OBADUN, FUNMI MODUPE a/k/a AWELEWA, FUNMI M.
Debarred entityBorn 26 Aug 1972 (54 years old),United States. Named in 4 sanctions listings.
Sanctions and listings4
- Effective
- 20 Aug 2024
Official designation
New Jersey Office of the State ComptrollerUS New Jersey Ineligible Medicaid ProvidersUnited States
DISQUALIFICATION
- Effective
- 20 Aug 2024
Official designation
New Jersey Office of the State ComptrollerUS New Jersey Ineligible Medicaid ProvidersUnited States
DISQUALIFICATION
- Effective
- 20 Aug 2024
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 Aug 2024
Official designation
New York State Office of the Medicaid Inspector GeneralUS New York State Medicaid ExclusionsUnited States
Positions held1
Period not retained
NURSE/NURSES AIDE (IND- LIC HC SERV PRO)
Identifiers2
| Identifier | Number |
|---|---|
| ID number | 00317790 |
| NPI number | 1811399397 |
Other names3
Also known as3
Addresses2
80 TELFORD STREET, NEWARK, NJ 07106
80 TELFORD ST, NEWARK, NJ 7106
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