SONG K I PA MD
Debarred entityBorn 20 Apr 1941 (85 years old),United States. Named in 5 sanctions listings.
Summary
UPIN: D18565
Sanctions and listings5
- Effective
- 20 Oct 2013
List of Excluded Individuals/Entities (LEIE)
Department of Health and Human Services Office of Inspector GeneralUS Health and Human Services Inspector General ExclusionsUnited States
1128a4
Programme US-HHS-OIGoig.hhs.govoig.hhs.gov
- Listed
- 3 Apr 2014
- Effective
- 30 Nov 2013
- Effective
- 20 Oct 2013
Official designation
New York State Office of the Medicaid Inspector GeneralUS New York State Medicaid ExclusionsUnited States
- Effective
- 7 Apr 2011
Official designation
New Jersey Office of the State ComptrollerUS New Jersey Ineligible Medicaid ProvidersUnited States
SUSPENSION
- Listed
- 22 Oct 2013
- Effective
- 20 Oct 2013
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).
Positions held1
Period not retained
INTERNAL MEDICINE (PHYSICIAN (MD, DO))
Identifiers1
| Identifier | Number |
|---|---|
| NPI number | 1720138936 |
Other names2
Also known as2
Addresses3
TOWNSHIP OF WASHINGTON, NJ 07676
62 COTTAGE STREET, JERSEY CITY, NJ 07306
17 STRATFORD CT, TOWNSHIP OF WASHINGT, NJ 7676
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