DESAI BAKUL I

Debarred entity

United States. Named in 4 sanctions listings.

Sanctions and listings4

Effective
8 Mar 2010
Ended
10 Sep 2019
Official designation
New Jersey Office of the State ComptrollerUS New Jersey Ineligible Medicaid ProvidersUnited States
SUSPENSION
nj.gov
Effective
20 Sep 2012
Ended
10 Sep 2019
Official designation
New Jersey Office of the State ComptrollerUS New Jersey Ineligible Medicaid ProvidersUnited States
DISQUALIFICATION
nj.gov
Effective
20 Sep 2012
Official designation
Department of Human ServicesUS Pennsylvania Medicheck listUnited States
pa.gov
Effective
20 Sep 2012
Official designation
New York State Office of the Medicaid Inspector GeneralUS New York State Medicaid ExclusionsUnited States
omig.ny.gov

Identifiers3

Identifier	Number
ID number	00143381
ID number	25MA03746000
NPI number	1376654624

Other names2

Also known as2

DESAI, BAKULBakul I Desai

Addresses3

15 MOUNTAIN RIDGE DRIVE, LIVINGSTON, NJ 07039
(NJ), (NJ)
NJ, NJ
United States

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