Type | Person | [sources] | |||
---|---|---|---|---|---|
Name | MATHEW, REX · Rex Mathew | [sources] | |||
Birth date | not available | [sources] | |||
Nationality | not available | [sources] | |||
Country | United States of America | [sources] | |||
First name | Rex | [sources] | |||
ID Number | MD422922 · PROMISe# 101299576` | [sources] | |||
Last name | Mathew | [sources] | |||
NPI | 1336164862 | [sources] | |||
Sector | 207P00000X, 207Q00000X, 208000000X, 207W00000X · MD | [sources] | |||
Address | (NJ), (NJ) · 17608 PRINCE EDWARD DRIVE, OLNEY, MD 20832 · 2301 SOUTH BROAD STREET, PHILADELPHIA, PA 19148 | [sources] | |||
Last change | Last processed | First seen |
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States of America · OIFP
List of providers excluded from participating in the Delaware Medicaid program.
United States of America · DHSS
Medical providers who are precluded from participation in the Medical Assistance Program
United States of America · DHS
us-mednj-0481b803821cb0a322dd8b864b06e98f1085b8ca
· us-medde-12e8422f95bc630ad94ea7ed53313fc4fdf33410
· us-mednj-60d6d629f002c429d901d04d31b55c79ef458005
· us-medpa-58d902860e10628633659fda391326b1527ae42d
For experts: raw data explorer
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Sanctions | |||||
---|---|---|---|---|---|
Country | Authority | Program | Start date | End date | |
United States of America | New Jersey Office of the State Comptroller | - |
Address | ||
---|---|---|
Full address | Country | |
(NJ), (NJ) · NJ, NJ | United States of America | |
United States of America | - | - | - |
United States of America | Department of Human Services | - | - |
United States of America | New Jersey Office of the State Comptroller | - | - |
17608 PRINCE EDWARD DRIVE, OLNEY, MD 20832 |
United States of America |
2301 SOUTH BROAD STREET, PHILADELPHIA, PA 19148 | United States of America |