GOLDBERG CHARLES STEPHEN
Debarred entityBorn 3 Oct 1953 (73 years old),United States. Named in 6 sanctions listings.
Summary
UPIN: C56373
Sanctions and listings6
- Effective
- 20 Dec 2015
Official designation
South Carolina Department of Health and Human ServicesUS South Carolina Excluded ProvidersUnited StatesExcluded
- Effective
- 20 Sep 2015
Official designation
New York State Office of the Medicaid Inspector GeneralUS New York State Medicaid ExclusionsUnited States
- Effective
- 22 Jan 2016
Official designation
New Jersey Office of the State ComptrollerUS New Jersey Ineligible Medicaid ProvidersUnited States
DISQUALIFICATION
- Effective
- 20 Dec 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
1128a1
Programme US-HHS-OIGoig.hhs.govoig.hhs.gov
- Listed
- 18 May 2016
- Effective
- 28 Jan 2016
Reciprocal
OPMUS SAM Procurement ExclusionsUnited StatesActive
Prohibition/Restriction
Debarment or Suspension by U.S. Office of Personnel Management from participation as a health care provider in the Federal Employees Health Benefits Program (FEHBP), under the authority of 5 U.S.C. 8902a and implementing regulations at 5 CFR Part 890, Subpart J. Debarred or suspended 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 health benefits plan described by 5 U.S.C. 8903 or section 8903a. **** If both DHHS and OPM have a record for the same individual, please contact the Agency with the earlier Active date for verification.
- Listed
- 22 Dec 2015
- Effective
- 20 Dec 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).
Positions held1
Period not retained
GASTROENTEROLOGY (PHYSICIAN (MD, DO))
Identifiers2
| Identifier | Number |
|---|---|
| ID number | 00145634 |
| NPI number | 1164443958 |
Other names2
Also known as2
Addresses4
West Orange, NJ 10963
FCI-OTISVILLE, PO BOX 1000, OTISVILLE, NY 10963
OTISVILLE, NY 10963
P O BOX 1000, #66433-050, OTISVILLE, NY 10963
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