Justin Adibi
Debarred entityBorn 2 Aug 1990 (36 years old),United States. Named in 6 sanctions listings.
Summary
License number: 1063073757
License number: OS024003
Sanctions and listings6
- Effective
- 18 Sep 2025
Official designation
Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded
- Effective
- 13 Jun 2025
Official designation
Pennsylvania Department of Human ServicesUS Delaware Medicaid Sanctioned ProvidersUnited States
- Effective
- 13 Jun 2025
Official designation
Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded
- Effective
- 18 Sep 2025
List of Excluded Individuals/Entities (LEIE)
Department of Health and Human Services Office of Inspector GeneralUS Health and Human Services Inspector General ExclusionsUnited States
1128b4
Programme US-HHS-OIGoig.hhs.govoig.hhs.gov
- Effective
- 18 Sep 2025
Official designation
Pennsylvania Department of Human ServicesUS Delaware Medicaid Sanctioned ProvidersUnited States
- Listed
- 18 Nov 2025
- Effective
- 31 Oct 2025
Reciprocal
OPMUS SAM Procurement ExclusionsUnited StatesActive
Prohibition/Restriction
Debarment or Suspension by the U.S. Office of Personnel Management under the authority of 5 U.S.C. 8902a and implementing regulations at 5 CFR Part 890, Subpart J, excludes health care providers from participation in the Federal Employees Health Benefits Program (FEHBP). Debarred or suspended health care providers are prohibited from receiving payment, directly or indirectly, from FEHBP funds for items or services furnished to an employee, annuitant, family member, or former spouse covered by a federal health benefits plan.
Positions held2
Period not retained
SURGERY (PHYSICIAN (MD, DO))
Period not retained
DO
Identifiers3
| Identifier | Number |
|---|---|
| ID number | OS024003 |
| NPI number | 1063073757 |
| Registration number | OS024003 |
Other names2
Also known as2
Addresses3
153A BRADFORD COURT, MOUNT LAUREL, NJ 8054
Venango, PA
MOUNT LAUREL, NJ 08054
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