EXCLUDEDPROVIDER
Entity Program Crime

Edwardo M Yambo MD, PC

Deer Park, NY 11729

Public HHS-OIG LEIE exclusion record

Edwardo M Yambo MD, PC of Deer Park, NY is registered in the CMS NPI Registry under National Provider Identifier (NPI) 1194829754 with a primary specialty of Family Medicine, Adult Medicine. According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Edwardo M Yambo MD, PC is currently excluded from participation in federally funded health care programs due to conviction of program-related crimes, as of May 20, 2020.

Status
Currently listed by HHS-OIG
Record type
Entity
Location
Deer Park, NY 11729
Exclusion date
May 20, 2020
Exclusion type
Program Crime (1128a1)
NPI
1194829754

Record summary

Edwardo M Yambo MD, PC appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an entity record associated with Deer Park, New York. The latest imported LEIE dataset lists this record as currently excluded from participation in federally funded health care programs. The exclusion date shown in the source record is May 20, 2020, and the exclusion type is 1128a1, identified by HHS-OIG as conviction of program-related crimes.

Source record

SourceHHS-OIG LEIE (public dataset)
Record typeEntity
Current statusCurrently listed by HHS-OIG
Exclusion dateMay 20, 2020
Exclusion typeConviction of program-related crimes (1128a1)
NPI1194829754
Source dataset dateMay 2026

What this exclusion type means

HHS-OIG identifies exclusion type 1128a1 as “Conviction of program-related crimes.” Conviction of a criminal offense related to the delivery of an item or service under Medicare or a State health care program (mandatory exclusion, minimum 5 years).

This exclusion type is a statutory category used by HHS-OIG in the LEIE dataset. The category describes the legal authority associated with the exclusion record, not a separate investigation or additional reporting by Excluded Provider.

Location and provider classification

This LEIE record is associated with Deer Park, NY 11729. The listed provider category is Physician Practice. The listed specialty is General Practice.

NPI Registry context

The LEIE record lists NPI 1194829754. CMS NPPES public registry data lists this NPI as an organization record with primary taxonomy Family Medicine, Adult Medicine (207QA0505X). Registered practice location: Bay Shore, NY. NPI enumeration date: Sep 12, 2006. NPPES status: Active.

NPI Registry data is administrative provider-identification data from CMS. It does not independently verify or explain the HHS-OIG exclusion record above. Verify exclusion status directly with HHS-OIG.

Other excluded providers in Deer Park, NY

Other individuals and entities currently listed in the HHS-OIG LEIE public dataset with a Deer Park, NY address.

Yelva Jean Saint Preux Individual Felony Fraud
Deer Park, NY · Felony conviction relating to health care fraud · Excluded Aug 2024
Dieudonne Poulard Individual Patient Abuse
Deer Park, NY · Conviction relating to patient abuse or neglect · Excluded Jan 2012
Mohammad Saeed Khan Individual Felony Fraud
Deer Park, NY · Felony conviction relating to health care fraud · Excluded Jan 2010
Thomas J Sobieski Individual Revocation
Deer Park, NY · License revocation, suspension, or surrender · Excluded May 2007
Jason Eric Smolarsky Individual Revocation
Deer Park, NY · License revocation, suspension, or surrender · Excluded Sep 2006
Donald Modzelewski Individual Felony Fraud
Deer Park, NY · Felony conviction relating to health care fraud · Excluded Jun 2006
Cheryl Alston Individual Patient Abuse
Deer Park, NY · Conviction relating to patient abuse or neglect · Excluded Oct 2005
Joanne Spina Individual Revocation
Deer Park, NY · License revocation, suspension, or surrender · Excluded Sep 1999

See all 11 excluded providers in Deer Park →

How to verify this record

This page is a public-record summary and should be treated as a possible LEIE match, not final identity verification. To verify the record, use the official HHS-OIG LEIE search and compare available identifying information through the official process. Name, location, provider category, specialty, exclusion date, and NPI should be treated as matching clues rather than final proof of identity.

What this page does not include

This page summarizes the HHS-OIG LEIE public dataset only. It does not search state Medicaid exclusion lists, state licensing-board actions, court records, malpractice records, employment history, civil lawsuits, or non-public investigations.

Verify this record with the official HHS-OIG source Save or print this record Monitor this provider/entity Need to screen a list? Join the bulk screening beta

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