Subject Numbers Regarding Health Provider Authorizations
November 14, 2013
The following have been added to the list of providers authorized to treat injured workers and/or perform independent medical examinations within the New York State workers’ compensation system.
| NAME | SPECIALTY AREA OF PRACTICE |
AUTHORIZATION NUMBER* |
EFFECTIVE DATE |
|---|---|---|---|
| COSTA ANA CRISTINA | ANESTHESIOLOGY | 263383-2W | 10/3/2013 |
| CURIA LUCIANA MARIA | ANESTHESIOLOGY | 268811-7W | 10/7/2013 |
| PERDUE MARY CRISTIN | ANESTHESIOLOGY | 264248-6B | 10/10/2013 |
| TRAN NOBUYUKI-HAI THANH | ANESTHESIOLOGY | 268530-3W | 10/10/2013 |
| EASTER LAURIE MICHELLE | ANESTHESIOLOGY | 270280-1W | 10/23/2013 |
| BRECKENRIDGE MATTHEW L | ANESTHESIOLOGY | 269524-5W | 10/24/2013 |
| DUNST RYAN MATTHEW | ANESTHESIOLOGY | 267541-1W | 10/24/2013 |
| FOSTER CRISTA-GAYE NICOLE | ANESTHESIOLOGY | 264978-8W | 10/24/2013 |
| GUELI SARAH LOUISE | ANESTHESIOLOGY | 267072-7W | 10/24/2013 |
| PENA JOSE A | ANESTHESIOLOGY | 218573-4W | 10/24/2013 |
| RASHID ZARZINA T | ANESTHESIOLOGY | 244639-1W | 10/24/2013 |
| MOBEEN JAFFER | ANESTHESIOLOGY | 256414-4W | 10/25/2013 |
| SATTERFIELD JOHN MYRON | ANESTHESIOLOGY | 267611-2W | 10/25/2013 |
| KUMAR KANUPRIYA | ANESTHESIOLOGY | 249445-8W | 10/29/2013 |
| KIRKSEY MEGHAN ALIDA | ANESTHESIOLOGY | 265043-0W | 10/29/2013 |
| POONIA AMIT | ANESTHESIOLOGY | 269042-8W | 10/29/2013 |
| FENIG ARIELLE OCHOA | ANESTHESIOLOGY, PAIN MANAGEMENT | 251352-1W | 10/8/2013 |
| HASKINS STEPHEN CALEB | ANESTHESIOLOGY, PAIN MANAGEMENT | 254272-8W | 10/11/2013 |
| DEMESMIN DIDIER | ANESTHESIOLOGY, PAIN MANAGEMENT | 228550-0W | 10/30/2013 |
| JAFRI SYED ZAHEER ABBAS | CARDIOVASCULAR | 234581-7B | 10/25/2013 |
| DRESSEL CHRISTOPHER ALAN | CHIROPRACTIC | C12287-1W | 10/11/2013 |
| LEE DONG HWAN | CHIROPRACTIC | C12358-0W | 10/11/2013 |
| MARINO LEONARD NICHOLAS | CHIROPRACTIC | C07221-7B | 10/11/2013 |
| RUTKOWSKI STEPHEN THEODORE | CHIROPRACTIC | C06887-6W | 10/11/2013 |
| SADOVNIK NOAM | CHIROPRACTIC | C10883-9B | 10/11/2013 |
| DECKELBAUM SCOTT HOWARD | DERMATOLOGY | 235559-2W | 10/16/2013 |
| BALLARD LUKE JUSTIN | DIAGNOSTIC RADIOLOGY | 267584-1W | 10/16/2013 |
| BALLARD GENEVA RANDALL | DIAGNOSTIC RADIOLOGY | 267509-8W | 10/16/2013 |
| BUONO DARREN MICHAEL | DIAGNOSTIC RADIOLOGY | 269557-5W | 10/25/2013 |
| CARTER SION WILLIAM | DIAGNOSTIC RADIOLOGY | 269144-2W | 10/25/2013 |
| COTTRELL JEFFREY RYAN | DIAGNOSTIC RADIOLOGY | 269198-8W | 10/25/2013 |
| BARAN GALINA | DIAGNOSTIC RADIOLOGY | 233203-9W | 10/25/2013 |
| KARIMI SARA | DIAGNOSTIC RADIOLOGY | 210909-8W | 10/25/2013 |
| HUSSIEN AMIRA | DIAGNOSTIC RADIOLOGY | 267820-9B | 10/29/2013 |
| ELGORT STELLA | DIAGNOSTIC RADIOLOGY | 264062-1W | 10/29/2013 |
| FODERA VITO | DIAGNOSTIC RADIOLOGY | 264556-2W | 10/30/2013 |
| SOEHNLEIN STEPHANIE LYNN | DIAGNOSTIC RADIOLOGY | 264892-1W | 10/31/2013 |
