| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | DESTASIO, VINCENT · VINCENT DE STASIO | [sources] | |||
| Birth date | [sources] | ||||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | VINCENT | [sources] | |||
| Last name | DE STASIO | [sources] | |||
| NPI | 1043215650 | [sources] | |||
| Sector | MD | [sources] | |||
| Position | INTERNAL MEDICINE (PHYSICIAN (MD, DO)) | [sources] | |||
| Address | 1851 HOOPER AVENUE, TOMS RIVER, NJ 08753 · JOINT BASE MDL, NJ 08640, USA · P O BOX 2000, #70114-050, JOINT BASE MDL, NJ 08640 | [sources] | |||
| Last change | Last processed | First seen | |||
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
People and companies excluded from Federally funded health care programs
United States · OIG
us-fed-excl-vincent-de-stasio-08640-joint-base-mdl · us-mednj-7b261a5164883c53335b307a442768209c7c5b40For 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 | |
| 1851 HOOPER AVENUE, TOMS RIVER, NJ 08753 | United States | |
| United States | HHS | Reciprocal | - |
| United States | New Jersey Office of the State Comptroller | - | - |
| United States | OPM | Reciprocal | - |
| United States | Department of Health and Human Services Office of Inspector General | List of Excluded Individuals/Entities (LEIE) | - |