Subject Numbers Regarding Health Provider Authorizations

Authorization No. 112971-7B

July 31, 2018

Please be advised that Dr. John Felix Waller has resigned his authorizations to treat injured workers and to perform independent medical examinations in the New York State workers’ compensation system effective July 27, 2018. Dr. Waller’s last known business address is:

333 E 56th Street
New York, New York 10022

Dr. Waller is prohibited from rendering treatment and care to injured workers and from performing independent medical examinations. Reports submitted by Dr. Waller for services rendered prior to July 27, 2018 are valid but are invalid for any services rendered on or after that date. Requests to cross-examine Dr. Waller for services rendered prior to July 27, 2018 should not be denied due to the resignation of his authorizations.

Any questions regarding the authorized lists should be referred to the Medical Director’s Office at 1 (800) 781-2362.