Nj Medical Check Exclusion
nj_medical_check_exclusionIs this healthcare provider debarred, suspended, or disqualified from the New Jersey Medicaid program? Screens a person or business name, an NPI, and/or a Vendor ID against the New Jersey Department of the Treasury Ineligible Provider List (Medical) — the state-level counterpart to the federal HHS OIG LEIE (see the leie pack) for New Jersey specifically, and the sibling of ny_omig_check_exclusion (New York), ca_medical_check_exclusion (California), tx_medical_check_exclusion (Texas), fl_medical_check_exclusion (Florida), pa_medical_check_exclusion (Pennsylvania), ga_medical_check_exclusion (Georgia) and oh_medical_check_exclusion (Ohio). Answers "is this provider excluded from New Jersey Medicaid", "check this NPI against the NJ Ineligible Provider List", or pre-payment/credentialing screening for a New Jersey Medicaid provider. An NPI or Vendor ID match is an IDENTIFICATION (both are exact, provider- or business-specific identifiers); a name match — even an exact one — is a CANDIDATE lead only, since this list carries no date of birth to tell same-named providers apart. Every match carries the published action (Debarment, Suspension, or Disqualification), the reason code and label, the debarring department and agency, and a currently_excluded flag DERIVED from the expiration date and permanent-debarment flag — null with status_unknown:true on the majority of rows that carry neither, rather than a guess. This dataset covers everyone EVER excluded, not only those currently excluded. Pass npi or vendor_id to turn a name lead into an identification. Sourced from the New Jersey Department of the Treasury Ineligible Provider List (Medical), keyless.
Input Schema
| Name | Required | Description | Default |
|---|---|---|---|
| npi | No | The provider's 10-digit NPI, if known. An NPI match is an identification rather than a name lead — always pass it when known. | |
| name | No | Provider or business name to screen, e.g. "Smith, John" or "Acme Home Health Inc". Matched against the individual name and firm name, any word order. | |
| limit | No | Maximum matches to return (default 10, max 50). | |
| vendor_id | No | New Jersey Vendor ID of the business, if known. A Vendor ID match is an identification. Populated on a small minority of rows. |