| JIAO RICHARD XINYU | DIAGNOSTIC RADIOLOGY, NEURORADIOLOGY | 256383-1W | 10/1/2013 |
| KHORSANDI AZITA | DIAGNOSTIC RADIOLOGY, NEURORADIOLOGY | 194066-7W | 10/29/2013 |
| MELTZER DANIEL ERIC | DIAGNOSTIC RADIOLOGY, NEURORADIOLOGY | 219527-9W | 10/29/2013 |
| BERNSTEIN PETER SAMUEL | DIAGNOSTIC RADIOLOGY, VASCULAR AND INTERVENTIONAL RADIOLOGY | 230597-7W | 10/25/2013 |
| WEISBLUM LEWIS SAMUEL | DIAGNOSTIC RADIOLOGY, VASCULAR AND INTERVENTIONAL RADIOLOGY | 181125-6W | 10/29/2013 |
| WILLIAMS DARYL WESLEY | EMERGENCY MEDICINE | 270099-5W | 10/3/2013 |
| ALBERT JANINE CLAIRE | EMERGENCY MEDICINE | 270623-2W | 10/3/2013 |
| MARTINS LYNDA | EMERGENCY MEDICINE | 226517-1W | 10/3/2013 |
| HAMDANI MOHAMMAD ADNAAN | EMERGENCY MEDICINE | 271635-5W | 10/3/2013 |
| MATHEW JOHN | EMERGENCY MEDICINE | 243046-0W | 10/16/2013 |
| GAMPEL NESHE E | EMERGENCY MEDICINE | 250618-6W | 10/16/2013 |
| SAMUEL STEVEN | EMERGENCY MEDICINE | 238889-0W | 10/16/2013 |
| CHURCH ADAM L | EMERGENCY MEDICINE | 194348-9W | 10/16/2013 |
| ELBERGER SCOTT | EMERGENCY MEDICINE | 134689-9W | 10/16/2013 |
| HADPAWAT REDA | EMERGENCY MEDICINE | 240258-4W | 10/16/2013 |
| MACK IAN ANDREW | EMERGENCY MEDICINE | 253450-1W | 10/16/2013 |
| FAZIO FRANK MICHAEL | EMERGENCY MEDICINE | 245406-4W | 10/16/2013 |
| BETTER LISA STEPHANIE | EMERGENCY MEDICINE | 216675-9B | 10/25/2013 |
| SCHREFFLER SUSAN MARIA | EMERGENCY MEDICINE | 271557-1W | 10/29/2013 |
| FROGEL DANIEL M | EMERGENCY MEDICINE, INTERNAL MEDICINE | 245689-5W | 10/16/2013 |
| ECKBERG PETER HAROLD | FAMILY PRACTICE | 258829-1W | 10/3/2013 |
| BLANCO ANA MARIA G | FAMILY PRACTICE | 261981-5W | 10/3/2013 |
| KOPPENHEFFER PETER BROOKS | FAMILY PRACTICE | 269392-7W | 10/3/2013 |
| VINAYAGASUNDARAM BHANUMATHY | FAMILY PRACTICE | 240741-9W | 10/7/2013 |
| LEIBOVICI MONICA | FAMILY PRACTICE | 269306-7W | 10/9/2013 |
| HOSAKA MIA | FAMILY PRACTICE | 271133-1W | 10/9/2013 |
| WISE ALLYSON CHRISTINE | FAMILY PRACTICE | 271027-5W | 10/9/2013 |
| CARTER DANIELLE MARIE | FAMILY PRACTICE | 268421-5B | 10/9/2013 |
| LOOMIS JAMES A | FAMILY PRACTICE | 271012-7W | 10/10/2013 |
| MAHON HIROMI KIMURA | FAMILY PRACTICE | 270882-4W | 10/15/2013 |
| LIEU JASON | FAMILY PRACTICE | 271145-5W | 10/15/2013 |
| FRISELLA PATRIZIO DOMENICO | FAMILY PRACTICE | 255862-5B | 10/16/2013 |
| BLUEMKE-MACKOFF ROBIN CINDY | FAMILY PRACTICE | 209242-7W | 10/16/2013 |
| SPITZER MATTHEW COOK | FAMILY PRACTICE | 254336-1W | 10/16/2013 |
| ASHOK MALA | FAMILY PRACTICE | 268667-3W | 10/23/2013 |
| MANGIONE MICHAEL THOMAS JR | FAMILY PRACTICE | 265117-2W | 10/29/2013 |
| MATIER JENNIFER MICHALIK | FAMILY PRACTICE | 262061-5W | 10/29/2013 |
| AVELLINI JAMES R | GENERAL PRACTICE | 148049-0W | 10/1/2013 |
| KUO KUANG HUNG | GENERAL PRACTICE | 270413-8W | 10/16/2013 |
| KAROFF THOMAS MICHAEL | INTERNAL MEDICINE | 243062-7I | 10/3/2013 |
