Subject Numbers Regarding Health Provider Authorizations

Authorization No. 272774-1W

November 3, 2023

Please be advised that Dr. Jordan Sudberg has resigned his authorization to treat injured workers in the New York State workers' compensation system effective October 31, 2023. Dr. Sudberg's last known practice addresses are:

Spine and Sports Rehabilitation
1717 Veterans Memorial Highway, Suite 1
Islandia, New York 11749

and

352 Rosevale Avenue
Ronkonkoma, New York 11779

Dr. Sudberg 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. Sudberg for services rendered prior to October 31, 2023, are valid but are invalid for any services rendered on or after that date. Requests to cross-examine Dr. Sudberg for services rendered prior to October 31, 2023, 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.