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FELLUS, JONATHAN L.

Debarred entity

FELLUS, JONATHAN L. is a person of interest. They have not been found on international sanctions lists.

Type	Person				[sources]
Name	FELLUS, JONATHAN L. · Jonathan L. Fellus				[sources]
Birth date	not available				[sources]
Nationality	not available				[sources]
Country	United States				[sources]
First name	Jonathan				[sources]
ID Number	`25MA06616400 (NJ)` · `MD057771L (PA)`				[sources]
Last name	Fellus				[sources]
Middle name	L.				[sources]
NPI	`1053309195`				[sources]
Sector	MD				[sources]
Title	MD				[sources]
Address	(NJ), (NJ) · 57 WOODLAND AVENUE, GLEN RIDGE, NJ 07028				[sources]
Last change	2024-11-29	Last processed	2025-11-01	First seen	2024-10-01

Sanctions
Country	Authority	Program	Start date	End date
United States	New Jersey Office of the State Comptroller		2015-08-20	2020-05-21

Medical providers who are precluded from participation in the Medical Assistance Program

United States · DHS

Medical providers disqualified from participating in New Jersey State's Medicaid program.

United States · OIFP

Source data IDs: us-mednj-0c6524f6eb7864b0707cb67e6732a0422953143a · us-medpa-e6e4e7e3790184bf5e4b2276fc859b2b378eda3d

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