Person

KROHN IVAN T

Debarred entity

Born 2 Jun 1943 (83 years old),United States. Named in 6 sanctions listings.

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Summary

UPIN: C29493

Sanctions and listings6

  • Effective
    20 Apr 2011

    Official designation

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

    DISQUALIFICATION

    nj.gov

  • Effective
    20 May 2012

    Official designation

    Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded

    pa.gov

  • Effective
    20 May 2012

    Official designation

    New York State Office of the Medicaid Inspector GeneralUS New York State Medicaid ExclusionsUnited States

    omig.ny.gov

  • Effective
    20 May 2012

    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
    20 May 2012

    Official designation

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

    DEBARMENT

    nj.gov

  • Listed
    27 Jul 2012
    Effective
    20 May 2012

    Reciprocal

    HHSUS SAM Procurement ExclusionsUnited StatesActive

    Prohibition/Restriction

    Excluded by the Department of Health and Human Services from participation in all Federal health care programs pursuant to 42 U.S.C. § 1320a-7 or other sections of the Social Security Act, as amended and codified in Chapter 7 of Title 42 of the United States Code (the scope and effect of Federal health care program exclusions is described in 42 C.F.R. § 1001.1901).

    sam.gov

Positions held1

  1. Period not retained

    GENERAL PRACTICE (PHYSICIAN (MD, DO))

Identifiers3

IdentifierNumber
ID numberMD013032E
ID number00223666
NPI number1467429258

Other names2

Also known as2

KROHN, IVAN T.Ivan T Krohn

Addresses6

  • 33 NORTHLAND DRIVE, VINELAND, NJ 08360

  • VINELAND, NJ 08360

  • 33 NORTHWOOD DR, VINELAND, NJ 8360

  • 33 NORTHWOOD DRIVE, VINELAND, NJ 08360

  • (NJ), (NJ)

  • NJ, NJ

    United States

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