Nex Systems
Person

INNOCENZI, ANTHONY E

Debarred entity

Born 14 Dec 1969 (56 years old),United States. Named in 4 sanctions listings.

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Summary

License number: 2007027375

Provider ID: 2046191

Sanctions and listings4

  • Effective
    20 Sep 2016

    Official designation

    Missouri Medicaid Audit & ComplianceUS Missouri Medicaid Provider TerminationsUnited States

    CONTRACT TERMINATION

    mmac.mo.gov

  • Effective
    29 Dec 2015

    Official designation

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

    DISQUALIFICATION

    nj.gov

  • Effective
    9 Sep 2015; 6 Mar 2017

    Official designation

    Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded

    pa.gov

  • Effective
    21 Aug 2015

    Official designation

    Ohio Department of MedicaidUS Ohio Medicaid Excluded and Suspended ProvidersUnited StatesExcluded

    medicaid.ohio.gov

Identifiers2

IdentifierNumber
ID numberSC004675R
NPI number1255336079

Other names3

Also known as3

INNOCENZI, ANTHONYAnthony E InnocenziAnthony Innocenzi

Addresses2

  • (OH), (OH)

  • 7972 AQUADALE DRIVE, YOUNGSTOWN, OH 44512

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