CUSTIS KEVIN T MD

Debarred entity

Born 3 Oct 1964 (62 years old),United States. Named in 4 sanctions listings.

Sanctions and listings4

Listed
11 Dec 2023
Effective
30 Nov 2023
Reciprocal
OPMUS SAM Procurement ExclusionsUnited StatesActive
Prohibition/Restriction
Debarment or Suspension by the U.S. Office of Personnel Management under the authority of 5 U.S.C. 8902a and implementing regulations at 5 CFR Part 890, Subpart J, excludes health care providers from participation in the Federal Employees Health Benefits Program (FEHBP). Debarred or suspended health care providers are prohibited from receiving payment, directly or indirectly, from FEHBP funds for items or services furnished to an employee, annuitant, family member, or former spouse covered by a federal health benefits plan.
sam.gov
Effective
13 Dec 2017
Official designation
New York State Office of the Medicaid Inspector GeneralUS New York State Medicaid ExclusionsUnited States
omig.ny.gov
Effective
19 Oct 2023
List of Excluded Individuals/Entities (LEIE)
Department of Health and Human Services Office of Inspector GeneralUS Health and Human Services Inspector General ExclusionsUnited States
1128a1
Programme US-HHS-OIGoig.hhs.gov oig.hhs.gov
Effective
22 Jul 2017
Official designation
New Jersey Office of the State ComptrollerUS New Jersey Ineligible Medicaid ProvidersUnited States
DISQUALIFICATION
nj.gov

Positions held1

Period not retained
FAMILY PRACTICE (PHYSICIAN (MD, DO))

Identifiers2

Identifier	Number
ID number	00211807
NPI number	1811976970

Other names2

Also known as2

CUSTIS, KEVINKEVIN TYRONE CUSTIS

Addresses3

63 MEADOW LARK LANE, APT 1, BELLE MEAD, NJ 8502
908 MAIN STREET, ASBURY PARK, NJ 07712
BELLE MEAD, NJ 8502

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