIKOWSKI, MICHAEL (RPH) 639 STOKES ROAD, SUITE 101 MEDFORD NJ 08055 1619148632 113 DIXONTOWN ROAD MEDFORD NJ 08055 MEDICAL DISQUALIFICATION K 54 7540 4/13/2018 N Caslo Drywall Corp. Luis Oliveras, Owner 644 East 2nd St Unit 2 Plainfield NJ 07060 644 East 2nd St Unit 2 Plainfield NJ 07060 CONSTRUCTION DEBARMENT F 62 4550 4/23/2014 04/22/2017 N Resco, LLCHallmark Electric, LLC Luis Riano, President 13 Poppy Ave. Neptune NJ 07753 13 Poppy Ave Neptune NJ 07753 CONSTRUCTION DEBARMENT F 62 4550 2/26/2015 02/25/2018 N L and Y Roofing, LLC Luis Vargas, Owner 291 Jefferson St Paterson NJ 07522 183 Belmont Ave Haledon NJ 07522 CONSTRUCTION DEBARMENT F 62 4550 3/17/2014 03/16/2017 N LUNDY, HOWARD 1 MALKE DRIVE OCEAN NJ 07712 MEDICAL DEBARMENT K 54 7540 4/4/2015 N LYNCH, CHRISTOPHER (MD) 1407813975 1719 PENN CROSSING ALLENTOWN PA 18104 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 LYNCH, KATHRYN (LPN) 33 STEVEN TERRACE SOUTH PLAINFIELD NJ 07080 MEDICAL DISQUALIFICATION K 54 7540 2/7/2019 N LYONS, DANA (LPN) 245 4TH AVENUE ROEBLING NJ 08554 MEDICAL SUSPENSION K 54 7540 2/20/2002 N LYONS-VALENTI, ASHLEY (APN/RN) 1275715179 119 PALMER PLACE SWEDESBORO NJ 08085 MEDICAL DISQUALIFICATION K 54 7540 10/4/2020 Y LYVAN, KIM (DDS) 1346458965 199 CANAL STREET #201 NEW YORK NY 10013 MEDICAL SUSPENSION K 54 7540 11/27/2000 MAAT, THOMAS P. (LPN) 2311 4TH AVE. TOMS RIVER NJ 08753 MEDICAL SUSPENSION K 54 7540 3/18/2004 N MABRY, MYRA ANN CUMMINGS (MD) 1306070719 GLEN RAY ROAD, BOX A ALDERSON WV 24910 MEDICAL DISQUALIFICATION K 54 7540 7/20/2021 MACH, PHILIP C. (MD) 1770562993 PO BOX 1000 LORETTO PA 15940 MEDICAL SUSPENSION K 54 7540 5/9/2008 N MACH, PHILIP C. (MD) 1770562993 30 DANIEL DRIVE FRANKLIN PARK NJ 08823 MEDICAL DISQUALIFICATION K 54 7540 10/7/2008 N MACH, PHILIP C. (MD) 1770562993 17 SHELDON ROAD PEMBERTON NJ 08068 MEDICAL DISQUALIFICATION A 54 7540 10/30/2018 Y MACIAS, ERICK (DC) 1215311329 111 E. DEWEY AVENUE, APT. 254 WHARTON NJ 07885 MEDICAL DISQUALIFICATION K 54 7540 7/24/2020 N Madara, John H. 319 Terrace Street Rahway NJ 07065 CONSTRUCTION DEBARMENT F 62 4550 5/8/2015 5/7/2018 N MADDOX, CALISA (CHHA) 42 TRITON TERRACE NEWARK NJ 07104 MEDICAL DISQUALIFICATION K 54 7540 9/20/2019 N MADDOX, PEARL V. (CHHA) KINSLEY ROAD PEMBERTON NJ 08068 MEDICAL DISQUALIFICATION A 54 7540 9/25/2007 N MADUR, MATUS, MANAGING MEMBER 75 HART STREET SAYREVILLE NJ 08872 CONSTRUCTION DEBARMENT F 62 4550 3/26/2012 3/25/2015 N Magda Zamprogno, Other 65-67 7th Ave. 1st Floor Newark NJ 07104 CONSTRUCTION DEBARMENT F 62 4550 10/17/2013 10/16/2016 N MAGGIONCALDA III, EUGENE C. (RN) 15 ABBINGTON LANE SEWELL NJ 08080 MEDICAL DISQUALIFICATION K 54 7540 7/25/2023 N MAHAJAN, SHYAM S. (MD) 1144496449 7624-A BRISLIN RD #7 STROUDSBURG PA 18360 MEDICAL DISQUALIFICATION K 54 7540 12/1/1998 Y MAHARAJ, GANGARAM (RPH) 1326323106 72 VAN REIPEN AVENUE JERSEY CITY NJ 07306 MEDICAL DISQUALIFICATION K 54 7540 7/22/2017 MAHER, PATRICIA (RN) 26 PROSPECT STREET RAMSEY NJ 07446 MEDICAL DISQUALIFICATION K 54 7540 2/7/2019 N LA INVALID COACH MAHGOUB, ADAM 1995 JFK BLVD. NO. 14 JERSEY CITY NJ 07305 1995 JFK BLVD. NO. 14 JERSEY CITY NJ 07305 MEDICAL DISQUALIFICATION K 54 7540 6/17/2002 N MAHMOOD, SHAHID 228 GRAND STREET JERSEY CITY NJ 07302 MEDICAL DEBARMENT A 54 7540 3/30/2010 N MAHMUD, ASIF (MD) 2024 W. 13TH ST. BROOKLYN NY 11223 MEDICAL SUSPENSION K 54 7540 3/18/2004 N MAIGUE, LLEWELYN (RN) 6 CRYSTAL AVENUE W. ORANGE NJ 07052 MEDICAL SUSPENSION K 54 7540 4/19/2001 MAIORANO, JOHN (RPH) 1659492940 123 EAST END AVENUE ISLAND HEIGHTS NJ 08732 MEDICAL SUSPENSION A 54 7540 4/18/2002 N MAIO'S MEDICINE CHEST MAIORANO, JOHN (RPH) 345 UNION HILL ROAD ENGLISHTOWN NJ 07726 1659492940 345 UNION HILL ROAD ENGLISHTOWN NJ 07726 MEDICAL DISQUALIFICATION A 54 7540 7/11/2000 Y MAIS, JENNIFER C. (PA) 1801035084 22 NEW STREET HILLSDALE NJ 07642 MEDICAL DISQUALIFICATION K 54 7540 4/30/2015 N MAJURI, WILLIAM 14 OAK AVENUE BERLIN NJ 08009 VENDOR SUSPENSION A 82 2050 8/27/2001 MAKILING, REY (LPN) 202 FLATBUSH AVENUE EGG HARBOR TOWNSHIP NJ 08234 MEDICAL DISQUALIFICATION K 54 7540 2/8/2024 N MAKKER, RAM S. (MD) 1538117213 52 SNAPDRAGON LANE ROSLYN HEIGHTS NY 11577 MEDICAL DISQUALIFICATION K 54 7540 4/20/2010 N MALADY, SUSAN AKA MAWHINNEY-BRIGNOLA, SUSAN (RN) PO BOX 468 BLAIRSTOWN NJ 07825 MEDICAL SUSPENSION K 54 7540 6/20/2001 ORIENT EXPRESS MALAMUD, YAFIM 177 SARGEANT AVE. CLIFTON NJ 07013 177 SARGEANT AVE. CLIFTON NJ 07013 MEDICAL DEBARMENT K 54 7540 8/8/2003 N MALDONADO, CHEYENNE (PHARM TECH) 3 DUKE DRIVE TOMS RIVER NJ 08757 MEDICAL DEBARMENT K 54 7540 1/5/2017 8/30/2023 N MALDONADO, SANDRA (CHHA) 2808 CONGRESS ROAD CAMDEN NJ 08104 MEDICAL DISQUALIFICATION K 54 7540 3/6/2018 N MALDONADO, TOSHIRA (CHHA) 4648 THELMA AVENUE MAYS LANDING NJ 08330 MEDICAL DEBARMENT K 54 7540 1/20/2017 8/11/2022 N MALIK, ATIF #62539-037 (MD) 1386-63-1869 FCI LORETTO, PO BOX 1000 LORETTO PA 15940 MEDICAL DISQUALIFICATION K 54 7540 3/1/2019 N MALIK, MOHAMMAD S. 146 OLD COURT HOUSE RD. MANHASSETT NY 11040 MEDICAL SUSPENSION K 54 7540 10/20/2002 N MALIK, MOHAMMAD S. 146 OLD COURTHOUSE ROAD MANHASSETT NY 11400 MEDICAL SUSPENSION A 54 7540 9/22/2000 MALLOY, TIFFANY (APN/RN) 1790910503 34 VUBURNUM COURT LAWRENCEVILLE NJ 08648 MEDICAL DEBARMENT K 54 7540 8/28/2017 MALLOZZI, DEBORAH (RN) 1603 PERSHING AVENUE FORKED RIVER NJ 08731 MEDICAL DISQUALIFICATION K 54 7540 6/28/2017 MALONE, THOMAS F. 16192 COASTAL HIGHWAY LEWES DE 19958 CONSTRUCTION DEBARMENT F 62 4550 5/14/2013 5/13/2016 N Malpere, Michael 8 Mansion Terrace Cranford NJ 07016 CONSTRUCTION DEBARMENT F 62 4550 6/9/2015 6/8/2018 N MANALO, JERICHO (RN) 22 PINE STREET BLOOMFIELD NJ 07109 MEDICAL DISQUALIFICATION K 54 7540 11/13/2017 N MANCILLA, MARIA (CHHA) 284 REDMOND STREET NEW BRUNSWICK NJ 08873 MEDICAL SUSPENSION K 54 7540 5/14/2007 N MANCINI PHARMACY INC MANCINI, ANGELO D. (RPH) SKEET & DIXONTOWN ROAD MEDFORD NJ 08055 SKEET & DIXONTOWN ROAD MEDFORD NJ 08055 MEDICAL DISQUALIFICATION G 54 7540 7/1/1985 Y MANDERSCHEID, DAVID L. 310 NORTH HIGH STREET WEST CHESTER PA 19380 CONSTRUCTION DEBARMENT F 62 4550 11/18/2011 11/17/2014 N MANFORD, ROSE AKA ACQUAH, ROSE (CHHA) 5507 WARNER VIEW LANE WESTVILLE OH 43081 MEDICAL DEBARMENT K 54 7540 7/13/2018 MANFRE, MARIA (LPN) 262 N. MIDDLESEX COURT THOROFARE NJ 08086 MEDICAL DISQUALIFICATION K 54 7540 6/5/2017 MANGIONE, MICHELE (RN) 35 LONGVIEW DRIVE WALDWICK NJ 07363 MEDICAL SUSPENSION K 54 7540 9/20/2004 Y MANIN, LAWRENCE 611 BURLINGTON MT HOLLY NJ 08060 MEDICAL DISQUALIFICATION G 54 7540 4/12/1993 Y MANION, WILLIAM (MD) 33 MEADOW ROAD WOODSTOWN NJ 08098 MEDICAL DISQUALIFICATION K 54 7540 3/8/2018 MANJO, EUNICE AKA GUANMESIA, EUNICE (RN) 1811443815 128 FIELDBROOK DRIVE MAGNOLIA DE 19962 MEDICAL DISQUALIFICATION K 54 7540 10/3/2019 N MANKOFF, BERNARD GREEN GROVE ROAD NEPTUNE NJ 07753 PROFESSIONAL DISQUALIFICATION A 54 7540 Y MANNAVA, VENKATA SRINIVAS (RPH) 1356478895 3300 EAST WEST HIGHWAY, APT 206 HYATTSVILLE MD 20782 MEDICAL DISQUALIFICATION K 54 7540 6/30/2016 MANNING, LUTHER 586 WEST SCOTT AVENUE RAHWAY NJ 07065 MEDICAL SUSPENSION K 54 7540 10/20/2008 N MANNO, MICHAEL (DC) 1356704738 PO BOX 1000 CAMP FORT DIX NJ 08640 MEDICAL SUSPENSION K 54 7540 10/20/2003 N MANSOUR, ALI (MD) 1346225885 225 DEMOTT LANE SOMERSET NJ 08873 MEDICAL DEBARMENT C 54 7540 12/20/2014 10/25/2019 N PER Construction LLC Manuel Pereira, Owner 194 Monmouth Ave Keyport NJ 07735 67 State Route 36 Suite #4 West Long Branch NJ 07764 CONSTRUCTION DEBARMENT F 62 4550 10/17/2014 10/16/2017 N M.E. Group, LLC Manuel Quito, Member 164 Polk Street - Apt 1 Newark NJ 07105 164 Polk Street - Apt 1 Newark NJ 07105 CONSTRUCTION DEBARMENT F 62 4550 6/30/2015 06/29/2018 N MANZE, PATRICK (MD) 53 GARDNER AVENUE CHATHAM NJ 07928 MEDICAL SUSPENSION K 54 7540 2/20/2005 DECEASED N MANZELLA, JOHN (DO) 680 BROADWAY AVENUE PATERSON NJ 07514 MEDICAL DEBARMENT A 54 7540 6/28/2014 N MANZI, JOHN J. (RPH) 6 TEMPLE ROAD APT 22 C VINELAND NJ 08360 MEDICAL DISQUALIFICATION A 54 7540 6/1/1993 Y MANZONI, JANET M. (DC) 1851497168 52 TENNET ROAD MORGANVILLE NJ 07751 MEDICAL SUSPENSION K 54 7540 2/3/1998 MANZONI, JANET M. (DC) 1851497168 9 KILMER DRIVE MANALAPAN NJ 07726 MEDICAL DISQUALIFICATION K 54 7540 5/20/2009 N MARC, DAMILOLA (LPN) 165 FULTON AVENUE, APT. 3 JERSEY CITY NJ 07305 MEDICAL DISQUALIFICATION K 54 7540 11/23/2019 N MARCELL, JOSEPH A. 305 MAIN ST RIDGEFIELD PARK NJ 07660 MEDICAL DISQUALIFICATION G 54 7540 Y MARCHAND, ANTHONY (MD) 19 DEXTER DRIVE NORTH BASKING RIDGE NJ 07920 MEDICAL SUSPENSION K 54 7540 9/19/2003 N MARCHETTA, LEONARD (PA) 1720196140 FCI-FORT DIX, PO BOX 2000 JOINT BASE MDL NJ 08640 MEDICAL DISQUALIFICATION K 54 7540 6/3/2016 MARCOS, FRANCISCO (RPH) 1699158063 777 CHARNWOOD DRIVE WYCKOFF NJ 07481 MEDICAL DISQUALIFICATION A 54 7540 9/20/2011 4/5/2017 N MARCUS, ALAN L. (DC) 789 CLIFTON AVENUE CLIFTON NJ 07013 MEDICAL DISQUALIFICATION K 54 7540 7/25/2001 Y Metropolitan Stone & Tile, LLC Margaret Farina, Owner 30 Monsisnor Deluca Plaza Nutley NJ 07110 102 Richards Ave Dover NJ 07801 CONSTRUCTION DEBARMENT F 62 4550 9/24/2015 09/23/2018 N CPS Mechanical Contractors, Inc. Margaret Sherman, President 203 Woods Ave Bergenfield NJ 07621 203 Woods Avenue Bergenfield NJ 07621 CONSTRUCTION DEBARMENT F 62 4550 12/16/2014 12/15/2017 N Perfection Erectors, LLCPerfection Erectors, LLC Marianne Cammarata, Manager 349 W. Prospect Avenue Keyport NJ 07735 349 West Prospect Ave Keyport NJ 07735 CONSTRUCTION DEBARMENT F 62 4550 2/24/2016 02/23/2019 N Everest Masonry Constructors, Inc. Mark Rodrigues, President 523 Hamilton Ave Kingston PA 18704 1 Orinet Way Suite 226 Rutherford NJ 07070 CONSTRUCTION DEBARMENT F 62 4550 11/9/2015 11/08/2018 N MARKOFF, MORTON (DO) 908 FRANCINE DRIVE CHERRY HILL NJ 08003 MEDICAL SUSPENSION K 54 7540 11/7/1997 DECEASED N MARKOS, MARYAM (CHHA) 95 WINDING WOOD DRIVE, APT. 3B SAYREVILLE NJ 08872 MEDICAL DISQUALIFICATION K 54 7540 10/4/2023 MARKOSOVA, GRETA (CHHA) 2301 WESTMINSTER BOULEVARD PARLIN NJ 08859 MEDICAL DISQUALIFICATION K 54 7540 1/31/2017 N MARKOWSKI, TOMASZ 2026 HIMROD ROAD RIDGEWOOD NY 11385 CONSTRUCTION DEBARMENT F 62 4550 4/19/2012 4/18/2015 N MARON, ANDREW (DDS) 1215035134 326 BROAD STREET RED BANK NJ 07701 MEDICAL DISQUALIFICATION K 54 7540 10/21/2015 N MARON, ANDREW (DDS) 1215035134 326 BROAD STREET RED BANK NJ 07701 MEDICAL DISQUALIFICATION K 54 7540 11/1/2019 N MARONPOT, BARBARA (DDS) 1821203696 281 MENDHAM ROAD BERNARDSVILLE NJ 07924 MEDICAL DEBARMENT K 54 7540 3/17/2015 MARQUEZ, MANUEL S. (MD) 112 DOWNING COURT MT. LAUREL NJ 08054 MEDICAL DISQUALIFICATION K 54 7540 12/5/1997 DECEASED N MARQUEZ, OLGA (COUNSELOR) 2827 LINCOLN AVENUE CAMDEN NJ 08105 MEDICAL SUSPENSION A 54 7540 4/29/2003 N MARRAZZO-TALLIA, CHRISTAL (RPH) 406 HARDING ROAD FAIRHAVEN NJ 07704 MEDICAL SUSPENSION K 54 7540 10/19/2006 N MARSH, TIFFANY 146 CHESTNUT STREET WEST ORANGE NJ 07052 MEDICAL DEBARMENT A 54 7540 10/10/2023 MARSH, TIFFANY P.O. BOX 27137 FORT WORTH TX 76127 MEDICAL DISQUALIFICATION A 54 7540 12/20/2023 N MARSHALL, HAROLD 1800 EVA STREET AUSTIN TX 78704 CONSTRUCTION DEBARMENT F 62 4550 5/11/2014 5/10/2017 N MARSON-FRANCIS, JAVON (CHHA) 7810 CORBETT ROAD PENNSAUKEN NJ 08109 MEDICAL DISQUALIFICATION K 54 7540 4/18/2017 N MARTIN, ANDRE (COUNSELOR) 127 N. DERBY AVENUE VENTNOR NJ 08406 MEDICAL DEBARMENT A 54 7540 5/24/1999 Y MARTIN, BENNIE M. (COUNSELOR) 476 CLIFTON AVENUE CLIFTON NJ 07011 MEDICAL SUSPENSION A 54 7540 5/15/2003 N MARTIN, CHERYL LEE a.k.a. JOHNSTON, CHERYL ANDERSON (RN) 600 PACIFIC AVENUE, APT B203 ATLANTIC CITY NJ 08401 MEDICAL DISQUALIFICATION K 54 7540 11/18/2021 MARTIN, ELLIOTT (DPM) 5 HOLLIS ROAD E. BRUNSWICK NJ 08816 MEDICAL DISQUALIFICATION G 54 7540 4/22/1991 DECEASED N MARTIN, MARGARET (LPN) 207 HEGGEN AVENUE EGG HARBOR TOWNSHIP NJ 08234 MEDICAL DISQUALIFICATION K 54 7540 9/8/2017 Y MARTIN, PATRICK 51 HENRY STREET SUCCASUNNA NJ 07876 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 MARTIN, SUSAN C. (RN/LPN) 3421 BRIGHTON STREET PHILADELPHIA PA 19149 MEDICAL SUSPENSION K 54 7540 9/20/2005 N MARTINEZ, CINTYA (CHHA) 61 CONCORD STREET, APT. 3A JERSEY CITY NJ 07306 MEDICAL DISQUALIFICATION K 54 7540 2/20/2017 N MARTINEZ, ELIEZER (COUNSELOR) 215 SOUTH BURLINGTON ROAD BRIDGETON NJ 08302 MEDICAL SUSPENSION K 54 7540 2/20/2006 N MARTINEZ, MELISSA (CHHA) 211A LOIS LANE, APT. A LAKEWOOD NJ 08701 MEDICAL DISQUALIFICATION K 54 7540 7/19/2023 N MARTINEZ, NATASHA (CHHA) 87 N. 7TH STREET, APT. 1 PATERSON NJ 07522 MEDICAL DISQUALIFICATION K 54 7540 9/26/2018 N MARTINEZ, RENATO F. (MD) 199 BROAD ST., SUITE 1-A BLOOMFIELD NJ 07003 MEDICAL SUSPENSION K 54 7540 8/5/1997 MARTINIQUE, BURTON (OD) 1942370945 2 SHEFFIELD DRIVE WILLINGBORO NJ 08046 MEDICAL DEBARMENT K 54 7540 4/18/2016 MARTINIZEZ, SUZETTE (CHHA) 52 FOREST GLEN DRIVE HIGHLAND PARK NJ 08904 MEDICAL DISQUALIFICATION K 54 7540 7/31/2017 N MARTINS, ANTONIO 215 PRINCETON ROAD PARLIN NJ 08859 CONSTRUCTION DEBARMENT F 62 4550 1/14/2013 1/13/2016 N MARTINS, MANUEL 15 CENTER STREET SOUTH RIVER NJ 08882 CONSTRUCTION DEBARMENT F 62 4550 1/14/2013 1/13/2016 N MARTINS, ROGERIO 46 GROVE STREET SOUTH RIVER NJ 08882 CONSTRUCTION DEBARMENT F 62 4550 1/14/2013 1/13/2016 N MARTIROSOV, ALEKSANDR (DO) 1700931185 1084 BRIAR WAY FORT LEE NJ 07024 MEDICAL DISQUALIFICATION K 54 7540 11/20/2017 5/30/2018 N MARTORANO, JOSEPH (RPH) 0 1248 STANWOOD STREET PHILADELPHIA PA 19100 1248 STANWOOD STREET PHILADELPHIA PA 19100 MEDICAL DISQUALIFICATION A 54 7540 6/1/1993 Y MARUCCI, DONATO (MD) 14 FRANKLIN STREET BELLEVILLE NJ 07109 MEDICAL DISQUALIFICATION A 54 7540 9/28/1999 Y MARURI, NAGESWARA REDDY (RPH) 1083932495 8 REDWOOD AVENUE WEST ORANGE NJ 07052 MEDICAL DISQUALIFICATION K 54 7540 2/1/2016 Marvin Ardon Painting Marvin Alexander Ardon, Owner 52 S. Jefferson St. Orange NJ 07070 52 S Jefferson St Orange NJ 07050 CONSTRUCTION DEBARMENT F 62 4550 12/4/2013 12/03/2016 N MASCOLO, JOSEPHINE (RN) 1814 KENNEDY BLVD. UNION CITY NJ 07087 MEDICAL DEBARMENT K 54 7540 4/7/2004 N MASHALI, FATHALLA #86065-038 (MD) 1386609907 FMC DEVENS, PO BOX 879 AYER MA 01432 MEDICAL DISQUALIFICATION K 54 7540 8/20/2018 N MASI, JAMES (COUNSELOR) 1518046226 631 OCEAN AVENUE, APT.304 BRADLEY BEACH NJ 07720 MEDICAL DEBARMENT K 54 7540 2/20/2013 N MASON, JAMES I. 702 SUNSHINE LAKES DRIVE VOORHEES NJ 08043 MEDICAL SUSPENSION A 54 7540 2/23/2000 MASON, SYDELLE 702 SUNSHINE LAKES DRIVE VOORHEES NJ 08043 MEDICAL SUSPENSION A 54 7540 2/23/2000 MASOOD, MARUK 1 CHESTERFIELD DRIVE WARREN NJ 07059 MEDICAL DISQUALIFICATION A 54 7540 11/20/2012 N MASOOD, YOUSUF (MD) 1235343138 PO BOX 8000 BRADFORD PA 16701 MEDICAL DISQUALIFICATION A 54 7540 11/20/2012 N MASOUD, MARIAM (CHHA) 194 CORNELISON AVE, APT 200 KEARNY NJ 07032 MEDICAL DISQUALIFICATION K 54 7540 5/17/2023 MASRI, NASSER M. 360 GETTY AVENUE PATERSON NJ 07503 MEDICAL SUSPENSION K 54 7540 10/19/2000 2/15/2019 N MASSARO, DONNA M. (THERAPIST) 205 RIVA DRIVE APT 24 HACKETTSTOWN NJ 07840 MEDICAL SUSPENSION K 54 7540 11/20/2008 N MASTRANGELO, MARTHA (LPN) 12 NORTH 28TH AVENUE LONGPORT NJ 08403 MEDICAL DISQUALIFICATION G 54 7540 6/1/1993 Y MASTRIA, ERNEST (PSYCH) 213 9TH AVE BELMAR NJ 07719 MEDICAL DISQUALIFICATION K 54 7540 8/18/2011 N MASTROKOSTAS, ANTHANASIOS (RPH) 1861769481 11 EQUINOX LANE FREEHOLD NJ 07728 MEDICAL DISQUALIFICATION A 54 7540 10/15/2009 2/15/2019 N MATALON, VIVIENNE (MD) 1396858635 1 NORTH SYRACUSE DRIVE CHERRY HILL NJ 08034 MEDICAL DISQUALIFICATION K 54 7540 12/19/2016 MATALON, VIVIENNE (MD) 1396858635 1 NORTH SYRACUSE DRIVE CHERRY HILL NJ 08034 MEDICAL DEBARMENT K 54 7540 10/31/2016 MATHEW, REX (MD) 1336164862 131 WEST PARKWAY POMPTON PLAINS NJ 07444 MEDICAL DISQUALIFICATION K 54 7540 1/2/2017 MATHEW, REX (MD) 1336164862 17608 PRINCE EDWARD DRIVE OLNEY MD 20832 MEDICAL DISQUALIFICATION K 54 7540 4/4/2018 N MATRISS, JOSEPH P. (DDS) 1700013554 337 HENRY STREET HASBROUCK HEIGHTS NJ 07604 MEDICAL DEBARMENT A 54 7540 10/9/2007 N MATRISS, JOSEPH, P. (DDS) 1700013554 337 HENRY STREET HASBROUCK HEIGHTS NJ 07604 MEDICAL SUSPENSION A 54 7540 9/18/2003 N MATTERN, JILL (MD) 1669514253 20 WILSON TERRACE, APT 1 STATEN ISLAND NY 10304 MEDICAL DEBARMENT K 54 7540 11/29/2015 Matthew Ettere, Vice-President 8 Brookside Drive Warren NJ 07059 CONSTRUCTION DEBARMENT F 62 4550 1/5/2016 1/4/2019 N MATTHEWS, BHA'SHEER (CHHA) 16 HEMLOCK WALK CAMDEN NJ 08104 MEDICAL DISQUALIFICATION K 54 7540 4/18/2017 N MATURA, DENISE (RN) 1001 LINDEN AVENUE BRICK NJ 08723 MEDICAL SUSPENSION A 54 7540 10/26/1999 7/20/2012 N MATURA, WILLIAM (DC) PO BOX 7000 FORT DIX NJ 08640 MEDICAL SUSPENSION K 54 7540 12/20/2006 N MATZ, RODNEY S. (MD) 43 MACDONALD DRIVE WAYNE NJ 07470 MEDICAL DISQUALIFICATION K 54 7540 12/29/1995 Y MAUGLE, BARBARA (DPM) 800 HILLSIDE AVENUE WESTFIELD NJ 08901 MEDICAL DISQUALIFICATION K 54 7540 1/10/2001 Y MAUIRI, SANDY (LPN) 34 FRANKLIN PL. TOTOWA NJ 07512 MEDICAL SUSPENSION K 54 7540 6/20/2005 N Advantage Sport USA, Inc. Maurice Guarigilia, Owner / Officer 1 Tigan Street Winooski VT 05404 494 North Barbor Road Colchester VT 05446 CONSTRUCTION DEBARMENT F 62 4550 1/20/2016 01/19/2019 N Interstate Home Service Inc.Interstate Home Service Inc. Maurice Rolando, Owner 105 Heights Ave Fair Lawn NJ 07410 165 Heights Ave Fair Lawn NJ 07410 CONSTRUCTION DEBARMENT F 62 4550 8/17/2015 08/16/2018 N MAWHINNEY-BRIGNOLA, SUSAN AKA MALADY, SUSAN (RN) PO BOX 468 BLAIRSTOWN NJ 07825 MEDICAL SUSPENSION K 54 7540 6/20/2001 MAXIMOUS, HEBA (CHHA) 274 MONTICELLO AVENUE JERSEY CITY NJ 07306 MEDICAL DISQUALIFICATION K 54 7540 5/17/2023 MAXIMOUS, MARSA (CHHA) 110 BALDWIN AVENUE, APT 5 JERSEY CITY NJ 07306 MEDICAL DISQUALIFICATION K 54 7540 5/17/2023 MAXVITAT, KATHLEEN E. (PHARM TECH) 200 W. MERCHANTS STREET AUDUBON NJ 08106 MEDICAL SUSPENSION K 54 7540 4/20/2011 N INDEPENDENCE MEDICAL TRANS. MAXYMIV, NICOLAI 3 PARKWOOD DRIVE SOUTH AMBOY NJ 08879 3 PARKWOOD DRIVE SOUTH AMBOY NJ 08879 MEDICAL DISQUALIFICATION K 54 7540 7/10/2003 N MAYER, BARRY PO BOX 239 AVERNE NY 11692 PO BOX 239 AVERNE NY 11692 VENDOR SUSPENSION A 82 2050 9/7/2000 MAYER, FREDRICK G. (DC) 1811082894 610 WOODLAND AVENUE AVON BY THE SEA NJ 07717 MEDICAL DISQUALIFICATION K 54 7540 8/20/2000 9/21/2011 N MAYS, CYNTRICE (CHHA) 98 OAK STREET CLEMENTON NJ 08021 MEDICAL DISQUALIFICATION K 54 7540 9/19/2017 N MAYS, ROBERT E. 6133 HANLON STREET CAPITAL HEIGHTS MD 20743 MEDICAL DISQUALIFICATION K 54 7540 10/31/2017 N MAZOUZ, SANAA (CHHA) 10 N COAL STREET SHAMOKIN PA 17872 MEDICAL DISQUALIFICATION K 54 7540 7/19/2023 N MAZUR, BONNIE (DMD) 210 E. SEAVIEW AVENUE LINWOO NJ 08221 MEDICAL SUSPENSION K 54 7540 1/27/1998 MCAFEE, JORDAN (CHHA) 13 FAIRWAY COURT MARLTON NJ 08053 MEDICAL DISQUALIFICATION K 54 7540 7/20/2017 MCAULAY-LEVESQUE, BARBARA (LPN) 141 BRUNSWICK AVENUE BLOOMSBURY NJ 08804 MEDICAL DISQUALIFICATION K 54 7540 4/27/2019 Y MCCABE, LAUREN AKA BARSH, LAUREN (RN) 9 FIELDCREST WAY HAZLET NJ 07730 MEDICAL DISQUALIFICATION K 54 7540 12/30/2019 N MCCABE, VALERIE A. (LPN) 830 CHESTNUT STREET KEARNY NJ 07032 MEDICAL SUSPENSION K 54 7540 9/20/2004 Y MCCAFFERTY, ASHLEY (RN) 245 ATLANTIC AVENUE, APT. 115 LONG BRANCH NJ 07740 MEDICAL DISQUALIFICATION K 54 7540 1/29/2019 N MCCAGG, CAROLINE (MD) 1346261849 1415 MARTINE AVENUE PLAINFIELD NJ 07060 MEDICAL DISQUALIFICATION K 54 7540 4/18/2019 Y MCCALL, ELDORA (CHHA) OLD CRANBURY ROAD CRANBURY NJ 08512 MEDICAL SUSPENSION K 54 7540 9/20/2007 N MCCANN, DAVID 16 LAFAYETTE PLACE LYNDHURST NJ 07071 MEDICAL DISQUALIFICATION A 54 7540 10/3/2019 N MCCARVILLE, MICHAEL (MD) 1871666321 1020 IRVING AVENUE ENDICOTT NY 13760 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 MCCASKILL, CAMMY 6518 BOBOLINK PLACE PHILADELPHIA PA 19142 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 MCCASKILL, JACQUELINE (CHHA) 34 36 12TH AVENUE PATERSON NJ 07524 MEDICAL DISQUALIFICATION K 54 7540 10/15/2004 N MCCOLGAN, PETER (DMD) RR 1, PO BOX 29 TANNERSVILLE PA 18372 MEDICAL SUSPENSION K 54 7540 6/19/2001 MCCOLGAN, PETER (DMD) 35 OLD WOLFE ROAD BUDD LAKE NJ 07828 MEDICAL DEBARMENT K 54 7540 5/13/1999 Y MCCREA, NIOME (CHHA) 63 VILLAGE DRIVE BARNEGAT NJ 08005 MEDICAL DISQUALIFICATION K 54 7540 9/26/2017 N MCDANIELS, HOLLY (RN) 111 COUNTRYSIDE DRIVE MYRTLE BEACH SC 29579 MEDICAL DISQUALIFICATION K 54 7540 6/28/2017 MCDONALD, JOSEPH (MD) 2052 MORRIS AVENUE UNION NJ 07083 MEDICAL DEBARMENT K 54 7540 9/21/1999 Y MCDONALD, KEITH (THERAPIST) 2220 MEADOW LANE, APT.D26 SECAUCUS NJ 07094 MEDICAL DISQUALIFICATION K 54 7540 2/20/2001 Y MCDONALD, RHONDA (RN) 962 GROVE STREET IRVINGTON NJ 07111 MEDICAL SUSPENSION K 54 7540 1/18/2007 N MCDONALD-HASWELL, EVERSLEY 52 ELM STREET MONTCLAIR NJ 07042 MEDICAL SUSPENSION K 54 7540 4/18/2002 N MCDOWELL, SHASHAWN (CHHA) 25 WILLIAM STREET, 2ND FLOOR LITTLE FALLS NJ 07424 MEDICAL DEBARMENT K 54 7540 12/6/2017 N MCELROY, DONALD J. (DDS) 14 RESEVOIR AVENUE DOVER NJ 07801 MEDICAL DISQUALIFICATION A 54 7540 2/20/1983 Y MCFADDEN, SCOTT 3 VICTORY LANE BRICK NJ 08723 VENDOR DEBARMENT A 66 1020 1/6/2016 1/6/2021 N MCFADDEN, TIKEYA (CHHA) 526 RAND STREET CAMDEN NJ 08105 MEDICAL DISQUALIFICATION K 54 7540 2/8/2017 N MCGAVIN, CAMERON LINDSAY (PSYCH) 1760408041 417 BOYD STREET TURTLE CREEK PA 15145 MEDICAL DISQUALIFICATION K 54 7540 3/27/2015 MCGEE, ELIZABETH (RN) 51 VAN DUYNE AVE WAYNE NJ 07470 MEDICAL SUSPENSION K 54 7540 2/20/2002 N MCGEE, GEORGE, PRESIDENT 99 HILLSIDE TERRACE PARSIPPANY NJ 07054 CONSTRUCTION DEBARMENT F 62 4550 2/7/2013 2/6/2016 N MCGEE, JOHN (MD) 1811991284 1160 KENNEDY BOULEVARD BAYONNE NJ 07002 MEDICAL DEBARMENT 54 7540 9/6/2016 MCGILL, WINSTON (MD) 1093810749 258 CENTRAL AVENUE ORANGE NJ 07050 MEDICAL DEBARMENT K 54 7540 10/16/2014 N MCGINNIS, GEORGE J. 119 ADELINE ST TRENTON NJ 08611 MEDICAL DISQUALIFICATION A 54 7540 10/16/1986 Y MCGINTY, JAMIE (RN) 251 DEVON ROAD TWP. OF WASHINGTON NJ 07676 MEDICAL DISQUALIFICATION K 54 7540 7/22/2017 MCGLONE, CARL (RN) 10 MILLS BROOK LANE SHAMONG NJ 08088 MEDICAL DISQUALIFICATION K 54 7540 3/11/2019 N MCGLOSTER, CARL L. (DDS) 1962517839 90 TIFFANY BOULEVARD NEWARK NJ 07104 MEDICAL DISQUALIFICATION K 54 7540 5/20/2007 N MCGRATH, HELEN J. (RN) 6 BLAIR RD. KEDALL PARK NJ 08824 MEDICAL SUSPENSION K 54 7540 10/20/2005 N MCGRATH, ROBERT (DO) 1912110636 3411 KENWOOD COURT MAYS LANDING NJ 08330 MEDICAL DISQUALIFICATION K 54 7540 10/13/2020 Y MCGRATH, ROBERT (DC) 1417989864 FORT DIX FCI, PO BOX 2000 JOINT BASE MDL NJ 08640 MEDICAL DISQUALIFICATION K 54 7540 9/20/2018 N MCGRATH, ROBERT (DO) #70889-050 1912110636 CANAAN USP, PO BOX 300 WAYMART PA 17837 MEDICAL DISQUALIFICATION K 54 7540 2/5/2019 N McHUGH, JANE E. (RN) 172 ORIENT STREET, APT 2 BAYONNE NJ 07002 MEDICAL DISQUALIFICATION K 54 7540 7/12/2022 N MCINTYRE, JOHN G. (DDS) 1487740718 1301 PENN AVENUE WYOMISSING PA 19610 MEDICAL DEBARMENT K 54 7540 6/22/2002 12/2/2011 N MCKEAN JR., JOSEPH (MD) 2601 MEADOW VIEW ROAD EDMOND OK 73013 MEDICAL DISQUALIFICATION K 54 7540 5/15/2000 Y MCKEITHAN, SHAVONNE (LPN) 259 SECOND STREET HACKENSACK NJ 07601 MEDICAL DISQUALIFICATION K 54 7540 6/5/2017 MCKNIGHT, BOBBY 4543 NORTH GRATZ STREET PHILADELPHIA PA 19140 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 MCLAUGHLIN, KELLY M. 