Type not stated
Screen this subjectKACZKA GARY
Debarred entityUnited States. Named in 2 sanctions listings.
Sanctions and listings2
- Effective
- 30 Apr 2024
Official designation
New Jersey Office of the State ComptrollerUS New Jersey Ineligible Medicaid ProvidersUnited States
SUSPENSION
- Effective
- 11 Feb 2024
Official designation
New York State Office of the Medicaid Inspector GeneralUS New York State Medicaid ExclusionsUnited States
Identifiers1
| Identifier | Number |
|---|---|
| NPI number | 1790817534 |
Other names1
Also known as1
KACZKA, GARY
Addresses1
176 OXFORD AVENUE, SADDLE BROOK, NJ 07663
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