| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Kenneth Lewandowski · LEWANDOWSKI, KENNETH | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Kenneth | [sources] | |||
| ID Number | 25MB05791000 (NJ) | [sources] | |||
| Last name | Lewandowski | [sources] | |||
| NPI | 1114070398 | [sources] | |||
| Sector | DO | [sources] | |||
| Title | DO | [sources] | |||
| Address | (NJ), (NJ) · 100 ATLANTIC AVENUE, CAMDEN, NJ 08101 · 24 PEACH BLOSSOM LANE, MIDDLETOWN, NJ 07748 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States · OIFP
Medical providers who are precluded from participation in the Medical Assistance Program
United States · DHS
us-mednj-2bdffd961deec0e5389765eb5e337058c3dbdfd0 · us-medpa-09cee771bcaa553b7802709f53cb52309d7d48fb · us-mednj-5df51f207184a4bf864e0f2d7922877b7a349ad0For 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 | |
| 100 ATLANTIC AVENUE, CAMDEN, NJ 08101 | United States | |
| United States | Department of Human Services | - | - |
| United States | New Jersey Office of the State Comptroller | - | - |
| United States | New Jersey Office of the State Comptroller | - | - |
| 24 PEACH BLOSSOM LANE, MIDDLETOWN, NJ 07748 | United States |
| (NJ), (NJ) · NJ, NJ | United States |