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INDIANA AVENUE ATLANTIC CITY NJ 08401 MEDICAL DISQUALIFICATION K 54 7540 1/23/2018 MCRAE, CHANEL (CNA) 448 RAILROAD BLVD. RICHLAND NJ 08350 MEDICAL DISQUALIFICATION K 54 7540 2/23/2006 N MEDVEDIK, YELENA 2 HICKORY HILLS COURT HOLMDEL NJ 07733 MEDICAL DISQUALIFICATION A 54 7540 10/3/2013 N MEDVEDOVSKY, ANDREW (MD) 1649431594 11 AUTUMN DRIVE MOORESTOWN NJ 08057 MEDICAL DISQUALIFICATION K 54 7540 8/4/2020 N MEEHAN, KATHLEEN AKA MEEHAN-KIERMIER, KATHLEEN (DMD) 1245445931 1116 BENNETT DRIVE WOODBURY NJ 08096 MEDICAL DISQUALIFICATION K 54 7540 12/26/2018 4/9/2019 N MEHTA, MAHESH (MD) 1396859385 157 RUTGERS PLACE NUTLEY NJ 07110 MEDICAL DISQUALIFICATION K 54 7540 4/2/2020 N MEISHER, VLAD A. (PSYCH) HILLSIDE TERR. FAIR LAWN NJ 07410 MEDICAL DISQUALIFICATION A 54 7540 8/10/2007 Y MEISHER, VLAD A. (PSYCH) 15-07-PLAZA ROAD APT. A FAIRLAWN NJ 07410 MEDICAL DISQUALIFICATION K 54 7540 8/1/2009 N MELENDEZ, JUANITA (COUNSELOR) NORTH 35TH STREET CAMDEN NJ 08105 MEDICAL SUSPENSION A 54 7540 4/29/2003 N MELENDEZ, LIZZADY (CHHA) 602 SOUTH 4TH STREET CAMDEN NJ 08103 MEDICAL DISQUALIFICATION K 54 7540 1/26/2018 MELKER, NEIL L. (DMD) 1053443705 219 VALLEY ROAD PRINCETON NJ 08540 MEDICAL DISQUALIFICATION K 54 7540 1/23/2009 N MELTZER, SCOTT M. (DMD) 1366561425 70 WELLESLEY WAY FREEHOLD NJ 07728 MEDICAL DISQUALIFICATION K 54 7540 4/17/2014 5/21/2020 N MELTZER, SCOTT M. (DMD) 1366561425 70 WELLESLEY WAY FREEHOLD NJ 07728 MEDICAL DEBARMENT K 54 7540 5/3/2013 5/21/2020 N MELYNYK, ARTEM, MEMBER 8653 GLENLOCH ST. #2 PHILADELPHIA PA 19136 CONSTRUCTION DEBARMENT F 62 4550 11/16/2012 11/15/2015 N MEMBER, BERNARD J. (MD) 12335 S. ANNA DRIVE ROCKVILLE MD 23146 MEDICAL SUSPENSION K 54 7540 5/20/2004 N MENA, DANIEL 1002 TAUNTON AVE WEST BERLIN NJ 08091 CONSTRUCTION DEBARMENT F 62 4550 11/16/2012 11/15/2015 N MENDEL, RICHARD 1306939202 701 SOUTH HOWARD AVENUE, SUITE 106 TAMPA FL 33606 MEDICAL DISQUALIFICATION K 54 7540 12/29/2015 MENDEZ, EDELFONSO (DO) SMITH AVENUE NORTH BERGEN NJ 07047 MEDICAL DISQUALIFICATION K 54 7540 3/20/2008 N MENDEZ, NORMA (CHHA) 60 BALDWIN STREET, #2 NEW BRUNSWICK NJ 08901 MEDICAL DISQUALIFICATION K 54 7540 2/20/2017 N MENSAH, ENOCK 532 WINDSOR COMMON BLDG 5 EAST WINDSOR NJ 08512 MEDICAL DEBARMENT A 54 7540 10/10/2023 MENSAH-NARH, STEVEN (RPH) WEDGEWOOD DRIVE NORTHBRUNSWICK NJ 08902 MEDICAL DISQUALIFICATION K 54 7540 2/20/2007 N MEO, JOHN 1427086818 149 BOWNE ROAD WAYSIDE NJ 07712 MEDICAL DISQUALIFICATION K 54 7540 5/27/2009 N MERLINO, WILLIAM (MD) 1992802557 4630 SOMERS POINT ROAD MAYS LANDING NJ 08330 MEDICAL DISQUALIFICATION A 54 7540 8/16/2023 N MERLINO, WILLIAM (MD) 1992802557 4360 SOMERS POINT ROAD MAYS LANDING NJ 08330 MEDICAL DISQUALIFICATION K 54 7540 11/20/2023 N MERVIL, DARLENE (CHHA) 122 ROSSITER AVENUE PATERSON NJ 07502 MEDICAL DEBARMENT K 54 7540 5/31/2018 N MESA, NELSON (PCA) 964 GROVE STREET, APT. 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ARLINGTON AVENUE EAST ORANGE NJ 07017 MEDICAL DISQUALIFICATION K 54 7540 2/8/2017 N METZ, DANIEL FCI OTISVILLE #66799-050 OTISVILLE NY 10963 MEDICAL DISQUALIFICATION K 54 7540 7/20/2015 2/16/2022 N MEYER, CYNTHIA (RN) 8200 KENNEDY BOULEVARD NORTH BERGEN NJ 07047 MEDICAL DISQUALIFICATION K 54 7540 2/20/2018 N MEYER, GLORIA KINGS HIGHWAY MIDDLETOWN NJ 07748 MEDICAL DISQUALIFICATION A 54 7540 6/1/1993 Y MEYER, JOSEPH KINGS HIGHWAY MIDDLETOWN NJ 07748 MEDICAL DISQUALIFICATION A 54 7540 6/1/1993 Y MEYERLE, GISELA (RN) 1356538169 705 SUNFLOWER AVENUE LANGHORNE PA 19047 MEDICAL DISQUALIFICATION K 54 7540 2/28/2018 N MEYERLE, GISELA (RN) 1356538169 705 SUNFLOWER AVENUE LANGHORNE PA 19047 MEDICAL DISQUALIFICATION K 54 7540 5/25/2019 N MEZERENEZ, MARIA (CHHA) 33 ASPEN PLACE PASSAIC NJ 07055 MEDICAL DISQUALIFICATION K 54 7540 3/6/2018 N MGBEME, FESTUS (RPH) 882 BROAD STREET NEWARK NJ 07114 882 BROAD STREET NEWARK NJ 07114 MEDICAL DISQUALIFICATION K 54 7540 3/8/2001 Y AB Contracting & Develpement LLC Michael Santos, President 191 Central Ave 2nd Floor Newark NJ 07101 988 Johnson Place Apt 4 Union NJ 07083 CONSTRUCTION DEBARMENT F 62 4550 11/27/2013 11/27/2013 N A.V. Construction, Inc. Michael Verduci, President 12 Verduci Drive Newtown PA 18940 12 Verduci Drive Newtown PA 18940 CONSTRUCTION DEBARMENT F 62 4550 5/26/2015 05/25/2018 N Michael, Lenec, Partner 300 Mamaroneck Avenue, #733 White Plains NY 10605 CONSTRUCTION DEBARMENT F 62 4550 6/30/2015 06/29/2018 N MICHAIL, MEDHAT (DDS) 848 BERGEN AVENUE JERSEY CITY NJ 07306 MEDICAL SUSPENSION K 54 7540 4/29/1998 Trinity Paving, LLC Michele Doyle, Member 115 Millstone Way Monroeville NJ 08343 245 Clayton Rd Monroeville NJ 08343 CONSTRUCTION DEBARMENT F 62 4550 10/21/2014 10/20/2017 N Griffin Sign, Inc. Michelle Angerame, President 12 Pendleton Court Medford NJ 08055 464 North Randolph Avenue Cinnaminson NJ 08077 CONSTRUCTION DEBARMENT F 62 4550 3/14/2016 03/13/2019 N MIKHAIL, PETER (RPH) 48 FALLON AVE. ELMONT NY 11003 MEDICAL DISQUALIFICATION K 54 7540 11/18/2004 Y MIKOS, KRISTEN (RN) 211 PRINCETON AVENUE PHILADELPHIA PA 19149 MEDICAL DISQUALIFICATION K 54 7540 5/2/2017 MIKSIS, MARY E. (RN) 126 WINSTEAD DRIVE WESTAMPTON NJ 08060 MEDICAL DISQUALIFICATION K 54 7540 2/17/2004 N MIL, PAUL USP LEWISBURG #65099-050, PO BOX 1000 LEWISBURG PA 17837 MEDICAL DISQUALIFICATION K 54 7540 2/9/2017 MILANCE, HADZIC 164 MERLINE AVENUE WOODLAND PARK NJ 07424 CONSTRUCTION DEBARMENT F 62 4550 4/3/2014 4/2/2017 N MILLER, DEBBIE (DO) 1750561866 94 EAST WATER ST TOMS RIVER NJ 08753 MEDICAL DEBARMENT K 54 7540 4/26/2002 DECEASED N MILLER, DEIDRE 20 PERENNIAL LANE WILLINGBORO NJ 08046 MEDICAL DISQUALIFICATION K 54 7540 7/19/2001 Y MILLER, DEIDRE, T. 92 RITTENHOUSE DRIVE WILLINGBORO NJ 08046 MEDICAL DISQUALIFICATION A 54 7540 3/29/2000 Y MILLER, JOSEPH M. (DO) 1255307856 9 VICTORIA CIRCLE JACKSON NJ 08527 MEDICAL DISQUALIFICATION K 54 7540 8/20/2015 MILLER, JUSTIN (PSYCH) 1952594921 616 DALE COURT WEST RIVERVALE NJ 07675 MEDICAL DISQUALIFICATION K 54 7540 1/2/2017 Y MILLER, RANDALL (DO) 1740342575 1015 VAN HOUTEN AVE CLIFTON NJ 07013 MEDICAL DISQUALIFICATION F 54 7540 1/1/2001 4/6/2017 MILLER, ROY C. 703 WEST SHORE TRAIL LAKE MOHAWK NJ 07871 MEDICAL DISQUALIFICATION A 54 7540 6/1/1993 Y MILLER, SANDRENE (MD) 1912192527 50 UNION AVE., SUITE 401 IRVINGTON NJ 07111 MEDICAL SUSPENSION K 54 7540 2/25/1998 MILLER, SANDRENE A. (MD) 1912192527 202 ELMWYND DRIVE ORANGE NJ 07050 MEDICAL SUSPENSION K 54 7540 7/22/1999 MILLET, CYNTHIA (CHHA) 104 ROUTE 46 EAST ELMWOOD PARK NJ 07407 MEDICAL DEBARMENT K 54 7540 8/24/2017 N MILMAN, BORIS 655 AMBOY AVENUE WOODBRIDGE NJ 07095 MEDICAL DISQUALIFICATION K 54 7540 9/11/2001 Y MILORADOVICH, VADIM (MD) 58 MERCER AVENUE HARTSDALE NY 10530 MEDICAL DISQUALIFICATION A 54 7540 11/20/2013 N MILVIHILL, CHELSIE (CHHA) 501 MAPLE STREET LAKEHURST NJ 08733 MEDICAL DEBARMENT K 54 7540 12/18/2017 N MIMS, CAROLE 1058 WILLOW STREET NORRISTOWN PA 19401 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 MINATEE, SHERAI (LPN) 509 WARWICK ROAD LAWNSIDE NJ 08045 MEDICAL DISQUALIFICATION K 54 7540 3/15/2018 N MINNOW, MARY (CHHA) 9 WINDINGWOOD DRIVE SAYERVILLE NJ 08872 MEDICAL DISQUALIFICATION K 54 7540 7/25/2001 Y MIRAGLIA, ROBERT (LCSW) 254 VOSE AVENUE SOUTH ORANGE NJ 07079 MEDICAL SUSPENSION K 54 7540 5/9/2002 N MIRANDA, MEREDITH (RPH) 1053740993 3204 BLUE MOUNTAIN LANE NAZARETH PA 18064 MEDICAL DISQUALIFICATION K 54 7540 10/25/2016 MIRASSOL, ISIDRO, PRESIDENT 20 CHERRY HILL LN. APT D OLD BRIDGE NJ 08857 CONSTRUCTION DEBARMENT F 62 4550 2/28/2012 2/27/2015 N MIRILASHVILI, MOSHE B. (MD) 1427081223 PO BOX 350146 BROOKLYN NY 11235 MEDICAL DISQUALIFICATION K 54 7540 11/17/1999 Y MIRZA, MUHAMMAD A. (MD) 1841227121 11 ROOSEVELT AVENUE FANWOOD NJ 07023 MEDICAL DISQUALIFICATION A 54 7540 10/13/2021 MIRZA, MUHAMMED (MD) 1467450262 145 GARRISON AVENUE JERSEY CITY NJ 07306 MEDICAL DEBARMENT K 54 7540 5/8/2019 11/18/2019 N MISHRA ARUNA (MD) 63 WEST BROADWAY SALEM NJ 08079 MEDICAL DISQUALIFICATION K 54 7540 2/4/1997 Y MISHRA, ARUNA (MD) 217B AUBURN ROAD PILESGROVE NJ 08098 MEDICAL DEBARMENT K 54 7540 1/3/2000 Y MISTRY, BHAVESH (PT) 1588788376 76 GARDEN COURT SAINT AUGUSTINE FL 32092 MEDICAL DISQUALIFICATION K 54 7540 4/15/2022 N MITRA, RANJIT (PSYCH) 1417096942 2366 ST. GEORGES AVENUE RAHWAY NJ 07065 MEDICAL DEBARMENT K 54 7540 10/12/2014 N MITRA, RANJIT (PSYCH) 1417096942 300 WOODBINE COURT APT1T RIDGEWOOD NJ 07450 MEDICAL DISQUALIFICATION K 54 7540 7/20/2015 N MITRESKI, IGOR (MD) 1629305255 10 IVY LANE WALLINGTON NJ 07057 MEDICAL DISQUALIFICATION K 54 7540 3/26/2015 N MITSUI, MASAO (MD) 9 BRIARWOOD ROAD JERSEY CITY NJ 07305 MEDICAL SUSPENSION K 54 7540 12/20/2001 MIXI, NATACHA JEAN LOUIS (CHHA) 2119 ALDRIN ROAD APT 4B OCEAN NJ 07712 MEDICAL DISQUALIFICATION K 54 7540 8/14/2022 N MOCKOVIAK, PATRICIA (LPN) 5 BEECH STREET EDISON NJ 08817 MEDICAL SUSPENSION K 54 7540 2/19/2004 N MODICA, JOSEPH (CHHA) 82 JEFFERSON STREET SOUTH BOUND BROOK NJ 08880 MEDICAL DISQUALIFICATION K 54 7540 1/31/2017 N MOHAMED, ASHLI (CHHA) 10-4 FOUNTAIN AVENUE TRENTON NJ 08618 MEDICAL DISQUALIFICATION K 54 7540 1/31/2017 N MOHAMED, ASHLI (CHHA) 10-4 FOUNTAIN AVENUE TRENTON NJ 08618 MEDICAL DEBARMENT A 54 7540 11/6/2018 N A & H MEDICAL TRANSPORT. MOHAMED, HASHIM H. 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BOX 8332 JERSEY CITY NJ 07308 MEDICAL DISQUALIFICATION A 54 7540 4/12/1994 Y MOHAMMAD, AKIKUR REZA (MD) 1306956271 7018 ELMSBURY LANE WEST HILLS CA 91307 MEDICAL DISQUALIFICATION K 54 7540 11/20/2023 N MOHAMMAD, OMAR (RPH) 1053580068 15 GRISTMILL LANE UPPER SADDLE RI NJ 07458 MEDICAL DISQUALIFICATION A 54 7540 9/20/2012 5/17/2018 N MOHAMMAD, OMAR (RPH) 1053580068 15 GRIST MILL LANE UPPER SADDLE RI NJ 07458 MEDICAL DISQUALIFICATION A 54 7540 1/20/2012 5/17/2018 N MOHAPELOA, GUGU (MD) 1306952635 6 CORNELL ROAD PARLIN NJ 08859 MEDICAL DISQUALIFICATION K 54 7540 1/3/2019 Y MOJICA, MARIA (CHHA) 108 BEECH STREET PATERSON NJ 07501 MEDICAL DISQUALIFICATION K 54 7540 1/31/2017 N MOLDAVER, INNA 32 BEACHWOOD AVENUE EDISON NJ 08837 MEDICAL DEBARMENT K 54 7540 2/17/2016 MOLINA, DANIEL (RPH) 320 EAST 42ND STREET, APT. 618 NEW YORK NY 10017 MEDICAL DISQUALIFICATION K 54 7540 6/28/2017 MONACO, STEVEN 21 JAMIE DRIVE SEWELL NJ 08080 MEDICAL DISQUALIFICATION A 54 7540 4/19/2022 N MONDELO, BARBARA AKA DOMINICO, MARIA AKA BARBARA TAYLOR J. KENTWOOD BLVD BRICK NJ 08724 MEDICAL DEBARMENT A 54 7540 10/24/2008 N MONFORTO, CHRISTINE (RN) 2620 HAMILTON DRIVE VOORHEES NJ 08043 MEDICAL DISQUALIFICATION K 54 7540 12/29/2015 MONICA, JULIANNE H. (DC) 1235372608 509 ESSEX AVENUE SPRING LAKE NJ 07762 MEDICAL SUSPENSION K 54 7540 2/20/2002 N MONK, SHENISE (LPN) 416 CHAMBERS AVENUE CAMDEN NJ 08103 MEDICAL DISQUALIFICATION K 54 7540 10/24/2018 N MONSUL, ROBERT W. (MD) 301 NORTH MAIN STREET MANVILLE NJ 08835 MEDICAL DISQUALIFICATION G 54 7540 5/10/1990 Y MONTE, LYDA (MD) 1114068236 430 W. BROWNING ROAD, APT. M2 BELLMAWR NJ 08031 MEDICAL DISQUALIFICATION A 54 7540 12/4/2018 Y MONTE, LYDA (MD) 1114068236 430 W. BROWNING ROAD, APT. M2 BELLMAWR NJ 08031 MEDICAL DISQUALIFICATION A 54 7540 10/3/2019 N MONTES, NANCY (CHHA) 17-20 WELL DRIVE FAIR LAWN NJ 07410 MEDICAL DISQUALIFICATION K 54 7540 8/1/2017 N MONTGOMERY, FRANK 42 BRYANT ROAD WARETOWN NJ 08758 CONSTRUCTION DEBARMENT F 62 4550 7/10/2014 7/9/2017 N MONTORIO, JENNIFER (CHHA) 110 OUTER DRIVE DINGMANS FERRY PA 18328 MEDICAL DISQUALIFICATION K 54 7540 9/11/2019 N MOON, RASHIKA (RN) 2 JASON CIRCLE PENNS GROVE NJ 08069 MEDICAL DISQUALIFICATION A 54 7540 6/28/2017 MOONEY, MARY MELISSA (LPN) 777 CHERRY TREE ROAD ASTON PA 19014 MEDICAL DISQUALIFICATION K 54 7540 4/23/2007 N MOOR, JEAN (RN) 100 COLONIAL WAY ALIQUIPPA PA 15001 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 MOORE, BRITTANY (CHHA) 141 BORDEN AVENUE ASBURY PARK NJ 07712 MEDICAL DISQUALIFICATION K 54 7540 7/14/2017 N MOORE, HANEEFAH (CHHA) 48 MONTROSE TERRACE IRVINGTON NJ 07111 MEDICAL DISQUALIFICATION K 54 7540 10/3/2018 N MOORE, JANE A. (RN) 235 KINGS ROAD MADISON NJ 07940 MEDICAL SUSPENSION K 54 7540 5/19/2005 N MOORE, JONATHAN R. (MD) 19 N. PEARL STREET BRIDGETON NJ 08302 MEDICAL DISQUALIFICATION K 54 7540 8/19/1997 Y MOORE, LILLIE R. 353 S. CENTER ST., APT 19 ORANGE NJ 07050 MEDICAL SUSPENSION K 54 7540 10/20/2002 N MOORE, LYNDA A. (LPN) 10719 JUREL CT. W. APT B LAKEVILLE MN 55044 MEDICAL SUSPENSION K 54 7540 1/19/2005 N MOORE, MONICA AKA OZERY, TZIPORA 27 FIRETOWER ROAD BUDD LAKE NJ 07828 MEDICAL DEBARMENT K 54 7540 9/15/2017 MOORJANI, KAMAL (RPH) 217 VAN BUREN STREET LYNDHURST NJ 07071 MEDICAL DISQUALIFICATION A 54 7540 6/1/2010 N MOORMANN, BARBARA ANN (CHHA) 2467 BREATHSTONE DRIVE POWELL OH 46065 MEDICAL DISQUALIFICATION K 54 7540 2/20/2017 N MORALES SR., OSVALDO 78 W. 180TH STREET BRONX NY 10453 MEDICAL DISQUALIFICATION A 54 7540 9/16/2011 N MORALES SR., OSVALDO 78 W. 180TH STREET 2ND FL BRONX NY 10453 MEDICAL SUSPENSION K 54 7540 4/13/2008 N MORALES, ARLENE 254 NORTH 7TH STREET NEWARK NJ 07107 MEDICAL SUSPENSION K 54 7540 9/19/2002 N MORALES, CHRISTINO PO BOX 26883 PHILADELPHIA PA 19134 MEDICAL SUSPENSION A 54 7540 7/2/2003 N MORALES, CHRISTINO 328 MARKET STREET CAMDEN NJ 08102 MEDICAL SUSPENSION K 54 7540 10/5/2000 MORALES, FERNANDO (CNA) 346 S. MAIN STREET PHILLIPSBURG NJ 08865 MEDICAL SUSPENSION K 54 7540 12/21/2004 N MORALES, JAMES (MD) 1386649507/1013940006 2319 CRYSTAL MILE COURT TOMS RIVER NJ 08755 MEDICAL SUSPENSION K 54 7540 1/11/2016 4/11/2016 N MORALES, JAMES (MD) 1386649507/1013940006 16 WOODVIEW DRIVE HOWELL NJ 07731 MEDICAL DEBARMENT K 54 7540 4/11/2016 N MORALES, JAMES (MD) 1386649507/1013940006 16 WOODVIEW DRIVE HOWELL NJ 07731 MEDICAL DISQUALIFICATION K 54 7540 11/30/2017 MORALES, JUSTINA (CHHA) 62 HIGH STREET WOODBURY NJ 08096 MEDICAL DISQUALIFICATION K 54 7540 2/8/2017 N MORALES, SOLANGE (CHHA) 871 RADIO ROAD LITTLE EGG HARBOR TOWNSHIP NJ 08087 MEDICAL DISQUALIFICATION K 54 7540 5/2/2023 MOREL, MARIA (CHHA) 735 TWENTY SECOND STREET PATERSON NJ 07504 MEDICAL DISQUALIFICATION K 54 7540 7/14/2017 N MORELAND, CHARLOTTE (CHHA) 121 A PROSPECT VILLAGE TRENTON NJ 08618 MEDICAL DISQUALIFICATION K 54 7540 4/29/2008 N MORELAND, CHARLOTTE (CHHA) 121 PROPECT VILLAGE, APTA TRENTON NJ 08618 MEDICAL SUSPENSION K 54 7540 9/20/2008 N MORELLI, TIMOTHY J. (RPH) 801 BUTLER PIKE MERCER PA 16137 MEDICAL SUSPENSION K 54 7540 5/19/2005 N MORELOS, LISA A. (RN) 162 SHENANDOAH BLVD. TOMS RIVER NJ 08753 MEDICAL SUSPENSION K 54 7540 6/19/2003 N MORENO, BARTOLO (COUNSELOR) 2221 38TH STREET PENNSAUKEN NJ 08110 MEDICAL SUSPENSION A 54 7540 4/29/2003 N MORERA, JESSICA (CHHA) 116 DALTON STREET ROSELLE PARK NJ 07204 MEDICAL DISQUALIFICATION K 54 7540 2/8/2017 N MORGANSTEIN, HENRY (DO) 1689730343 774 CARTERET COURT MT. LAUREL NJ 08054 MEDICAL DISQUALIFICATION A 54 7540 11/23/2010 N MORGANSTEIN, HIRAM N. (OD) 5618 BERGENLINE AVENUE WEST NEW YORK NY 07093 MEDICAL DEBARMENT K 54 7540 2/22/2001 Y MORIARTY, JACK 312 GRANDE RIVER BLVD. TOMS RIVER NJ 08755 MEDICAL SUSPENSION K 54 7540 4/8/1999 Y MORIZZO, SANDRA (MEMBER) 311 HOLYOKE BEACH HAVEN NJ 08008 CONSTRUCTION DEBARMENT F 62 4550 12/20/2012 12/19/2015 N MORRIS, CANDICE (CHHA) 154 NORTH SPRING STREET, UNIT B BLOOMFIELD NJ 07003 MEDICAL DISQUALIFICATION K 54 7540 6/22/2018 Y MORRIS, CHRISTINE (CHHA) 323 KAIGHN AVENUE CAMDEN NJ 08103 MEDICAL DISQUALIFICATION K 54 7540 5/16/2018 N MORRIS, JOHN 70 TUCKERTON ROAD MEDFORD NJ 08055 VENDOR SUSPENSION A 82 2050 8/27/2001 Y MORRISON, JAMES C. (MD) RADIO RD AT EAST BOAT TUCKERTON NJ 07087 MEDICAL DISQUALIFICATION A 54 7540 6/1/1993 Y MORTON, MARION (RPH) 2321 SPRUILL AVE, APT 917 NORTH CHARLESTON SC 29405 MEDICAL DEBARMENT A 54 7540 2/6/2012 N MOSHKOVITCH, VASIL (MD) 1326116419 41 NAUTILUS DRIVE MANAHAWKIN NJ 08050 MEDICAL DISQUALIFICATION K 54 7540 11/22/2016 Y MOSHKOVITCH, VASIL (MD) 1326116419 41 NAUTILUS DRIVE MANAHAWKIN NJ 08050 MEDICAL DISQUALIFICATION K 54 7540 3/3/2017 Y MOSKOWITZ, MYRON (DPM) 705 RIDGE DRIVE UNION NJ 07083 MEDICAL SUSPENSION K 54 7540 11/20/2006 N MOSS, ALBERT H. (MD) 28 BARTLE ROAD SOMERSET NJ 08873 MEDICAL SUSPENSION K 54 7540 5/19/2005 N MOSS, ROBERT H. (DPM) 1881716348 244 N. MAIN STREET MULLICA HILL NJ 08062 MEDICAL DEBARMENT K 54 7540 11/2/2011 N MOSS, ROBERT H. (DPM) 1881716348 244 NORTH MAIN STREET MULLICA HILL NJ 08062 MEDICAL DISQUALIFICATION A 54 7540 2/20/2013 N MOSS, ROBERT H. (DPM) 1881716348 244 NORTH MAIN STREET MULLICA HILL NJ 08062 MEDICAL DISQUALIFICATION A 54 7540 11/20/2015 N MOSSAVI, AHMAD (MD) 1629046248 7 MALKE DRIVE OCEAN NJ 07712 MEDICAL DEBARMENT K 54 7540 2/23/2012 N MOTA, KAESHA (CHHA) 433 N. 7TH STREET CAMDEN NJ 08102 MEDICAL DISQUALIFICATION K 54 7540 7/14/2017 N MOTT, TARA (RN) 3557 SHARON ROAD WEST MIDDLESEX PA 16159 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 MOULDER, DARIA (PHARM TECH) 2715 BAYSHORE ROAD VILLAS NJ 08251 MEDICAL DISQUALIFICATION K 54 7540 4/20/2010 N MOURACHOV, PAVEL 1083711121 3917 WEST ROAD, SUITE 137 LOS ALAMOS NM 87544 MEDICAL DISQUALIFICATION K 54 7540 12/29/2015 MOWERY, SHAWN F. 1A MAPLE LEAF DRIVE HOLMDEL NJ 07723 CONSTRUCTION DEBARMENT F 62 4550 3/12/2013 3/11/2016 N MOZULAY, MARK J. (MD) 1669631719 512 TOWNSHIP LANE BLUE BELL PA 19422 MEDICAL SUSPENSION K 54 7540 12/1/1998 MUHAMMAD, ABDUL B. (MD) 284 BROADWAY NEWARK NJ 07104 MEDICAL DISQUALIFICATION K 54 7540 11/8/2004 Y MUHAMMAD, DIAMONNIQUE (CHHA) 354 7TH AVENUE WEST NEWARK NJ 07107 MEDICAL DISQUALIFICATION K 54 7540 7/14/2017 N MUID, JANNAH 671 LINCOLN AVE ORANGE NJ 07050 MEDICAL DISQUALIFICATION A 54 7540 11/18/2010 5/25/2023 N MUISE, NICOLLETE (CHHA) 172 FRANKLIN ROAD DENVILLE NJ 07834 MEDICAL DISQUALIFICATION K 54 7540 11/8/2017 N MUKHTAR, JUNAID 114 BALDWIN AVENUE JERSEY CITY NJ 07306 MEDICAL SUSPENSION A 54 7540 6/5/1997 MULLANGI, KUMAR R. (MD) SOUTH BROADWAY STREET BURLINGTON IA 52601 MEDICAL SUSPENSION K 54 7540 5/20/2008 N MULLER JR., RAYMOND E. PRES. 75 WEST 3RD AVE. PINE HILL NJ 08021 CONSTRUCTION DEBARMENT F 62 4550 2/7/2012 2/6/2015 N MULLIGAN, RACHEL M. 241 HAWAII DRIVE BRICK NJ 08723 MEDICAL DISQUALIFICATION K 54 7540 4/11/2008 N MULTANI, GURMEET (PSYCH) 1528225406 1055 CALLE DE LAS PALM REDLANDS CA 92373 MEDICAL DISQUALIFICATION K 54 7540 6/9/2011 MUNGEN, JONETTA V. (CHHA) 34 VERMONT AVENUE NEWARK NJ 07106 MEDICAL SUSPENSION K 54 7540 6/20/2001 MUNN, DONIELLE (CHHA) 150 HOME AVENUE, FL. 2 TRENTON NJ 08611 MEDICAL DISQUALIFICATION K 54 7540 2/8/2017 N MUNOZ BALBUENA, YUDY (CHHA) 220 NEW YORK AVENUE BERGENFIELD NJ 07621 MEDICAL DISQUALIFICATION K 54 7540 7/5/2023 N MUNOZ, GUILLERMO (DO) 1023071669 395 SPRING STREET UNION NJ 07083 MEDICAL DEBARMENT K 54 7540 11/25/2015 5/13/2016 MUNOZ, JULIO ANTHONY 4 NORMAL AVENUE UPPER MONTCLAIR NJ 07043 MEDICAL DEBARMENT K 54 7540 10/26/2006 N MUNSIF, ANAND (MD) 