EXCLUDEDPROVIDER
Individual Revocation

Mark M Golin

Ridgewood, NJ 07450

Public HHS-OIG LEIE exclusion record

According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Mark M Golin of Ridgewood, NJ is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of March 20, 2003.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Ridgewood, NJ 07450
Exclusion date
March 20, 2003
Exclusion type
Revocation (1128b4)
Source dataset
May 2026

Record summary

Mark M Golin appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Ridgewood, New Jersey. 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 March 20, 2003, and the exclusion type is 1128b4, identified by HHS-OIG as license revocation, suspension, or surrender.

Source record

SourceHHS-OIG LEIE (public dataset)
Record typeIndividual
Current statusCurrently listed by HHS-OIG
Exclusion dateMarch 20, 2003
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
UPIND96631
Source dataset dateMay 2026

What this exclusion type means

HHS-OIG identifies exclusion type 1128b4 as “License revocation, suspension, or surrender.” License revocation, suspension, or surrender (permissive exclusion).

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 Ridgewood, NJ 07450. The listed provider category is Medical Practice, MD. The listed specialty is Psychiatry.

Other excluded providers in Ridgewood, NJ

Other individuals and entities currently listed in the HHS-OIG LEIE public dataset with a Ridgewood, NJ address.

Cesar V Veloso Individual Revocation
Ridgewood, NJ · License revocation, suspension, or surrender · Excluded Jun 2018
Ranjit Mitra Individual Revocation
Ridgewood, NJ · License revocation, suspension, or surrender · Excluded Jun 2015
Eileen B Aird Individual Program Crime
Ridgewood, NJ · Conviction of program-related crimes · Excluded Apr 2003
Constance Alfano Individual Revocation
Ridgewood, NJ · License revocation, suspension, or surrender · Excluded Sep 1998

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 with HHS-OIG Remove / correct this record

Related

More excluded individuals in New Jersey More records in Ridgewood More license revocation, suspension, or surrender records