Subject Numbers Regarding Health Provider Authorizations

Authorization No. 196756-1W

November 5, 2019

Please be advised that Dr. Sudipt Sureshchandra Deshmukh has resigned his authorization to treat injured workers in the New York State workers’ compensation system effective November 1, 2019. Dr. Deshmukh’s last known practice address is:

Long Pond Medical Group
2350 Ridgeway Avenue
Rochester, New York 14626

Dr. Deshmukh is prohibited from rendering treatment and care to injured workers and from conducting reviews of records regarding variance requests pursuant to 12 NYCRR § 324.3(b)(2)(ii)(a). Reports submitted by Dr. Deshmukh for services rendered prior to November 1, 2019 are valid but are invalid for any services rendered on or after that date. Requests to cross-examine Dr. Deshmukh for services rendered prior to November 1, 2019 should not be denied due to his resignation.

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