@pipeworx/nj-medical-exclusions

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Tools: 2

Screens a provider or business name, an NPI, or a Vendor ID against New Jersey’s Medicaid provider exclusion/debarment list — the state-level counterpart to the federal HHS OIG LEIE for New Jersey specifically, and the sibling of ny-omig-exclusions, ca-medical-exclusions, tx-medical-exclusions, fl-medical-exclusions, pa-medical-exclusions, ga-medical-exclusions and oh-medical-exclusions.

Tools

• nj_medical_check_exclusion(name?, npi?, vendor_id?, limit?) — screens a provider or business against the list. An NPI or Vendor ID match is an IDENTIFICATION; a name match is a CANDIDATE lead only (no date of birth in this data). Every match carries the published action (Debarment, Suspension, or Disqualification), the reason code/label, the debarring department/agency, and a currently_excluded flag DERIVED from the expiration date and permanent-debarment flag — null with status_unknown:true when neither signal is present, never a guess.
• nj_medical_exclusion_coverage(year?, start_date?, end_date?) — with no arguments, reports total rows, how many are currently excluded vs. ended vs. status-unknown, how many carry an NPI or Vendor ID, the distinct action types, and the oldest/newest effective dates. With year or a date range, counts how many exclusions took effect in that window (counted by effective_date, over the whole list, not a page).

Auth

Keyless.

Data sources

• New Jersey Department of the Treasury, Division of Revenue and Enterprise Services — Ineligible Provider List (Medical) — the state’s debarment, suspension, and disqualification notices for entities and individuals excluded from the New Jersey Medicaid program. No login, no CAPTCHA.

Notes

• This is the “ever excluded” file, not “currently excluded only.” Rows go back to 1976 and include providers whose debarment/suspension/ disqualification has since expired or been lifted.
• No home address is served. The upstream carries both a business (Firm) and a home (Individual) street/city/state/ZIP for every row; neither is baked or served here, matching the field set the seven precedent state exclusion packs serve.
• currently_excluded is derived, not published. New Jersey does not publish a single current-status field. Only a minority of rows carry an expiration date, and the Permanent Debarment flag is Y/N/blank. A row with neither signal reports status_unknown:true rather than an assumed still-active status.
• No parsed first/last name split — unlike the TX/PA/NY precedent packs, this dataset’s Individual Name field is Treasury’s own combined display string (“LAST, FIRST MIDDLE (TITLE)”), with no separate first/last columns. Matching works on the combined string and the Firm Name field.
• Vendor ID is sparse — populated on a small minority of rows; an NPI match is the more common identification path.
• One known upstream data-entry artifact: a single row’s effective date carries an implausible year (“4014”), kept and reported as published rather than silently corrected.
• Refreshed by scripts/bake-index.mjs, which re-fetches the published file and rebuilds src/nj-ips-index-data.ts; re-run periodically and recommit. data_as_of on every response says how stale the baked copy is.

Tools

• nj_medical_check_exclusion — Is this healthcare provider debarred, suspended, or disqualified from the New Jersey Medicaid program? Screens a person or business name, an NPI, and/or a Vendor ID against the New Jersey Department o
• nj_medical_exclusion_coverage — What the New Jersey Treasury Ineligible Provider List (Medical) data covers and how current it is: total rows ever recorded, how many are currently excluded vs. ended vs. status-unknown, how many carr