Person

Jay S Rosen

Debarred entity

United States. Named in 3 sanctions listings.

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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

    medicaid.dhss.delaware.gov

  • Effective
    22 Aug 2016

    Official designation

    New Jersey Office of the State ComptrollerUS New Jersey Ineligible Medicaid ProvidersUnited States

    DISQUALIFICATION

    nj.gov

  • Effective
    7 Sep 2016

    Official designation

    Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded

    pa.gov

Positions held1

  1. Period not retained

    MD

Identifiers2

IdentifierNumber
ID numberMD017840E
NPI number1720139736

Other names1

Also known as1

ROSEN, JAY

Addresses3

  • 3 HIDDEN ACRES DRIVE, VOORHEES, NJ 08043

  • (NJ), (NJ)

  • NJ, NJ

    United States

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