| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | NOVAK RANDALL J · RANDALL JAMES NOVAK | [sources] | |||
| Birth date | [sources] | ||||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | RANDALL | [sources] | |||
| ID Number | 00048279 | [sources] | |||
| Last name | NOVAK | [sources] | |||
| Middle name | JAMES | [sources] | |||
| NPI | 1366725822 | [sources] | |||
| Sector | Pharmacy | [sources] | |||
| Position | PHARMACIST (IND- LIC HC SERV PRO) | [sources] | |||
| Address | 110 GRAND STREET, APT 2B, JERSEY CITY, NJ 07302 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers deemed ineligible to participate in New York State's Medicaid program.
United States · OMIG
People and companies excluded from Federally funded health care programs
United States · OIG
us-fed-excl-randall-james-novak-07302-jersey-city · us-medny-9a24ec76d314678de68e06c2c43552d40efcfe2fFor experts: raw data explorer
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| United States | New York State Office of the Medicaid Inspector General | - | - |