Type | Person | [sources] | |||
---|---|---|---|---|---|
Name | CAPACIO, RICHARD · Richard S Capacio | [sources] | |||
Birth date | not available | [sources] | |||
Nationality | not available | [sources] | |||
Country | United States | [sources] | |||
First name | Richard | [sources] | |||
ID Number | DC002723L | [sources] | |||
Last name | Capacio | [sources] | |||
Middle name | S | [sources] | |||
NPI | 1245230929 | [sources] | |||
Sector | DC | [sources] | |||
Address | 99 ANNAPOLIS DRIVE, SICKLERVILLE, NJ 08081 · Philadelphia, PA | [sources] | |||
Last change | Last processed | First seen |
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States of America · OIFP
Medical providers who are precluded from participation in the Medical Assistance Program
United States of America · DHS
us-mednj-51514dae9532eefce844cb6f76f13237d0e4d354
· us-medpa-c3b0d2f16dcf8f4f0b7ae05d5fbba002fa1813be
For 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 | |
99 ANNAPOLIS DRIVE, SICKLERVILLE, NJ 08081 | United States |
United States | Department of Human Services | - | - |
Philadelphia, PA | United States |