| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | GONZALEZ JORDAN S. · GONZALEZ, JORDAN · JORDAN S GONZALEZ | [sources] | |||
| Birth date | [sources] | ||||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | JORDAN | [sources] | |||
| ID Number | 00055480 | [sources] | |||
| Last name | GONZALEZ | [sources] | |||
| Middle name | S | [sources] | |||
| NPI | 1992073167 | [sources] | |||
| Sector | Pharmacist · RPH | [sources] | |||
| Position | PHARMACIST (IND- LIC HC SERV PRO) | [sources] | |||
| Address | #66214-050, FCI FAIRTON, PO, BOX 420, FAIRTON, NJ 08320 · FAIRTON, NJ 08320, USA · P O BOX 420, #66214-050, FAIRTON, NJ 08320 | [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
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States · OIFP
A database of suppliers who have been excluded from participating in US federal procurement.
United States · GSA
us-medny-3137c08dd49c36e9ccddac5f55e678a43868d38a · us-mednj-14bcb2f0888e12bb3c0ff8ad782125cd83cb186b · us-fed-excl-jordan-s-gonzalez-08320-fairtonFor experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States | New Jersey Office of the State Comptroller | - | |||
| Address | ||
|---|---|---|
| Full address | Country | |
| #66214-050, FCI FAIRTON, PO, BOX 420, FAIRTON, NJ 08320 | United States | |
| United States | OPM | Reciprocal | - |
| United States | Department of Health and Human Services Office of Inspector General | List of Excluded Individuals/Entities (LEIE) | - |
| United States | HHS | Reciprocal | - |
| United States | New York State Office of the Medicaid Inspector General | - | - |