EXCLUDEDPROVIDER
Individual Revocation

Camille Deseray Cosme

Newburgh, NY 12550

Public HHS-OIG LEIE exclusion record

Camille Deseray Cosme of Newburgh, NY is registered in the CMS NPI Registry under National Provider Identifier (NPI) 1356775563 with a primary specialty of Licensed Practical Nurse. According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Camille Deseray Cosme is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of May 20, 2025.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Newburgh, NY 12550
Exclusion date
May 20, 2025
Exclusion type
Revocation (1128b4)
NPI
1356775563

Record summary

Camille Deseray Cosme appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Newburgh, 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, 2025, 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, 2025
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
NPI1356775563
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 Newburgh, NY 12550. The listed provider category is Individual - Licensed Health Care Service Provider. The listed specialty is Nurse / Nurses Aide.

NPI Registry context

The LEIE record lists NPI 1356775563. CMS NPPES public registry data lists this NPI as an individual record with primary taxonomy Licensed Practical Nurse (164W00000X). Registered practice location: Newburgh, NY. NPI enumeration date: Aug 23, 2013. 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 Newburgh, NY

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

Quiana Mays Individual Patient Abuse
Newburgh, NY · Conviction relating to patient abuse or neglect · Excluded May 2006
Patrick J Valicenti, D D S, P Entity Controlled Entity
Newburgh, NY · Entities controlled by a sanctioned individual · Excluded Sep 2004
Competent Care, INC Entity Program Crime
Newburgh, NY · Conviction of program-related crimes · Excluded May 2003
Timothy D Lucey, Ltd Entity Loan Default
Newburgh, NY · Default on health education loan or scholarship obligations · Excluded Jul 2002
Timothy D Lucey Individual Loan Default
Newburgh, NY · Default on health education loan or scholarship obligations · Excluded Feb 2002
Paunovic & Paunovic Entity Controlled Entity
Newburgh, NY · Entities controlled by a sanctioned individual · Excluded Oct 2000
Dean Patsalos Individual Program Crime
Newburgh, NY · Conviction of program-related crimes · Excluded Jun 1999
Consolidated Ambulette, INC Entity Program Crime
Newburgh, NY · Conviction of program-related crimes · Excluded Jun 1999

See all 12 excluded providers in Newburgh →

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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