Jay S Rosen
Debarred entityUnited States. Named in 3 sanctions listings.
Summary
License number: C1-0003370
Sanctions and listings3
- Effective
- 7 Sep 2016
Official designation
PA Dept of Human ServicesUS Delaware Medicaid Sanctioned ProvidersUnited States
TERMINATION Terminated -PA provider agreement terminated as of September 7, 2016
- Effective
- 22 Aug 2016
Official designation
New Jersey Office of the State ComptrollerUS New Jersey Ineligible Medicaid ProvidersUnited States
DISQUALIFICATION
- Effective
- 7 Sep 2016
Official designation
Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded
Positions held1
Period not retained
MD
Identifiers2
| Identifier | Number |
|---|---|
| ID number | MD017840E |
| NPI number | 1720139736 |
Other names1
Also known as1
Addresses3
3 HIDDEN ACRES DRIVE, VOORHEES, NJ 08043
(NJ), (NJ)
NJ, NJ
United States
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