Type not stated

IRBY ARCHER LEWIS

Debarred entity

United States. Named in 2 sanctions listings.

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Sanctions and listings2

  • Effective
    25 Oct 2016

    Official designation

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

    DISQUALIFICATION

    nj.gov

  • Effective
    25 Nov 2025

    Official designation

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

    omig.ny.gov

Identifiers2

IdentifierNumber
ID number00010162
NPI number1801927520

Other names1

Also known as1

IRBY, ARCHER

Addresses1

  • 115 GRAND AVENUE, ENGLEWOOD, NJ 07631

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