Subject Numbers Regarding Health Provider Authorizations
January 14, 2021
Pursuant to Workers’ Compensation Law § 13-b, a provider must be licensed and registered with the New York State Education Department in order to maintain a Workers’ Compensation Board authorization(s).
The following have been removed from the list of providers authorized to treat injured workers and/or perform independent medical examinations within the New York State workers’ compensation system based on information provided by the New York State Education Department indicating that they do not currently have an active license to practice medicine in New York State.
NAME | LAST KNOWN CITY OF PRACTICE |
AUTHORIZATION NUMBER* |
EFFECTIVE DATE |
---|---|---|---|
Anderson, Brian Patrick | Lafayette | 158370-7W | November 18, 2020 |
Babalola, Ebenezer Olufemi | Stony Brook | 277987-4B | November 18, 2020 |
Becker, Adrian | Melville | 079343-0W | November 18, 2020 |
Bray, Diane | Vestal | P05929-6B | November 18, 2020 |
Browman, Morris William | Montreal | 189430-2W | November 18, 2020 |
Camerini, Davalos Rafael, A. | Yonkers | 092152-8W | November 18, 2020 |
Chauhan, Sudheer Singh | Jamaica | 207270-0W | November 18, 2020 |
Chiappetta, Louis Anthony | Brooklyn | C01710-5B | November 18, 2020 |
Chungfat, Shock Pin, C. | Lakewood | 123508-4W | November 18, 2020 |
Cirigliano, Dominic Caesar | Glenwood | C09118-3W | November 18, 2020 |
Cody, Crystal | Newark | PT042286-5W | November 18, 2020 |
Cohen, Justin Brent | Garden City | 287901-3W | November 18, 2020 |
De Pasquale, Nicholas Paul | New York | 097337-0W | November 18, 2020 |
Devitt, Patrick J. | Dublin | 185410-8W | November 18, 2020 |
Dhanyamraju, Nagendranath | Wappingers Falls | 204569-8W | November 18, 2020 |
Didio, Mary F. | Huntington | C05481-9B | November 18, 2020 |
Elliott, Holly Elizabeth | Kerhonkson | C05952-9B | November 18, 2020 |
Eromo, Ersno | Hudson | 262272-8W | November 18, 2020 |
Ezhapilli, Chennan Sajeev Rajan | Syracuse | 279243-0W | November 18, 2020 |
Francis, Earlie Hill, III | Cheshire | 277348-9W | November 18, 2020 |
Frischer, Zelik Ioshua | Stonybrook | 158739-3B | November 18, 2020 |
Gecui, Madalina | Aventura | 229133-4W | November 18, 2020 |
Goodman, William J. | Corning | 152846-2W | November 18, 2020 |
Grage, Rolf Albert | Ponte Vedra Beach | 227300-1W | November 18, 2020 |
Greenberg, Jack | Highland Park | 142512-3I | November 18, 2020 |
Guernsey, Michael Conrad | Colleyville | C07163-1W | November 18, 2020 |
Gustave, Ernst | West Hempstead | 142222-9W | November 18, 2020 |
Haft, David A. | Bronx | 124508-3W | November 18, 2020 |
Hannon, James Ignatius | New York | 096286-0W | November 18, 2020 |
Johnson, Marie Louise Tully | Florida | 099411-1W | November 19, 2020 |
Jonnakuti, Emmanuel Kanaka Daya | East Meadow | PT013935-2W | November 18, 2020 |
Kanchana, Sulada | Syracuse | 238686-0W | November 18, 2020 |
Kargacin, Biserka | New York | 205203-3W | November 18, 2020 |
Kassapidis, Anastassios | Astoria | 089344-6W | November 18, 2020 |
Khalil, Nabil Mossad | Orchard Park | 168189-9W | November 18, 2020 |
Lamper, Leonid | Armonk | 162560-7W | November 18, 2020 |
Laporta, Jennifer Ann | Fair Haven | 287545-8B | November 18, 2020 |
Lombardo, Dean Michael | Ocala | C06509-6B | November 19, 2020 |
