MAIS, JENNIFER C.
Debarred entityBorn 1 Dec 1964 (61 years old),United States. Named in 4 sanctions listings.
Sanctions and listings4
- Effective
- 20 Apr 2015
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
- Listed
- 20 Apr 2015
Reciprocal
HHSUS SAM Procurement ExclusionsUnited StatesActive
Prohibition/Restriction
Excluded by the Department of Health and Human Services pursuant to section 1128 or other sections of the Social Security Act from participation in all Federal health care programs (the scope and effect of Federal health care program exclusions is described in 42 C.F.R. section 1001.1901).
- Effective
- 30 Apr 2015
Official designation
New Jersey Office of the State ComptrollerUS New Jersey Ineligible Medicaid ProvidersUnited States
DISQUALIFICATION
- Effective
- 20 Apr 2015
Official designation
New York State Office of the Medicaid Inspector GeneralUS New York State Medicaid ExclusionsUnited States
Positions held1
Period not retained
PHYSICIAN ASSISTANT (IND- LIC HC SERV PRO)
Identifiers2
| Identifier | Number |
|---|---|
| ID number | 00013101 |
| NPI number | 1801035084 |
Other names2
Also known as2
Addresses3
22 NEW STREET, HILLSDALE, NJ 7642
22 NEW STREET, HILLSDALE, NJ 07642
HILLSDALE, NJ 07642
This page shows the public record as its publishers state it. A name here is not by itself a finding: whether a record refers to a particular person or company is what screening decides. Read the full notice.