1982879805 127 E. NORTHFIELD ROAD LIVINGSTON NJ 07039 MEDICAL DEBARMENT K 54 7540 11/7/2011 N MUNZEL, GREGORY THOMAS 140 WAPPOO CREEK DRIVE CHARLESTON SC 29412 MEDICAL DEBARMENT A 54 7540 4/22/2012 N MURATORE JR., FRANK J. 1828 HERBERT BOULEVARD WILLIAMSTOWN NJ 08094 CONSTRUCTION DEBARMENT F 62 4550 10/10/2012 10/9/2015 N MURRAY, LAKIRAH (LPN) 1311 NE 77TH AVENUE GAINESVILLE FL 32609 MEDICAL DEBARMENT K 54 7540 1/5/2018 12/19/2023 N THE EXCEL CENTER, INC. MURRY JR., TOMMIE 104 WINDSOR COURT PALM BEACH FL 33480 2697 RAVEN ROAD CINNAMINSON NJ 08077 MEDICAL SUSPENSION A 54 7540 5/25/1999 Y THE EXCEL CENTER, INC. MURRY JR., TOMMIE 104 WINDSOR COURT PALM BEACH FL 33480 2697 RAVEN ROAD CINNAMINSON NJ 08077 MEDICAL DEBARMENT K 54 7540 1/5/2001 Y THE EXCEL CENTER, INC. MURRY JR., TOMMIE 104 WINDSOR COURT PALM BEACH FL 33480 2697 RAVEN ROAD CINNAMINSON NJ 08077 MEDICAL DEBARMENT K 54 7540 10/20/2002 N MUSCARRA, GERALD C. (DMD) 525 WASHINGTON AVENUE HOBOKEN NJ 07030 MEDICAL DISQUALIFICATION A 54 7540 Y MUSCIO, ROBERT (MD) 1578510723 333 BROAD STREET RED BANK NJ 07701 MEDICAL DISQUALIFICATION A 54 7540 3/19/2015 6/15/2023 N MUZZIO JR., WILLIAM 597 LYMAN AVENUE WOODBRIDGE NJ 07095 CONSTRUCTION DEBARMENT F 62 4550 1/15/2013 1/14/2016 N MYERS, HOWARD (MD) 103 FAIRWAY TERRACE DOWNS NJ 08054 MEDICAL DISQUALIFICATION K 54 7540 12/1/1998 Y MYNDIUK, JAROSLAW (MD) 96 TUXEDO PARKWAY NEWARK NJ 07106 MEDICAL DISQUALIFICATION G 54 7540 2/27/1988 DECEASED N MYSZKA, KENNETH C. PRESIDENT 7095 SHAFFER DRIVE DOWNS IL 61736 CONSTRUCTION DEBARMENT F 62 4550 2/28/2012 2/27/2015 N n/a n/a 300 Mamaroneck Ave. #733 White Plains NY 10605 CONSTRUCTION DEBARMENT F 62 4550 6/30/2015 6/29/2018 N NAEEM, MOHSIN A. (RPH) FCI BUTNER MEDIUM I P.O. BOX 1000 BUTNER NC 27509 MEDICAL DISQUALIFICATION A 54 7540 10/19/2023 N NAGLE, BRITTANY (RN) 709 NORTH VICTORIA AVENUE VENTNOR CITY NJ 08406 MEDICAL DISQUALIFICATION K 54 7540 10/25/2016 NAIMOLI, DANIELLE 824 HOLIDAY COURT TOMS RIVER NJ MEDICAL SUSPENSION K 54 7540 9/30/2005 N NAKHLA, FEBE (CHHA) 100 GLENWOOD AVE. JERSEY CITY NJ 07306 MEDICAL DISQUALIFICATION K 54 7540 5/31/2023 NALBONE, PHILLIP C. (RN) 24 RUNNING BROOK ROAD TRENTON NJ 08638 MEDICAL SUSPENSION K 54 7540 6/17/2004 N NANDI, ANINDITA (MD) 1669563995 127 HIGHLAND AVENUE JERSEY CITY NJ 07306 MEDICAL DISQUALIFICATION K 54 7540 9/12/2018 N NAPENAS, VICTOR 14 SPRUCE LANE PISCATAWAY NJ 08854 MEDICAL DISQUALIFICATION A 54 7540 5/20/2012 N NAPENAS, VICTOR T. 14 SPRUCE LANE PISCATAWAY NJ 08854 MEDICAL DISQUALIFICATION A 54 7540 11/17/2011 N NARAYAN, PRITHVI (MD) 1982699823 33 COOPER AVENUE, UNIT 213 LONG BRANCH NJ 07740 MEDICAL DISQUALIFICATION K 54 7540 2/25/2021 Y NARO, MARYANN (LPN) 23 DOWNING ROAD HAMILTON NJ 08690 MEDICAL DISQUALIFICATION K 54 7540 5/25/2019 N NASH, JENNIFER (RN/APN) 621 ASTER LANE RIVERVALE NJ 07675 MEDICAL DEBARMENT K 54 7540 7/3/2016 NASH, LEONARD TALL OAKS CT. FRANKLIN LAKES NJ 07417 VENDOR SUSPENSION A 82 2050 9/27/2000 NASR, WAFDIA (CHHA) 11990 BEACH BLVD., APT. 44 JACKSONVILLE FL 32246 MEDICAL DISQUALIFICATION K 54 7540 7/5/2023 N NASSAR, MANAR (CHHA) 229 ACADEMY STREET JERSEY CITY NJ 07306 MEDICAL DISQUALIFICATION K 54 7540 5/31/2023 NASSERY, MOHAMMAD (MD) 1992763510 59 TREELINE DRIVE MARSTON MILLS MA 02648 MEDICAL DISQUALIFICATION K 54 7540 11/9/2016 NATALE, JOSEPH 216 NORTH AVENUE E STE2 CRANFORD NJ 07016 MEDICAL SUSPENSION A 54 7540 1/24/2014 N NATHAN, MICHAEL (MD) 1578593422 1 PROSPECT LANE OKATIE SC 29909 MEDICAL DEBARMENT K 54 7540 8/1/2017 N NATOVICH, BORIS 996 PINE TERRACE FRANKLIN LAKES NJ 07417 MEDICAL SUSPENSION A 54 7540 9/18/2003 N NATOVICH, LEV 996 PINE TERRACE FRANKLIN LAKES NJ 07417 MEDICAL SUSPENSION A 54 7540 9/18/2003 N MKM NURSING HOME SPEC.INC NAVAZIO, DAVID 1368 BRENTWOOD ROAD YARDLEY PA 19067 1368 BRENTWOOD ROAD YARDLEY PA 19067 MEDICAL SUSPENSION K 54 7540 6/7/2000 1/5/2018 N NAYLOR, KIM M. (PHARM TECH) 1504 TAMIAMI ROAD FORKED ROAD NJ 08731 MEDICAL DEBARMENT A 54 7540 9/19/2011 N NAZARIO, JULISSA (CHHA) 210 ROSEVILLE AVENUE, APT. C-1 NEWARK NJ 07107 MEDICAL DISQUALIFICATION K 54 7540 2/20/2017 N NEAL, LAYONA (CHHA) 545 E. TOILE COURT BURLINGTON NJ 08016 MEDICAL DISQUALIFICATION K 54 7540 7/13/2018 N NEALS, SHERRY (CHHA) 63 DALES AVE, APT. 1124 JERSEY CITY NJ 07306 MEDICAL SUSPENSION K 54 7540 9/20/2001 NEGRI, MARY JANE (DC/RN) 1063594836 514 LAFAYETTE ROAD SUITE F SPARTA NJ 07871 MEDICAL DISQUALIFICATION K 54 7540 5/20/2015 N NEGRON, JOANNA (CHHA) 1343 LANDSDOWNE AVENUE CAMDEN NJ 08104 MEDICAL DISQUALIFICATION K 54 7540 5/2/2017 N Nelson DeOliveira, President 276 Highland Ave KEARNEY NJ 07032 CONSTRUCTION DEBARMENT F 62 4550 8/12/2014 8/11/2017 N NELSON, SIDNEY (MD) 4517 BERGENLINE AVENUE UNION CITY NJ 07087 MEDICAL DEBARMENT K 54 7540 9/13/1999 Y NESSMAN, LAWRENCE (DO) 143 GREENRALE AVENUE WAYNE NJ 07470 MEDICAL DISQUALIFICATION K 54 7540 6/24/1997 Y NDA & Construction, LLC Nester Torres, Owner 161 Thomas St Unit 1 Newark NJ 07114 161 Thomas St Unit 1 Newark NJ 07114 CONSTRUCTION DEBARMENT F 62 4550 12/11/2014 12/10/2017 N NEUMAN, JOSEF 144 SHADY LANE DRIVE LAKEWOOD NJ 08701 MEDICAL DISQUALIFICATION A 54 7540 8/22/2023 N NEWBY, YVONNE (CHHA) 38 WINANS STREET, APT. 3 EAST ORANGE NJ 07018 MEDICAL DISQUALIFICATION K 54 7540 8/29/2017 N NEWMAN, ALEXANDER (PHD) 372 N. WOODLAND STREET ENGLEWOOD NJ 07631 MEDICAL DEBARMENT K 54 7540 3/10/1999 Y NEWMAN, MICHAEL J. (DMD) 192 GABRIEL TERRACE SOUTH AMBOY NJ 08879 MEDICAL DISQUALIFICATION K 54 7540 7/18/2001 Y NEWMARK, MALINDA (RN) 38 STONY HILL ROAD,APT101 MONROE TOWNSHIP NJ 08831 MEDICAL SUSPENSION K 54 7540 5/19/2005 N NEWMARK, THOMAS (MD) 1740380997 225 CHAPEL AVENUE CHERRY HILL NJ 08002 MEDICAL DISQUALIFICATION K 54 7540 12/19/2016 Y NEWMARK, THOMAS (MD) 1740380997 4700 CITY AVENUE, APT. 11307 PHILADELPHIA PA 19131 MEDICAL DISQUALIFICATION K 54 7540 4/17/2017 Y NEWSOME, DORITA (DDS) 1306063235 163 CHAPEL STREET ORANGE NJ 07050 MEDICAL DISQUALIFICATION K 54 7540 1/23/2009 N NEWTON, ANDREW (PSYCH) 1154349330 129 EAST 5TH STREET MOUNT CARAMEL PA 17851 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 5/17/2022 NEYMET, ALLA (CHHA) 127 GARDEN TERRACE EDISON NJ 08817 MEDICAL DISQUALIFICATION K 54 7540 7/29/2018 N NGOAJIA, MARK 403 WILLOW POINT DRIVE JACKSON NJ 08527 MEDICAL DEBARMENT K 54 7540 12/16/2015 NGUYEN, TONY (MD) 1083872675 10294 GREENSPIRE DRIVE OAKTON VA 22124 MEDICAL DISQUALIFICATION K 54 7540 9/28/2017 NIAZ, ASIM P.O. BOX 420 FAIRTON NJ 08320 MEDICAL SUSPENSION A 54 7540 8/19/2010 N NICHOLS, LEE 505 HARDING ROAD RED BANK NJ 07704 MEDICAL DISQUALIFICATION A 54 7540 8/22/2023 N NICHOLSON, BEVERLY (CNA) 139 HOLLYWOOD AVENUE EAST ORANGE NJ 07108 MEDICAL DISQUALIFICATION K 54 7540 1/13/2006 N NICKELS, JOHN HARVEY aka NICKELS, JOHN HARVEY II aka NICKELS, JOHN HARVEY III (MD) 1629181490 165 BURIWCK ROAD CLEVELAND OH 44143 MEDICAL DISQUALIFICATION K 54 7540 2/20/2020 N NT&P Construction Inc. Nicola Pengue, President 4 Camelot Ave Monroe Township NJ 08831 105 White Oak Lane Old Bridge NJ 08857 CONSTRUCTION DEBARMENT F 62 4550 11/23/2015 11/22/2018 N Terra-Tech Construction, Inc. Nicole Lucas, President 12 Red Fox Run Manalapan NJ 08857 265 Woodward Rd Manalapan NJ 07726 CONSTRUCTION DEBARMENT F 62 4550 3/18/2015 03/17/2018 N NICOLL, DAVID G. 312 BOULEVARD MOUNTAIN LAKES NJ 07046 MEDICAL SUSPENSION K 54 7540 1/21/2015 7/4/2019 N NICOLL, DAVID G. #65321-050 USP CANAAN, PO BOX 300 WAYMART PA 18472 MEDICAL DISQUALIFICATION K 54 7540 7/4/2019 N NICOLL, SCOTT R. 120 BUNKER HILL ROAD WAYNE NJ 07470 MEDICAL SUSPENSION K 54 7540 1/21/2015 N NICOSIA, BETTY LOU 204 CIRCLE DRIVE STEUBEN OH 43953 MEDICAL DISQUALIFICATION K 54 7540 12/29/2015 NIELSON, STEVEN C. (DPM) 1538595772 845 DAWN AVENUE EPHRATA PA 17522 MEDICAL SUSPENSION K 54 7540 3/23/2009 N NIETO, NICOLE (RN) 11 WATTS AVENUE BARNEGAT NJ 08005 MEDICAL DISQUALIFICATION K 54 7540 7/11/2023 N NIGALAN, MANUEL (MD) 1497809909 8 MIMI COURT NORTHFIELD NJ 08225 MEDICAL DISQUALIFICATION A 54 7540 10/14/2010 N NII, ROBERT (PA) 1124254107 34 MILL BROOK ROAD PISCATAWAY NJ 08854 MEDICAL DISQUALIFICATION K 54 7540 9/21/2016 Y NINOS, DIANE E. 569 E. 33RD STREET PATERSON NJ 07613 MEDICAL DISQUALIFICATION K 54 7540 3/28/2001 Y NISBETT, MELVIN (CHHA) 205 LA CASCATA CLEMENTON NJ 08021 MEDICAL DISQUALIFICATION K 54 7540 2/8/2017 N NISIVOCCIA, CHARLES (DC) 260 MAIN STREET LITTLE FALLS NJ 07424 MEDICAL SUSPENSION K 54 7540 8/20/2006 N NISLER, JANIS (RN) 127 WEST WOODBRIDGE AVENUE ISELIN NJ 08830 MEDICAL DISQUALIFICATION K 54 7540 1/24/2019 11/22/2022 N NOBLES, MARITZA (CHHA) 34 CENTER OAK AVENUE LAWNSIDE NJ 08045 MEDICAL DISQUALIFICATION K 54 7540 2/8/2017 N NOBORE, ABIEYUWA (CHHA) 776 SOUTH 13TH STREET NEWARK NJ 07108 MEDICAL DEBARMENT K 54 7540 2/20/2017 N Noe's Concrete Inc Noe Alatorre, Owner 30 Euclid Ave Medford NY 11753 30 Euclid Ave Medford NY 11763 CONSTRUCTION DEBARMENT F 62 4550 6/7/2013 06/06/2016 N Chanez Landscaping, LLC Noe Chanez, Principal PO Box 5646 New Brunswick NJ 08903 55 Miller Ave. Somerset NJ 08873 CONSTRUCTION DEBARMENT F 62 4550 9/24/2014 09/23/2017 N NOE, ALATORE 30 EUCLID AVENUE MEDFORD NJ 11753 CONSTRUCTION DEBARMENT F 62 4550 6/7/2013 6/6/2016 N NOEL, EDWARD (LPN) 469 E. 93RD STREET, APT. 6 BROOKLYN NY 11212 MEDICAL DISQUALIFICATION K 54 7540 10/25/2019 N NOLASCO, THERESA (RN) 19 BANTA ROAD KINNELON NJ 07405 MEDICAL DISQUALIFICATION K 54 7540 4/14/2022 N NONCENT, JENNIFER (CHHA) 949 CARTERET AVENUE UNION NJ 07083 MEDICAL DISQUALIFICATION K 54 7540 2/8/2017 N NONZIATO, CHARLES G. (DO) 247 CENTER STREET TRENTON NJ 08611 MEDICAL DISQUALIFICATION G 54 7540 11/13/1991 DECEASED N NOOR, FARID A. (MD) 1770751513 5 GITHERS LANE MEDFORD NJ 08055 MEDICAL SUSPENSION A 54 7540 4/12/2004 N NOOR, FARID A. (MD) 1770751513 596 ANDERSON AVENUE CLIFFSIDE PARK NJ 07010 MEDICAL DEBARMENT K 54 7540 1/30/2015 N NOOR, FARID A. (MD) 350 A DELANCEY PLACE MOUNT LAUREL NJ 08054 MEDICAL DISQUALIFICATION K 54 7540 8/19/2008 N NORDMAN, CRAIG J. 4 ERNA PLACE WHIPPANY NJ 07981 MEDICAL SUSPENSION K 54 7540 1/21/2015 N NORDMAN, CRAIG J. FCI SCHUYLKILL, PO BOX 759 MINERSVILLE PA 17954 MEDICAL DISQUALIFICATION K 54 7540 5/18/2019 N NOWINSKI, VANESSA AKA AMATO, VANESSA A. (RN) 65 LOCUST AVENUE N. ARLINGTON NJ 07031 MEDICAL SUSPENSION K 54 7540 9/19/2003 N NSIAH, KENNETH (CHHA) 827 S. 17TH STREET, 2ND FLOOR NEWARK NJ 07108 MEDICAL DEBARMENT K 54 7540 7/14/2017 N NTSHONA, NOKUZOLA S. (MD) 113-15 34TH AVE, #4B CORONA NY 11368 MEDICAL DEBARMENT K 54 7540 1/12/2000 Y Cunhas Construction Inc. Nuno Cunha, Owner 35 Carmen Ct Floor 1 Newark NJ 07105 35 Carmen Ct Floor 1 Newark NJ 07105 CONSTRUCTION DEBARMENT F 62 4550 10/23/2014 10/22/2017 N NURIK, BARUCH APT 9C PARKVIEW & MADISON LAWRENCE HARBOR NJ 08879 MEDICAL DISQUALIFICATION A 54 7540 4/30/1995 Y NUSSBAUM, ABRAHAM (MD) 1578598082 91 MONTGOMERY STREET RHINEBECK NY 12572 MEDICAL SUSPENSION K 54 7540 1/15/2001 11/12/2013 N NUTT, TRACY (RN) 27 OVERLOOK DRIVE MOUNT LAUREL NJ 08054 MEDICAL DISQUALIFICATION K 54 7540 5/11/2019 N NWANKWO, FESTUS (RPH) 154 BLOOMFIELD AVENUE NEWARK NJ 07104 MEDICAL DISQUALIFICATION A 54 7540 11/18/1998 Y NWANKWO, FESTUS (RPH) 306 ARDSDALE TERRACE UNION NJ 07083 MEDICAL DISQUALIFICATION A 54 7540 2/18/1999 Y PARK AVENUE PHARMACY NWANKWO, RAPHAEL 278 PARK AVENUE NEWARK NJ 07107 278 PARK AVENUE NEWARK NJ 07107 MEDICAL DISQUALIFICATION K 54 7540 5/19/1999 Y O'CALLAGHAN, TERESE (RN) 5122 ORCHARD WAY NJ 08109 MEDICAL SUSPENSION K 54 7540 10/20/2002 N OCANSEY, DONNA (RN) 7 WISINA COURT MEDFORD NJ 08055 MEDICAL DEBARMENT A 54 7540 4/22/2012 7/19/2019 N OCCEAN, NERLANDE (CHHA) 811 DILL AVENUE LINDEN NJ 07036 MEDICAL DISQUALIFICATION K 54 7540 2/8/2017 N OCHOA, MARTHA IVETTE (CHHA) 1717 MYRTLE AVENUE PLAINFIELD NJ 07063 MEDICAL DISQUALIFICATION K 54 7540 5/31/2023 O'CONNELL, MARK (MD) 1669514253 18 CENTER STREET, REAR RUMSON NJ 07760 MEDICAL DEBARMENT K 54 7540 11/9/2015 O'CONNELL, TOM OWNER 499 GRACE HILL ROAD MONROE NJ 08831 CONSTRUCTION DEBARMENT F 62 4550 2/11/2013 2/10/2016 N ODEH, MOHD, OWNER OFFICER 234 BATHGATE AVE. FRANKLIN NJ 08873 CONSTRUCTION DEBARMENT F 62 4550 1/19/2012 1/18/2015 N ODOMS, TIFFANY E. 926 TILGHMAN STREET CHESTER PA 19013 MEDICAL DISQUALIFICATION K 54 7540 11/18/2008 N O'DONNELL, KATHERINE 141 MAIN STREET METUCHEN NJ 08840 MEDICAL DISQUALIFICATION K 54 7540 9/30/2005 N O'DONNELL, LISA (RN) 845 BROADWAY BAYONNE NJ 07002 MEDICAL DISQUALIFICATION K 54 7540 6/15/2018 N O'DONNELL, WILLIAM (DC) 1659601177 7 NINEBARK LANE OXFORD NJ 07863 MEDICAL DISQUALIFICATION K 54 7540 3/28/2019 N ODUNZEH, UCHE 3565 LAUREL FORTE MEADE RD., APT. 41 LAUREL MD 20724 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 ODUSUSI, ABIMBOLA (CHHA) 311 GOLDSMITH AVENUE NEWARK NJ 07112 MEDICAL DISQUALIFICATION K 54 7540 5/31/2023 OFFOR, CHINWE (MD) 1508811019 15 CHABLIS DRIVE DIX HILLS NY 11746 MEDICAL DISQUALIFICATION K 54 7540 6/12/2019 N OFFOR, CHINWE (MD) 1508811019 15 CHABLIS DRIVE DIX HILLS NY 11746 MEDICAL DISQUALIFICATION K 54 7540 4/11/2019 N OGANDO, ERNESTINA (CHHA) 943 SHERIDAN AVENUE ELIZABETH NJ 07208 MEDICAL DEBARMENT K 54 7540 4/18/2017 6/28/2018 N OGBEIDE-SIMMS, RACHEL (CHHA) 15 MAPES PLACE, APT. 2 NEWARK NJ 07112 MEDICAL DISQUALIFICATION K 54 7540 2/8/2017 N OGON, BERNARD (MD) 1255509873 520 PRATT PL LINDEN NJ 07036 MEDICAL DEBARMENT A 54 7540 1/6/2022 OGORODOVA, GANNA (CHHA) 310 BROMLEY PLACE EAST BRUNSWICK NJ 08816 MEDICAL DISQUALIFICATION K 54 7540 2/20/2017 N OGUNBOWALE, OLAITAN ADEKUNBI (CHHA) 238 MOUNT PLEASANT AVENUE, APT. 3 NEWARK NJ 07104 MEDICAL DISQUALIFICATION K 54 7540 7/19/2023 N OGUNTUASE, EBENEZER (PSYCH) 10 DOCKSIDE DRIVE EGG HARBOR NJ 08234 MEDICAL DISQUALIFICATION K 54 7540 6/20/2009 N O'HERN, DANIEL (MD) 1144369554 18 FLEETWOOD DRIVE GOSHEN NY 10924 MEDICAL DISQUALIFICATION K 54 7540 3/3/2017 Y OJIKYTU, SIMBIAT T. (CHHA) 51 LEXINGTON BLVD BARNEGAT NJ 08005 MEDICAL DISQUALIFICATION K 54 7540 5/2/2014 OJO, RICHARD O. 346 FIELDCREST AVENUE NEW EGYPT NJ 08533 MEDICAL DEBARMENT K 54 7540 2/24/2009 N OKANTAH, MARGARET (CHHA) 1854B MANOR DRIVE UNION NJ 07083 MEDICAL DEBARMENT K 54 7540 7/30/2005 N HEALTHCORE PHARMACY OKOYE, GOODWIN S. (RPH) 289 GEORGE STREET NEW BRUNSWICK NJ 08901 289 GEORGE STREET NEW BRUNSWICK NJ 08901 MEDICAL SUSPENSION A 54 7540 1/12/2001 Y HEALTHCORE PHARMACY OKOYE, PATRICK C. (RPH) 289 GEORGE STREET NEW BRUNSWICK NJ 08901 289 GEORGE STREET NEW BRUNSWICK NJ 08901 MEDICAL SUSPENSION A 54 7540 1/12/2001 Y OKREM, JANINE (RN) 1112 HARKER AVENUE WEST DEPTFORD NJ 08096 MEDICAL DISQUALIFICATION K 54 7540 7/12/2018 10/4/2023 N OLADUNJOYE, ZINAB (CHHA) 254 MAGNOLIA AVENUE SMYRNA DE 19977 MEDICAL DISQUALIFICATION K 54 7540 7/19/2023 N OLEJNIOK, ROMAN PRESIDENT 1882 PUTNAM AVENUE RIDGEWOOD NY 11385 CONSTRUCTION DEBARMENT F 62 4550 3/26/2012 3/25/2015 N Olga Conteras, Vice-President 677 Old Highway 64 Etowah NC 28729 CONSTRUCTION DEBARMENT F 62 4550 10/20/2015 10/19/2018 N OLIVEIRA JR., MARIO (OD) 170 EAST KINNEY STREET NEWARK NJ 07105 MEDICAL DEBARMENT K 54 7540 4/28/2005 N OLIVER, ANDREA AKA SCHLEMBACH, ANDREA (APN/RN) 1780630418 70 COHANSEY STREET BRIDGETON NJ 08302 MEDICAL DISQUALIFICATION K 54 7540 9/12/2016 5/21/2020 N OLIVER, HOWARD WALLACE 1518911742 P.O. BOX 600, HOUSING UNIT DJH1056 CHINO CA 91708 MEDICAL DISQUALIFICATION A 54 7540 7/20/2022 OLIVER, JAMES (DDS) 1134314594 167 MAIN STREET METUCHEN NJ 08840 MEDICAL DEBARMENT K 54 7540 8/13/1999 Y OLIVERA, PABLO R. (DPM) 2 CEDAR STREET NEWARK NJ 07102 MEDICAL SUSPENSION K 54 7540 9/20/2001 OLIVERA, SMIRNA (LPN) 33 REMSEN AVENUE NEW BRUNSWICK NJ 08901 MEDICAL SUSPENSION K 54 7540 10/20/2002 N OLIVEROS, APRIL (LPN) 233 SMOKERISE LANE TOMS RIVER NJ 08755 MEDICAL DISQUALIFICATION K 54 7540 6/5/2017 OLIYNYK, OKSANA (CHHA) 591 MARLBORO ROAD OLD BRIDGE NJ 08857 MEDICAL DEBARMENT K 54 7540 2/20/2017 N OLUWA, WURAOLA (CHHA) 241 S. 7TH STREET NEWARK NJ 07103 MEDICAL DISQUALIFICATION K 54 7540 7/19/2023 N OLUWOLE, OLAKUNLE K. (MD) 1932177144 379 OLD TAPPAN ROAD OLD TAPPAN NJ 07675 MEDICAL DISQUALIFICATION K 54 7540 12/20/2023 N MUGAHID MEDICAL SHUTTLE OMAR, HATIEM AKA HATIM 1116 ANNE STREET ELIZABETH NJ 07201 1116 ANNE STREET ELIZABETH NJ 07201 MEDICAL DISQUALIFICATION K 54 7540 11/10/1999 Y EMPIRE STATE MEDICAL SVCS OMAR, MUGAHID 144 ELMORE AVENUE, SUITE 204 ELIZABETH NJ 07201 7-11 TONNELE AVENUE JERSEY CITY NJ 07306 MEDICAL DISQUALIFICATION A 54 7540 3/14/1998 Y OMAR, MUGAHID O. 144 ELMORE AVENUE, SUITE 204 ELIZABETH NJ 07201 7-11 TONNELLE AVE-2MN JERSEY CITY NJ 07306 MEDICAL DISQUALIFICATION A 54 7540 4/10/1997 Y ONAFOWAKAN, OLAYINKA (CHHA) 96 TRACEY AVENUE NEWARK NJ 07108 MEDICAL DISQUALIFICATION K 54 7540 5/2/2023 O'NEILL - RYAN, LISA ANNE (COUSELOR) 415 LYNDALE STREET PHILLIPSBURG NJ 08865 MEDICAL SUSPENSION K 54 7540 5/9/2008 N O'NEILL-RYAN, LISA ANN (COUNSELOR) 415 LYNDALE STREET PHILLIPSBURG NJ 08865 MEDICAL DISQUALIFICATION K 54 7540 8/17/2008 N ONYEKAHA, EBERE (RPH) 13 HIGHLAND AVENUE MAPLEWOOD NJ 07040 MEDICAL DISQUALIFICATION K 54 7540 12/1/1998 Y ONYENSO, CHIKEZIE (MD) 1578605812 552 MAIN STREET CHATHAM NJ 07928 MEDICAL SUSPENSION A 54 7540 2/15/2012 5/6/2021 N ONYENSO, CHIKEZIE (MD) 1578605812 18 EDINBURGH DRIVE RANDOLPH NJ 07869 MEDICAL DISQUALIFICATION A 54 7540 3/19/2015 5/6/2021 N OPOKU, BISMARK (CHHA) 2468 ANGLER ROAD COLUMBUS OH 43224 MEDICAL DISQUALIFICATION K 54 7540 4/6/2018 N OPPONG-DWAMENA, SETH 15 UNIVERSITY PLACE EAST BRUNSWICK NJ 08816 MEDICAL DEBARMENT K 54 7540 1/10/2020 Y OPRZADEK, KRZSTOF 19 WOODVILLE ROAD HOPEWELL NJ 08525 CONSTRUCTION DEBARMENT F 62 4550 2/11/2015 2/10/2018 N OQUENDO, BASHIRAH (CHHA) 87 MANNING AVENUE PLAINFIELD NJ 07060 MEDICAL DISQUALIFICATION K 54 7540 2/8/2017 N O'REILLY, MARGARET (RN) 38 REILEY MOUNTAIN ROAD CUDDEBACKVILLE NY 12729 MEDICAL DISQUALIFICATION K 54 7540 2/25/2019 N O'REILLY, RAYMOND B. 188 ALEXANDRIA DR APTS HACKETTSTOWN NJ 07840 MEDICAL DISQUALIFICATION G 54 7540 6/1/1993 Y OREM, SUSAN (RN) 140 VALERIE DRIVE #488 MANVILLE NJ 08835 MEDICAL SUSPENSION K 54 7540 9/20/2006 N ORIA, CONRAD (RN) 525 BLOOMFIELD AVENUE CALDWELL NJ 07006 MEDICAL DEBARMENT K 54 7540 6/5/2017 ORQUIZA III, CLODUALDO S (MD) 1326040155 2103 ZION ROAD NORTHFIELD NJ 08225 MEDICAL DEBARMENT K 54 7540 9/1/2021 ORT II, CHARLES C. 