| TERESSA GETU GONFA | INTERNAL MEDICINE | 271359-2W | 10/3/2013 |
| PETER RENNY VALAMPARAMBIL | INTERNAL MEDICINE | 271710-6W | 10/3/2013 |
| FLORES RONALD AUGUSTINE A | INTERNAL MEDICINE | 271282-6W | 10/3/2013 |
| SAW THAZIN | INTERNAL MEDICINE | 212936-9W | 10/8/2013 |
| LALDIN JOHN SAMUEL | INTERNAL MEDICINE | 271121-6W | 10/8/2013 |
| GEWIRTZ MICHAEL FREDERICK | INTERNAL MEDICINE | 173953-1W | 10/16/2013 |
| SPEAR ALISON HEATHER | INTERNAL MEDICINE | 228265-5B | 10/24/2013 |
| BELL RYAN ALEXANDER | INTERNAL MEDICINE | 269388-5B | 10/25/2013 |
| NICI ANTHONY JOSEPH | INTERNAL MEDICINE | 257646-0B | 10/25/2013 |
| COHEN NELLY | INTERNAL MEDICINE | 233371-4W | 10/29/2013 |
| ROTH MARIAM | INTERNAL MEDICINE | 271074-7W | 10/29/2013 |
| NAGESHWAR PRASHANT KUMAR | INTERNAL MEDICINE | 270985-5W | 10/30/2013 |
| DONAHOE SEAN M | INTERNAL MEDICINE, CARDIOVASCULAR | 240329-3W | 10/3/2013 |
| PATEL RAJOO CHITTARANJAN | INTERNAL MEDICINE, CARDIOVASCULAR | 196837-9W | 10/3/2013 |
| WANG LORI AMY | INTERNAL MEDICINE, ENDOCRINOLOGY, DIABETES AND METABOLISM | 220095-4W | 10/8/2013 |
| THOSANI AMAR JITENDRA | INTERNAL MEDICINE, GASTROENTEROLOGY | 246893-2B | 10/3/2013 |
| NAUTIYAL PREETI | INTERNAL MEDICINE, INFECTIOUS DISEASES | 224753-4W | 10/8/2013 |
| GAFFNEY-ADAMS ALEXEA MAKIYA | INTERNAL MEDICINE, INFECTIOUS DISEASES, PEDIATRICS | 266926-5W | 10/3/2013 |
| GILL GAGANDEEP | INTERNAL MEDICINE, PEDIATRICS | 270751-1W | 10/3/2013 |
| RUBINSTEIN ADAM LANCE | INTERNAL MEDICINE, PEDIATRICS | 219350-6I | 10/30/2013 |
| ALAM ABDULKADER | INTERNAL MEDICINE, PSYCHIATRY | 238375-0W | 10/3/2013 |
| PAUL MANJU POVATHUMVEEDAN | INTERNAL MEDICINE, PULMONARY DISEASES, CRITICAL CARE | 271077-0W | 10/3/2013 |
| SANDERS AMY ELAINE | NEUROLOGY | 243608-7W | 10/10/2013 |
| SACHDEV-SINGH NAUNIHAL | NEUROLOGY | 135528-8I | 10/15/2013 |
| SHASTRI KALYAN KANDUKURTHI | NEUROLOGY | 267346-5W | 10/29/2013 |
| BABIN DAVID RANDOLPH | NUCLEAR MEDICINE, DIAGNOSTIC RADIOLOGY | 269412-3W | 10/25/2013 |
| KELTY ROBERT WALTER | OBSTETRICS/GYNECOLOGY | 184827-4W | 10/1/2013 |
| VARUGHESE-RAJU JOYCE | OBSTETRICS/GYNECOLOGY, GYNECOLOGIC ONCOLOGY | 270464-1W | 10/3/2013 |
| DWECK MONICA MICHELE | OPHTHALMOLOGY | 173216-3W | 10/8/2013 |
| CARRUTH BRYANT PAUL | OPHTHALMOLOGY | 260147-4W | 10/29/2013 |
| THOMAN MARIE-EVE CHRISTINE | OPHTHALMOLOGY | 254981-4W | 10/29/2013 |
| ABBAS NAUSHEEN | OPHTHALMOLOGY | 268882-8W | 10/30/2013 |
| MA KATHERINE CRAIG | ORTHOPEDIC SURGERY | 269535-1W | 10/1/2013 |
| KUNKLE HERBERT L | ORTHOPEDIC SURGERY | 270411-2W | 10/8/2013 |
| KIM JAEHON MICHAEL | ORTHOPEDIC SURGERY | 268733-3W | 10/15/2013 |
| SCHIEBERT STEVEN SOKOLOV | ORTHOPEDIC SURGERY | 257063-8W | 10/16/2013 |
| HASSAN SHEREF E | ORTHOPEDIC SURGERY | 261137-4W | 10/16/2013 |
| HIP-FLORES JULES DAVID | ORTHOPEDIC SURGERY | 270327-0W | 10/29/2013 |
