Subject Numbers Regarding Health Provider Authorizations

Authorization No. 077748-2W

February 10, 2021

Please be advised that Dr. Herbert Ausubel has resigned his authorization to treat injured workers in the New York State workers’ compensation system, effective February 6, 2021. Dr. Ausubel’s last known practice address is:

509 West Merrick Road
Valley Stream, New York 11580

Dr. Ausubel 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. Ausubel for services rendered prior to February 6, 2021, are valid but are invalid for any services rendered on or after that date. Requests to cross-examine Dr. Ausubel for services rendered prior to February 6, 2021, 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.