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EVERGREEN ROAD, APT. 170M EDISON NJ 08837 MEDICAL DISQUALIFICATION K 54 7540 8/24/2017 OSEI, PASCAL 9 SOUTH GROSSER PLACE SOMERSET NJ 08873 MEDICAL DEBARMENT A 54 7540 7/17/2009 7/17/2014 N OSHADIPE, ADERINSOLA (CHHA) 28103 CANYON WREN DRIVE KATY TX 77494 MEDICAL DISQUALIFICATION K 54 7540 7/19/2023 N OSIFO, BAHEEJAH (CHHA) 530 PARK AVENUE ORANGE NJ 07050 MEDICAL DISQUALIFICATION K 54 7540 2/8/2017 N OSMANOFF, GARY (DDS) 1710188073 NETTER COURT MARLBORO NJ 07746 MEDICAL DISQUALIFICATION A 54 7540 6/23/2008 N OSMANOFF, GARY (DDS) 1710188073 317 MARINE AVENUE BROOKLYN NY 11209 MEDICAL SUSPENSION A 54 7540 12/17/2008 N OSTERGAARD, PAUL (MD) 1962504753 230 WEST PARKWAY POMPTON PLAINS NJ 07444 MEDICAL DEBARMENT K 54 7540 12/16/2015 OSTERGAARD, PAUL (MD) 1962504753 230 WEST PARKWAY POMPTON PLAINS NJ 07444 MEDICAL DEBARMENT K 54 7540 2/21/2014 OSTERGAARD, PAUL (MD) 1962504753 15 MOUNTAIN AVENUE POMPTON PLAINS NJ 07444 MEDICAL DISQUALIFICATION K 54 7540 2/11/2016 OSTROSKIE, JOAN (LPN) 424 FLORENCE STREET NEW MILFORD NJ 07646 MEDICAL SUSPENSION K 54 7540 1/19/2003 N OSTWALD, ALICE (LPN) 11 RAILROAD LANE WHITEHORSE NJ 08889 MEDICAL SUSPENSION K 54 7540 9/20/2006 N OSUJI, PAUL FCI FORT DIX PO BOX 2000 FORT DIX NJ 08640 MEDICAL SUSPENSION K 54 7540 8/20/2009 N OSWARI, DANIEL (MD) 1265506489 35 ALLEGHENY LANE BORDENTOWN NJ 08505 MEDICAL DISQUALIFICATION K 54 7540 6/30/2020 N OTI, CHUCK B. 676 PARK AVE., BLDG. 14B EAST ORANGE NJ 07017 MEDICAL DISQUALIFICATION A 54 7540 1/31/2000 Y OTOO, LOVE (CHHA) 555 ELIZABETH AVENUE NEWARK NJ 07112 MEDICAL DISQUALIFICATION K 54 7540 2/8/2017 N OTTENSTEIN, ALAN (MD) 3100 PRINCETON PIKE LAWRENCEVILLE NJ 08648 MEDICAL SUSPENSION K 54 7540 3/1/2009 N OTTENSTEIN, ALAN (MD) 173 MOUNT EYRE RD. WASHINGTON CROS PA 18977 MEDICAL SUSPENSION K 54 7540 5/19/2005 N OWUSU, NICHOLAS (CHHA) 6063 HAMPSTEAD DRIVE W COLUMBUS OH 43229 MEDICAL DISQUALIFICATION K 54 7540 2/27/2017 Y OWUSU-ANSAH, GRACE (CHHA) 97-22 57TH AVENUE CORONA NY 11368 MEDICAL DISQUALIFICATION K 54 7540 5/17/2018 N OXMAN, REED S. (MD) 1649575473 226 W. RITTENHOUSE SQUARE PHILADELPHIA PA 19103 MEDICAL SUSPENSION K 54 7540 3/16/2012 N OYEFESO, ABIDEMI (CHHA) 357 S 8TH STREET NEWARK NJ 07102 MEDICAL DISQUALIFICATION K 54 7540 7/19/2023 N OYELEKE, AMINAT (CHHA) 8600 S COURSE DRIVE HOUSTON TX 77099 MEDICAL DISQUALIFICATION K 54 7540 7/19/2023 N OYENUSI, ADEBOWALE (RPH) 90 WASHINGTON STREET EAST ORANGE NJ 07017 MEDICAL DEBARMENT A 54 7540 10/14/2000 Y OZERY, TZIPORA AKA MOORE, MONICA 27 FIRETOWER ROAD BUDD LAKE NJ 07828 MEDICAL DEBARMENT K 54 7540 9/15/2017 PABBATHI, RAMMOHAN 3 AMY COURT HOWELL NJ 07731 MEDICAL DEBARMENT K 54 7540 7/8/2005 N GLV PARKE WARNER PHCY PACHECO, ALVARO R. 0 481 EDWARD H ROSS DRIVE ELMWOOD PARK NJ 07407 59 EDGEHILL COURT WEST ORANGE NJ 07052 MEDICAL DISQUALIFICATION A 54 7540 6/1/1993 Y PACHECO, MICHAEL (PHARM TECH) 84 LAFAYETTE AVE. PASSAIC NJ 07055 MEDICAL DEBARMENT K 54 7540 7/18/2003 N PADUANO JR., FRANCIS P. (RPH) 2020 BALMORAL AVE. UNION NJ 07083 MEDICAL DISQUALIFICATION A 54 7540 9/16/1986 Y PADVA-GERMAN, ANNA (DDS) 1043382039 446 DUBLIN PLAZA SECAUCUS NJ 07094 MEDICAL DEBARMENT A 54 7540 12/14/2009 3/24/2021 N PADVA-GERMAN, ANNA (DDS) 1043382039 446 DUNLIN PLAZA, 446H SECAUCUS NJ 07094 MEDICAL DEBARMENT A 54 7540 10/15/2014 3/24/2021 N PAGANO, NICOLE (RN) 531 PARKWAY AVENUE TRENTON NJ 08618 MEDICAL DISQUALIFICATION K 54 7540 5/20/2009 N PAGONZAGA, GLORIA (CHHA) 313 OLD BERGEN ROAD, APT. 2 JERSEY CITY NJ 07305 MEDICAL DISQUALIFICATION K 54 7540 2/20/2017 N PAKETT, NEIL (DMD) 1184934663 777 WEST GERMANTOWN PIKE, APT. 530 PLYMOUTH MEETING PA 19462 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 PALMER, AMANDA (LPN) 14 E. MAIN STREET, APT. 4 CLINTON NJ 08809 MEDICAL DISQUALIFICATION K 54 7540 3/13/2019 N PALMER, THOMAS #14570-003 (RN) FPC PENSACOLA, PO BOX 3949 PENSACOLA FL 32516 MEDICAL DISQUALIFICATION K 54 7540 9/29/2017 PAMIKIMUKKALA, VIJAY (RPH) 1598087272 3 PENROSE COURT EDISON NJ 08820 MEDICAL SUSPENSION K 54 7540 9/13/1999 PANCELLI, JOHN M. (MD) WEST JERSEY HOSPITAL CAMDEN NJ 08104 MEDICAL DISQUALIFICATION K 54 7540 12/1/1998 DECEASED N PANEZAI, FAZAL (MD) 1710069760 431 FAWNS RUN MORGANVILLE NJ 07751 MEDICAL SUSPENSION A 54 7540 3/4/2024 N PANGANIBAN, ARMANDO (RN) CYPRESS RD. TOMS RIVER NJ 08753 MEDICAL DISQUALIFICATION K 54 7540 8/11/2007 Y PANICHELLA, ANTHONY G. (COUNSELOR) 739 S. WHITE HORSE PIKE, AUDUBON NJ 08106 MEDICAL SUSPENSION K 54 7540 7/20/2006 N PANITCH, EDWIN (RPH) 8 POINT OF WOODS DRIVE NORTH BRUNSWICK NJ 08902 MEDICAL DISQUALIFICATION A 54 7540 6/1/1993 Y PANJWANI, HARRY K. (MD) EAST 42 FAIRVIEW TERRACE PARAMUS NJ 07652 MEDICAL DEBARMENT K 54 7540 5/24/1999 Y PANOS, SPYROS (MD) 1497753149 #69361-054 USP CANAAN, PO BOX 300 WAYMART PA 18472 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 PAPANDREA, JANICE, PRESIDENT 1065 JOHNSON DRIVE WATCHUNG NJ 07060 CONSTRUCTION DEBARMENT F 62 4550 4/19/2012 4/18/2015 N PAPPALARDO, PETER S. (MD) 4 SOUTH AIRMONT RD SUFFERN NY 10901 MEDICAL DISQUALIFICATION G 54 7540 6/1/1993 Y PARADISO, NINO 57 POPLAR DRIVE MORRIS PLAINS NJ 07950 MEDICAL DISQUALIFICATION K 54 7540 9/9/2016 PARASHOS, LINDA (RN) 514 9TH AVENUE LINDENWOLD NJ 08021 MEDICAL SUSPENSION K 54 7540 5/20/2001 PARCHMENT, ALFRED (MD) 1073587242 1140 BURNT TAVERN ROAD BRICK NJ 08724 MEDICAL DISQUALIFICATION K 54 7540 10/25/2016 PAREKH, CHANDRAKANT (DDS) 1144386178 6529 GERMANTOWN AVENUE PHILADELPHIA PA 19119 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 PARIDA, SAROJ K. 1013975549 USP LEWIS-PO BOX 1000 LEWISBURG PA 17837 MEDICAL DISQUALIFICATION A 54 7540 8/20/2013 N PARIKH, BIPIN (MD) 1962555193 224 LAFAYETTE STREET WILLISTON PARK NY 11596 MEDICAL SUSPENSION K 54 7540 11/20/2010 N PARIKH, BIPIN J. (MD) 1962555193 224 SOUTH LAFAYETTE STREET WILLISTON PARK NY 11596 MEDICAL SUSPENSION K 54 7540 7/9/2008 N PARIKH, MANUPRASAD (RPH) 209 STOKES FARM ROAD FRANKLIN LAKES NJ 07417 MEDICAL SUSPENSION K 54 7540 7/20/2004 9/5/2017 N PARKOFF & HAMMER P A PARKOFF, MICHAEL A. (DMD) 0 253 ROSEVILLE AVE NEWARK NJ 07107 68 MAPLEWOOD BLVD SUFFERIN NY 10901 MEDICAL DISQUALIFICATION A 54 7540 8/7/1984 Y PARQUER, HORACE T (LPN) 1402 ROUTE 9 SOUTH CAPE MAY COURT HOUSE NJ 08210 MEDICAL DISQUALIFICATION K 54 7540 11/29/2022 PASCUCCI, LAVERNE (CHHA) 160 JAMES STREET TOMS RIVER NJ 08753 MEDICAL DISQUALIFICATION K 54 7540 2/8/2017 N PASSAFIUME, DANIEL J. 42 SPRUCE STREET JAMESBURG NJ 08831 MEDICAL DISQUALIFICATION K 54 7540 12/20/2022 N PATANKAR, SANJIV (MD) 1255429361 61 HARDWICK DRIVE KENDALL PARK NJ 08824 MEDICAL DEBARMENT K 54 7540 12/19/2017 N PATEL, ANILKUMAR K. (CHHA) 8 WOODSTONE LANE BURLINGTON NJ 08016 MEDICAL DISQUALIFICATION K 54 7540 7/25/2023 Y PATEL, ARUNA S. (MD) 1770568610 725 NORTH BROAD STREET ELIZABETH NJ 07208 MEDICAL DISQUALIFICATION A 54 7540 6/26/2008 N PATEL, ASHOKKUMAR R. YARDLEY STREET EDISON NJ 08820 MEDICAL DISQUALIFICATION A 54 7540 8/10/2007 Y PATEL, BELA (RPH) 1701 COTTMAN AVENUE PHILADELPHIA PA 19111 MEDICAL DISQUALIFICATION A 54 7540 4/9/2015 N PATEL, BHARAT KUMAR (RPH) 1962729731 140 RIVERSIDE BLVD. NEW YORK NY 10069 MEDICAL DISQUALIFICATION A 54 7540 4/20/2014 N CLIN-MED LABORATORIES INC PATEL, CHANDRAKANT 40 GALESI DRIVE WAYNE NJ 07470 40 GALESI DRIVE WAYNE NJ 07470 MEDICAL SUSPENSION A 54 7540 3/28/2000 12/12/2007 N PATEL, CHIRAG 16 SNEIDER ROAD WARREN NJ 07059 MEDICAL SUSPENSION A 54 7540 4/2/2012 N PATEL, CHIRAG J. 16 SNEIDER ROAD WARREN NJ 07059 MEDICAL DISQUALIFICATION K 54 7540 4/20/2015 N PATEL, DINESH R. (MD) 1285702829 3 BRIGHTON COURT LIVINGSTON NJ 07039 MEDICAL SUSPENSION K 54 7540 9/27/2017 3/14/2023 N PATEL, DINESH R. (MD) 1285702829 3 BRIGHTON COURT LIVINGSTON NJ 07039 MEDICAL DISQUALIFICATION A 54 7540 3/17/2012 3/14/2023 N PATEL, DINESH R. (MD) 1285702829 835 CLINTON AVENUE NEWARK NJ 07108 MEDICAL DISQUALIFICATION A 54 7540 2/20/2014 3/14/2023 N PATEL, HARISH AKA HARRIS, PAUL (MD) GB-46 PO BOX 26010 BEAUMONT TX 77720 MEDICAL SUSPENSION K 54 7540 11/20/2006 N PATEL, MAHESH (MD) 1942202841 3 PINE VALLEY WAY FLORHAM NJ 07932 MEDICAL DISQUALIFICATION K 54 7540 1/26/2015 11/9/2020 N PATEL, MEHMOOD (MD) 1225074859 201 MIDDLETON ROAD LAFAYETTE LA 70503 MEDICAL DISQUALIFICATION A 54 7540 2/26/2010 N PATEL, PARESH R. (DMD) 1134106511 295 MAIN STREET METUCHEN NJ 08840 MEDICAL DISQUALIFICATION A 54 7540 5/22/2014 11/10/2023 N PATEL, PARESHCHANDRA 1306073200 8 NOTTINGHAM ROAD EDISON NJ 08820 MEDICAL DEBARMENT K 54 7540 11/21/2016 PATEL, PRAVIN K. (MD) 904 #35 IVY RIDGE RD SYRACUSE NY 13210 MEDICAL SUSPENSION K 54 7540 12/19/2002 4/1/2022 N PATEL, RAMBEN D. (LPN) 505 WEST MINISTER BLVD. PARLIN NJ 08859 MEDICAL SUSPENSION K 54 7540 8/20/2000 PATEL, RAMESH SHANKER BHAI (RN) PO BOX 5564 OLD BRIDGE NJ 08857 MEDICAL SUSPENSION K 54 7540 6/20/2001 PATEL, RITA (RPH) 4 HAUSER LANE MATAWAN NJ 07747 MEDICAL DEBARMENT K 54 7540 3/20/2017 10/19/2017 PATEL, RITA (RPH) 4 HAUSER LANE MATAWAN NJ 07747 MEDICAL SUSPENSION K 54 7540 3/10/2016 2/17/2017 PATEL, RITA (RPH) 4 HAUSER LANE MATAWAN NJ 07747 MEDICAL DISQUALIFICATION K 54 7540 10/19/2017 PATEL, SANJAY (RPH) 1316335961 16 SPLIT ROCK ROAD UPPER SADDLE RIVER NJ 07458 MEDICAL DEBARMENT K 54 7540 4/26/2016 PATEL, SANJAY I. (RPH) 1316335961 63 HEATHERDELL ROAD ARDSLEY NY 10502 MEDICAL SUSPENSION K 54 7540 4/20/2006 N PATEL, SAURABH (MD) 1790795227 56 ROANOKE STREET WOODBRIDGE NJ 07095 MEDICAL DISQUALIFICATION A 54 7540 2/13/2023 PATEL, SHIRJAY (CHHA) 703 NEW DOVER ROAD EDISON NJ 08820 MEDICAL DISQUALIFICATION K 54 7540 2/20/2017 N PATEL, VIJAY 65 W. LINCOLN AVENUE ROCKAWAY NJ 07866 MEDICAL DISQUALIFICATION K 54 7540 11/20/2016 PATEL, VITTHAL I. (RPH) ST. 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PLAINFIELD NJ 07080 CONSTRUCTION DEBARMENT F 62 4550 1/14/2013 1/13/2016 N Paul F. Roscitt Electric, Inc. Paul F Roscitt, President 262 Harmon Ave Fort Lee NJ 07024 262 Harmon Ave Fort Lee NJ 07024 CONSTRUCTION DEBARMENT F 62 4550 11/9/2015 11/08/2018 N Area Fuel Paul Grillo, Owner 207 Butler Ave Staten Island NY 10307 207 Butler Ave Staten Island NY 10307 CONSTRUCTION DEBARMENT F 62 4550 2/18/2015 02/17/2018 N Paul Sexton Paul Sexton, Owner 462 10 th Ave Paterson NJ 07510 462 10th Ave Paterson NJ 07510 CONSTRUCTION DEBARMENT F 62 4550 7/11/2014 07/10/2017 N PAUL, DAVID M. (MD) 1124355250 434 RAHWAY AVENUE WOODBRIDGE NJ 07095 MEDICAL DEBARMENT K 54 7540 3/22/2002 N PAYANO, VIANNE AKA AMPARO, VIANNE (CHHA) 710 EAST 18TH STREET PATERSON NJ 07501 MEDICAL DISQUALIFICATION K 54 7540 1/31/2017 PEACOCK, DENISE (RN) 9331 GLENLOCH STREET PHILADELPHIA PA 19114 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 PEARSON, KATIE (LPN) 229 SNOOKS HILL RD. LEWISTOWN PA 17044 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 PEARSON, SHAMERA (CHHA) 2824 N. BAMBREY STREET PHILADELPHIA PA 19132 MEDICAL DISQUALIFICATION K 54 7540 7/16/2019 Y PEART, HAROLD (LCSW) 3 HARRISON PARK LANE BURLINGTON NJ 08016 MEDICAL SUSPENSION A 54 7540 3/17/2000 PEART, HAROLD (LCSW) 415 KEIM BOULEVARD BURLINGTON NJ 08016 MEDICAL SUSPENSION K 54 7540 8/20/1999 MARVIN PECK'S PHARMACY PECK, MARVIN (RPH) 335 GEORGE STREET NEW BRUNSWICK NJ 08901 335 GEORGE STREET NEW BRUNSWICK NJ 08901 MEDICAL DISQUALIFICATION A 54 7540 6/1/1993 Y PECKLER, MYLES (RN) 112 W 4TH STREET CLIFTON NJ 07011 MEDICAL DISQUALIFICATION K 54 7540 7/27/2022 N PELAEZ, LORELEY (CHHA) 58 S. VALLEY ROAD WEST ORANGE NJ 07052 MEDICAL DISQUALIFICATION K 54 7540 7/5/2023 N PELIZZARI, JOHN J. (DO) 1235190638 16 MOONBEAM DRIVE LEWISTOWN PA 17044 MEDICAL DISQUALIFICATION K 54 7540 12/30/2022 N PELLEGRINO, TAMMY (RN) 2423 SHADY LANE APT P ATCO NJ 08004 MEDICAL SUSPENSION K 54 7540 2/20/2003 N PELLICANO, PAUL J. (MD) 1316282783 120 MILLBURN AVE. STE M1 MILLBURN NJ 07041 MEDICAL DISQUALIFICATION K 54 7540 12/1/1998 Y PEMBERTON, COLIN (MD) 1891935557 500 ORANGE STREET NEWARK NJ 07107 MEDICAL DISQUALIFICATION K 54 7540 8/28/2017 4/26/2018 N PEMBERTON, COLIN (MD) 1891935557 2 DEVONSHIRE TERRACE WEST ORANGE NJ 07052 MEDICAL DISQUALIFICATION K 54 7540 10/8/2019 N PENA, CARMEN F. (DDS) 1871750166 800 76TH ST., 2ND FLOOR NORTH BERGEN NJ 07047 MEDICAL SUSPENSION K 54 7540 9/20/2000 9/15/2015 N NICK PENACHIO CO., INC. PENACHIO, NICHOLAS A. 240 FOOD CENTER DRIVE BRONX NY 10474 240 FOOD CENTER DRIVE BRONX NY 10474 VENDOR SUSPENSION A 82 2050 9/7/2000 PENALES, AMANDO D. 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CHERRY HILL NJ 08002 MEDICAL SUSPENSION K 54 7540 10/20/2002 N PFAUTZ, JOANNA (LPN) 1595 BREAKERS DRIVE, #A MANAHAWKIN NJ 08050 MEDICAL DISQUALIFICATION K 54 7540 5/2/2018 PFLUGER, FRANK 118 MINERVA AVENUE ALBION NJ 08009 VENDOR SUSPENSION A 82 2050 8/27/2001 PFUND, SUSAN (RN) 90 W 56TH STREET BAYONNE NJ 07002 MEDICAL DISQUALIFICATION K 54 7540 7/25/2023 Y PHARES, ALYSSA (RN) 21 WOODLAND WAY DAYTON NJ 08810 MEDICAL SUSPENSION K 54 7540 9/19/2002 N PHILEMON, MENAHEM (CHHA) 265 KING VILLAGE BUDD LAKE NJ 07869 MEDICAL DISQUALIFICATION K 54 7540 5/18/2018 N PHILIPPE, ADELINE (CHHA) 61 CLEVELAND STREET, APT. 2E ORANGE NJ 07050 MEDICAL DISQUALIFICATION K 54 7540 3/12/2018 N PHILIPPE, IRLANDE (RN) 29 ELM STREET WEST ORANGE NJ 07052 MEDICAL DISQUALIFICATION K 54 7540 7/22/2017 PHILLIPS, RONALD (DO) 718 HAVEN PLACE LINDEN NJ 07026 MEDICAL DEBARMENT K 54 7540 1/8/1999 Y PHIPPS JR., ERNEST (MD) 130 FORD ROAD HOWELL NJ 07731 MEDICAL SUSPENSION K 54 7540 5/20/2004 N PIACENTILE, JOSEPH (MD) 1265607410 578 BIG OAK ROAD YARDLEY PA 19067 MEDICAL DISQUALIFICATION K 54 7540 12/17/1995 Y PIAZZA, GARY G. (DO) 7 CARRIAGE PLACE EDISON NJ 08820 MEDICAL DISQUALIFICATION K 54 7540 10/20/1998 Y PICARIELLO, JOSEPH 1202 FOX CHASE LANE WHIPPANY NJ 08981 MEDICAL DISQUALIFICATION A 54 7540 6/9/2000 6/1/2016 N PICKNEY, BRANSON, OWNER 408 W. 129TH ST., APT. 7 NEW YORK NY 10027 CONSTRUCTION DEBARMENT F 62 4550 1/14/2013 1/13/2016 N PIERCE, JACQUELINE (CHHA) 1066 NORTH 28TH STREET CAMDEN NJ 08105 MEDICAL DEBARMENT K 54 7540 7/14/2017 N PIERCE, LESLIE (CHHA) 511 1ST AVENUE, APT. #3-W ASBURY PARK NJ 07712 MEDICAL DEBARMENT K 54 7540 3/6/2018 N PIERRE, OTILIEN (CHHA) 454 SOUTH OLDEN AVENUE TRENTON NJ 08609 MEDICAL DISQUALIFICATION K 54 7540 2/20/2017 N PIERSON, GEORGE T. (DO) 5 RAINBOW TRAIL SPARTA NJ 07871 MEDICAL DISQUALIFICATION G 54 7540 4/2/1988 DECEASED N PIETRUSZEWSKI, WILLIAM 5 E. ELK DRIVE OAK RIDGE NJ 07438 MEDICAL DEBARMENT A 54 7540 10/19/2023 N PILATE, MICHAEL 1309 MULBERRY LANE WILLIAMSTOWN NJ 08904 MEDICAL DISQUALIFICATION A 54 7540 11/20/2022 N PIMPONG, SWANZELLA (RN/LPN/CHHA) 14 3RD STREET, FLOOR 1 NEWARK NJ 07107 MEDICAL DISQUALIFICATION K 54 7540 3/3/2017 PINEDA, FRANCISCA 151 TRAILS END NEW CITY NY 10956 MEDICAL SUSPENSION K 54 7540 10/18/2001 PINHO, FERNANDO F. 66 6TH AVENUE LONG BRANCH NJ 07740 CONSTRUCTION DEBARMENT F 62 4550 7/30/2012 7/29/2015 N PINKERTON, MARION (LPN) 410 THOMAS AVENUE RIVERTON NJ 08077 MEDICAL SUSPENSION K 54 7540 9/19/2003 N PINNAMARAJU, VENKATA (RPH) 5324 FOX RIDGE ROAD ROANOKE VA 24018 MEDICAL DISQUALIFICATION K 54 7540 5/24/2017 PIOTROWSKI, DENISE (CHHA) 100 EAST MAIN STREET MARLTON NJ 08053 MEDICAL DEBARMENT K 54 7540 7/31/2017 N PIRLAMARLA, JYOTI (MD) 1952349425 77 JACKSON MILLS ROAD FREEHOLD NJ 07728 MEDICAL DISQUALIFICATION K 54 7540 9/21/2016 PIRMISASHVILLI (CHHA) 43 LINDEN STREET FORDS NJ 08863 MEDICAL DISQUALIFICATION K 54 7540 2/20/2017 N PIROVOLAS, NICHOLAS (RPH) 30 DWIGHT DRIVE WEST DEAL NJ 07712 MEDICAL DISQUALIFICATION A 54 7540 9/16/2000 N PIROVOLOS, NICHOLAS (RPH) 30 DWIGHT DRIVE OCEAN NJ 07712 MEDICAL SUSPENSION K 54 7540 10/20/2002 N PISANI, LOUIS (RPH) 1215250709 2 E. FRANKLIN COURT GARDEN CITY NY 11530 MEDICAL SUSPENSION K 54 7540 10/19/2000 PISANI, LOUIS (RPH) 1215250709 PO BOX 737513 ELMHURST NY 11373 MEDICAL DISQUALIFICATION K 54 7540 6/3/2016 PIUCK, CHARLOTTE L. (MD) 593 RAMAPO VALLEY ROAD OAKLAND NJ 07436 MEDICAL DISQUALIFICATION K 54 7540 10/25/2001 Y PIZZARELLI, ANGELA D. 1111 BOND STREET ASBURY PARK NJ 07712 MEDICAL DISQUALIFICATION A 54 7540 7/18/2001 Y PLANT, CHINIA 2013 LOGAN STREET HARRISBURG PA 17102 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 PLINIO, STEVEN (DC) 655 AMBOY AVENUE WOODBRIDGE NJ 07095 MEDICAL DEBARMENT K 54 7540 9/30/1999 DECEASED N PLOTNIK, PETER J. (MD) 1407019813 276 COLERIDGE STREET BROOKLYN NY 11235 MEDICAL DEBARMENT K 54 7540 5/23/2000 Y PLOTTS, LISA AKA FROSCH, LISA (RN) 111 BEECHWOOD AVENUE OAKLYN NJ 08107 MEDICAL SUSPENSION K 54 7540 10/18/2001 PLUCINSKI, PATRICIA (LPN) 201 HAEGELE PLACE MOUNT ROYAL NJ 08061 MEDICAL SUSPENSION K 54 7540 12/20/2009 Y POBER, JOSEPH (MD) 1194948703 126 LINDEN STREET RIDGEWOOD NJ 07450 MEDICAL DEBARMENT K 54 7540 12/14/2019 N POET, ALBERT (MD) 1134270903 EAST BAY AVENUE MANAHAWKIN NJ 08050 MEDICAL DISQUALIFICATION A 54 7540 8/10/2007 Y POFF, SHIABON (LPN) 48 CHESTNUT STREET WARETOWN NJ 08758 MEDICAL DISQUALIFICATION K 54 7540 8/22/2017 POGGIOLI, STEPHAN 431 ACADEMY TERRACE LINDEN NJ 07036 MEDICAL SUSPENSION K 54 7540 6/18/2004 N SUN REHAB, INC. POH-EIKOM, VICKI BILLINGS AVENUE, APT. 619A PAULSBORO NJ 08062 BILLINGS AVE., APT. 619A PAULSBORO NJ 08062 MEDICAL DEBARMENT K 54 7540 1/11/2000 Y POH-EIKOM, VICKI BILLINGS AVE., APT. 619A PAULSBORO NJ 08062 MEDICAL DEBARMENT K 54 7540 12/29/1999 Y POLANSKY, IRVING (RPH) 260 MAIN ST KEANSBURG NJ 07734 MEDICAL DISQUALIFICATION A 54 7540 7/9/1985 Y POLISE, VINCENZO (RPH) 33 HARRISON ROAD KINNELON NJ 07405 MEDICAL DEBARMENT K 54 7540 12/31/2015 POLISHUK, ANDRIJ A. 649 PULHAM COURT #A MANCHESTER NJ 08759 MEDICAL SUSPENSION K 54 7540 3/8/2008 N POLLACK, EARL T. (DMD) 171 N. LANSDOWNE AVE. LANSDOWNE PA 19050 MEDICAL DISQUALIFICATION A 54 7540 11/7/1986 Y POLLACK, JOSEPH (DPM) P. O. BOX 11401 YARDVILLE NJ 08628 MEDICAL DISQUALIFICATION A 54 7540 9/30/1982 9/30/1987 N POLLEN, PHILIP 1245341924 245 ROUTE 9 MORGANVILLE NJ 07751 MEDICAL DEBARMENT K 54 7540 10/28/2013 N V. PONTE & SONS, INC. PONTE, ANGELO J. 511 CANAL STREET NEW YORK NY 10013 511 CANAL STREET NEW YORK NY 10013 VENDOR SUSPENSION B 82 2050 1/9/1996 PONTE, ANGELO J. 111 PATERSON AVENUE HOBOKEN NJ 07030 111 PATERSON AVENUE HOBOKEN NJ 07030 VENDOR SUSPENSION B 82 2050 1/9/1996 POOLE, JAMES (RN) 1639367972 34 SOUTH 2ND STREET, APT. 5 DEQUESNE PA 15110 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 POOLE, KENDRA (CHHA) 222 COOLIDGE AVENUE TRENTON NJ 08618 MEDICAL DISQUALIFICATION K 54 7540 1/23/2018 POPICK, ALAN (DO) 1194789214 1532 CREEKSIDE ROAD WHITEHALL PA 18052 MEDICAL DISQUALIFICATION K 54 7540 2/11/2016 POROGER, EMMA (DO) 1669572368 59 LINWOOD ROAD STATEN ISLAND NY 10308 MEDICAL DISQUALIFICATION K 54 7540 5/12/2016 PORTNOY, BARRY 1300 INDUSTRIAL BLVD #5 SOUTHAMPTON PA 18966 CONSTRUCTION DEBARMENT F 62 4550 1/30/2012 1/29/2015 N PORTWOOD, ROBERT (MD) 1740519628 11006 GENOA AVENUE LUBBOCK TX 79424 MEDICAL DISQUALIFICATION K 54 7540 12/15/2022 N POSNER, ROBERT S. (DDS) 1740518992 53 WESTFIELD AVENUE CLARK NJ 07066 MEDICAL DISQUALIFICATION K 54 7540 6/23/1999 Y POTACCO, PHILIP (DC) 54 CHURCH STREET SOUTH ORANGE NJ 07079 MEDICAL SUSPENSION K 54 7540 2/20/2003 N POTTER, DIANE (LPN) 215 FAIRFIELD LANE KING WILLIAM VA 23086 MEDICAL DISQUALIFICATION K 54 7540 5/20/2009 N POWELL, WILLIE (MFT) 2130 MILLBURN AVENUE MAPLEWOOD NJ 07040 MEDICAL DISQUALIFICATION K 54 7540 9/12/2016 Y POWLETT, NORMAN, OWNER 133 MILL STREET, 2R MT. HOLLY NJ 08060 CONSTRUCTION DEBARMENT F 62 4550 12/29/2011 12/28/2014 N PRAVETZ, MICHAEL (MD) 531 GATES STREET PHILADELPHIA PA 19128 MEDICAL DEBARMENT K 54 7540 3/5/2001 Y PRENSKY, JOSHUA (DMD) 1578761961 28-10 HIGH STREET FAIRLAWN NJ 07410 MEDICAL DISQUALIFICATION A 54 7540 7/17/2009 N PRENSKY, JOSHUA (DMD) 1578761961 2810 HIGH ST. BERGEN NJ 07410 MEDICAL DISQUALIFICATION A 54 7540 5/29/2013 N PRESILLA, ALEJANDRO (MD) 1902835747 15 FULTON STREET WEEHAWKEN NJ 07086 MEDICAL DEBARMENT K 54 7540 4/30/2010 4/30/2013 N PRESS, STUART M. 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(RN) 1106 PARKSIDE AVENUE TRENTON NJ 08618 MEDICAL SUSPENSION K 54 7540 4/20/2005 N PUCCI, BRIAN M. (RPH) 14 RAND RD. PINE BROOK NJ 07058 MEDICAL SUSPENSION K 54 7540 9/20/2005 9/19/2014 N PUCCIO, MATTHEW 17 TRADE WINDS DRIVE RANDOLPH NJ 07869 MEDICAL DISQUALIFICATION A 54 7540 10/25/2023 N PUCCIO, MATTHEW R. P.O. BOX 1000 OTISVILLE NY 10963 MEDICAL DISQUALIFICATION A 54 7540 12/20/2023 N PUENTES, ELENA (CHHA) 374B HAMILTON STREET SOMERSET NJ 08873 MEDICAL SUSPENSION K 54 7540 5/14/2007 N PUGLIESE, GIROLAMO (MD) 103 MAIN STREET KEYPORT NJ 07735 MEDICAL SUSPENSION K 54 7540 2/22/1999 DECEASED N PUIG, TAYLOR (CHHA) 21 OVERVIEW COURT, APT. 21 BAYVILLE NJ 08721 MEDICAL DISQUALIFICATION K 54 7540 3/16/2021 N PUIG, TAYLOR (PHARM TECH) 21 OVERVIEW COURT, APT. 21 BAYVILLE NJ 08721 MEDICAL DISQUALIFICATION K 54 7540 3/23/2021 N PULVIRENTI, FRANCESCA M. 212 8TH STREET SURF CITY NJ 08008 MEDICAL SUSPENSION K 54 7540 9/29/2005 N PURNESS, TIFFANY (CHHA) 105 BLACKWOOD-CLEMONTON ROAD #704 LINDENWOLD NJ 08021 MEDICAL DISQUALIFICATION K 54 7540 4/26/2018 N PURPERA, FRANK CRAIG (MD) 1194957761 FCI GILMER P.O. BOX 600 GLENVILLE WV 26351 MEDICAL DISQUALIFICATION A 54 7540 6/20/2019 QAYYUM, ABDUL (RPH) 960 COUNTRY CLUB DRIVE TEANECK NJ 07666 MEDICAL SUSPENSION K 54 7540 4/27/2000 Y QUARTARARO, LOUIS (MD) 1467460089 37 WEST CENTURY ROAD PARAMUS NJ 07652 MEDICAL DISQUALIFICATION K 54 7540 4/5/2019 N QUEEN, RYSHAUN (CHHA) 6 KINGSBURY SQUARE, APT. #1-D TRENTON NJ 08611 MEDICAL DISQUALIFICATION K 54 7540 7/10/2018 N QUEST, BRITTANY (CHHA) 379 SANFORD AVENUE NEWARK NJ 07106 MEDICAL DISQUALIFICATION K 54 7540 2/8/2017 N QUIJADA, CARLOS (COUNSELOR) 106 SPRING VALLEY AVE, #1 HACKENSACK NJ 07601 MEDICAL DISQUALIFICATION A 54 7540 12/20/2012 4/9/2019 N QUINN, JOHN C. 