New Jersey Medicaid Provider list with NPI numbers (Department of Health)

Kamran Ahmed filed this request with the Department of Health of New Jersey.
Tracking #

W175497
Multi Request New Jersey Medicaid Provider list with NPI numbers
Submitted Aug. 10, 2021
Status
Completed

Communications

From: Kamran Ahmed

Subject: New Jersey Open Public Records Act Request: New Jersey Medicaid Provider list with NPI numbers (Department of Health)

Portal

To Whom It May Concern:

Pursuant to the New Jersey Open Public Records Act, I hereby request the following records:

I am requesting an updated list of all New Jersey Healthcare Medicaid Providers in Electronic format (CSV, excel favored over PDF format) including provider Medicaid ID, NPI number and state license number. The specific items to be included in data set:
1. Provider name
2. Medicaid Identification number (if applicable).
3. National Provider Identifier (NPI) number
4. New Jersey State Healthcare License number and initial date of issuance or expiry (if available/applicable)
5. Education / School/Training, if available
6. Provider type (MD, DO, PA, RN, PT, OT, OD, CRNA, DMD, DDS, DPM etc)
7. Provider Specialty
8. Provider Practice Location
9. Please include Data Dictionary describing state Medicaid Data Sets
10. Please provide (if there is an existing) a static website link to verify an individual’s state healthcare licensure status provided by any and all available relevant state healthcare licensing boards.
If there are any fees for searching or copying these records, please email me if the cost will exceed $50. However, I would also like to request a waiver of all fees in that the disclosure of the requested information is in the public interest and will contribute significantly to the public’s healthcare transparency, healthcare access, fairness and greater overall public awareness.

The requested documents will be made available to the general public, and this request is not being made for commercial purposes.

In the event that there are fees, I would be grateful if you would inform me of the total charges in advance of fulfilling my request. I would prefer the request filled electronically, by e-mail attachment if available or CD-ROM if not.

Thank you in advance for your anticipated cooperation in this matter. I look forward to receiving your response to this request within 7 business days, as the statute requires.

Sincerely,

Kamran Ahmed

From: Department of Health

Subject: RE: Government Records Request Health/Office of Certificate of Need and Licensing W175497

Portal

Mr. Ahmed,

We are in receipt of your request below; however, there are some issues with the request. I advise that this office only licenses healthcare facilities. We do not license individuals. Additionally, you seek NPI numbers. I advise that NPI numbers are exempt from disclosure under OPRA. Based on your request, I can only provide responsive materials to numbers 1, 2 , 4, and 8.

Additionally, I must advise the limitations of the data I can provide. I performed a search of our database based on any record having criteria in the fields “Medicaid 1”, “Medicaid 2”, and “Medicaid 3” which should be the Medicaid provider number. I then exported specific columns based on your requirements. Due to the very specific nature of this search, any facility that did not have criteria in the above fields would not be captured. If a facility accepts Medicaid but we do not have their Medicaid number stored in the appropriate field, it would not be included. I caution that I cannot guarantee the completeness/accuracy of this data.

You may want to reach out to the Division of Medical Assistance and Health Services within the Department of Human Services. They may have the Medicaid information you seek. You can submit a request with that office here: https://www-njlib.state.nj.us/NJ_OPRA/department.jsp

Please let me know if you have any questions.

Thank you,

Wayne Casa
Records Custodian
Department of Health - Division of Certificate of Need and Licensing
PO Box 358
Trenton, NJ 08625-0358
dhcsacustodian@doh.nj.gov

From: Kamran Ahmed

Subject: RE: New Jersey Open Public Records Act Request #W175497

Portal

Hello Mr. Casa,

Thanks so much for your help with my request. I also appreciate you sharing the additional information regarding Medicaid data.

Sincerely,

Kamran Ahmed

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