Subject Numbers Regarding Health Provider Authorizations

Authorization No. 242798-7W

June 5, 2024

Please be advised that Dr. John M. Ventrudo (hereinafter, "the provider") has resigned their authorization to treat injured workers in the New York State workers' compensation system effective June 5, 2024. The provider's last known practice addresses are:

NY Med
69-15 Austin Street
Forest Hills, New York 11375

New York Spine
761 Merrick Avenue
Westbury, New York 11590

The provider is prohibited from rendering treatment and care to injured workers, and from conducting reviews of records regarding variance requests pursuant to 12 New York Codes, Rules and Regulations § 324.3(b)(2)(ii)(a). Reports submitted by the provider for services rendered prior to June 5, 2024, are valid but are invalid for any services rendered on or after that date. Requests to cross-examine the provider for services rendered prior to June 5, 2024, should not be denied due to their resignation.

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