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(DC) 76 CHICHESTER ROAD MONROE TOWNSHIP NJ 08831 MEDICAL DISQUALIFICATION K 54 7540 9/4/2007 N Everest Masonry Construction, Inc. Rafael Ramos, President 129 Cantello Street Union City NJ 07087 163 E. Main Street Suite 311 Little Falls NJ 07424 CONSTRUCTION DEBARMENT F 62 4550 11/9/2015 11/08/2018 N RAFLA, MAGDY 3 KULESSA COURT EAST BRUNSWICK NJ 08816 MEDICAL DEBARMENT A 54 7540 8/22/2011 N RAHMAN, RONALD (MD) 1437378502 20 SUSSEX AVENUE VOORHEES NJ 08043 MEDICAL DISQUALIFICATION A 54 7540 5/29/2013 N RAHMAN, SAHID (CHHA) 29 ROBIN COURT PISCATAWAY NJ 08854 MEDICAL DISQUALIFICATION K 54 7540 1/29/2018 RAIA, JOSEPH (MD) 1225126717 56 GRAFTON AVENUE NEWARK NJ 07104 MEDICAL DEBARMENT K 54 7540 7/28/2014 N RAINFORD, JOHN, CHAIRMAN 239 CLIFTWOOD ROAD OAKHURST NJ 07755 CONSTRUCTION DEBARMENT F 62 4550 2/1/2012 1/29/2015 N RAJA, ABDUL, H. 53 FULHAN LANE HOLBROOK NY 00741 MEDICAL DISQUALIFICATION A 54 7540 1/29/2003 Y RAJU, SRINIVASA (RPH) 115 RIVERWALK WAY D2 CLIFTON NJ 07014 MEDICAL DISQUALIFICATION K 54 7540 7/20/2017 RAMACHANDRA, NANDAVAR (MD) 1235219809 741 ROUTE 18 S. EAST BRUNSWICK NJ 08816 MEDICAL DEBARMENT K 54 7540 4/18/2014 11/5/2018 N RAMACHANDRA, NANDAVAR (MD) 1235219809 165 SALEM ROAD NORTH BRUNSWICK NJ 08902 MEDICAL DISQUALIFICATION K 54 7540 12/21/2020 N RAMACHANDRA, NANDAVAR K (MD) 1235219809 120 AMBERLY DR, UNIT K MANALAPAN NJ 07726 MEDICAL DISQUALIFICATION K 54 7540 7/20/2021 RAMANADHAM, ARUNA R. (MD) 1609157692 9 MOUNTAINVIEW DRIVE LIVINGSTON NJ 07039 MEDICAL DEBARMENT K 54 7540 1/12/2000 Y RAMAS, EDWIN L. (LPN) 789 MITCHEL AVE. UNION NJ 07083 MEDICAL DEBARMENT A 54 7540 7/17/2009 7/17/2014 N RAMIREZ, MARIELA (CHHA) 775 EAST 3RD AVENUE, APT. A ROSELLE NJ 07203 MEDICAL DEBARMENT K 54 7540 1/9/2018 N RAMOS, JEANETTE (CHHA) 234 WILMONT AVENUE CAMDEN NJ 08105 MEDICAL DISQUALIFICATION K 54 7540 5/2/2017 N RAMOS, REYNALDO 52 ABINGTON CT. MAYS LANDING NJ 08330 MEDICAL DEBARMENT A 54 7540 8/12/2013 N RAMOS, ROLANDO 85 SHERMAN AVENUE TEANECK NJ 07666 MEDICAL DISQUALIFICATION A 54 7540 2/20/2004 N RAMPERSAD, LAKSHMINARINE 11 APPLETREE LANE LANDING NJ 07850 MEDICAL SUSPENSION K 54 7540 12/20/2000 RAND, DOV (MD) 1043311145 667 EAGLE ROCK AVENUE WEST ORANGE NJ 07052 MEDICAL SUSPENSION A 54 7540 2/15/2012 N RAND, DOV (MD) 1043311145 667 EAGLE ROCK AVENUE WEST ORANGE NJ 07052 MEDICAL DEBARMENT A 54 7540 9/3/2013 N RAND, DOV (MD) 1043311145 840 STONEWALL CT G FRANKLIN LANES NJ 07417 MEDICAL DEBARMENT A 54 7540 5/7/2014 N RAND, ELIAS 1401 OCEAN AVENUE BROOKLYN NY 11230 MEDICAL DISQUALIFICATION A 54 7540 6/1/1993 Y JD Scaffold Inc. Randy Garciga, Owner 13353 NE 17th Ave North Miami FL 33181 13353 NE 17th Ave North Miami FL 33181 CONSTRUCTION DEBARMENT F 62 4550 8/25/2014 08/24/2017 N JTG Scaffolding & Hoisting LLC Randy Garciga, Owner 13353 NE 17th Ave Miami FL 33181 309 West Elizabeth Avenue Linden NJ 07036 CONSTRUCTION DEBARMENT F 62 4550 10/23/2014 10/22/2017 N RAO, MALINI (MD) 1649456005 444 WASHINGTON BOULEVARD JERSEY CITY NJ 07310 MEDICAL DISQUALIFICATION K 54 7540 9/12/2016 RASCHID, SOHAEL (MD) 1104851369 1126 KENNEBEC DRIVE CHAMBERSBURG PA 17201 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 RASLAN, SALMA (CHHA) 1165 US HIGHWAY 22, APT. 46 NORTH PLAINFIELD NJ 07060 MEDICAL DISQUALIFICATION K 54 7540 7/5/2023 N RASNER, STEVEN (DMD) 1114022803 1055 NORTH PEARL ST BRIDGETON NJ 08401 MEDICAL DISQUALIFICATION A 54 7540 10/16/1984 4/5/2018 RASOULINEJAD, ZEHRAH T. (DDS) P.O. BOX1217 ALPINE NJ 07620 MEDICAL SUSPENSION K 54 7540 10/20/2003 N RATCHFORD, WILLIAM B. (MD) PO BOX 2063 GLENVIEW IL 60025 MEDICAL SUSPENSION A 54 7540 6/4/1998 RAUH-BRIGHAM, SUSAN (RN) 4 BRECKENRIDGE DRIVE SHAMONG NJ 08088 MEDICAL SUSPENSION K 54 7540 5/20/2001 RAVAL, KAWU 600 PAVONIA AVENUE JERSEY CITY NJ 07306 MEDICAL SUSPENSION K 54 7540 12/1/1998 RAVIN, JOHN M. (MD) 9600 STERLING RIDGE AVE. LAS VEGAS NV 89129 MEDICAL SUSPENSION K 54 7540 2/19/2004 N RAY, DEBRA (RN) 32 KAYWIN AVENUE HAWTHORNE NJ 07506 MEDICAL SUSPENSION K 54 7540 2/19/2004 N Van Peenen Landscape Contractors, Inc.Van Peenen Landscape Contractors, Inc. Raymond Van Peenen, President 3 Gates Place Wayne NJ 07470 555 Preakness Ave Suite 210 Totowa NJ 07512 CONSTRUCTION DEBARMENT F 62 4550 11/23/2015 11/22/2018 N RAYNOR, MARCELLA 660 BROAD STREET, APT. 811 HARRISBURG PA 17102 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 RAZIQ, RAFIK NORTHERN STATE PRISON NEWARK NJ 07115 MEDICAL DISQUALIFICATION K 54 7540 7/1/2002 Y REA, MICHAEL (MD) 444 MANSFIELD AVENUE HADDONFIELD NJ 08033 MEDICAL DEBARMENT K 54 7540 3/11/2001 DECEASED N REATH, ERIN R. (RN) 7705 SABRE DRIVE KNOXVILLE TN 37919 MEDICAL SUSPENSION K 54 7540 8/18/2005 N REAVES, LORI A. (MD) 1417959503 FPC ALDERSON - GLEN RAY RD ALDERSON WV 24910 MEDICAL DISQUALIFICATION A 54 7540 3/7/2014 N REBA, GARY J. (DDS) 1285852541 TITUS LANE PLAINSBORO NJ 08536 MEDICAL SUSPENSION K 54 7540 12/20/2007 N Rebecca Adika, Secretary 76 Alpine Dr. Closter NJ CONSTRUCTION DEBARMENT F 62 4550 7/21/2014 7/20/2017 N REBER-MADENYIKA, EDITH (RN) 216 HALE STREET PENNINGTON NJ 08534 MEDICAL DEBARMENT A 54 7540 4/7/2022 RECK, FRANZ (DMD) 1528248457 17 CENTER STREET HIGHLANDS NJ 07732 MEDICAL DISQUALIFICATION K 54 7540 12/1/2019 7/21/2020 N REDDEN, DAYJA (CHHA) 1822 SOUTH 7TH STREET CAMDEN NJ 08104 MEDICAL DISQUALIFICATION K 54 7540 1/23/2018 REDDY, PRANATHI (DMD) 1538321583 6207 SPRUCE MILL DRIVE MORRISVILLE PA 19067 MEDICAL DISQUALIFICATION K 54 7540 1/23/2019 7/21/2020 N REDNOR, GERALD B. 101 KENSINGTON AVENUE TRENTON NJ 08618 MEDICAL DISQUALIFICATION A 54 7540 6/1/1993 Y REDONDO, ILEANA (MD) 2421 ROSETTE STREET FORT LEE NJ 07024 MEDICAL DISQUALIFICATION K 54 7540 4/23/2002 Y REED, DAVID, PRESIDENT 195 AIRPORT ROAD SELINGSGROVE PA 17870 CONSTRUCTION DEBARMENT F 62 4550 1/14/2013 1/13/2016 N REED, JUDY 233A MUHAMMAD ALI AVE NEWARK NJ 07108 MEDICAL DISQUALIFICATION K 54 7540 12/15/2005 N REED, STEPHAN NILS (DC) 4722 EAST DELL RD PHOENIX AZ 85026 MEDICAL DISQUALIFICATION G 54 7540 6/1/1993 DECEASED N REEVES, WILBURN C. CREEK ROAD BRICK NJ 08724 MEDICAL DISQUALIFICATION A 54 7540 8/10/2007 Y REEVES,THOMAS 1145 DRAGSTON ROAD, PO BOX 528 PORT NORRIS NJ 08349 PROFESSIONAL DEBARMENT G 82 2050 2/28/2017 2/28/2020 N REEVES,TODD 1474 WEST MAIN ST., PO BOX 427 PORT NORRIS NJ 08349 PROFESSIONAL DEBARMENT G 82 2050 2/28/2017 2/28/2020 N REGO, RAMON (MD) 1033227459 6701 BERGENLINE AVENUE WEST NEW YORK NJ 07093 MEDICAL DEBARMENT A 54 7540 3/19/2012 2/16/2017 N REHAN, MOHAMMAD 280 MARIN BLVD., APT. 10R JERSEY CITY NJ 07302 MEDICAL SUSPENSION A 54 7540 2/23/2024 N REHAN, ZAHEER, A. 280 HENDERSON STREET JERSEY CITY NJ 07302 MEDICAL DISQUALIFICATION K 54 7540 5/10/1999 Y REHMAN, FAROOQ (MD) 1467581827 225 MAY STREET, SUITE D EDISON NJ 08837 MEDICAL SUSPENSION K 54 7540 4/20/2016 2/9/2017 REHMAN, FAROOQ (MD) 1467581827 225 MAY STREET, SUITE D EDISON NJ 08837 MEDICAL DEBARMENT K 54 7540 11/13/2015 REID, PEACHES (CNA) 11 RUTGERS STREET IRVINGTON NJ 07111 MEDICAL DISQUALIFICATION K 54 7540 4/1/2002 N REINHARD, BARBARA 704 REED COURT FLEMINGTON NJ 08822 MEDICAL DISQUALIFICATION K 54 7540 7/9/2007 N REINHART, JENNIFER (LPN) 70 ROSS AVENUE HACKENSACK NJ 07601 MEDICAL DISQUALIFICATION K 54 7540 11/23/2019 N REITER, RAYMOND D. (MD) 1841447380 405 MURRAY HILL PKWY#1023 E. RUTHERFORD NJ 07073 MEDICAL DISQUALIFICATION K 54 7540 10/22/2001 Y RENNER, ALLISON 1210 OAK ROAD MANASQUAN NJ 08736 MEDICAL DISQUALIFICATION K 54 7540 3/28/2017 11/3/2023 RENNER, CARL (MD) 1346205705 61 WALDRON AVENUE GLEN ROCK NJ 07452 MEDICAL DISQUALIFICATION K 54 7540 6/25/2019 PERMANENT Y RENZI, CAROLINE M. (DO) 247 CENTER ST TRENTON NJ 08611 MEDICAL DISQUALIFICATION G 54 7540 12/4/1991 Y REVAN-LEWIS, CHAUNDREL (CHHA) 26 NANCY LANE PISCATAWAY NJ 08854 MEDICAL DISQUALIFICATION K 54 7540 2/8/2017 N REYES, BRIANNA (CHHA) 220 WEST BRANCH AVENUE, APT. 111 PINE HILL NJ 08021 MEDICAL DISQUALIFICATION K 54 7540 3/5/2019 REYES, DANNIELL (DC) 1124053905 5262 HAMILTON S SAYLORSBURG PA 18353 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 REYES, MARIA (CHHA) 1207 ATLANTIC AVENUE CAMDEN NJ 08104 MEDICAL DEBARMENT K 54 7540 8/29/2017 N REYES-ARIAS, ARCADIO 286 SUSSEX AVENUE NEWARK NJ 07107 MEDICAL DISQUALIFICATION K 54 7540 2/11/2016 REZNIKOVA, YELENA (CHHA) 73 MADISON GARDENS OLD BRIDGE NJ 08857 MEDICAL DEBARMENT K 54 7540 6/12/2017 N RHODES, SARE MAE (DMD) 1750572996 161 BRIDGE STREET TUNKHANNOCK PA 18657 MEDICAL DISQUALIFICATION K 54 7540 12/29/2015 RIACHI, LABIB (MD) 1801846597 128 SOUTH EUCLID AVENUE WESTFIELD NJ 07090 MEDICAL DISQUALIFICATION K 54 7540 2/9/2017 RIACHI, LABIB (MD) 1801846597 42 RUTGERS AVENUE COLONIA NJ 07067 MEDICAL DEBARMENT K 54 7540 2/9/2018 N RICCIARDI, JUDE (CHHA) 1452 45TH NORTH BERGEN NJ 07047 MEDICAL SUSPENSION K 54 7540 6/20/2002 N RICCIO, PETER (RPH) 17 CASALE DRIAVE, APT R2 WARREN NJ 07059 MEDICAL DISQUALIFICATION K 54 7540 5/12/2016 RICH, LEO CEDAR LANE TEANECK NJ 07666 MEDICAL DISQUALIFICATION A 54 7540 6/1/1993 Y Apex Tower Services, Inc. Richard Pluese, Vice-President 245 Sharp Road Marlton NJ 08053 66 E Cedar Avenue Marlton NJ 08053 CONSTRUCTION DEBARMENT F 62 4550 2/10/2016 02/09/2019 N RICHARDS, AARON (COUNSELOR) 23 WYCOFF STREET DEAL NJ 07723 MEDICAL SUSPENSION K 54 7540 2/20/2001 RICHARDSON, RUTH (CHHA) 555 E. 27TH STREET, APT. 11 PATERSON NJ 07514 MEDICAL DISQUALIFICATION K 54 7540 2/22/2019 N RICHARDSON, YALONDA (CHHA) 52 2ND AVENUE TOMS RIVER NJ 08757 MEDICAL DISQUALIFICATION K 54 7540 2/20/2017 N RICHLINE, AMANNDA (DPM) 1013040435 4 GREENWICH STREET BELVIDERE NJ 07823 MEDICAL DEBARMENT K 54 7540 7/22/2017 RICHMAN, HOWARD P. (DPM) 502 N BLACK HORSE PIKE WILLIAMSTOWN NJ 08053 MEDICAL DISQUALIFICATION A 54 7540 4/15/1993 Y RICHSTONE, GEOFFREY (MD) PO BOX 38, FCI FORT DIX NJ 08640 MEDICAL SUSPENSION K 54 7540 6/20/2002 N RIENZO, FRANCIS (MD) 1003887068 2164 HIGHWAY 35 STE 2 SEA GIRT NJ 07850 MEDICAL DEBARMENT K 54 7540 12/17/2021 RIGGI, JOSEPH (MD) 1265436638 36 VARDON WAY FARMINGDALE NJ 07727 MEDICAL DEBARMENT K 54 7540 12/9/2015 4/9/2019 N RIGO, BLADIMIR FCI-FORT DIX, PO BOX 2000 JOINT BASE MDL NJ 08640 MEDICAL DISQUALIFICATION K 54 7540 5/12/2016 RILEY, BRIDGETT (PHARM TECH) 1801 EGG HARBOR ROAD LINDENWALD NJ 08021 MEDICAL SUSPENSION K 54 7540 3/20/2003 N RIMERMAN, VALERY (MD) 43 DEMAREST AVENUE CLOSTER NJ 07624 MEDICAL SUSPENSION K 54 7540 12/20/2006 DECEASED N RIOS, GUSTAVO ERNESTO (MD) 1780648295 127 TWEED DRIVE JACKSONVILLE NC 28540 MEDICAL DEBARMENT K 54 7540 10/11/2011 N RIOS, JOSE (MD) 175 SUMMER AVENUE NEWARK NJ 07104 MEDICAL SUSPENSION A 54 7540 5/14/1998 Y RIPPS, DANIEL (DDS) 1124293659 1330 CALHOUN STREET TRENTON NJ MEDICAL DISQUALIFICATION A 54 7540 12/1/1995 Y RITA, ELANA L. (RN) 73 CHATHAM PLACE SOUTHAMPTON NJ 08088 MEDICAL DISQUALIFICATION K 54 7540 7/18/2022 N RIVERA, ANGELA 114-120 32ND STREET, APT 30 UNION CITY NJ 07087 VENDOR DEBARMENT K 66 1020 Y RIVERA, DAISY (CHHA) 329 LINE STREET CAMDEN NJ 08103 MEDICAL DISQUALIFICATION K 54 7540 1/29/2018 RIVERA, HECTOR RICHARD 1 KEVIN ROAD SCOTCH PLAINS NJ 07076 CONSTRUCTION DEBARMENT F 62 4550 1/9/2012 1/8/2015 N RIVERA, JACQUELINE (CHHA) 418 12TH STREET, APT. #1 UNION CITY NJ 07087 MEDICAL DISQUALIFICATION K 54 7540 1/23/2018 RIVERA, JOSSELIN 251 MT. VERNON ST. CAMDEN NJ 08103 MEDICAL DISQUALIFICATION K 54 7540 1/27/2006 N RIVERA, KAREN (CHHA) 209 NILES STREET, APT. 1 ELIZABETH NJ 07202 MEDICAL DEBARMENT K 54 7540 2/20/2017 N RIVERA, MARIA (RN) 39 JOHNS WAY BRIDGETON NJ 08302 MEDICAL DISQUALIFICATION K 54 7540 9/30/2019 N RIVERA, NICOLE AKA CRESTA, NICOLE (RN) 2009 KICKAPOO TERRACE VINELAND NJ 08361 MEDICAL DISQUALIFICATION K 54 7540 3/28/2017 RIVERA, VIVIANIS (CHHA) 519 BRUNSWICK AVENUE TRENTON NJ 08638 MEDICAL DISQUALIFICATION K 54 7540 10/20/2017 N RIYAZ, FARHAAD (MD) 1063855286 1145 19TH STREET NW, STE. 301 WASHINGTON DC 20036 MEDICAL DISQUALIFICATION K 54 7540 6/15/2022 N RIZK, MOHAMED (CHHA) 77 TWIN OAKS OVAL SPRINGFIELD NJ 07081 MEDICAL DISQUALIFICATION K 54 7540 7/28/2023 N RIZVI, SAIYID (PHD) 100 CRAIG ROAD, SUITE 104 MANALAPAN NJ 07726 MEDICAL SUSPENSION K 54 7540 4/18/1997 Rizzo New York Inc.Rizzo New York Inc. Rizwan Ahmad, President 9157 97th St Wood Haven NY 11421 109-02 Jamaica Avenue Richmond Hill NY 11418 CONSTRUCTION DEBARMENT F 62 4550 1/20/2016 01/19/2019 N RIZZO, KENNETH (RPH) 110 WELLS FARM ROAD GOSHEN NY 10924 MEDICAL SUSPENSION K 54 7540 5/19/2005 N RIZZUTO, MARY F. (LCSW) 1851499891 16 HOLLY DRIVE TOMS RIVER NJ 08753 MEDICAL DISQUALIFICATION A 54 7540 4/22/2012 N ROBACK, MARY (LPN) 2517 DUNKSFERRY ROAD, APT. L203 BENSALEM PA 19020 MEDICAL DISQUALIFICATION K 54 7540 6/20/2018 N ROBALINO, JOFFRE (MD) 1770634404 PO BOX 1000 CUMBERLAND MD 21501 MEDICAL DISQUALIFICATION A 54 7540 5/28/2013 N ROBBERSON JR., KENNETH 3404 SHORELINE DRIVE WALL TOWNSHIP NJ 07719 MEDICAL DISQUALIFICATION K 54 7540 6/16/2017 ROBBINS, GORDON J. 447 UNION AVENUE PATERSON NJ 07522 MEDICAL DISQUALIFICATION A 54 7540 4/30/1987 Y ROBBINS, RICHARD G. (MD) 551 MILLBURN ACE. SHORT HILLS NJ 07078 MEDICAL SUSPENSION K 54 7540 2/19/2004 N Robert M. Mesmer, LLC Robert Mesmer, Managing Member 24 Sand Bridge Rd. Elmer NJ 08318 24 Sand Bridge Road Elmer NJ 08318 CONSTRUCTION DEBARMENT F 62 4550 12/12/2014 12/11/2017 N ROBERT, ELIANE (CHHA) 380 PARK AVENUE, APT. C5 ORANGE NJ 07050 MEDICAL DISQUALIFICATION K 54 7540 7/14/2017 N ROBERTS, JAMES (RN) 235 PENN AVENUE DOVER NJ 07801 MEDICAL DISQUALIFICATION K 54 7540 7/22/2017 ROBERTSON, TANAYE (CHHA) 1200 EAST STATE STREET, APT. 1405 CAMDEN NJ 08105 MEDICAL DISQUALIFICATION K 54 7540 7/10/2018 N ROBINSON, CHRISTINA (CHHA) 81 ABBLETT VILLAGE CAMDEN NJ 08105 MEDICAL DISQUALIFICATION K 54 7540 7/22/2019 N ROBINSON, KIM 594 WALNUT STREET ELIZABETH NJ 07201 MEDICAL SUSPENSION A 54 7540 2/3/2003 N ROBINSON, TRENNAJIA (CHHA) 89 FOURTH STREET, APT. #43 PASSAIC NJ 07055 MEDICAL DISQUALIFICATION K 54 7540 5/2/2017 N ROBINSON, VINCENT 62 MAPLE AVE. IRVINGTON NJ 07111 MEDICAL DEBARMENT A 54 7540 3/13/2009 3/13/2014 N ROBINSON, WANDA 150 MELROSE AVE. IRVINGTON NJ 07111 MEDICAL DISQUALIFICATION A 54 7540 9/4/1986 Y RODENBERG, THOMAS (MD) 1720280183 DESOTO ANNEX, 13617 SOUTHEAST HWY 70 ARCADIA FL 34266 MEDICAL DISQUALIFICATION K 54 7540 12/29/2015 RODRIGUEZ, ARACELY (CHHA) 1039 NORTH 35TH STREET CAMDEN NJ 08105 MEDICAL DEBARMENT K 54 7540 5/31/2018 N RODRIGUEZ, BEATRIZ 109 GREENBRIAR AVE BOX157 RICHLAND NJ 08350 MEDICAL SUSPENSION K 54 7540 10/18/2001 RODRIGUEZ, CHRISTIAN (CHHA) 2 W. PARK AVENUE PENNS GROVE NJ 08069 MEDICAL DISQUALIFICATION K 54 7540 3/5/2019 N RODRIGUEZ, DARIELI (CHHA) 545 NEWTON LAKE DRIVE COLLINGSWOOD NJ 08107 MEDICAL DISQUALIFICATION K 54 7540 9/26/2017 N RODriguez, Eddy 1100 W. 7th St., Apt. 9 Plainfield NJ 07060 CONSTRUCTION DEBARMENT F 62 4550 5/14/2015 5/13/2018 N RODRIGUEZ, FERNANDO (MD) 122 S. MONTFORT DRIVE BELLE MEAD NJ 08502 MEDICAL DEBARMENT K 54 7540 4/6/2004 N RODRIGUEZ, JAZMIN (CHHA) 214 48TH STREET UNION CITY NJ 07087 MEDICAL DISQUALIFICATION K 54 7540 7/10/2018 N RODRIGUEZ, LEONELA (CHHA) 1032 N. 21ST STREET CAMDEN NJ 08105 MEDICAL DEBARMENT K 54 7540 7/10/2018 N RODRIGUEZ, MELENYS (CHHA) 18 WINDING WOOD DRIVE SAYREVILLE NJ 08872 MEDICAL DISQUALIFICATION K 54 7540 8/29/2017 N RODRIGUEZ, NICOLE (CHHA) 658 DELSEA DRIVE PITMAN NJ 08071 MEDICAL DEBARMENT K 54 7540 4/6/2018 N RODRIGUEZ, RAMON R. 100 MANHATTAN AVENUE JERSEY CITY NJ 07307 MEDICAL DISQUALIFICATION A 54 7540 3/17/1986 DECEASED N RODRIGUEZ, RONALD (LPN) 7 EASTERN LANE WILLINGBORO NJ 08046 MEDICAL SUSPENSION K 54 7540 12/20/2006 N RODRIGUEZ, RONALD (LPN) 7 EASTERN LANE WILLINGBORO NJ 08046 MEDICAL DEBARMENT K 54 7540 7/11/2018 N RODRIGUEZ, ROSEMARIE (CHHA) 1510 GROSS AVENUE PENNSAUKEN NJ 08110 MEDICAL DISQUALIFICATION K 54 7540 12/20/2021 ROGERS, JAMES G. 49 WESTERN PARKWAY IRVINGTON NJ 07111 MEDICAL SUSPENSION K 54 7540 4/11/2006 Y ROHAUS, ROBERT (LAB. EMPL) 301 LILAC COURT BRIDGEWATER NJ 08807 MEDICAL SUSPENSION A 54 7540 8/25/2000 ROHE, PAUL (DPM) 24 FAIRWAY DRIVE GREEN BROOK NJ 08812 MEDICAL SUSPENSION K 54 7540 11/20/2006 N ROLON JR., ORLANDO 1239 DUPONT STREET CAMDEN NJ 08105 MEDICAL DISQUALIFICATION A 54 7540 11/12/2009 N ROMANAZZI, THOMAS 612 MYRTLE AVE MANASQUAN NJ 08786 MEDICAL DISQUALIFICATION A 54 7540 Y ROMAN-CISSE, DENISE (PHARM TECH) 9 SECOND AVE NEWARK NJ 07104 MEDICAL DEBARMENT A 54 7540 4/12/2012 N ROMANOWSKI, STEVEN PO BOX 1011 UNION NJ 07083 MEDICAL DISQUALIFICATION I 54 7540 6/1/1985 Y ROMERO, IVAN (RPH) 1003089343 USP CANAAN - PO BOX 300 WAYMART PA 18472 MEDICAL DISQUALIFICATION A 54 7540 8/8/2011 N ROMILLO, JOSE (MD) 1467544155 954 FISCHER BOULEVARD TOMS RIVER NJ 08753 MEDICAL DISQUALIFICATION K 54 7540 8/16/2011 N ROMITA, MAURO (MD) 1639243603 6 JACKSON DRIVE CRESSKILL NJ 07626 MEDICAL DEBARMENT K 54 7540 2/6/2024 N RONAN, KATHLEEN (RN) 17 HENRY STREET SAYERVILLE NJ 08872 MEDICAL SUSPENSION K 54 7540 10/18/2001 RONCAL JR., MARIO 901 RIFLE CAMP ROAD WOODLAND PARK NJ 07424 MEDICAL DISQUALIFICATION A 54 7540 8/20/2014 N RONE, FELICIA (CHHA) 2702 SHETLAND WAY WESTVILLE NJ 08093 MEDICAL DISQUALIFICATION K 54 7540 7/14/2017 N ROQUE, JOSE RAMON (MD) 317 60TH STREET W. NEW YORK NJ 07903 MEDICAL DISQUALIFICATION K 54 7540 8/1/1996 Y ROSA, EDDIE (MD) 1215045869 796 MT. PROSPECT AVE NEWARK NJ 07104 MEDICAL SUSPENSION A 54 7540 2/15/2012 N ROSA, EDDIE (MD) 1215045869 117-119 3RD AVE 2 NEWARK NJ 07104 MEDICAL DISQUALIFICATION A 54 7540 1/26/2015 N ROSA, EDDIE (MD) 1215045869 796 MT. PROSPECT AVENUE NEWARK NJ 07104 MEDICAL DEBARMENT C 54 7540 11/21/2016 N ROSA, EDDIE (MD) 1215045869 796 MT. PROSPECT AVENUE NEWARK NJ 07104 MEDICAL DISQUALIFICATION A 54 7540 9/17/2013 N ROSADO, EDITH (CHHA) 326 GREGORY AVENUE PASSAIC NJ 07055 MEDICAL DISQUALIFICATION K 54 7540 2/8/2017 N ROSANIA, NICHOLAS G. (DC) 1 COBBLESTONE LANE LONG VALLEY NJ 07853 MEDICAL SUSPENSION K 54 7540 10/20/2003 N ROSARIO, JASON (CHHA) 133 RUTGERS PLACE NUTLEY NJ 07110 MEDICAL DEBARMENT K 54 7540 11/1/2017 N ROSE, RADCLIFFE (RN/PHARM TECH) 99 GROVE AVENUE MAYWOOD NJ 07607 MEDICAL DISQUALIFICATION K 54 7540 2/21/2018 Y ROSEN, BURTON (DDS) 1939 ROUTE 70 EAST CHERRY HILL NJ 08003 MEDICAL DEBARMENT K 54 7540 5/24/1999 Y ROSEN, JAY 1720139736 3 HIDDEN ACRES DRIVE VOORHEES NJ 08043 MEDICAL DISQUALIFICATION K 54 7540 8/22/2016 Y ROSENBERG, MARK (RN/APN) 1407829096 19 BRANDYWINE DRIVE MARLTON NJ 08052 MEDICAL DISQUALIFICATION K 54 7540 11/21/2016 ROSENBLIT, ERIN (RN/APN) 654 8TH STREET ABSECON NJ 08201 MEDICAL DEBARMENT K 54 7540 6/5/2018 N ROSENFARB, ANDREW (ACUPUNCTURIST) 332 SOUTH AVENUE EAST WESTFIELD NJ 07090 MEDICAL SUSPENSION K 54 7540 3/20/2005 N ROSENSWEET, MARTIN (DPM) FORT DIX FCI, PO 38 FORT DIX NJ 08640 MEDICAL DEBARMENT K 54 7540 7/18/2002 N ROSERO, BENITO (MD) 107 E. MANTUA AVENUE WEHONAH NJ 08090 MEDICAL SUSPENSION K 54 7540 2/2/1998 ROSERO, BENITO (MD) 109 AMBLER ROAD CHERRY HILL NJ 08002 MEDICAL SUSPENSION K 54 7540 1/6/1999 ROSPOS,THOMAS 6 INLET TERRACE BELMAR NJ 07719 VENDOR DEBARMENT A 66 1020 2/25/2016 2/25/2026 ROSS, BERNARD (MD) 30 E. PASSAIC STREET MAYWOOD NJ 07607 MEDICAL DEBARMENT K 54 7540 10/5/1999 Y ROSS, CLAYTON 18 SOUTH TERRACE MAYWOOD NY 12524 CONSTRUCTION DEBARMENT F 62 4550 12/2/2013 12/1/2016 N ROSS, DOUGLAS AKA SHAW, RICKY 123 N 19TH STREET EAST ORANGE NJ 07017 MEDICAL DISQUALIFICATION K 54 7540 10/14/2005 N ROSS, JONATHAN (MD) 11 TEAK COURT CHERRY HILL NJ 08003 MEDICAL DISQUALIFICATION K 54 7540 6/19/2000 Y ROSS, JOSIE B. (RN) 25 GRAND AVE. HACKENSACK NJ 07601 MEDICAL SUSPENSION K 54 7540 7/20/2004 N ROSS, RUBY (LPN) 149 RIDGE AVENUE ASBURY PARK NJ 07712 MEDICAL DISQUALIFICATION K 54 7540 12/5/2017 N ROSSI, ANGELA (LPN) 813 HAZELTON AVENUE LANOKA HARBOR NJ 08734 MEDICAL DISQUALIFICATION K 54 7540 6/5/2017 ROSSNICK, GERALD (DDS) 868 BROADWAY BAYONNE NJ 07002 MEDICAL DISQUALIFICATION G 54 7540 12/1/1988 Y ROTHENBERG, HOWARD (DMD) 1437223898 11 OAK SPRING ROAD WEST NYACK NY 10994 MEDICAL DISQUALIFICATION K 54 7540 12/29/2017 N ROTHSTEIN, JEFFREY (DMD) 1366677544 326 BROAD STREET, SUITE 1 RED BANK NJ 07701 MEDICAL DISQUALIFICATION K 54 7540 7/20/2017 9/22/2017 N ROTWEIN, PAUL S. (DDS) 220 E. 63RD ST, APT 8F NEW YORK NY 10021 MEDICAL DEBARMENT K 54 7540 4/20/2003 N ROUGH, JAMES 12767 VAN HORNE ROAD MEADVILLE PA 16335 CONSTRUCTION DEBARMENT F 62 4550 3/22/2013 3/21/2016 N ROUNTSEV, ANATOLI AKA ROUNTSEZ, TONY (CHHA) 406 RIVERVIEW DRIVE TOTOWA NJ 07512 MEDICAL DISQUALIFICATION K 54 7540 2/11/2016 ROUNTSEV, ANATOLI AKA ROUNTSEZ, TONY (CHHA) 409 RIVERVIEW DRIVE TOTOWA NJ 07512 MEDICAL SUSPENSION A 54 7540 11/4/2014 N ROUNTSEZ, ANATOLI AKA ROUNTSEV, TONY (CHHA) 409 RIVERVIEW DRIVE TOTOWA NJ 07512 MEDICAL SUSPENSION A 54 7540 11/4/2014 N ROUNTSEZ, ANATOLI AKA ROUNTSEV, TONY (CHHA) 406 RIVERVIEW DRIVE TOTOWA NJ 07512 MEDICAL DISQUALIFICATION K 54 7540 2/11/2016 ROUSE, JODY (LPN) 189 BROWNIES RD. SHIPPENVILLE PA 16254 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 ROUSSIS, NICHOLAS (MD) 1497749089 4735 HYLAN BOULEVARD STATEN ISLAND NY 10312 MEDICAL DEBARMENT K 54 7540 7/1/2017 ROWE, ELIZABETH (LPN) 6 WINDING WOOD DRIVE, APT. 1B SAYREVILLE NJ 08872 MEDICAL DEBARMENT K 54 7540 6/28/2018 N R & B Construction Roxanne Lloyd, President 2008 Carmel Road Millville NJ 08332 2008 Carmel Road Millville NJ 08332 CONSTRUCTION DEBARMENT F 62 4550 6/11/2015 06/10/2018 N New Jersey State Flooring, Inc. Roy C. Apgar, President 109 Greentree Road Brick NJ 08724 109 Greentree Road Brick NJ 08724 CONSTRUCTION DEBARMENT F 62 4550 2/11/2016 02/10/2019 N ROYSTER, TAHNESHA (CHHA) 30 RIDGE AVENUE NEPTUNE NJ 07753 MEDICAL DEBARMENT K 54 7540 8/24/2017 N ROZO, GLADYS 374B HAMILTON STREET SOMERSET NJ 08873 MEDICAL SUSPENSION K 54 7540 5/14/2007 N ROZVAGA, NADEZHDA 155 ALEXAUKEN CREEK ROAD LAMBERTVILLE NJ 08530 MEDICAL SUSPENSION K 54 7540 8/20/2009 N RUANE, JOSEPH T. (DC) 314 WILLOW DRIVE LITTLE SILVER NJ 07739 MEDICAL SUSPENSION K 54 7540 1/8/1997 RUBBANI, MARIAM (LPN) 1801939723 280 SOUTH HARRISON STREET EAST ORANGE NJ 07017 MEDICAL DISQUALIFICATION K 54 7540 9/12/2018 N RUBINSTEIN, CHARLES (RPH) 45 LAUREL AVENUE LINWOOD NJ 08221 MEDICAL SUSPENSION K 54 7540 8/20/2006 N RUCHELMAN, TRINA (DDS) 1356425474 2120 ROUTE 70 MANCHESTER NJ 08759 MEDICAL DISQUALIFICATION K 54 7540 5/20/2019 N RUDOLPH, HERBERT (MD) 1871633370 317 EAST MAIN STREET TUCKERTON NJ 08087 MEDICAL DEBARMENT 54 7540 9/14/2016 2/19/2020 N RUFFIN, SHARALYN (CHHA) OAKDALE VILLAGE TRAILER #52 CRANBURY NJ 08512 MEDICAL DISQUALIFICATION K 54 7540 2/8/2017 N RUGGIERO, PAULA E. (RN) 29 PARKWAY DRIVE WESTVILLE NJ 08093 MEDICAL SUSPENSION K 54 7540 10/18/2001 RUIZ, DANIEL AKA DANILE (OWNER) 596 ELM STREET KEARNY NJ 07032 CONSTRUCTION DEBARMENT F 62 4550 11/25/2011 11/24/2014 N RUIZ, DORIS 909 WEST 7TH STREET PLAINFIELD NJ 07063 MEDICAL SUSPENSION K 54 7540 5/14/2007 N RUIZ, JENNIFER 38 S. BRIDGEBORO STREET DELRAN NJ 08075 MEDICAL DISQUALIFICATION K 54 7540 