Subject Numbers Regarding Health Provider Authorizations

Authorization No. C04815-9W

August 7, 2013

Pursuant to Workers' Compensation Law Section 13-d(4), the Chair of the New York State Workers' Compensation Board has exercised his authority to temporarily suspend Dr. Richard Nebiosini's authorization to treat injured workers within the New York State workers' compensation system effective July 25, 2013. Dr. Nebiosini's last known business address is 74 Southaven Avenue, Suite B, Medford, New York 11763.

The Chair's designee's investigation revealed that on September 11, 2012, the New York State Education Department, Office of Professional Discipline State Board for Chiropractic granted Dr. Nebiosini's application for a consent order in which he plead guilty to the charges of committing acts constituting a crime under New York State Law, specifically, Insurance Fraud in the Fifth Degree, a class A misdemeanor. He agreed to a 24 month license suspension, a 24 month probationary term, and a $1000.00 fine. Therefore, the Chair believes that Dr. Nebiosini may be guilty of misconduct.

Dr. Nebiosini is prohibited from rendering treatment and care to injured workers while his authorization is temporarily suspended. Reports submitted by Dr. Nebiosini for services rendered prior to July 25, 2013, are valid, but are invalid for any services rendered on or after that date. Requests to cross-examine Dr. Nebiosini for services rendered prior to July 25, 2013, should not be denied due to the suspension of his authorization.

This suspension remains in effect until further notice. Any questions regarding the authorized lists should be referred to the Medical Director's Office at 1 (800) 781-2362.