| ODA NINOS | ORTHOPEDIC SURGERY | 271683-5W | 10/29/2013 |
| BLAKE DEIDRE M | ORTHOPEDIC SURGERY | 256896-2W | 10/30/2013 |
| SOLES GILLIAN LS | ORTHOPEDIC SURGERY | 270393-2W | 10/31/2013 |
| KADIYALA RAJENDRA KUMAR | ORTHOPEDIC SURGERY, HAND SURGERY | 270923-6B | 10/15/2013 |
| PODZIMEK JANA | OTOLARYNGOLOGY | 270370-0B | 10/16/2013 |
| VARGA-HUETTNER VICTORIA EVA | OTOLARYNGOLOGY | 270705-7W | 10/21/2013 |
| CABALLERO TANIA MARIA | PEDIATRICS | 270552-3W | 10/29/2013 |
| LEE ERIC | PHYSICAL MEDICINE/REHABILITATION | 264765-9B | 10/10/2013 |
| LERCHER KIRK | PHYSICAL MEDICINE/REHABILITATION | 269305-9W | 10/10/2013 |
| FUSCO HEIDI NICOLE | PHYSICAL MEDICINE/REHABILITATION | 264468-0W | 10/10/2013 |
| MATARRESE MARISSA RAE | PLASTIC SURGERY | 268664-0W | 10/31/2013 |
| CHEPURNAYA IRYNA | PSYCHIATRY | 225037-1W | 10/30/2013 |
| RODNER ANGELINA S | PSYCHOLOGY | S18084-4W | 10/4/2013 |
| RIEGER BRIAN PAUL | PSYCHOLOGY | S13107-8W | 10/4/2013 |
| LAINO JOSEPH | PSYCHOLOGY | S14829-6I | 10/4/2013 |
| KRELLMAN JASON WARREN | PSYCHOLOGY | S19043-9W | 10/4/2013 |
| HIRSHSON CHARI ILANA | PSYCHOLOGY | S19756-6B | 10/4/2013 |
| BARTOSZEK TAMMY ANNE REDHEAD | PSYCHOLOGY | S14920-3W | 10/4/2013 |
| CARONE DOMINIC A | PSYCHOLOGY | S16326-1W | 10/4/2013 |
| SMITH RICHARD M | PSYCHOLOGY | S05148-2W | 10/4/2013 |
| ROGERSON MARK DAVID | PSYCHOLOGY | S19256-7B | 10/29/2013 |
| COPANS TERRI LYNN | PSYCHOLOGY | S15108-4B | 10/29/2013 |
| TAYLOR JEROME D | SURGERY | 231485-4W | 10/16/2013 |
| FUEG ADRIENNE | SURGERY | 204001-2B | 10/29/2013 |
| SINGH PARAMJEET | SURGERY | 249409-4B | 10/29/2013 |
| WISEMAN JEFFREY SCOTT | SURGERY, COLON/RECTAL SURGERY | 190990-2W | 10/30/2013 |
| JAWA RANDEEP SINGH | SURGERY, SURGICAL CRITICAL CARE | 230785-8B | 10/3/2013 |
| ROTONDO MICHAEL FREDERICK | SURGERY, SURGICAL CRITICAL CARE | 270454-2W | 10/9/2013 |
*Providers authorized to treat only, have an authorization number ending in “W” – Providers authorized to treat and perform independent medical examinations, have an authorization number ending in “B” – Providers authorized to perform independent medical examinations only, have an authorization number ending in “I”
The following doctors have been added to the list of Impartial Specialists eligible for appointment in specific cases by the Board.
| NAME | SPECIALTY AREA OF PRACTICE |
LICENSE NUMBER |
EFFECTIVE DATE |
END DATE |
|---|---|---|---|---|
| GEER DEBORAH ANN | SURGERY | 238625-8 | 10/2/2013 | 10/2/2018 |
| HAMILL CHRISTOPHER LAWRENCE | ORTHOPEDIC SURGERY | 200675-7 | 10/2/2013 | 10/2/2018 |
| ROOFEH JAHANSHAH | ORTHOPEDIC SURGERY | 144347-2 | 10/8/2013 | 10/8/2018 |
| SLOUGH JAMES ALAN | ORTHOPEDIC SURGERY | 188540-9 | 10/8/2013 | 10/8/2018 |
Any questions regarding the authorized lists should be referred to the Medical Director’s Office at 1 (800) 781-2362.
Robert E. Beloten
Chair