11/21/2016 RUIZ, LORRAINE (CHHA) 1131 N. 19TH STREET CAMDEN NJ 08105 MEDICAL DISQUALIFICATION K 54 7540 3/5/2019 N RULDAN, THOMAS (LPN) 301 OHIO AVENUE PHILLIPSBURG NJ 08865 MEDICAL SUSPENSION K 54 7540 5/20/2001 RUMMA, CHRISTINE DONNA 164 STARBOARD STREET FORKED RIVER NJ 08731 MEDICAL DISQUALIFICATION A 54 7540 5/26/2000 Y RUSH, DALE (LPN) 182 PRESTON ROAD, APT. H2 MILFORD NJ 08848 MEDICAL DISQUALIFICATION K 54 7540 3/11/2019 N RUSH, DAVID A. 5755 PFEIFER CIRCLE GERMANSVILLE PA 18053 MEDICAL SUSPENSION A 54 7540 4/19/1999 Y RUSH, DAVID A. 5755 PFEIFER CIRCLE GERMANSVILLE PA 18053 MEDICAL DISQUALIFICATION A 54 7540 10/11/2000 Y RUSHING, GARY (DC) 1538315478 70 BROAD STREET, SUITE B MATAWAN NJ 07747 MEDICAL SUSPENSION K 54 7540 1/20/2002 N RUSSELL JR., BERTRAM R. (MD) USP HAZELTON, BOX 2000 BRUCETON MILLS WV 26525 MEDICAL DEBARMENT K 54 7540 12/28/2014 N RUSSELL, FERNESE D. (CNA) 666 E. 26TH STREET PATERSON NJ 07504 MEDICAL DEBARMENT K 54 7540 3/24/2002 N RUSSELL, ROBERT J. (DC) 1645 B-BLACKWOOD CLEMENTN BLACKWOOD NJ 08012 MEDICAL DISQUALIFICATION K 54 7540 10/2/1995 Y RUSSO, GRACE (RN) 17 MAPLE PLACE KEYPORT NJ 07735 MEDICAL DISQUALIFICATION K 54 7540 9/30/2019 N RUSSOMANNO, RAYMOND (MD) 1093702532 BLOOMFIELD AVENUE BLOOMFIELD NJ 07003 MEDICAL DEBARMENT K 54 7540 11/28/2007 N RUTA, EUGENIO (DC) 189 6TH AVENUE LONG BRANCH NJ 07740 MEDICAL SUSPENSION K 54 7540 7/21/2008 N RUTHNASWAMY, ROMESH 1136 BLUEBIRD CIRCLE MAYS LANDING NJ 08330 MEDICAL DISQUALIFICATION K 54 7540 5/18/2023 N RUTIGLIANO, MICHAEL (MD) 1740348077 1 SEARS DRIVE PARAMUS NJ 07652 MEDICAL DISQUALIFICATION 54 7540 9/19/2016 RYAN, GERALDINE (RN) 228 RIDGE AVENUE LAKEWOOD NJ 08701 MEDICAL SUSPENSION K 54 7540 2/20/2002 N RYAN, JAMES 267 SEACLIFF AVE SEACLIFF NY 11579 MEDICAL DISQUALIFICATION A 54 7540 4/1/1996 4/1/2004 N RYAN, MICHELE K. (LPN) 656 WHITE HORSE PIKE HAMMONTON NJ 08037 MEDICAL SUSPENSION K 54 7540 3/20/2002 N RYAN, THOMAS D17-25 HUNTS POINT CORP BRONX NY 10474 VENDOR SUSPENSION A 82 2050 9/7/2000 Y RYBALOV, SEMEN BERGEN COUNTY JAIL, PO BOX 0369 HACKENSACK NJ 07601 MEDICAL DISQUALIFICATION K 54 7540 10/28/2015 RYTEL, SYLVIA (LPN) 634 INDIANA AVENUE TRENTON NJ 08638 MEDICAL DISQUALIFICATION K 54 7540 8/3/2019 N SAADY, JACK R. (RPH) 281 ROUND HILL DRIVE FREEHOLD NJ 07728 MEDICAL DISQUALIFICATION A 54 7540 7/11/2000 Y SABA-KHALIL, ROSALY (MD) 531 SUMMIT AVENUE FRANKLIN LAKES NJ 07417 MEDICAL DISQUALIFICATION A 54 7540 7/10/1995 Y SABATE, NEONITA (RN) PO BOX 4004 CLINTON NJ 08809 MEDICAL DISQUALIFICATION K 54 7540 8/27/2001 Y SABBAGHZADEH, ANDREW A. 108 BRANDON ROAD EAST SYRACUSE NY 13057 MEDICAL SUSPENSION A 54 7540 3/20/2012 N SABIDO, BENJAMIN A. (MD) 1720159916 805 11TH STREET UNION CITY NJ 07087 MEDICAL DISQUALIFICATION K 54 7540 3/26/2015 SACCA, COLLEEN (RN) 310 GARFIELD AVENUE PALMYRA NJ 08065 MEDICAL SUSPENSION K 54 7540 5/20/2004 N SACHER, PHILIP 558 ANDERSON AVE CLIFFSIDE PARK NJ 07010 MEDICAL DISQUALIFICATION A 54 7540 5/6/1986 Y SADARANGANI, BHAGWAN (MD) 1386790665 240 LYNCREST ROAD ENGLEWOOD CLIFF NJ 07632 MEDICAL DISQUALIFICATION A 54 7540 2/28/2011 N SADLER, RUFUS (MD) 2 LAWRENCE STREET MOUNT VERNON NY 10552 MEDICAL DISQUALIFICATION K 54 7540 6/3/2016 FINNEGANS PLAZA PHARMACY SAEED,MOHAMMED 11507 FINNEGANS LANE NEW BRUNSWICK NJ 08902 1507 FINNEGANS LANE NEW BRUNSWICK NJ 08902 MEDICAL DISQUALIFICATION K 54 7540 11/16/1998 Y SAFIER, GARY (DO) 1558478529 8 QUARRY COURT RANDOLPH NJ 07869 MEDICAL DEBARMENT C 54 7540 4/1/2016 SAHNI, HARSHA R. (MD) 1467547232 781 SYCAMORE AVENUE RED BANK NJ 07701 MEDICAL DISQUALIFICATION A 54 7540 10/5/2023 SALAAM, ABDUL J. (MD) 1153 SOUTH ORANGE AVE NEWARK NJ 07103 MEDICAL DISQUALIFICATION K 54 7540 8/7/1997 Y SALAGA, JENNIFER (RN) 248 WARD AVENUE BORDENTOWN NJ 08505 MEDICAL DISQUALIFICATION K 54 7540 6/28/2017 SALAMI, ADEMOLA T. 12170056100 301 OSBORNE TERRACE NEWARK NJ 07112 HARVARD AVENUE HILLSIDE NJ 07205 MEDICAL DISQUALIFICATION A 54 7540 9/15/2008 N BETHEL PHARMACY SALARTASH, KHASHAYAR (MD) 112 POND LANE LINWOOD NJ 08221 1457376006 112 POND LANE LINWOOD NJ 08221 MEDICAL SUSPENSION A 54 7540 10/27/2009 10/7/2011 N SALCEDO, CESAR E. (LPN) 31 LAMBERT STREET WASHINGTON NJ 07882 MEDICAL DISQUALIFICATION K 54 7540 6/30/2023 N SALEMA, JOSEPH 101 EAST ELM STREET WENONAH NJ 08090 MEDICAL DISQUALIFICATION K 54 7540 4/4/1998 Y SALITA, CONRAD C. (MD) 1 N. VALLEY AVENUE VINELAND NJ 08360 MEDICAL DISQUALIFICATION A 54 7540 12/29/1995 Y SALKIND, SCOTT A. (DO) 1750401949 611 KINGS CROFT CHERRY HILL NJ 08034 MEDICAL SUSPENSION K 54 7540 9/14/2000 SALOMONE, JOSEPH (DC) 1609019140 53 COLLURA LANE 39 CLIFTON NJ 07012 MEDICAL DISQUALIFICATION K 54 7540 7/20/2015 N SALUJA, DHANBIR (MD) 1023045010 230 JEFFERSON STREET NEWARK NJ 07105 MEDICAL DEBARMENT K 54 7540 8/24/2013 N SALUJA, DHANBIR (MD) 1023045010 230 JEFFERSON STREET, FL 1 NEWARK NJ 07105 MEDICAL DISQUALIFICATION K 54 7540 6/3/2016 G.F.I. Siteworks, Inc.G.F.I. Siteworks, Inc. Salvatore A Casella III, President 362 Friendship Road Clarksboro NJ 08020 PO Box 296 Clarksboro NJ 08020 CONSTRUCTION DEBARMENT F 62 4550 2/3/2016 02/02/2019 N SALVATORE JR., THOMAS 201 HAMILTON AVE TRENTON NJ 08609 MEDICAL DISQUALIFICATION A 54 7540 Y SAMAN, AIAD L. 47 CENTER PLACE STATEN ISLAND NY 10306 MEDICAL DISQUALIFICATION K 54 7540 3/25/2009 N SAMI, ASHRAF 64 CARUTH AVENUE, APT. 66 ELMWOOD PARK NJ 07407 MEDICAL DISQUALIFICATION K 54 7540 5/24/2017 SAMILLAN, HANS (CHHA) 3-3 SYDNEY WAY LONG BRANCH NJ 07740 MEDICAL DISQUALIFICATION K 54 7540 2/8/2017 N SAMUEL, DELORIS AKA SOUFFRONT P.O. BOX 4004 CLINTON NJ 08809 MEDICAL DISQUALIFICATION K 54 7540 5/2/2008 N SANCHEZ, MAURICE 243 PROSPECT AVENUE NORTH ARLINGTON NJ 07031 MEDICAL DISQUALIFICATION A 54 7540 1/1/2011 4/30/2012 N SANCHEZ, MELISSA (CHHA) 45 FRANKLIN PLACE TOTOWA NJ 07515 MEDICAL DISQUALIFICATION K 54 7540 7/10/2018 N SANDERLIN, KATHLEEN (RN) 824 SANIKAN TRAIL SOUTHAMPTON NJ 08088 MEDICAL SUSPENSION K 54 7540 10/18/2001 SANDERS, DENISE (PHARM TECH) 4 DREXEL COURT SAYERVILLE NJ 08021 MEDICAL DISQUALIFICATION K 54 7540 7/12/1995 Y SANDERS, MICHAEL (THERAPIST) 4 CHERRY ROAD NEWTOWN NJ 07860 MEDICAL SUSPENSION K 54 7540 10/19/2006 N SANDERSON, LYNN (LPN/RN) 120 GATES MILL COURT TRENTON NJ 08690 MEDICAL SUSPENSION K 54 7540 6/20/2005 N SANDHU, PARMINDERJEET S. (MD) 1033298252 174 NAUGHRIGHT ROAD LONG VALLEY NJ 07853 MEDICAL DISQUALIFICATION A 54 7540 3/20/2022 SANDIEGO, NARDO (MD) 1578508115 4 HEATHER HILL LANE SUFFERN NY 10901 MEDICAL DEBARMENT K 54 7540 10/8/2013 N SANFORD, CHRISTINE M. (CNA) 1818 LINCOLN AVENUE, FL 2 ATLANTIC CITY NJ 08401 MEDICAL DISQUALIFICATION A 54 7540 6/10/2022 Y SANGALANG, ALEX (RN) 21 LISA DRIVE HAZLET NJ 07730 MEDICAL DISQUALIFICATION K 54 7540 6/5/2017 SANGAVARAM, KRISTAPPA (MD) 1376635722 6 BERKSHIRE PLACE ENGLEWOOD CLIFFS NJ 07632 MEDICAL DEBARMENT K 54 7540 8/28/2021 SANGAVARAM, KRISTAPPA (MD) 1376635722 6 BERKSHIRE PLACE ENGLEWOOD CLIFFS NJ 07632 MEDICAL DISQUALIFICATION K 54 7540 10/19/2023 N SANGHERA, ANIL 105 PHEASANT FIELD LANE MOORESTOWN NJ 08057 MEDICAL DISQUALIFICATION K 54 7540 5/20/2009 N SANICO, ELAINE D. (DPM) 122 BRIGHT ST., #1W JERSEY CITY NJ 07302 MEDICAL SUSPENSION K 54 7540 11/19/1997 SANKIN, GENE (MD) 1992971469 82 ADMIRALTY LOOP STATEN ISLAND NY 10309 MEDICAL DEBARMENT K 54 7540 9/11/2021 SANTA MARIA, DONNA L. (RN) 618 CINDER ROAD EDISON NJ 08820 MEDICAL DISQUALIFICATION K 54 7540 7/18/2001 Y SANTAN, ALICIRIO JOSE 141 ROUTE 130 SOUTH CINNAMINSON NJ 08077 CONSTRUCTION DEBARMENT F 62 4550 4/23/2014 4/22/2017 N SANTANA, SONIA (CHHA) 569 E. 33RD STREET PATERSON NJ 07613 MEDICAL DISQUALIFICATION K 54 7540 3/28/2001 Y SANTANGELO, FRANK (MD) 1881785293 705 HAMBURG TURNPIKE WAYNE NJ 07470 MEDICAL DISQUALIFICATION C 54 7540 11/22/2016 SANTANGELO, FRANK (MD) 1881785293 FCI-FORT DIX, PO BOX 2000 JOINT BASE MDL NJ 08640 MEDICAL DISQUALIFICATION C 54 7540 3/13/2017 SANTANIELLO, RICHARD J. 5 BUGLE COURT HOWELL NJ 07731 MEDICAL SUSPENSION K 54 7540 3/20/2002 N SANTIAGO JR., EDDIE (MD) 1497796973 300 SECOND AVENUE LONG BRANCH NJ 07740 MEDICAL DISQUALIFICATION K 54 7540 11/1/2014 8/22/2019 N SANTIAGO, HEDBERTO (CNA) 3265 S. US HIGHWAY 1, LOT 6 FORT PIERCE FL 34982 MEDICAL DISQUALIFICATION K 54 7540 9/12/2020 N SANTIAGO, RANALDO GIBBSBORO RD. LINDENWOLD NJ 08021 MEDICAL DISQUALIFICATION A 54 7540 8/10/2007 Y SANTIAGO, REYNALDO (MD) 1502A MARCY PLACE PHILADELPHIA PA 19115 MEDICAL DISQUALIFICATION K 54 7540 6/16/1997 Y SANTIAGO, RUTH M. (CHHA) 289 BROADWAY, APT. E NEWARK NJ 07104 MEDICAL SUSPENSION K 54 7540 7/19/2001 SANTIAGO, VANESSA 35 AMHERST ROAD SOUTH TOMS RIVE NJ 08757 MEDICAL DEBARMENT K 54 7540 5/31/2006 N SANTIAGO-JIMINEZ, HERIBERTO 396 WOODLAND AVENUE SOUTH AMBOY NJ 08879 MEDICAL DISQUALIFICATION A 54 7540 9/19/2011 N SANTOS - ARIAS, SIMON (MD) 1497721062 10305 NW 7TH COURT PLANTATION FL 33324 MEDICAL DEBARMENT K 54 7540 8/18/2016 SANTOS DE DECENA, SONIA M. (CHHA) 318 LAFAYETTE AVENUE PASSAIC NJ 07055 MEDICAL DISQUALIFICATION K 54 7540 10/25/2023 N SANTOS, MARIA HAZEL P. aka DAVENPORT, MARIA HAZEL P. (CHHA) 7 LAIDLAW AVENUE JERSEY CITY NJ 07306 MEDICAL DISQUALIFICATION K 54 7540 10/25/2023 N SANTOS, MICHAEL 988 JOHNSON PLACE UNION NJ 07083 CONSTRUCTION DEBARMENT F 62 4550 11/27/2013 11/26/2016 N SAPERSTEIN, ALAN 30 HIGHLAND RD-DIX HILLS LONG ISLAND NY 11746 MEDICAL DISQUALIFICATION A 54 7540 3/1/1987 Y SARKODIE, ALEX (MD) 1598870271 516 YORKTOWN ROAD UNION NJ 07083 MEDICAL DISQUALIFICATION K 54 7540 9/14/2016 SARKODIE, ALEX (MD) 1598870271 516 YORKTOWN ROAD UNION NJ 07083 MEDICAL DEBARMENT K 54 7540 6/5/2017 SARVAIYA, RAMESH (MD) 1578558748 26 EASTWOOD DRIVE VOORHEES NJ 08043 MEDICAL DISQUALIFICATION K 54 7540 5/14/2021 N SATCHER, WILLIAM 558 ANDERSON AVENUE CLIFFSIDE PARK NJ 07010 MEDICAL DISQUALIFICATION G 54 7540 Y SAUCHELLI, FRANCIS (MD) 1124586326 151 BLOOMFIELD AVENUE, APT. 502 VERONA NJ 07044 MEDICAL DEBARMENT K 54 7540 9/13/2019 N SAUL, STEPHEN L. (DPM) 9 SEASIDE COURT MARGATE CITY NJ 08402 MEDICAL DISQUALIFICATION K 54 7540 9/12/2016 Y SAUL, STEPHEN L. (DPM) 76 W. JIMMIE LEEDS ROAD ABSECON NJ 08201 MEDICAL DISQUALIFICATION K 54 7540 7/18/2001 Y SAVINO, THOMAS (MD) 1821087305 65 BUTTONWOOD ROAD STATEN ISLAND NY 10304 MEDICAL DISQUALIFICATION K 54 7540 8/10/2018 N SAVINO, THOMAS (MD) 1821087305 FCI FORT DIX, PO BOX 2000 JOINT BASE MDL NJ 08640 MEDICAL DISQUALIFICATION K 54 7540 5/18/2019 N SAYED, SAQUIB (MD) 1609054360 4 TURTLE HOLLOW COURT SICKLERVILLE NJ 08051 MEDICAL DEBARMENT K 54 7540 4/29/2016 SAYED-BAKHATY, ABDEL (MD) 403 HARMON TOWERS SECAUCUS NJ 07094 MEDICAL SUSPENSION A 54 7540 4/26/1995 SAYEGH, RICKY (MD) 1346274966 4 FOWLER AVENUE YONKERS NY 10701 MEDICAL DISQUALIFICATION K 54 7540 9/19/2016 SAYEGH, RICKY (MD) 1346274966 390 FORT HILL ROAD SCARSDALE NY 10583 MEDICAL DEBARMENT A 54 7540 11/20/2017 N SBARRA, SAMUEL 1205913100 PARK AVENUE NUTLEY NJ 07110 MEDICAL SUSPENSION K 54 7540 10/20/2008 1/20/2015 N SCARPITTA, JANET 92 PEABODY PLACE NEWARK` NJ 07104 MEDICAL DISQUALIFICATION A 54 7540 6/15/2001 Y SCERBO, ERNEST J. (MD) 26 01 BROADWAY SUITE 103 FAIR LAWN NJ 07410 MEDICAL DISQUALIFICATION G 54 7540 6/1/1993 DECEASED N SCHECHTER, MARVIN (OD) 1063420453 100 YORKTOWN DR MT LAUREL NJ 08054 MEDICAL DISQUALIFICATION A 54 7540 6/1/1993 Y SCHEIN, HERBERT W. (MD) 1027 HOOPER AVENUE TOMS RIVER NJ 08753 MEDICAL DISQUALIFICATION G 54 7540 5/30/1991 DECEASED N SCHEINBAUM, CHAIM 24 ROOSEVELT AVENUE LAKEWOOD NJ 08701 MEDICAL SUSPENSION K 54 7540 4/3/2024 N SCHEINER, DAVE E. (DPM) 910 BONAPARTE COURT PHILADELPHIA PA 19107 MEDICAL SUSPENSION K 54 7540 7/22/1999 SCHENKEL, CATHERINE (RN) 87 IRVING AVENUE APT. 3 LIVINGSTON NJ 07039 MEDICAL DISQUALIFICATION K 54 7540 6/20/2009 N SCHENKEL, CATHERINE (RN) 87 IRVING AVENUE APT. 3 LIVINGSTON NJ 07039 MEDICAL SUSPENSION A 54 7540 5/30/2010 N SCHIVAO, JOHN 6 JUSTA LANE CHERRY HILL NJ 08003 CONSTRUCTION DEBARMENT F 62 4550 1/13/2014 1/12/2017 N SCHLACHTER, ANDREA 42 WEST HOLLY STREET CRANFORD NJ 07016 MEDICAL SUSPENSION K 54 7540 11/20/2006 N SCHLEIDER, ALEXANDER 299 ALBERT AVENUE LAKEWOOD NJ 08701 MEDICAL DISQUALIFICATION A 54 7540 12/26/2023 SCHLEMBACH, ANDREA AKA OLIVER, ANDREA (APN/RN) 1780630418 70 COHANSEY STREET BRIDGETON NJ 08302 MEDICAL DISQUALIFICATION K 54 7540 9/12/2016 5/21/2020 N SCHLISSERMAN, HERMAN 300 48TH STREET UNION CITY NJ 07087 MEDICAL DISQUALIFICATION G 54 7540 Y SCHMIDT, KIMBERLY 47 MONARCH COURT STATEN ISLAND NY 10314 MEDICAL DISQUALIFICATION A 54 7540 3/5/2024 N SCHMIDT, NORINE (RN) 78 S. ROOSEVELT SQUARE ENGLEWOOD NJ 07631 MEDICAL DISQUALIFICATION K 54 7540 7/12/2018 N SCHMOLK, DERICK (RN) 11 BEVIS LANE CAPE MAY COURT HOUSE NJ 08210 MEDICAL DISQUALIFICATION K 54 7540 2/25/2019 N SCHMUCKER-KARPOW, CELESTE (MD) 50 MAPLE AVENUE MORRISTOWN NJ 07960 MEDICAL DISQUALIFICATION K 54 7540 12/27/1995 DECEASED N SCHNEIDER, BRUCE J. (DDS) 520 CLIFFORD AVENUE, E8 MATAWAN NJ 07747 MEDICAL SUSPENSION K 54 7540 7/20/2006 N SCHOBERT III, WILLIAM B. 25 WELLINGTON DRIVE, #D LUMBERTON NJ 08048 MEDICAL DISQUALIFICATION K 54 7540 6/20/2009 7/14/2014 N SCHRAGER, KENNETH J. (MD) FCI - OTISVILLE, PO BOX 600 OTISVILLE NY 10963 MEDICAL SUSPENSION K 54 7540 6/19/2001 SCHROEDER, PETER (RN) 18 PILGRIM WAY HAMILTON NJ 08620 MEDICAL DISQUALIFICATION K 54 7540 10/11/2017 SCHULTZ, STEVEN (MD) 1495 EAST 92ND STREET #2 BROOKLYN NY 11236 MEDICAL DISQUALIFICATION K 54 7540 6/9/1999 Y SCHUMN, OTTO 678 BURKE STREET WESTWOOD NJ 07670 PROFESSIONAL DISQUALIFICATION G 66 1321 6/1/1993 Y SCHUTT, CHARLES HARDEN 21 PARMLEY ROAD TINTON FALLS NJ 07724 MEDICAL DISQUALIFICATION A 54 7540 3/8/1978 Y INDUS. PRESCR. SVCS. INC. SCHWARTZ, EDWARD R. (RPH) 60 SIP AVENUE JERSEY CITY NJ 07306 60 SIP AVENUE JERSEY CITY NJ 07306 MEDICAL DISQUALIFICATION A 54 7540 8/6/1998 RETIRED N SCHWARTZ, EDWARD R. (RPH) 720 HARMON COVE TOWERS SECAUCUS NJ 07094 MEDICAL DISQUALIFICATION A 54 7540 1/17/2001 RETIRED N SCHWARTZ, EDWARD R. (RPH) 1021 HERALD STREET REDLANDS CA 92374 MEDICAL SUSPENSION K 54 7540 12/20/2000 RETIRED N SCHWARTZ, GEORGE ROBERT PO BOX 1806 SANTA FE NM 87504 MEDICAL SUSPENSION K 54 7540 12/19/2007 N SCHWARTZ, JADE (LPN) 97 SHORELAND CIRCLE SOUTH AMBOY NJ 08879 MEDICAL DISQUALIFICATION K 54 7540 8/21/2018 N SCHWARTZ, LOUIS 30 SCENIC DRIVE SUFFERN NY 10901 MEDICAL SUSPENSION K 54 7540 4/3/2024 N SCHWARTZ, MARK L. (MD) 1164436325 308 CHELSEA MANOR PARK RIDGE NJ 07656 MEDICAL DISQUALIFICATION A 54 7540 11/16/2018 N SCHWARTZ, MURRAY (DO) 1063573012 5 AUTUMN COURT CHERRY HILL NJ 08003 MEDICAL DEBARMENT K 54 7540 1/23/2013 N SCHWARTZ, MURRAY (DO) 1063573012 5 AUTUMN COURT CHERRY HILL NJ 08003 MEDICAL DEBARMENT A 54 7540 12/5/2013 N SCHWARZ, DENISE (DPM) 1729 PAMMEL PARK ROAD WINTERSET IA 50273 MEDICAL SUSPENSION K 54 7540 2/20/2002 N SCIUBBA, ALFRED 3 CHADWICK DR. VOORHEES NJ 08043 CONSTRUCTION DEBARMENT F 62 4550 10/22/2013 10/21/2016 N SCOPELLITI, ALDO R. (DC) 1568524049 107 MONMOUTH ROAD W. LONG BRANCH NJ 07764 MEDICAL SUSPENSION K 54 7540 5/12/2000 Blue Skies Electric L.L.C. Scott Frasca, Manager 326 Coles Mill Road Williamstown NJ 08094 326 Coles Mill Road Williamstown NJ 08094 CONSTRUCTION DEBARMENT F 62 4550 1/7/2014 01/06/2017 N SCOTT, DEBRA 2751 S. OCEAN DRIVE HOLLYWOOD FL 33019 MEDICAL SUSPENSION K 54 7540 5/20/2004 N SCOTT, GLENN (RN) 70 POLIFLY RD. APT. 105 HACKENSACK NJ 07601 MEDICAL SUSPENSION K 54 7540 10/18/2001 SCOTT, MARVELL (MD) 1144417478 41 FIDDLERS WAY SPARTA NJ 07871 MEDICAL DEBARMENT K 54 7540 8/12/2020 N SCOTT, MCKENZIE (LPN) 457 REDBANK ROAD TEMPLETON PA 16259 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 SCOTT, MELVIN 42 HIGHLAND TERRACE IRVINGTON NJ 07111 MEDICAL SUSPENSION K 54 7540 6/3/2001 SCULLION, FRANCES (RN) 20 BREAKNECK ROAD OAKLAND NJ 07436 MEDICAL DISQUALIFICATION A 54 7540 7/13/1988 Y SCURKO, RAYMOND E. 12 TOMAHAWK TRAIL DENVILLE NJ 07834 VENDOR SUSPENSION G 82 2050 10/12/2004 N SCURRY, MARSHAYA (PHARM TECH) 1500 GARDEN DRIVE OCEAN NJ 07712 MEDICAL DEBARMENT K 54 7540 1/4/2017 6/26/2018 N SEAMAN, VIVIAN (RN) 823 TENTH STREET UNION BEACH NJ 07735 MEDICAL DISQUALIFICATION K 54 7540 9/12/2016 SEDEHI, AHMAD (DMD) 1063634640 31 JANE DRIVE ENGLEWOOD CLIFFS NJ 07632 MEDICAL DEBARMENT K 54 7540 7/1/2017 SEGLIN, MARK (PSYCH) 1184754632 89 LAPIS CIRCLE WEST ORANGE NJ 07052 MEDICAL DISQUALIFICATION K 54 7540 1/1/2017 N Segundo E. Llivicota, Member 164 Polk Street - Apt 1 Newark NJ 07105 CONSTRUCTION DEBARMENT F 62 4550 6/30/2015 6/29/2018 N SEHGAL, GAUTAM (MD) 1497801740 8 WINDERMERE COURT LIVINGSTON NJ 07039 MEDICAL SUSPENSION K 54 7540 5/2/2016 SEHGAL, SHASHIBALA (MD) 630 FT. WASHINGTON AVENUE NEW YORK NY 10040 MEDICAL SUSPENSION K 54 7540 12/31/2000 10/17/2018 HANAN PHARMACY, INC. SELIM, HANAN (RPH) 47 NORWOOD AVENUE CLIFTON NJ 07011 47 NORWOOD AVENUE CLIFTON NJ 07011 MEDICAL SUSPENSION A 54 7540 5/30/2000 SELLITTI, PAT 870 LAMONT AVENUE STATEN ISLAND NY 10309 CONSTRUCTION DEBARMENT F 62 4550 4/16/2020 4/15/2020 N PATIENT COACH MED TRANSP SEMPLE, IVRY 22225902200 724 GROVE ST IRVINGTON NJ 07111 724 GROVE ST IRVINGTON NJ 07111 MEDICAL DISQUALIFICATION A 54 7540 12/24/1985 Y SEMPLE, IVRY 472 LAKESIDE AVE. 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ORANGE NJ 07079 MEDICAL DISQUALIFICATION A 54 7540 2/7/2000 Y Sheree Severini-Fittin, Member 2243 Edgar Rd Point Pleasant Beach NJ 08742 CONSTRUCTION DEBARMENT F 62 4550 2/24/2016 2/23/2019 N SHERMAN, HENRY M. (MD) 1922334457 141 S. HARRISON STREET EAST ORANGE NJ 07018 MEDICAL DISQUALIFICATION A 54 7540 2/5/1997 12/14/2011 N SHIELDS, HEATHER (LPN) 100 ROLLING ACRES SLIPPERY ROCK PA 16057 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 SHIPMAN, BRYAN LEE 1210 CHERSONESE ROUND MOUNT PLEASANT SC 29464 MEDICAL DISQUALIFICATION A 54 7540 3/20/2012 N SHKLOVER, TOBIAS (MD) 2611 W. 2ND STREET BROOKLYN NY 11223 MEDICAL SUSPENSION K 54 7540 9/20/2007 N SHMIDMAN-HOROWITZ, MIRIAM 8215 ABINGTON ROAD KEW GARDENS NY 11478 MEDICAL DISQUALIFICATION A 54 7540 Y SHRAMOWIAT, MICHAEL (MD) 1568485233 1158 46TH STREET, APT. A VIENNA WV 26105 MEDICAL DISQUALIFICATION K 54 7540 5/14/2021 N SHROPE, CATHY, L. 175 COUNTY ROUTE 519 S. 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(MD) 1073527545 504 LIVINGSTON STREET NORWOOD NJ 07648 MEDICAL SUSPENSION K 54 7540 6/19/1998 SIDDIQUI, NURUL HASAN 4912 BERGENLINE AVENUE WEST NEW YORK NJ 07093 MEDICAL DISQUALIFICATION K 54 7540 1/12/1996 Y SIDDIQUI, SHAKIR H. 619 SCHUYLER AVENUE KEARNEY NJ 07032 MEDICAL SUSPENSION K 54 7540 3/10/1998 SIDDIQUI, SHOAIB H. 9 TOWER DRIVE EAST HANOVER NJ 07936 MEDICAL SUSPENSION K 54 7540 7/19/2001 SIEGEL, JONATHAN B. (DPM) 4772 HIGHWAY 9 SOUTH HOWELL NJ 07731 MEDICAL DISQUALIFICATION A 54 7540 9/11/2000 Y SIGLE, EDWARD CRANBURY SOUTH RIVER ROAD MONROE TWP. 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(MD) 5919 STUMPH ROAD, UNIT 4 CLEVELAND OH 44130 MEDICAL DISQUALIFICATION A 54 7540 3/20/2022 SINGH, PRITPAUL (MD) 1164717807 9 KIMBERLY COURT VOORHEES NJ 08043 MEDICAL DISQUALIFICATION K 54 7540 4/27/2021 PERMANENT Y SINGH, SAGGOO (MD) 485 S. DOBSON RD, STE 202 CHANDLER AZ 85224 MEDICAL SUSPENSION K 54 7540 11/20/1995 SINGH, SURINDER (MD) 288 SUMMIT AVENUE JERSEY CITY NJ 07306 MEDICAL DISQUALIFICATION K 54 7540 7/23/2007 Y SINGLETON, RUSSELL (DMD) 1912166133 401 BROADWAY CAMDEN NJ 08103 MEDICAL DISQUALIFICATION K 54 7540 8/9/2014 1/10/2018 N SINGLETON, WANDRA (LPN) 86 MELROSE AVENUE IRVINGTON NJ 07111 MEDICAL DISQUALIFICATION K 54 7540 6/5/2017 SINHA, BINOD (MD) 1932201662 3 HELENE AVENUE EDISON NJ 08820 MEDICAL DISQUALIFICATION K 54 7540 3/3/2017 Y SINHA, BINOD (MD) 1932201662 3 HELENE AVENUE EDISON NJ 08820 MEDICAL DISQUALIFICATION K 54 7540 12/6/2017 Y SINVANY-NUBEL, AVIVA (RN/APN) 683 DONALD DRIVE NORTH BRIDGEWATER NJ 08807 MEDICAL SUSPENSION K 54 7540 10/20/2005 N SIRIPURAPU, PADMA (MD) 201 LYONS AVENUE NEWARK NJ 07112 MEDICAL SUSPENSION A 54 7540 2/15/2012 12/3/2020 N SIRIPURAPU, PADMA (MD) 1 SCENIC HILLS COURT BELLE MEAD NJ 08502 MEDICAL DISQUALIFICATION A 54 7540 12/30/2014 12/3/2020 N SIROTA, ALEKSANDR PO BOX 2000 LEWISBURG PA 17837 MEDICAL DISQUALIFICATION A 54 7540 8/19/2010 N SISON, JOSEPH (MD) 1730110149 41 BROWNSTON WAY STE 218 ENGLEWOOD NJ 07631 MEDICAL SUSPENSION K 54 7540 8/2/2011 N SIVAKANTHA, SIVAGNANALIN (PSYCH) P.O. 