Subject Numbers Regarding Health Provider Authorizations

Authorization No. C10366-5W

August 19, 2020

Please be advised that Dr. James J. Passero has resigned his authorization to treat injured workers in the New York State workers’ compensation system, effective August 12, 2020. Dr. Passero’s last known practice address is:

8799 Shady Shores Road
Clayton, New York 13624

Dr. Passero 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. Passero for services rendered prior to August 12, 2020, are valid but are invalid for any services rendered on or after that date. Requests to cross-examine Dr. Passero for services rendered prior to August 12, 2020, 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.