Person

MATHEW, REX

Debarred entity

United States. Named in 5 sanctions listings.

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Summary

License number: PROMISe# 101299576`

Sanctions and listings5

  • Effective
    18 Sep 2019

    Official designation

    New York State Office of the Medicaid Inspector GeneralUS New York State Medicaid ExclusionsUnited States

    omig.ny.gov

  • Effective
    2 Jan 2017

    Official designation

    US Delaware Medicaid Sanctioned ProvidersUnited States

    TERMINATION Disqualified in PA effective 1/2/16, in New Jersey effective 01/02/2017, in MD effective 4/4/18, and NY 9/18/19 Office of the State Comptroller Medicaid Fraud Unit.

    medicaid.dhss.delaware.gov

  • Effective
    2 Jan 2016

    Official designation

    Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded

    pa.gov

  • Effective
    4 Apr 2018

    Official designation

    New Jersey Office of the State ComptrollerUS New Jersey Ineligible Medicaid ProvidersUnited States

    DISQUALIFICATION

    nj.gov

  • Effective
    2 Jan 2017

    Official designation

    New Jersey Office of the State ComptrollerUS New Jersey Ineligible Medicaid ProvidersUnited States

    DISQUALIFICATION

    nj.gov

Identifiers3

IdentifierNumber
ID number00274821
ID numberMD422922
NPI number1336164862

Other names2

Also known as2

Rex MathewMATHEW REX GEORGE

Addresses4

  • 2301 SOUTH BROAD STREET, PHILADELPHIA, PA 19148

  • (NJ), (NJ)

  • 17608 PRINCE EDWARD DRIVE, OLNEY, MD 20832

  • NJ, NJ

    United States

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