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BOX 1186 MORAVIA NY 13118 MEDICAL DISQUALIFICATION A 54 7540 7/20/2022 SLOAN, BARRY (MD) 1770578262 1561 LEMOINE AVENUE FORT LEE NJ 07024 MEDICAL DISQUALIFICATION A 54 7540 7/31/2018 N SLOAN, DEBRA 31 SCHAAF ROAD BLOOMSBURY NJ 08804 MEDICAL DEBARMENT A 54 7540 8/12/2012 N SLOTNICK, SINO 1556 RIVER ROAD TEANECK NJ 07666 MEDICAL DISQUALIFICATION A 54 7540 6/1/1993 Y SLOVER, SHAYLA NORTH MAPLE AVE. MARLTON NJ 08053 MEDICAL SUSPENSION K 54 7540 6/4/2007 Y SMITH III, RUSSELL (LPN) 33 ORCHARD AVENUE PENNINGTON NJ 08534 MEDICAL SUSPENSION K 54 7540 4/19/2007 N SMITH III, RUSSELL P. (LPN) 714 S. PENNSYLVANIA AVENUE MORRISVILLE PA 19067 MEDICAL DISQUALIFICATION K 54 7540 6/22/2007 N SMITH, ALPHONSO (MD) 421 WESTWOOD DRIVE #U WOODBURY NJ 08096 MEDICAL SUSPENSION K 54 7540 7/31/2002 N SMITH, CHARLES 1825 67TH AVENUE PHILADELPHIA PA 19126 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 SMITH, DAVID J. (MD) 1811930357 8930 W. SUNSET ROAD, SUITE 350 LAS VEGAS NV 89148 MEDICAL DISQUALIFICATION K 54 7540 8/4/2023 N SMITH, DWAYNE 12-14 ELM STREET APT 6 MONTCLAIR NJ 07042 MEDICAL DISQUALIFICATION K 54 7540 9/23/2007 N SMITH, GARY W. 584 ERIAL ROAD SICKLERVILLE NJ 08081 CONSTRUCTION DEBARMENT F 62 4550 4/18/2013 4/17/2016 N SMITH, JENNIFER LYNN 428 GLENWOOD AVENUE WILLIAMSPORT PA 17701 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 SMITH, JOHANNA (LPN/RN) 1507 ATLANTIC AVENUE, APT. 65 MANASQUAN NJ 08736 MEDICAL DEBARMENT K 54 7540 11/27/2018 11/10/2023 N SMITH, KHALILAH (LPN) 32 ELIZABETH STREET HACKENSACK NJ 07601 MEDICAL DISQUALIFICATION K 54 7540 11/27/2018 N SMITH, LAKESIA (CHHA) 2030 RIVERSIDE DRIVE, APT. 10B TRENTON NJ 08618 MEDICAL DISQUALIFICATION K 54 7540 2/20/2017 N SMITH, LARRY 183 SOUTH HIGHLAND AVENUE, APT. 1 YORK PA 17404 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 SMITH, LAURA (LPN) OLD FREEHOLD ROAD TOMS RIVER NJ 08753 MEDICAL SUSPENSION K 54 7540 10/18/2007 N SMITH, LISA L. 584 ERIAL ROAD SICKLERVILLE NJ 08081 CONSTRUCTION DEBARMENT F 62 4550 4/18/2013 4/17/2016 N SMITH, MARK (RPH) 1510 OCEAN PARKWAY, #18F BROOKLYN NY 11230 MEDICAL DEBARMENT K 54 7540 3/28/2017 N SMITH, TAMMY (CHHA) 203 LAKEVIEW BOULEVARD BROWNS MILLS NJ 08015 MEDICAL DISQUALIFICATION K 54 7540 2/8/2017 N SMITH, WILLIAM RT 1 35 WHITE TAIL ROAD SAN MARCOS TX 78666 MEDICAL DISQUALIFICATION A 54 7540 Y SMITH-DORSEY, JULIA (RN) 37 WINFIELD DRIVE PARSIPPANY NJ 07054 MEDICAL DEBARMENT K 54 7540 8/2/2017 8/22/2019 N SMITH-RENSHAW, AISLING (RN) 25 EAST FOREST GLEN DRIVE MILLVILLE NJ 08332 MEDICAL DISQUALIFICATION K 54 7540 9/20/2022 N SMOLEV, JOSEPH M. 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(MD) 54 INDIAN DRIVE WOODCLIFF LAKE NJ 07675 MEDICAL SUSPENSION K 54 7540 9/20/2000 SPIEGEL, MENACHEM 1240 COUNTY LUNE ROAD EAST LAKEWOOD NJ 08701 MEDICAL SUSPENSION K 54 7540 3/23/2024 N SPIGNER, AKOSUA (RPH) 941 LINCOLN AVENUE GLEN ROCK NJ 07452 MEDICAL DEBARMENT A 54 7540 5/15/2014 3/3/2020 N SPINAPOLICE, JOSEPH (DO) 1063678670 811 WASHINGTON ROAD PARLIN NJ 08859 MEDICAL DISQUALIFICATION K 54 7540 4/1/2016 Y SPINELLI, PAULA (CHHA) 94 FAIR STREET HACKENSACK NJ 07601 MEDICAL DISQUALIFICATION K 54 7540 9/19/2017 N SPIVEY, DEBRA (RN) 644 STUYVESANT AVENUE, APT. 2 TRENTON NJ 08611 MEDICAL DISQUALIFICATION K 54 7540 6/28/2017 SPLITTER, SAMUEL R.(MD) 1742 MARYLAND AVENUE CAPE MAY NJ 08204 MEDICAL DISQUALIFICATION K 54 7540 5/4/1998 Y SPYRIDON-MARKER, KAREN 25 ELKINTON ROAD ALLOWAY NJ 08001 MEDICAL DISQUALIFICATION A 54 7540 10/20/2002 N ST. PETER, LISA PO BOX 2000 BRUCETON MILLS WV 26525 MEDICAL DEBARMENT A 54 7540 11/17/2008 N STANCH, JAMES (PSYCH) 160 S. LAKESHORE DRIVE MANAHAWKIN NJ 08050 MEDICAL SUSPENSION K 54 7540 5/3/2006 Y STANCH, JAMES M. (PSYCH) FCI PO BOX 350 BEAVER WV 25813 MEDICAL SUSPENSION K 54 7540 11/20/2008 N Stanislaw Dziuba, Vice-President 69 West Shore Drive Pennington NJ 08534 CONSTRUCTION DEBARMENT F 62 4550 2/11/2015 02/10/2018 N STANKO-STRACK, MARY ELIZABETH (RN) 1348 MILLENNIUM COURT TOMS RIVER NJ 08753 MEDICAL DISQUALIFICATION K 54 7540 5/20/2010 N STANKOVIC, VESNA (LPN) 25 GRAPHIC BLVD. BERGENFIELD NJ 07621 MEDICAL DISQUALIFICATION K 54 7540 10/5/2023 STANLEY, JAMES R. PO BOX 38, FCI FORT DIX NJ 08640 MEDICAL SUSPENSION K 54 7540 12/20/2001 N STANTON, FRANCIS X. (MD) 1327 CAMINITO BATEA LA JOLLA CA 92037 MEDICAL DEBARMENT A 54 7540 10/18/2001 N STARKMAN, MOISHE (MD) 1871609149 2206 YELLOWSTONE ROAD CINNAMINSON NJ 08077 MEDICAL DISQUALIFICATION K 54 7540 10/11/2017 Y STARR, MARTIN, OWNER 247 RARITAN BLVD. CLIFFWOD BEACH NJ 07735 CONSTRUCTION DEBARMENT F 62 4550 2/28/2012 2/27/2015 N STAVITSKI, MICHAEL (RPH) 419 FAWNS RUN MORGANVILLE NJ 07751 MEDICAL DISQUALIFICATION A 54 7540 7/12/2002 N STEEL, BURTON B. (MD) 1 ROUND HILL ROAD WASHINGTONVILLE NY 10992 MEDICAL DISQUALIFICATION G 54 7540 6/14/1984 DECEASED N STEELE, JESSICA (RN) 8 SWEETBRIAR LANE LEVITTOWN PA 19055 MEDICAL DISQUALIFICATION K 54 7540 5/25/2019 N STEFANELLI, DANETTE 1831245760 91 EAGLE ROCK AVENUE, APT. A ROSELAND NJ 07068 MEDICAL DISQUALIFICATION K 54 7540 10/28/2015 STEFANELLI, LEONARD (RPH) 1285958645 11 DOGWOOD LANE EAST HANOVER NJ 07936 MEDICAL DISQUALIFICATION A 54 7540 11/14/2014 Y STEFANELLI, LEONARD (RPH) 1285958645 11 DOGWOOD LANE EAST HANOVER NJ 07936 MEDICAL DISQUALIFICATION K 54 7540 3/29/2017 Y STEFANELLI, LEONARD (RPH) 1285958645 MDC BROOKLYN 80 29TH STREET BROOKLYN NY 11232 MEDICAL DISQUALIFICATION K 54 7540 7/20/2015 Y STEFFEN, PAUL H. 4305 APPLE LANE PAULSBORO NJ 08066 MEDICAL SUSPENSION K 54 7540 9/20/2001 STEFFENS, PAUL 1778 CALICO LANE TOMS RIVER NJ 08753 MEDICAL DEBARMENT A 54 7540 4/23/2003 N STEG, CHAIM CHARLES 1191 COUGHLIN STREET LAKEWOOD NJ 08625 MEDICAL DISQUALIFICATION A 54 7540 12/20/2022 STEGMULLER, JOSEPH (MD) 1093793911 15 POINT DRIVE SOMERS POINT NJ 08244 MEDICAL DISQUALIFICATION K 54 7540 1/7/2019 N STEIG, HENRY S. (DPM) 827 CHARNWOOD DRIVE FRANKLIN LAKES NJ 07417 MEDICAL DISQUALIFICATION K 54 7540 10/19/1999 Y STEIN, MARSHA J. (MD) 1831191022 5936 HOWE STREET PITTSBURGH PA 15232 MEDICAL DEBARMENT K 54 7540 3/27/2015 STEIN, MICHAEL P. (MD) 1174607782 FMC LEXINGTON LEXINGTON KY 40512 MEDICAL DEBARMENT A 54 7540 8/20/2012 N STEIN, MICHAEL P. (MD) 1174607782 400 RTE. 10 WEST RANDOLPH NJ 07869 MEDICAL DISQUALIFICATION K 54 7540 10/5/1999 N STEINBRECHER, DEBRA (RN) 2302 WIMBLEDON WAY BLACKWOOD NJ 08012 MEDICAL DISQUALIFICATION A 54 7540 2/26/2010 N STEINMAN, ARTHUR C. (DO) 301 MADISON AVE LAKEWOOD NJ 08701 MEDICAL DISQUALIFICATION G 54 7540 11/11/1991 Y STEPASCENKO, SVETLANA (CHHA) 100 STONE HILL ROAD, APT D-12 SPRINGFIELD NJ 07081 MEDICAL DEBARMENT K 54 7540 1/22/2016 STEPHENS, ALICIA (PHARM TECH) 5322 RIVERSIDE STATION BL SECAUCUS NJ 07094 MEDICAL SUSPENSION K 54 7540 11/20/2010 N STEPHENS, GERALYN C. (CHHA) 16119 APRIL RIDGE DRIVE HOUSTON TX 77083 MEDICAL DISQUALIFICATION K 54 7540 7/28/2023 N STEPHENS, JEFFREY 411 JAROB COURT POINT PLEASANT NJ 08742 MEDICAL SUSPENSION K 54 7540 3/20/2007 N STERNE, RICHARD (NP) 1649673252 1492 NEWTON STREET PORT CHARLOTTE FL 33952 MEDICAL DISQUALIFICATION K 54 7540 9/20/2022 N Crider Americas Solar LLC Steven Crider, Member 6063 FM 535 Cedar Creek TX 78612 507 Pressler Street Apt 2128 Austin TX 78703 CONSTRUCTION DEBARMENT F 62 4550 5/12/2014 05/11/2017 N Testa Corp. Steven D. Testa, Owner 6 North Hill Dr Lynnfield MA 01940 360 Audubon Rd Wakefield MA 01880 CONSTRUCTION DEBARMENT F 62 4550 5/28/2014 05/27/2017 N Petric & Associates, Inc. Steven Petric, Vice-President 1162 Greenpond Road Newfoundland NJ 07435 1162 Greenpond Rd Newfoundland NJ 07435 CONSTRUCTION DEBARMENT F 62 4550 6/8/2015 06/07/2018 N STEVENS, FELICIA (LPN) 56 WERT AVENUE HAMILTON NJ 08610 MEDICAL DEBARMENT K 54 7540 3/15/2018 N STEVENS, TRACY M. (RN) 501 S. BERLIN AVE. EGG HARBOR CITY NJ 08215 MEDICAL SUSPENSION K 54 7540 4/20/2003 Y STEWART, SANDRA J (RN) MEDICAL DEBARMENT K 54 7540 3/30/2022 STEWART, SHANTE (CHHA) 16B WHITE HORSE PIKE WATERFORD WORKS NJ 08089 MEDICAL DISQUALIFICATION K 54 7540 1/22/2018 N STIER, ERIC G. (DO) 891 OLENTANGY ROAD FRANKLIN LAKES NJ 07417 MEDICAL DEBARMENT K 54 7540 3/6/2000 Y STILL, DAWN AKA ATKINS, DAWN (CHHA) 697 EVERETT STREET CAMDEN NJ 08104 MEDICAL DISQUALIFICATION K 54 7540 3/6/2018 N STILLWAGON-AHLERS, DAWN (COUNSELOR) SUNSET LAKE ROAD HARDWICK NJ 07825 MEDICAL SUSPENSION K 54 7540 10/20/2008 N STILWELL, MELISSA (CHHA) 419 CATHERINE STREET SOMERVILLE NJ 08876 MEDICAL SUSPENSION K 54 7540 2/19/2004 N STIMMEL-KEAY, LINDA 5 DRAYTON PLACE WAYNE NJ 07470 MEDICAL DEBARMENT A 54 7540 1/1/2014 N STOKELBERG, SHOSHANA AKA KAUFMAN, SHOSHANA (LCSW) 349 JESTER COURT OLD BRIDGE NJ 08857 MEDICAL DISQUALIFICATION A 54 7540 7/15/2009 11/7/2014 N STOKES, RONALD L. (CHHA) 124 6TH AVENUE LONG BRANCH NJ 07740 MEDICAL SUSPENSION K 54 7540 9/19/2003 Y STOKLEY, TWANDA (CHHA) 1372 SPRINGFIELD AVENUE, APT. 1 IRVINGTON NJ 07111 MEDICAL DISQUALIFICATION K 54 7540 4/18/2017 N STONE, MARY (RN) 132 CORBIN COURT LAKEWOOD NJ 08701 MEDICAL SUSPENSION K 54 7540 10/19/2006 N STONER-WISE, CHANDRA D. (LPN) 549 W. FRANKLIN ROAD GLASSBORO NJ 08028 MEDICAL DISQUALIFICATION K 54 7540 10/5/2023 STOUDEN, ELENA (DDS) 1619199882 EAST 83RD ST. NEW YORK NY 10028 MEDICAL SUSPENSION K 54 7540 6/19/2008 N STOVEKEN, ANDREW 27-11 RAVENS CREST DRIVE PLAINSBORO NJ 08536 MEDICAL DEBARMENT K 54 7540 5/15/2005 N STRASHNOV, ALEKSANDR (CHHA) 4816 GONIAK DRIVE PARLIN NJ 08859 MEDICAL DISQUALIFICATION K 54 7540 5/18/2017 N STRASSMAN, ALLAN 5 ROANOKE AVENUE ROCKAWAY NJ 07886 MEDICAL DISQUALIFICATION A 54 7540 12/1/1998 Y CARE-A-VAN WEST, INC. STRASSMAN, ALLAN 120 SOUTH 20TH STREET IRVINGTON NJ 07111 5 ROANOKE AVENUE ROCKAWAY NJ 07866 MEDICAL SUSPENSION A 54 7540 11/16/1998 CARE-A-VAN WEST, INC. STRASSMAN, CAROL (PRES) 120 SOUTH 20TH STREET IRVINGTON NJ 07111 120 S. 20 TH STREET IRVINGTON NJ 07111 MEDICAL SUSPENSION A 54 7540 3/16/1995 CARE-A-VAN WEST, INC. STRASSMAN, WAYNE 120 SOUTH 20TH STREET IRVINGTON NJ 07111 2 NEW COUNTRY ROAD SECAUCUS NJ 07094 MEDICAL DISQUALIFICATION A 54 7540 3/5/1998 Y STRINE JR., WALTER M. 173 ROSE VALLEY RD. MEDIA PA 19063 MEDICAL SUSPENSION K 54 7540 7/11/2001 6/15/2023 N STROBECK, JOHN (MD) 1215936299 12 PINE TREE DRIVE SADDLE RIVER NJ 07458 MEDICAL SUSPENSION K 54 7540 6/6/2016 STROGOV, EMILIA (DPM) 1225115801 COOPER ROAD SCOTCH PLAINS NJ 07076 MEDICAL DISQUALIFICATION A 54 7540 3/24/1995 N STRUM, MORTON W. 1360 ARBORDALE ROAD PHILADELPHIA PA 19151 MEDICAL DISQUALIFICATION A 54 7540 Y SUGGS, SHANTAYA (CHHA) 115 HALSTED STREET EAST ORANGE NJ 07018 MEDICAL DEBARMENT K 54 7540 12/26/2017 N SUH, JEFFREY (ACCUPUNCTURIST) 1336523497 FORT DIX FCI, PO BOX 2000 JOINT BASE MDL. NJ 08640 MEDICAL DISQUALIFICATION K 54 7540 9/23/2016 SULAIMON, TANFEEK (CHHA) 321 GARFIELD AVENUE TRENTON NJ 08629 MEDICAL DISQUALIFICATION K 54 7540 1/22/2018 N SULIMENKO-HOFFMAN, KATHLEEN AKA HOFFMAN, KATHLEEN (LPN) 99 CREEK ROAD BRICK NJ 08724 MEDICAL DISQUALIFICATION K 54 7540 9/13/2018 N SULLIVAN, CYNTHIA AKA CRITCHFIELD, CYNTHIA (RPH) PIN OAK COURT SHAMONG NJ 08088 MEDICAL SUSPENSION K 54 7540 4/20/2008 6/15/2017 N SULLIVAN, JOHN M. PO BOX 2000 LEWISBURG PA 17837 MEDICAL DISQUALIFICATION K 54 7540 7/30/1998 Y SULLIVAN, NOELLE (CHHA) H-9 HUNTER HILLS APARTMENTS FLEMINGTON NJ 08822 MEDICAL DISQUALIFICATION K 54 7540 7/14/2017 N SUN, KENNETH (MD) 1881693109 382 EPPS STREET WIND GAP PA 18091 MEDICAL DISQUALIFICATION K 54 7540 3/3/2017 SUN, KENNETH (MD) 1881693109 15 MOUNTAIN TOP ROAD WIND GAP PA 18091 MEDICAL DISQUALIFICATION K 54 7540 2/20/2018 N SUNG, KYUNG EUN (DDS) 1215122205 428 RUSSELL AVENUE EDGEWATER NJ 07020 MEDICAL DEBARMENT A 54 7540 9/20/2012 2/19/2020 N SURECK, MORRIS M. (OD) 12 NORTH 4TH AVENUE HIGHLAND PARK NJ 08904 MEDICAL DISQUALIFICATION A 54 7540 7/5/1988 Y SUSSMAN, GERALD (DO) 6 EAST FIRST AVENUE RUNNEMEDE NJ 08708 MEDICAL SUSPENSION K 54 7540 5/20/1998 SUTTON, DEJA (CHHA) 802 MAIN STREET 1-3 TOMS RIVER NJ 08753 MEDICAL DISQUALIFICATION K 54 7540 5/2/2017 N SVERDLOV, GREGORY 269 SHEFFIELD ST. MOUNTAINSIDE NJ 07092 MEDICAL DISQUALIFICATION K 54 7540 8/7/1998 Y SWAIN, CHERIE (CHHA) 2217 NORTH 43RD STREET PENNSAUKEN NJ 08110 MEDICAL DEBARMENT K 54 7540 3/6/2018 N SWARAY, MAYANGBE (CHHA) 314 MORRIS AVENUE NEWARK NJ 07103 MEDICAL DISQUALIFICATION K 54 7540 4/14/2014 N SWEITZER, JANET 950 ORCHARD AVENUE, LOT 28 CAMP HILL PA 17011 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 SYED, ABID 7 JANE STREET EAST HANOVER NJ 07936 MEDICAL SUSPENSION A 54 7540 5/2/2023 SZARSZEWSKI, MARK A. (RPH) 6 MARIGOLD CT. EDISON NJ 08820 MEDICAL SUSPENSION K 54 7540 9/20/2005 5/25/2023 N SZTYBEL, ELVIRA 35 PEACHTREE ROAD OAKHURST NJ 07755 MEDICAL DISQUALIFICATION K 54 7540 7/18/2001 Y TABBY, DAVID S. (DO) 1346292901 217 SPRINGHOUSE LANE MERION STATION PA 19004 MEDICAL DISQUALIFICATION K 54 7540 4/4/2022 TABOTABO, ARMANDO (MD) 12 WQEST FRONT STREET KEYPORT NJ 07735 MEDICAL DEBARMENT K 54 7540 4/12/2001 Y TADROS, AMIR (RPH) 6 ALEXANDER CT. JERSEY CITY NJ 07305 MEDICAL DISQUALIFICATION A 54 7540 6/30/2010 2/5/2018 N TADROS, AMIR (RPH) 6 ALEXANDER COURT, APT 6N JERSEY CITY NJ 07305 MEDICAL DEBARMENT A 54 7540 12/20/2012 2/5/2018 N CITILAB CORPORATION TAFT, ARNOLD (PHD/LAB DIR) 333 NORTH BROAD STREET ELIZABETH NJ 07028 333 NORTH BROAD STREET ELIZABETH NJ 07028 MEDICAL SUSPENSION K 54 7540 7/21/1997 TAMILY, H. & VIRZI, J. P.O. BOX 164 JAMESBURG NJ 08831 P.O. BOX 164 JAMESBURG NJ 08831 VENDOR SUSPENSION B 82 2050 1/9/1996 TANDLER, ROBERT (OD) 1104812924 792 GREEN LANE UNION NJ 07083 MEDICAL DEBARMENT K 54 7540 4/29/2016 10/27/2017 Victor Construction , Inc Tania Felix-Claudio, Owner 4615 N. Front St 2nd Floor Philadelphia PA 19140 4615 N. Front St 2nd Floor Philadelphia PA 19140 CONSTRUCTION DEBARMENT F 62 4550 4/23/2014 04/22/2017 N Tania Gaga, Vice-President 121 Diamond Lane Manalapan NJ 07726 CONSTRUCTION DEBARMENT F 62 4550 3/18/2015 03/17/2018 N TAORMINA, PHILIP (MD) 1689810723 1 APPLETREE LANE SEWELL NJ 08080 MEDICAL DISQUALIFICATION K 54 7540 2/5/2018 N TAPPER, FREDERIC S. (DO) 39 BROOKSIDE DRIVE WARREN NJ 07059 MEDICAL DEBARMENT K 54 7540 8/21/2000 Y TAPPIA, YEALESEH (CHHA) 941 IVORIE COURT BURLINGTON NJ 08016 MEDICAL DISQUALIFICATION K 54 7540 2/8/2017 N TARA, HAROLD H. (MD) 48 BROOKWOOD DR WAYNE NJ 07470 MEDICAL DISQUALIFICATION G 54 7540 6/1/1993 DECEASED N TARANTO, SHERRY L. (DENTAL HYGIENTIST) 26 COOMES STREET NORWICH NY 13815 MEDICAL DEBARMENT K 54 7540 12/2/2012 N TARASEVICH, LISA AKA ADAIR, LISA (LPN) 206 LAKEHURST AVE., APT.B NATIONAL PARK NJ 08063 MEDICAL SUSPENSION K 54 7540 9/19/2002 N TARKAS, SURBHI 8 CARLTON COURT EAST BRUNSWICK NJ 08816 MEDICAL SUSPENSION A 54 7540 6/23/2004 N TARTE, DEWAYNE (LPN) 4014 HAMILTON DRIVE VORHEES NJ 08043 MEDICAL DISQUALIFICATION K 54 7540 8/17/2019 N TARVER, JOLYCE (CHHA) 15 HEATHWOOD AVENUE JACKSON NJ 08527 MEDICAL DISQUALIFICATION K 54 7540 8/22/2017 N TASCA, ANTHONY J. (RN) 11 SAWGRASS COURT BLACKWOOD NJ 08012 MEDICAL SUSPENSION K 54 7540 10/20/2003 N TASSAGLOY, GEORGE 105 CEDAR AVE WOODLYNNE NJ 08107 CONSTRUCTION DEBARMENT F 62 4550 2/19/2013 2/18/2016 N TAUSCHEK, JENNIFER L. (CHHA) 154 MAPLE AVENUE TUCKERTON NJ 08087 MEDICAL SUSPENSION K 54 7540 9/20/2005 N TAVERA, CESAR 812 LONGWOOD AVENUE CHERRY HILL NJ 08002 MEDICAL SUSPENSION K 54 7540 9/11/2017 TAVERA, MARIA 812 LONGWOOD AVENUE CHERRY HILL NJ 08002 MEDICAL SUSPENSION K 54 7540 9/11/2017 10/3/2019 N TAVERA, MARIA 812 LONGWOOD AVENUE CHERRY HILL NJ 08002 MEDICAL DISQUALIFICATION K 54 7540 10/3/2019 N TAYLOR, BARBARA J. AKA MONDELO, BARBARA AKA DOMINICO, MARIA KENTWOOD BLVD BRICK NJ 08724 MEDICAL DEBARMENT A 54 7540 10/24/2008 N TAYLOR, JANICE (CHHA) 66 DUFFIELD DRIVE SOUTH ORANGE NJ 07079 MEDICAL DISQUALIFICATION K 54 7540 2/8/2017 N TAYLOR, KANIKA (CHHA) 17 HUNTINGTON TERRACE, FLOOR 2 NEWARK NJ 07112 MEDICAL DISQUALIFICATION K 54 7540 9/10/2019 N TAYLOR, STEVEN R. (RN) 25 SYLVAN LANE WILLINGBORO NJ 08046 MEDICAL DISQUALIFICATION K 54 7540 7/20/2017 TAYLOR, THOMAS VINCENT (MD) 1356454292 1402 CASTLE COURT HOUSTON TX 77006-5704 MEDICAL DISQUALIFICATION K 54 7540 5/1/2017 TAYLOR, TIANN (RN) PO BOX 4004 CLINTON NJ 08809 MEDICAL DEBARMENT K 54 7540 6/20/2006 N TJD ConstructionTed Dobrzanski Ted Dobrzanski, CEO 138 Stonehenge Dr Toms River NJ 08753 138 Stonehenge Dr Toms River NJ 08753 CONSTRUCTION DEBARMENT F 62 4550 2/25/2014 02/24/2017 N TEDESCO, MATTHEW 218 BELHAVE AVENUE LINWOOD NJ 08221 MEDICAL DISQUALIFICATION A 54 7540 7/11/2023 N TEDESCO, NICHOLAS 309 FOREST DRIVE LINWOOD NJ 08221 MEDICAL DISQUALIFICATION A 54 7540 7/11/2023 N TEJADA, LEYDA TORREZ (CHHA) 12 KOSSUTH STREET NEWARK NJ 07105 MEDICAL DISQUALIFICATION K 54 7540 5/31/2023 TELANG, FRANK W. (MD) 1497798706 1030 N. KINGS HGHWY CHERRY HILL NJ 08034 MEDICAL DEBARMENT K 54 7540 8/28/2014 N TELANG, FRANK W. (MD) 1497798706 1030 W. KINGS HIGHWAY CHERRY HILL NJ 08034 MEDICAL DISQUALIFICATION K 54 7540 12/5/1997 Y TELGHEDER, MARGARET (LAB) 75 SPRING VALLEY RD MONTVALE NJ MEDICAL SUSPENSION K 54 7540 6/20/2002 N TENDENCIA, CHONA (RN) 72 MANCHESTER COURT, APT D FREEHOLD NJ 07728 MEDICAL DEBARMENT K 54 7540 2/19/2023 TENSLEY, SHENEQUA 364 EAST MOORE STREET NORRISTOWN PA 19401 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 TERCHIO, GAETANO FRED 104 E PALISADE BLVD PALISADE PARK NJ 07650 MEDICAL DISQUALIFICATION A 54 7540 Y TERPENNING, CLARENCE (PHD) 303 CARTER ROAD PRINCETON NJ 08540 MEDICAL DISQUALIFICATION A 54 7540 11/19/1986 Y TERWILLIGER, KRISTINE (RN) 1 DUANE STREET JAMESBURG NJ 08831 MEDICAL DISQUALIFICATION K 54 7540 10/25/2016 TESCHNER, TERRI (PHARM TECH) 300 NORTH BLACK HORSE PIKE, APT. B1 RUNNEMEDE NJ 08078 MEDICAL DISQUALIFICATION K 54 7540 12/26/2016 THAMES, DOUGLAS A. (MD) 218 WEST AVENUE PITMAN NJ 08071 MEDICAL SUSPENSION K 54 7540 3/20/2001 T. Fiore Demolition, Inc.same Theodore Fiore, Owner 9 Silver Spring Court East Hanover NJ 07936 457 Wilson Ave Newark NJ 07105 CONSTRUCTION DEBARMENT F 62 4550 4/3/2014 04/02/2017 N THEUNE, CHRISTOPHER (DO) 1639141583 5678 BERKSHIRE VALLEY RD. OAK RIDGE NJ 07438 MEDICAL DEBARMENT K 54 7540 10/15/2012 10/15/2015 N THEUNE, CHRISTOPHER (DO) 1639141583 32 WARNER ROAD NEWTON NJ 07860 MEDICAL DISQUALIFICATION K 54 7540 6/5/2017 THILLAINATHAN, ANANTHAKUMAR (MD) 1285900621 5 CAMDEN PLACE NEW HYDE PARK NY 11040 MEDICAL DISQUALIFICATION K 54 7540 6/15/2023 N Thomas Clark Fiberglass, LLC Thomas Clark, Owner / Officer 145 Old Halfway Rd Barnegat NJ 08005 145 Old Halfway Rd Barnegat NJ 08005 CONSTRUCTION DEBARMENT F 62 4550 10/23/2014 10/22/2017 N Fittin Construction, LLC Thomas Fittin, Owner / Officer 2243 Edgar Rd Point Pleasant Beach NJ 08742 2243 Edgar Rd Point Pleasant Beach NJ 08742 CONSTRUCTION DEBARMENT F 62 4550 2/24/2016 02/23/2019 N THOMAS, ERIC (MD) 1528378072 8460 EVERGREEN DRIVE HELENA MT 59602 MEDICAL DISQUALIFICATION K 54 7540 2/22/2018 Y THOMAS, GWENDOLYN (LPN) 48 ROANOKE STREET WOODBRIDGE NJ 07095 MEDICAL DISQUALIFICATION K 54 7540 3/3/2017 THOMAS, LISA M. (CHHA) 402 UNION AV, APT. #3 IRVINGTON NJ MEDICAL SUSPENSION A 54 7540 4/20/1999 Y THOMAS, TANIQUE (CHHA) 447 PREAKNESS AVENUE PATERSON NJ 07502 MEDICAL DISQUALIFICATION K 54 7540 7/17/2018 N THOMAS-MCNAIR, GLORIA 590 BELLVUE AVENUE TRANTON NJ 08618 MEDICAL DISQUALIFICATION K 54 7540 12/21/1999 N THOMPSON, ARTHUR V. 855 THORNHILL COURT LAKEWOOD NJ 08701 MEDICAL SUSPENSION A 54 7540 1/19/2010 N THOMPSON, DAPHNE (CNA) 2247 HIGH STREET ORANGE NJ 07050 MEDICAL DEBARMENT K 54 7540 3/29/2002 N THOMPSON, DEBORAH (LPN) 1006 COLLINGS AVE. CAMDEN NJ 08102 MEDICAL SUSPENSION K 54 7540 6/19/2003 N THOMPSON, KENNETH H. (EMT) 408 SADDLE COURT FLEMINGTON NJ 08822 MEDICAL DISQUALIFICATION A 54 7540 4/28/2003 N THOMPSON, LORNA (MD) 20 OAK POINT DRIVE SO. BAYVILLE NY 11709 MEDICAL SUSPENSION K 54 7540 8/20/2000 N THOMPSON, SHAKEEMA (CHHA) 1034 ANNA STREET ELIZABETH NJ 07201 MEDICAL DISQUALIFICATION K 54 7540 2/26/2018 7/12/2022 THOOMPALLY, SRINATH (RPH) 1235381443 18 LAFAYETTE CIRCLE TOTOWA NJ 07512 MEDICAL DEBARMENT A 54 7540 12/5/2013 12/17/2015 N THOTTEMPUDI, VENKATTA 13 VINCENT BEHAN BLVD EDISON NJ 08837 MEDICAL DISQUALIFICATION A 54 7540 4/12/2012 N THOTTEMPUDI, VENKATTA 13 VINCENT BEHAN BLVD EDISON NJ 08837 MEDICAL DISQUALIFICATION A 54 7540 9/9/2013 N THUMMEL, HOPE (LPN) 246 WEST BROAD STREET PAULSBORO NJ 08066 MEDICAL DISQUALIFICATION K 54 7540 11/9/2019 N TICE, LINDSEY (LPN) 20 PARVINS MILL ROAD BRIDGETON NJ 08302 MEDICAL SUSPENSION K 54 7540 9/20/2005 N TIDD, MILES (LPN/RN) 26 CORAL TREE CT. TRENTON NJ 08648 MEDICAL SUSPENSION K 54 7540 6/20/2005 1/9/2012 N TIGHE, GERALD 20 SOUTH ARLENE DRIVE WEST LONG BRANCH NJ 07764 MEDICAL DISQUALIFICATION A 54 7540 12/26/2018 N TIMMONS, JAWANNA (CHHA) 609 FOURTEENTH AVENUE, 1ST FL PATERSON NJ 07504 MEDICAL DISQUALIFICATION K 54 7540 7/10/2018 N TJB Air Conditioning And Heating Timothy Babbitt, Owner 2305 Garry Rd Suite A Cinnaminson NJ 08077 2305 Garry Rd Suite A Cinnaminson NJ 08077 CONSTRUCTION DEBARMENT F 62 4550 3/1/2016 02/28/2019 N Wallmasters Modular Inc. Timothy Morrison, President 2745 SR668N Junction City OH 43748 226 Mutual Avenue Winchester KY 40391 CONSTRUCTION DEBARMENT F 62 4550 7/29/2014 07/28/2017 N TISCORNIA, KIMBERLY (RN) 18 TORNE MOUNTAIN ROAD WEST MILFORD NJ 07480 MEDICAL SUSPENSION K 54 7540 6/20/2005 N TITUS, AJEEB JOHN (MD) 1124065966 354 CLICKO LANE EAST STROUDSBURG PA 18301 MEDICAL DISQUALIFICATION K 54 7540 11/20/2023 N TOBACK, BARRY (RPH) 1375 RIVER RD EDGEWATER NJ 07020 1375 RIVER RD. EDGEWATER NJ 07020 MEDICAL SUSPENSION K 54 7540 6/19/2003 Y Todd Cable Construction, LLC Todd E. Warmingham, Owner P.o. Box 215 Newport NY 13416 151 Old State Rd Newport NY 13416 CONSTRUCTION DEBARMENT F 62 4550 