EXCLUDEDPROVIDER
Individual Revocation

Manuel A Farescal

Corona, NY 11368

Public HHS-OIG LEIE exclusion record

Manuel A Farescal of Corona, NY is listed under National Provider Identifier (NPI) 1083647093. According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Manuel A Farescal is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of September 20, 2012.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Corona, NY 11368
Exclusion date
September 20, 2012
Exclusion type
Revocation (1128b4)
NPI
1083647093

Record summary

Manuel A Farescal appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Corona, 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 September 20, 2012, 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 dateSeptember 20, 2012
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
NPI1083647093
UPINB81540
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 Corona, NY 11368. The listed provider category is Physician (MD, DO). The listed specialty is Internal Medicine.

Other excluded providers in Corona, NY

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

Kiabeth Agudelo Individual Program Crime
Corona, NY · Conviction of program-related crimes · Excluded Jan 2021
Nasim Haider Individual Revocation
Corona, NY · License revocation, suspension, or surrender · Excluded Feb 2018
Esther Mante-adu Individual Patient Abuse
Corona, NY · Conviction relating to patient abuse or neglect · Excluded Nov 2014
Lilik Ghazaryan Individual Program Crime
Corona, NY · Conviction of program-related crimes · Excluded Jun 2010
Jorge Madruga Individual Program Crime
Corona, NY · Conviction of program-related crimes · Excluded Jan 2001
Mustafa International, INC Entity Revocation
Corona, NY · License revocation, suspension, or surrender · Excluded Sep 1992

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 York More records in Corona More license revocation, suspension, or surrender records