Thomas S Newmark
Debarred entityUnited States. Named in 5 sanctions listings.
Summary
License number: MA48098
Sanctions and listings5
- Effective
- 4 Jul 2017
Official designation
Pennsylvania Department of Human servicesUS Delaware Medicaid Sanctioned ProvidersUnited States
TERMINATION ORP-Active-Terminated Provider agreement by Pennsylvania
- Effective
- 19 Dec 2016
Official designation
New Jersey Office of the State ComptrollerUS New Jersey Ineligible Medicaid ProvidersUnited States
DISQUALIFICATION
- Effective
- 20 Mar 2017
Official designation
OIGUS Delaware Medicaid Sanctioned ProvidersUnited States
Terminated from NJ Medicaid program 3/20/17
- Effective
- 17 Apr 2017
Official designation
New Jersey Office of the State ComptrollerUS New Jersey Ineligible Medicaid ProvidersUnited States
DISQUALIFICATION
- Effective
- 20 Mar 2017; 24 Jul 2017
Official designation
Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded
Identifiers2
| Identifier | Number |
|---|---|
| ID number | MD033074L |
| NPI number | 1740380997 |
Other names2
Also known as2
Addresses4
Philadelphia (51), PA
4700 CITY AVENUE, APT. 11307, PHILADELPHIA, PA 19131
2250 CHAPEL AVENUE, CHERRY HILL, NJ 08002
Philadelphia, PA
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