4/27/2015 04/26/2018 N TOFANI, NANCY 114 COUNTY ROAD 513 PITTSTOWN NJ 08867 MEDICAL SUSPENSION K 54 7540 6/14/2000 8/29/2022 N TOMASELLO, JOHN J., PRESIDENT 140 RYANS RUN SICKLERVILLE NJ 08081 CONSTRUCTION DEBARMENT F 62 4550 6/27/2012 6/26/2015 N TOMLIN, CANDICE (PHARM TECH) 1255517934 38-19 FAIRLAWN AVENUE FAIRLAWN NJ 07410 MEDICAL DISQUALIFICATION 54 7540 9/9/2016 3/16/2023 TOMLIN, TERESA L. (DPM) 232 KRISTINE AVENUE MANAHAWKIN NJ 08050 MEDICAL SUSPENSION K 54 7540 3/5/2008 N TOMPKINS, AMBER (LPN) 17 LEHIGH ROAD PARLIN NJ 08859 MEDICAL DISQUALIFICATION K 54 7540 6/15/2018 N TONG, DARLENE M. (RPH) 108 LOWER LANDSDOWN ROAD ANNADALE NJ 08801 MEDICAL SUSPENSION A 54 7540 11/12/2009 N TORCHIA, LEONARD, MEMBER 5 LUCY COURT POMPTON PLAINS NJ 07444 CONSTRUCTION DEBARMENT F 62 4550 1/9/2012 1/8/2015 N TORCHIA, MARYJO AKA LONISIN, MARYJO PO BOX 1033 WEST CALDWELL NJ 07007 CONSTRUCTION DEBARMENT F 62 4550 1/9/2012 1/8/2015 N TORIBIO, ANTHONY (X-RAY TECH) 11 BYRON DRIVE LOPATCONG NJ 08865 MEDICAL SUSPENSION K 54 7540 9/28/2001 TORNARI, VINCENT 637 HARRISON DRIVE NORTHFIELD NJ 08225 MEDICAL DISQUALIFICATION A 54 7540 7/11/2023 N TORO, NORMARY (CHHA) 1173 ATLANTIC AVENUE, APT. B CAMDEN NJ 08104 MEDICAL DISQUALIFICATION K 54 7540 2/8/2017 N TORPPEY, JONI (LPN) 28 CHURCH ROAD NEWTON NJ 07860 MEDICAL DISQUALIFICATION K 54 7540 6/5/2017 TORRES, FRANCES 437 STUYVESANT AVENUE APT IRVINGTON NJ 07111 MEDICAL DISQUALIFICATION K 54 7540 4/27/2007 N TORRES, JAIME 14 STREET, U-25 VILLARICA BAYAMO PR 00959 MEDICAL SUSPENSION K 54 7540 6/7/2000 TORRES, MANUEL G. ST. 18 ATE, PRADERA TOA BAJA PR 00940 MEDICAL SUSPENSION K 54 7540 6/7/2000 TORRES, MILESTY (CHHA) 407 NORTH 31ST STREET CAMDEN NJ 08105 MEDICAL DISQUALIFICATION K 54 7540 1/31/2017 N TORRES, NELLY (CHHA) 119 WEST GRAPE STREET VINELAND NJ 08360 MEDICAL DISQUALIFICATION K 54 7540 5/2/2023 TORRESS, KRISTINA (CHHA) 53 STEGMAN STREET, APT. #4 JERSEY CITY NJ 07305 MEDICAL DISQUALIFICATION K 54 7540 1/24/2018 N TOSCANO, SYLVIA 13 NORTHGATE WAY TOMS RIVER NJ 08753 MEDICAL DEBARMENT A 54 7540 8/12/2013 11/14/2018 N TOTH, TEREZIA M. (MD) 9 N 2ND AVE. HIGHLAND PARK NJ 08904 MEDICAL DISQUALIFICATION K 54 7540 3/6/2006 N TOUSSAINT, VALENTINA 240 WEST 104TH STREET NEW YORK NY 10025 MEDICAL DISQUALIFICATION K 54 7540 2/8/2006 N TOY, SUSAN 727 SUMMIT ROAD UNION NJ 07083 MEDICAL DISQUALIFICATION K 54 7540 2/9/2017 TRACY, DORIS (RN) 90 CITADEL DRIVE JACKSON NJ 08527 MEDICAL DISQUALIFICATION K 54 7540 2/8/2024 N TRASTER, LAWRENCE 0 19 BRAEMAR DRIVE WAYNE NJ 07470 MEDICAL DISQUALIFICATION A 54 7540 9/21/1983 Y TRAVERSO, JOSEPH L. (MD) 5 OLD SALEM ROAD W. ORANGE NJ 07052 MEDICAL SUSPENSION K 54 7540 9/20/2005 N TRAYNOR, PATRICK 2314 WOODLAND ROAD ABINGTON PA 19001 MEDICAL DEBARMENT K 54 7540 12/5/2003 N TREGO-CAMPION, ANITA (RPH) 136 S. FELLOWSHIP ROAD MAPLE SHADE NJ 08052 MEDICAL SUSPENSION K 54 7540 10/20/2005 N TREMO, GREGORY (RPH) 13276 WHIPPINGHAM PARKWAY NEW CARROLTON VA 23314 MEDICAL SUSPENSION K 54 7540 11/20/2006 N TRENTACOSTA, GREG S. (DC) 1720293079 1565 RATZER RD. WAYNE NJ 07470 MEDICAL SUSPENSION K 54 7540 6/20/2005 N TRIMBLE, ABIGAIL J. (RN) 460 SAINT ANDREWS PLACE MANALAPAN NJ 07726 MEDICAL DISQUALIFICATION K 54 7540 2/15/2024 N TRINIDAD, TITO B. (MD) PO BOX 1000 #10912-068 LEWISBURG PA 17837 MEDICAL SUSPENSION K 54 7540 11/10/1996 N TRIVEDI, AMRITAL (PHD) 20 CYPRESS ROAD BURLINGTON NJ 08016 MEDICAL DISQUALIFICATION A 54 7540 5/2/1978 Y TROLLINGER, ROBERT J. (MD) 212 ROUTE 541 NORTH MEDFORD NJ 08055 MEDICAL DEBARMENT K 54 7540 10/10/2001 Y TSIRKINA, NATALIA 13675 PHILMONT AVENUE PHILADELPHIA PA 19116 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 TUCHMAN, ALAN P. (DPM) WEST MAIN STREET FREEHOLD NJ 07728 MEDICAL SUSPENSION K 54 7540 4/21/2008 8/29/2011 N TUCKER, APRIL (CHHA) 193 BENNER AVENUE NEWARK NJ 07112 MEDICAL DISQUALIFICATION K 54 7540 7/14/2017 N TUCKER, BURT A. (DDS) 530 BRICK BLVD BRICKTOWN NJ 08723 MEDICAL DISQUALIFICATION A 54 7540 12/31/1999 DECEASED N TUCKER, KAREN, E. (DPM) 1992052930 1 ERYNWOOD AVENUE MARLTON NJ 08053 MEDICAL SUSPENSION K 54 7540 7/20/2002 7/15/2016 N TUCKER, SUZANNE (RN) 127 GAYWOOD AVENUE COLONIA NJ 07067 MEDICAL SUSPENSION K 54 7540 5/20/2001 TULSANIA, NITAN 40 BROOKSIDE ROAD EDISON NJ 08817 40 BROOKSIDE ROAD EDISON NJ 08817 MEDICAL DEBARMENT K 54 7540 4/27/2004 N TUMAS, MARY (DC) 537 FISK AVENUE BRIELLE NJ 08730 MEDICAL DISQUALIFICATION K 54 7540 7/28/2014 N TUMIWA, ARNOLD (RN) 44 CIRCLE PLACE LAKEWOOD NJ 08701 MEDICAL DISQUALIFICATION K 54 7540 5/2/2018 TUNG, MING C. (DPM) 1043387608 MITCHELL AVENUE EAST BRUNSWICK NJ 08816 MEDICAL SUSPENSION K 54 7540 8/24/2007 N TURTON, IAN (LPN) 52 BAY SHORE DRIVE TOMS RIVER NJ 08753 MEDICAL DISQUALIFICATION K 54 7540 4/24/2018 N TWEED, DONNA (RN) 60 BAYSHORE ROAD CAPE MAY NJ 08204 MEDICAL DISQUALIFICATION K 54 7540 12/30/2019 Y TYER, DOUGLAS D. 175 1ST STREET APT. 16L NEWARK NJ 07102 MEDICAL DISQUALIFICATION K 54 7540 11/22/2005 N TYRELL, MARK N. (RPH) 58 HAVERHILL AVE. LITTLE FALLS NJ 07424 MEDICAL SUSPENSION K 54 7540 8/19/2004 N TYSHKOV, MICHAEL (MD) 1902882038 87 SHREWSBURY ROAD LIVINGSTON NJ 07039 MEDICAL DISQUALIFICATION K 54 7540 4/8/2019 PERMANENT Y UDEOKORO, IKECHUKWU 19-21 AGATE PLACE, SUITE 1A NEWARK NJ 07104 MEDICAL DISQUALIFICATION A 54 7540 2/7/2023 UHLIG, CYNTHIA 204 WYOMING STREET WESTFIELD NJ 07090 MEDICAL SUSPENSION K 54 7540 9/20/2006 N UHUNMWANGHO, OZIEGBE (CHHA) 818 SOUTH 18TH STREET NEWARK NJ 07108 MEDICAL DISQUALIFICATION K 54 7540 9/12/2017 N Uju A. Obiorah, President 259 West Forest Ave Englewood NJ 07631 358 Broadway Suite 202 Newark NJ 07104 CONSTRUCTION DEBARMENT F 62 4550 5/16/2014 5/15/2017 N UKO, BRIDGET (CHHA) 47 HEMPSTEAD DRIVE SOMERSET NJ 08873 MEDICAL DISQUALIFICATION K 54 7540 7/14/2017 Y UMSTEAD, LINDA (CHHA) 143 NORTHUMBERLAND DRIVE TOMS RIVER NJ 08757 MEDICAL DISQUALIFICATION K 54 7540 7/9/2018 N URVINA, GINA (CHHA) 169 JACKSON STREET, APT. 3 PASSAIC NJ 07055 MEDICAL DISQUALIFICATION K 54 7540 7/31/2017 N VACCARINO, ROBERT A. (MD) 1922086354 27 BEACH 220TH STREET BREEZY POINT NY 11697 MEDICAL DISQUALIFICATION A 54 7540 7/25/2023 N VACCARINO, ROBERT A. (MD) 1922086354 27 BEACH 220TH STREET BREEZY POINT NY 11697 MEDICAL DISQUALIFICATION K 54 7540 8/20/2023 N TNT MEDICAL SUPPLIES VALDES JR., ALFREDO 135 HAZEL STREET, APT. 65 CLIFTON NJ 07011 1780644427 135 HAZEL STREET, APT. 65 CLIFTON NJ 07011 MEDICAL DISQUALIFICATION A 54 7540 1/29/2018 N VALENCIA, RAFAEL (MD) 1518045525 146 LAKEVIEW DRIVE GIBBSBORO NJ 08026 MEDICAL DISQUALIFICATION K 54 7540 11/9/2017 Y VALENTINO, STEVEN JOHN (DO) 1366400798 406 WILLIAMSON ROAD GLADWYNE PA 19035 MEDICAL DISQUALIFICATION A 54 7540 5/18/2023 VALENZUELA, ROGER (CHHA) 517 LINCOLN STREET UNION CITY NJ 07087 MEDICAL DISQUALIFICATION K 54 7540 2/8/2017 N VALLEJOS, ANA (CHHA) 943 NORTH BROAD STREET ELIZABETH NJ 07208 MEDICAL SUSPENSION K 54 7540 5/14/2007 N VALMON, CAMILLE (CHHA) 1106 SUMMER WIND DRIVE JONESBORO GA 30236 MEDICAL DISQUALIFICATION K 54 7540 2/8/2017 N VANAMAN, JODI L. (RN, LPN) 55 ROUTE 35 N #20 NEPTUNE NJ 07753 MEDICAL DISQUALIFICATION K 54 7540 2/14/2024 N VANDYK, TRICIA 1412 ISABELLE COURT BRICK NJ 08724 MEDICAL DISQUALIFICATION A 46 7540 8/11/2012 8/10/2014 N VANSCIVER, SUZANNE (RN) 1187 NESHAMINY VALLEY DRIVE BENSALEM PA 19020 MEDICAL DISQUALIFICATION K 54 7540 6/28/2017 VARGAS, IRCANIA (RN) 618 HILLTOP DRIVE APT B9 TRENTON NJ 08621 MEDICAL DISQUALIFICATION A 54 7540 8/31/2023 N VARSOS, ARISTIDES G. (MD) 28 47 37TH ST ASTORIA NY 11103 MEDICAL DISQUALIFICATION G 54 7540 2/24/1986 DECEASED N INDEPENDENCE MEDICAL TRAN VASKO, OLGA 3 PARKWOOD DRIVE SOUTH AMBOY NJ 08879 3 PARKWOOD DRIVE SOUTH AMBOY NJ 08879 MEDICAL DISQUALIFICATION K 54 7540 7/10/2003 11/18/2019 N VASOYA, PRAVIN #41549-050 (MD) 1770665135 METROPOLITAN DETENTION CN BROOKLYN NY 11232 MEDICAL DISQUALIFICATION K 54 7540 8/1/2009 N VASSERMAN, ALEKSANDR (PARAMEDIC) 851 RED LION ROAD PHILADELPHIA PA 19115 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 VASSERMAN, IRINA 851 RED LION ROAD PHILADELPHIA PA 19115 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 VASTEY, GARDY (DC) 1114148806 1144 USTLER ROAD APOPKA FL 32712 MEDICAL DISQUALIFICATION A 54 7540 6/28/2017 VASWANI, VIJAY 1194785956 9 TYNEMOUTH DRIVE LUMBERTON NJ 08048 MEDICAL DEBARMENT K 54 7540 2/15/2016 VAZQUEZ, AIDA I. (CHHA) 1464 PRINCESS AVENUE, APT. 2 CAMDEN NJ 08103 MEDICAL DISQUALIFICATION K 54 7540 7/28/2023 N VECCHIONE, JOHN (DDS) 1710926076 2 LORRAINE DRIVE PARK RIDGE NJ 07656 MEDICAL DEBARMENT K 54 7540 8/31/2016 N VECCHIONE, JOHN (DDS) 1710926076 1 CAROL DRIVE ENGELWOOD CLIFFS NJ 07632 MEDICAL DISQUALIFICATION K 54 7540 2/20/2017 VEGA, DEBORAH 2409 BOOKER AVENUE UPPER CHICHESTER PA 19014 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 VEKEMAN, JEFFREY DENNIS (RN) 114 KARENLYNN DR FRANKINVILLE NJ 08322 MEDICAL DISQUALIFICATION K 54 7540 2/24/2023 N VELEZ, MAXIMINA (CHHA) 119 19th STREET UNION CITY NJ 07087 MEDICAL DISQUALIFICATION K 54 7540 5/31/2023 VELOSO, CESAR (MD) 1104800333 532 AMSTERDAM AVENUE RIDGEWOOD NJ 07450 MEDICAL DISQUALIFICATION K 54 7540 6/20/2018 N VENANZI, ENZO (DO) 107 NORTH BROAD STREET WOODBURY NJ 08096 MEDICAL DISQUALIFICATION G 54 7540 9/9/1996 Y VENKATRAM, PRABHAKAR (MD) 3305 VILLAGE DRIVE AVANEL NJ 07001 MEDICAL DEBARMENT K 54 7540 11/28/1998 Y VENTURA, MARIA (CHHA) 135 BELMONT STREET #204 JERSEY CITY NJ 07304 MEDICAL DISQUALIFICATION K 54 7540 8/22/2017 N VERBARO, DENNIS (DC) 1558426122 384 MAIN STREET CHESTER NJ 07930 MEDICAL DISQUALIFICATION K 54 7540 12/1/1998 Y VERCHIO, ROXANNE 820 BOWERS AVENUE RUNNEMEDE NJ 08078 VENDOR SUSPENSION A 82 2050 8/27/2001 VERDELL, CLARENCE (MD) 1649206376 107 WHITEHALL DRIVE VOORHEES NJ 08043 MEDICAL DISQUALIFICATION K 54 7540 8/20/2018 N Verduci, Michael 12 Verduci Drive Newtown PA 08940 CONSTRUCTION DEBARMENT F 62 4550 5/26/2015 5/25/2018 N VERGARA, NATALIE (LPN) 2413 FEDERAL STREET, UNIT 11 PHILADELPHIA PA 19146 MEDICAL DISQUALIFICATION K 54 7540 6/30/2023 N VERRONE, BILL (OWNER) 57 WEINNEMANNS BLVD. WAYNE NJ 07470 CONSTRUCTION DEBARMENT F 62 4550 2/16/2012 2/15/2015 N VICENTI, CARMILLA C. (MD) 40-15 QUAIL RIDGE RD. PLAINSBORO NJ 08536 MEDICAL SUSPENSION K 54 7540 3/18/1999 N VICIOSO, MARGARITA (MD) 1922058932 7801 BUSTLETON PIKE PHILADELPHIA PA 19152 MEDICAL DISQUALIFICATION K 54 7540 12/29/2015 VIGGIANO, DIANE (RN) 188 COACHMAN DRIVE N FREEHOLD NJ 07728 MEDICAL DISQUALIFICATION K 54 7540 7/22/2017 5/17/2022 VILLAMOR, MANUEL (THERAPIST) 9030 SW 29TH TERRACE MIAMI FL 33155 MEDICAL SUSPENSION K 54 7540 3/20/2005 N COMPACTION SYS. OF CONN. VILLANI, BENNY 1200 OAK POINT AVENUE BRONX NY 10474 51 EAGLE RIM ROAD UPPER SADDLE RI NJ 07458 VENDOR SUSPENSION B 82 2050 12/26/1996 VILLANI, BENNY 1200 OAK POINT AVENUE BRONX NY 10474 51 EAGLE RIM ROAD UPPER SADDLE RV NJ 07458 VENDOR SUSPENSION B 82 2050 12/26/1996 VILLANUERA, GABRIEL 392 SIP AVENUE #2 JERSEY CITY NJ 07306 VENDOR DEBARMENT K 66 1020 Y VILLARE, ANTHONY (MD) 1114954054 560 MANTUA AVENUE PAULSBORO NJ 08066 MEDICAL DISQUALIFICATION K 54 7540 4/15/2022 N VILLARE, ANTHONY (MD) 1114954054 560 MANTUA AVENUE PAULSBORO NJ 08066 MEDICAL DISQUALIFICATION K 54 7540 6/30/2023 N VILLARE, ANTHONY WILLIAM (MD) 1114954054 53045 LAKESHORE PLACE BETHANY BEACH DE 19930 MEDICAL DISQUALIFICATION K 54 7540 12/20/2023 N VILLONE, MARY DUNMORE STREET THROOP PA 18512 MEDICAL DISQUALIFICATION A 54 7540 5/4/2005 N VILSHTEYN, ROSTISLAV 50 PAMELA LANE STATEN ISLAND NY 10304 MEDICAL DISQUALIFICATION A 54 7540 10/31/2012 N Vincent Frank Cammarata, Owner 349 W. Prospect Avenue Keyport NJ 07735 CONSTRUCTION DEBARMENT F 62 4550 2/24/2016 02/23/2019 N Mattina Construction LLC Vincent Mattina, Owner 22 Toms River Rd Jackson NJ 08527 22 Toms River Rd Jackson NJ 08527 CONSTRUCTION DEBARMENT F 62 4550 12/15/2014 12/14/2017 N VINCI, JUDITH (RN) 202 BRUNSWICK AVENUE SPOTSWOOD NJ 08884 MEDICAL SUSPENSION K 54 7540 6/19/2003 N VINING, DONNA (DO) 33 1/2 PEMBROKE ROAD DANBURY CT 06811 MEDICAL DEBARMENT K 54 7540 7/5/2001 Y VINUELA, ANDRES (MD) 1649539479 1910 NE 27TH COURT, APT. 1 LIGHTHOUSE POINT FL 33064 MEDICAL DEBARMENT K 54 7540 7/15/2019 N VIRZI, JOSEPH PO BOX 164 JAMESBURG NJ 08831 MEDICAL SUSPENSION K 54 7540 1/9/1996 VISCOMI, DOMINIC A. (DDS) 926 DUCK POND ROAD NEWTON NJ 07860 MEDICAL DEBARMENT K 54 7540 5/31/2001 Y VISCONTI, PAUL A. (DO) 120 OLD COMMACK ROAD KINGS PARK NY 11754 MEDICAL DEBARMENT K 54 7540 6/27/2001 10/25/2013 N SURF PHARMACY VITALE, JACK (RPH) 17 CORNELL PLACE ENGLISHTOWN NJ 07726 17 CORNELL PLACE ENGLISHTOWN NJ 07726 MEDICAL SUSPENSION A 54 7540 6/22/1999 Y VITALE, JACK (RPH) 17 CORNELL PLACE MANALAPAN NJ 07726 MEDICAL SUSPENSION K 54 7540 5/2/2000 VITALI, JOHN (MD) 1609829985 1 SHIRA LANE MANALAPAN NJ 07726 MEDICAL DEBARMENT K 54 7540 1/22/2016 4/5/2022 VITALI, JOHN (MD) 1609829985 1 SHIRA LANE MANALAPAN NJ 00726 MEDICAL DISQUALIFICATION K 54 7540 6/3/2016 4/5/2022 VOGEL III, FRANK (MD) 271 BELMONT PLACE MAHWAH NJ 07430 MEDICAL DEBARMENT K 54 7540 8/28/2014 N VOGEL, BARRY M. (MD) 200 HIGHLAND AVENUE GLEN RIDGE NJ 07028 MEDICAL DEBARMENT K 54 7540 9/8/2000 Y VOROBYEV, LEONID (MD) 1245259431 PERRY STREET MORGANVILLE NJ 07751 MEDICAL SUSPENSION K 54 7540 8/20/2008 6/17/2014 N VOUDOURIS, APOSTOLOS (MD) 1801160767/0902842446/1235437534 3 HUNTERS CROSSING ROAD SOMERSET NJ 08873 MEDICAL DISQUALIFICATION K 54 7540 8/16/2017 N VOUDOURIS, APOSTOLOS (MD) 1801160767/0902842446/1235437534 3 HUNTERS CROSSING ROAD SOMERSET NJ 08873 MEDICAL DEBARMENT A 54 7540 12/3/2018 N VOUDOURIS, APOSTOLOS (MD) 1801160767/0902842446/1235437534 FMC DEVENS, PO BOX 879 AYER MA 01432 MEDICAL DISQUALIFICATION K 54 7540 5/18/2019 N VOUDOURIS, APOSTOLOS (MD) 1902842446 / 1801160767 130 WADSWORTH AVENUE, APT. 62 NEW YORK NY 10033 MEDICAL DISQUALIFICATION K 54 7540 4/18/2019 N VOYTENKO, CONSTANTINE (DC) 1174556229 2780 WEST 5TH STREET, APT 12A BROOKLYN NY 11224 MEDICAL DISQUALIFICATION K 54 7540 2/11/2016 VOZNYUK, PETRO (CHHA) 5 PULAWSKI AVENUE SOUTH RIVER NJ 08882 MEDICAL DEBARMENT K 54 7540 4/18/2017 N VOZNYUK, PETRO (CHHA) 5 PULAWSKI AVENUE SOUTH RIVER NJ 08882 MEDICAL DISQUALIFICATION K 54 7540 2/20/2017 N WACTOR, DONNA (RN) 71 FOREST STREET MONTCLAIR NJ 07042 MEDICAL SUSPENSION K 54 7540 6/19/2003 N WADE, ROBIN R. aka REATH, ROBIN R. (RN) 98 OAK STREET, APT 4007 LINDENWOLD NJ 08080 MEDICAL DISQUALIFICATION K 54 7540 7/11/2023 N WAGERS, DAVID (OD) 1710928239 540 OLD FARM ROAD PALMYRA PA 17078 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 WALDRON, JOHN F. 920 CEDARBRIDGE ROAD BRICKTOWN NJ 08723 MEDICAL DISQUALIFICATION A 54 7540 6/21/1979 Y WALKER, ASHLEY (RN/PA) 841 HILLTOP ROAD ERIE PA 16509 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 WALKER, BARBARA (CHHA) 120 ORATON PARKWAY EAST ORANGE NJ 07017 MEDICAL DISQUALIFICATION K 54 7540 7/20/2002 N WALKER, RUSSELL 910 MORNING GLORY COURT JACKSON NJ 08527 MEDICAL DISQUALIFICATION A 54 7540 1/10/2010 N WALLER, ALFONSO (MD) 131 37TH STREET UNION CITY NJ 07087 MEDICAL DISQUALIFICATION A 54 7540 9/14/1983 Y WALLIS, JODIE (RN) 601 FAIRVIEW LANE WILLINGBORO NJ 08046 MEDICAL SUSPENSION K 54 7540 10/18/2001 WARD, CARMEN 402 WILLOW COURT FLEMINGTON NJ 08822 MEDICAL SUSPENSION A 54 7540 12/14/2022 5/25/2023 N WARD, KEVIN (DDS) 1487842647 27 FIRETOWER ROAD BUDD LAKE NJ 07828 MEDICAL DEBARMENT K 54 7540 9/15/2017 WARMINGTON, TODD E. P.O. BOX 215 NEWPORT NY 13416 CONSTRUCTION DEBARMENT F 62 4550 4/27/2015 4/26/2018 N WASHINGTON JR., ANKOMO (CHHA) 174 EAST 6TH STREET CLIFTON NJ 07011 MEDICAL DISQUALIFICATION K 54 7540 2/8/2017 N WASHINGTON, JOHN 2 TUERS PLACE MONTCLAIR NJ 07043 MEDICAL SUSPENSION K 54 7540 4/29/1997 WASHINGTON, WAH'TAYVIA (CHHA) 144 BIDWELL AVENUE JERSEY CITY NJ 07305 MEDICAL DISQUALIFICATION K 54 7540 2/8/2017 N WASHINGTON-BHAMRE, SHARON (RN) 166 MAPLE STREET, APT. 23 ROSELLE PARK NJ 07204 MEDICAL DISQUALIFICATION K 54 7540 3/2/2020 N WASSEF, ADEL A. (MD) 123 SOUTH MUN AVENUE EAST ORANGE NJ 07019 MEDICAL SUSPENSION K 54 7540 2/18/1998 Y WATSON, LORENZO 500 ADAMS LANE NORTH BRUNSWICK NJ 08902 MEDICAL DISQUALIFICATION K 54 7540 11/21/2016 WATSON, MARC C. (MD) 1578605929 912 POMPTON AVE #9B1 CEDAR GROVE NJ 07009 MEDICAL SUSPENSION K 54 7540 4/1/2001 9/23/2022 WATSON, TRACEY L. (LPN) 1 GRUMMAN AVE. APT. 4F NEWARK NJ 07112 MEDICAL DISQUALIFICATION K 54 7540 1/23/2006 N WATZMAN, HOWARD (MD) PO BOX 1000 LORETTO PA 15940 MEDICAL DEBARMENT K 54 7540 8/30/2007 N WEAH, JEROME P.O. BOX 190 AVENEL NJ 07001 MEDICAL DISQUALIFICATION A 54 7540 1/14/2011 N WEATHERS, DAVID 4368 WILDER AVENUE BRONX NY 10466 MEDICAL SUSPENSION A 54 7540 5/2/2023 WEBB, ALNESHA (CHHA) 328 IRVINE TURNER ROAD NEWARK NJ 07108 MEDICAL DISQUALIFICATION K 54 7540 1/29/2018 WEBB, CURTIS O. (RN) 110 CROSSHILL DR BANGOR PA 18013 MEDICAL SUSPENSION K 54 7540 12/19/2002 N WEBB, LATISA (CHHA) 1060 BROAD STREET, APT. 504 NEWARK NJ 07102 MEDICAL DISQUALIFICATION K 54 7540 5/9/2019 N WEBER, MARC (DDS) 1609064062 326 BROAD STREET RED BANK NJ 07701 MEDICAL SUSPENSION A 54 7540 11/5/2009 9/30/2010 N WEBER, MARGARET (LPN) 2920 STATE RTE. 23 NEWFOUNDLAND NJ 07435 MEDICAL SUSPENSION K 54 7540 12/18/2003 N WEIDER, ABE 3301 FOSTER AVENUE BROOKLYN NY 11203 MEDICAL SUSPENSION A 54 7540 12/21/2001 N WEIGAND, DAVID (RN) 310 VILLAGE DRIVE SOMERSET NJ 08873 MEDICAL SUSPENSION K 54 7540 3/20/2001 WEIN, FRED R. (RPH) 111 TANGERINE DRIVE MARLBORO NJ 07746 MEDICAL SUSPENSION K 54 7540 5/19/2005 N WEINSTEIN, LEONARD (MD) 1 TRENT ROAD MONROE TWP. NJ 08831 MEDICAL SUSPENSION K 54 7540 8/20/2003 RETIRED N WEINSTEIN, MARTIN H. (DPM) 601 2ND AVENUE LONG BRANCH NJ 07740 MEDICAL DISQUALIFICATION A 54 7540 6/19/2008 N WEINTRAUB, FREDERICK (DPM) 1225131550 17 HARVEY LANE UPPER SADDLE RIVER NJ 07458 MEDICAL DISQUALIFICATION K 54 7540 2/15/2016 MANAGEMENT CORP. OF AMERI WEISELBERG, ALAN 8900 S.W. 61ST STREET MIAMI FL 33156 8900 S.W. 61ST STREET MIAMI FL 33156 MEDICAL DISQUALIFICATION A 54 7540 6/5/2000 Y WEISS, CHERIE (PA) 1861435828 801 ABBY ROAD MIDDLETOWN NJ 07748 MEDICAL DEBARMENT K 54 7540 12/16/2015 WEISS, MURRY 80 SKY MEADOW WHITE PLAINS NY 10607 PROFESSIONAL DISQUALIFICATION A 54 7540 Y WELCH, SHIRLEY SCENIC DRIVE FREEHOLD NJ 07728 MEDICAL SUSPENSION K 54 7540 8/20/2007 N WELLES, ANTONNETTE (CHHA) 124 S. OLDEN AVENUE TRENTON NJ 08609 MEDICAL DISQUALIFICATION K 54 7540 2/8/2017 N WELLS, CHRISTOPHER W. (RPH) WARRENS WAY WANAQUE NJ 07645 MEDICAL DEBARMENT K 54 7540 10/1/2007 N WELLS, TAMARA (RN) 13 HENRY STREET BERGENFIELD NJ 07621 MEDICAL DISQUALIFICATION K 54 7540 6/8/2018 N WELLS, WARREN (CHHA) 202 BEAR BROOK ACRES DRIVE MADISON TOWNSHIP PA 15663 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 WERBIN, MARIS AKA WHITNEY, MARIS (RPH) 126 RIVER DRIVE LAKE HIAWATHA NJ 07034 MEDICAL SUSPENSION K 54 7540 8/20/2006 N WERTHEIM, HOWARD (RPH) 19 KNOB HILL ROAD HACKETTSTOWN NJ 07840 MEDICAL SUSPENSION K 54 7540 12/20/2004 N WERTHEIM, HOWARD (RPH) 696A FRIAR COURT MANCHESTER NJ 08759 MEDICAL DISQUALIFICATION K 54 7540 12/12/2016 WERTHEIM, MARC (DDS) 1306910427 24 MERCHANTS WAY P.O. BOX COLTS NECK NJ 07722 MEDICAL DEBARMENT A 54 7540 8/25/2009 N WERTHEIM, MARC (DDS) 1306910427 80 E. JOSEPH STREET MOONACHIE NJ 07074 MEDICAL DISQUALIFICATION A 54 7540 1/20/2013 N WESHNAK, NADIA (RN/LPN) 382 WOOD LAKE MANOR DR. LAKEWOOD NJ 08701 MEDICAL SUSPENSION K 54 7540 10/20/2002 N Beckett Enterprises, Inc. Wesley J. Beckett Jr., President P.O. Box 334 Malaga NJ 08328 110 Oak Avenue Malaga NJ 08328 CONSTRUCTION DEBARMENT F 62 4550 1/6/2014 01/05/2017 N WESLEY, JOSEPH W. 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Doyle, President 200 Pine Road Hammonton NJ 08037 200 Pine Road Hammonton NJ 08037 CONSTRUCTION DEBARMENT F 62 4550 12/17/2014 12/16/2017 N OCM ConstructionOCM Construction, LLC William Mitchell, Owner 22 Greenwood Place Flemington NJ 08822 203 Main Street #204 Flemington NJ 08822 CONSTRUCTION DEBARMENT F 62 4550 8/12/2014 08/11/2017 N Team Equipment LLCWilliam Morrissary William Morrissey, President 59 Lynwood Rd Cedar Grove NJ 07009 26 East Garden Place Pompton Plains NJ 07307 CONSTRUCTION DEBARMENT F 62 4550 7/3/2013 07/02/2016 N William Vlasich, Managing Member 7 Ginkgo Court Upper Saddle River NJ 07458 CONSTRUCTION DEBARMENT F 62 4550 10/21/2013 10/20/2016 N WILLIAMS JR., OTIS (MD) 106 W. PALISADE AV STE201 ENGLEWOOD NJ 07631 MEDICAL SUSPENSION K 54 7540 7/27/1998 Y WILLIAMS JR., OTIS A. 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WIND TRAIL, #22 FAIRFIELD PA 17320 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 WILSHIRE, GILBERT (MD) 1386679298 1120 ROUTE 22 E BRIDGEWATER NJ 08807 MEDICAL DEBARMENT K 54 7540 12/3/1999 Y WILSON III, FRANKIE M. 395 NORTH GROVE STREET EAST ORANGE NJ 07017 MEDICAL DEBARMENT K 54 7540 11/24/2007 N WILSON, ELLEN (RN/APN) 1144406620 42 THEO COURT BURLINGTON NJ 08016 MEDICAL DISQUALIFICATION K 54 7540 11/20/2015 10/27/2017 N WILSON, EVELYN (LCSW) 209 W. 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