EXCLUDEDPROVIDER
Individual Revocation

Pethina Peterson

Jersey City, NJ 07305

Public HHS-OIG LEIE exclusion record

According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Pethina Peterson of Jersey City, NJ is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of May 20, 2004.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Jersey City, NJ 07305
Exclusion date
May 20, 2004
Exclusion type
Revocation (1128b4)
Source dataset
May 2026

Record summary

Pethina Peterson appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Jersey City, 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 May 20, 2004, 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 dateMay 20, 2004
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
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 Jersey City, NJ 07305. The listed provider category is Nursing Profession. The listed specialty is Nurse / Nurses Aide.

Other excluded providers in Jersey City, NJ

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

John Richard Mcgee Individual Revocation
Jersey City, NJ · License revocation, suspension, or surrender · Excluded May 2026
Randall James Novak Individual Drug Misdemeanor
Jersey City, NJ · Misdemeanor conviction relating to controlled substance · Excluded Jul 2025
Mohamed Hassan Eladma Individual Program Crime
Jersey City, NJ · Conviction of program-related crimes · Excluded Jul 2020
Kenneth Michael Ferranti Individual Patient Abuse
Jersey City, NJ · Conviction relating to patient abuse or neglect · Excluded Feb 2020
Tamerlane F Amon Individual Felony Fraud
Jersey City, NJ · Felony conviction relating to health care fraud · Excluded Apr 2019
Angela D Liriano Individual Program Crime
Jersey City, NJ · Conviction of program-related crimes · Excluded Apr 2018
Muhammed Z Khan Individual Program Crime
Jersey City, NJ · Conviction of program-related crimes · Excluded Jul 2017
Beenish Daha Individual Program Crime
Jersey City, NJ · Conviction of program-related crimes · Excluded Oct 2016

See all 30 excluded providers in Jersey City →

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.

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Related

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