Malarkey, Henry Francis, IV | Jamestown | 222433-5W | November 18, 2020 |
Maldonado, Jose Rafael, Jr. | Rome | 173736-0W | November 18, 2020 |
Malik, Seemab Nazar | Port Jefferson | 290572-7W | November 18, 2020 |
Meyer, Bruce A. | Brooklyn | C02804-5B | November 19, 2020 |
Milazzo, Salvatore Joseph, Sr. | Kenilworth | 241345-8W | November 19, 2020 |
Murphy, Richard James | Starkville | 082526-5W | November 18, 2020 |
Murray, Clifford Paul | Great Neck | 147724-9W | November 18, 2020 |
Nardi, Dominic Jerry | Melville | 143224-4W | November 18, 2020 |
Narula, Disha | Homer | 279249-7W | November 18, 2020 |
O’ Connor, Gale Lauren | Orchard Park | 176720-1W | November 18, 2020 |
Owen, Andrew James | Clinton Corners | C12984-3W | November 18, 2020 |
Pehush, Marie Louise | Florida | C04295-4W | November 19, 2020 |
Privitera, Danielle Harmon | Pittsford | 269422-2W | November 19, 2020 |
Roberto, Mario | New Rochelle | 089406-3W | November 19, 2020 |
Roch, James J. | New York | 173449-0W | November 19, 2020 |
Rorabaugh, James Douglas | Corning | 277940-3W | November 19, 2020 |
Satler, Samuel Leland | Chicago | 295014-5W | November 19, 2020 |
Schwartz, Jerrold Paul | Vestal | 165144-7W | November 19, 2020 |
Shah, Pravin M. | Purchase | 117860-7W | November 19, 2020 |
Shah, Shital P. | Middletown | 278975-8B | November 19, 2020 |
Shapiro, Alvin Martin | New York | 077338-2W | November 19, 2020 |
Shaw, James Albert | Cabin John | 140990-3I | November 19, 2020 |
Shea, Kevin Stewart | Buffalo | 197363-5W | November 19, 2020 |
Smith, Suzanne Jane | New York | 154158-0W | November 19, 2020 |
Stern, Richard Edward | Fort Mill | 104108-6W | November 19, 2020 |
Stewart, Nancy Byrd | Ithaca | 153705-9W | November 19, 2020 |
Storey, James Andrew | Cranberry Township | 287669-6W | November 19, 2020 |
Sun, Phi-An S. | Kingman | 100769-9W | November 19, 2020 |
Szabo, Andrew J. | New York | 095936-1W | November 19, 2020 |
Tang, Peter | Pittsburgh | 242959-5W | November 19, 2020 |
Thompson, Richard R. | Oswego | 156597-7W | November 19, 2020 |
Tolentino, Jonathan Lee | Stony Brook | 278979-0W | November 19, 2020 |
Weinberger, Gerald S. | Ardsley | 049238-9W | November 19, 2020 |
Westlake, Robert Elmer, Jr. | Syracuse | 137940-3B | November 19, 2020 |
Wortman, William J. | Pasadena | 150165-9W | November 19, 2020 |
Yoganathan, Pradeepa | Pittsburgh | 270191-0B | November 19, 2020 |
*Providers authorized to treat and perform independent medical examinations have an authorization number ending in B. Providers authorized to only treat have an authorization number ending in W. Providers authorized to only perform independent medical examinations have an authorization number ending in I.
These providers are prohibited from rendering treatment and care to injured workers and/or from performing independent medical examinations. Reports submitted for services rendered prior to the effective date are valid but are invalid for any services rendered on or after that date. Requests to cross-examine any of the above for services rendered prior to the effective date should not be denied due to the removal of their authorizations.
Any questions regarding the authorized lists should be referred to the Medical Director’s Office at 1 (800) 781-2362.
Clarissa M. Rodriguez
Chair