Type | Company | [sources] | |||
---|---|---|---|---|---|
Name | AMANA MEDICAL GROUP, · Amana Medical Group, Inc. | [sources] | |||
Other name | Yousef Zibdie | [sources] | |||
Incorporation date | not available | [sources] | |||
Jurisdiction | not available | [sources] | |||
Country | United States of America | [sources] | |||
ID Number | MA062346 (NJ) | [sources] | |||
NPI | 1548215411 | [sources] | |||
Registration number | not available | [sources] | |||
Tax Number | 223749746 | [sources] | |||
Address | (NJ), (NJ) · 871 MCBRIDE AVENUE, SUITE 1, WOODLAND PARK, NJ 07424 | [sources] | |||
Last change | Last processed | First seen |
Medical providers who are precluded from participation in the Medical Assistance Program
United States of America · DHS
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States of America · OIFP
us-medpa-fe8c2452aacb5eb7f378256bc0111a119889e18d
· us-mednj-580d08b074483fd61fa3c811178b6f371e15cc50
· us-mednj-16b990df2d49082755a6e5b314f694c67afb2232
· us-mednj-c7f3db72512b18b13081820f10f8ed435994a1dd
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 | Department of Human Services | - | - |
871 MCBRIDE AVENUE, SUITE 1, WOODLAND PARK, NJ 07424 |
United States of America |