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Subject Number 046-1360 Changes to the List of Health Care Providers Authorized to Render Services to Injured Workers Under the Workers’ Compensation Law

Subject Numbers Regarding Health Provider Authorizations

January 14, 2021

Pursuant to Workers’ Compensation Law § 13-b, a provider must be licensed and registered with the New York State Education Department in order to maintain a Workers’ Compensation Board authorization(s).

The following have been removed from the list of providers authorized to treat injured workers and/or perform independent medical examinations within the New York State workers’ compensation system based on information provided by the New York State Education Department indicating that they do not currently have an active license to practice medicine in New York State.

NAME LAST KNOWN
CITY OF PRACTICE
AUTHORIZATION
NUMBER*
EFFECTIVE DATE
Anderson, Brian Patrick Lafayette 158370-7W November 18, 2020
Babalola, Ebenezer Olufemi Stony Brook 277987-4B November 18, 2020
Becker, Adrian Melville 079343-0W November 18, 2020
Bray, Diane Vestal P05929-6B November 18, 2020
Browman, Morris William Montreal 189430-2W November 18, 2020
Camerini, Davalos Rafael, A. Yonkers 092152-8W November 18, 2020
Chauhan, Sudheer Singh Jamaica 207270-0W November 18, 2020
Chiappetta, Louis Anthony Brooklyn C01710-5B November 18, 2020
Chungfat, Shock Pin, C. Lakewood 123508-4W November 18, 2020
Cirigliano, Dominic Caesar Glenwood C09118-3W November 18, 2020
Cody, Crystal Newark PT042286-5W November 18, 2020
Cohen, Justin Brent Garden City 287901-3W November 18, 2020
De Pasquale, Nicholas Paul New York 097337-0W November 18, 2020
Devitt, Patrick J. Dublin 185410-8W November 18, 2020
Dhanyamraju, Nagendranath Wappingers Falls 204569-8W November 18, 2020
Didio, Mary F. Huntington C05481-9B November 18, 2020
Elliott, Holly Elizabeth Kerhonkson C05952-9B November 18, 2020
Eromo, Ersno Hudson 262272-8W November 18, 2020
Ezhapilli, Chennan Sajeev Rajan Syracuse 279243-0W November 18, 2020
Francis, Earlie Hill, III Cheshire 277348-9W November 18, 2020
Frischer, Zelik Ioshua Stonybrook 158739-3B November 18, 2020
Gecui, Madalina Aventura 229133-4W November 18, 2020
Goodman, William J. Corning 152846-2W November 18, 2020
Grage, Rolf Albert Ponte Vedra Beach 227300-1W November 18, 2020
Greenberg, Jack Highland Park 142512-3I November 18, 2020
Guernsey, Michael Conrad Colleyville C07163-1W November 18, 2020
Gustave, Ernst West Hempstead 142222-9W November 18, 2020
Haft, David A. Bronx 124508-3W November 18, 2020
Hannon, James Ignatius New York 096286-0W November 18, 2020
Johnson, Marie Louise Tully Florida 099411-1W November 19, 2020
Jonnakuti, Emmanuel Kanaka Daya East Meadow PT013935-2W November 18, 2020
Kanchana, Sulada Syracuse 238686-0W November 18, 2020
Kargacin, Biserka New York 205203-3W November 18, 2020
Kassapidis, Anastassios Astoria 089344-6W November 18, 2020
Khalil, Nabil Mossad Orchard Park 168189-9W November 18, 2020
Lamper, Leonid Armonk 162560-7W November 18, 2020
Laporta, Jennifer Ann Fair Haven 287545-8B November 18, 2020
Lombardo, Dean Michael Ocala C06509-6B November 19, 2020
Malarkey, Henry Francis, IV Jamestown 222433-5W November 18, 2020
Maldonado, Jose Rafael, Jr. Rome 173736-0W November 18, 2020
Malik, Seemab Nazar Port Jefferson 290572-7W November 18, 2020
Meyer, Bruce A. Brooklyn C02804-5B November 19, 2020
Milazzo, Salvatore Joseph, Sr. Kenilworth 241345-8W November 19, 2020
Murphy, Richard James Starkville 082526-5W November 18, 2020
Murray, Clifford Paul Great Neck 147724-9W November 18, 2020
Nardi, Dominic Jerry Melville 143224-4W November 18, 2020
Narula, Disha Homer 279249-7W November 18, 2020
O’ Connor, Gale Lauren Orchard Park 176720-1W November 18, 2020
Owen, Andrew James Clinton Corners C12984-3W November 18, 2020
Pehush, Marie Louise Florida C04295-4W November 19, 2020
Privitera, Danielle Harmon Pittsford 269422-2W November 19, 2020
Roberto, Mario New Rochelle 089406-3W November 19, 2020
Roch, James J. New York 173449-0W November 19, 2020
Rorabaugh, James Douglas Corning 277940-3W November 19, 2020
Satler, Samuel Leland Chicago 295014-5W November 19, 2020
Schwartz, Jerrold Paul Vestal 165144-7W November 19, 2020
Shah, Pravin M. Purchase 117860-7W November 19, 2020
Shah, Shital P. Middletown 278975-8B November 19, 2020
Shapiro, Alvin Martin New York 077338-2W November 19, 2020
Shaw, James Albert Cabin John 140990-3I November 19, 2020
Shea, Kevin Stewart Buffalo 197363-5W November 19, 2020
Smith, Suzanne Jane New York 154158-0W November 19, 2020
Stern, Richard Edward Fort Mill 104108-6W November 19, 2020
Stewart, Nancy Byrd Ithaca 153705-9W November 19, 2020
Storey, James Andrew Cranberry Township 287669-6W November 19, 2020
Sun, Phi-An S. Kingman 100769-9W November 19, 2020
Szabo, Andrew J. New York 095936-1W November 19, 2020
Tang, Peter Pittsburgh 242959-5W November 19, 2020
Thompson, Richard R. Oswego 156597-7W November 19, 2020
Tolentino, Jonathan Lee Stony Brook 278979-0W November 19, 2020
Weinberger, Gerald S. Ardsley 049238-9W November 19, 2020
Westlake, Robert Elmer, Jr. Syracuse 137940-3B November 19, 2020
Wortman, William J. Pasadena 150165-9W November 19, 2020
Yoganathan, Pradeepa Pittsburgh 270191-0B November 19, 2020

*Providers authorized to treat and perform independent medical examinations have an authorization number ending in B. Providers authorized to only treat have an authorization number ending in W. Providers authorized to only perform independent medical examinations have an authorization number ending in I.

These providers are prohibited from rendering treatment and care to injured workers and/or from performing independent medical examinations. Reports submitted for services rendered prior to the effective date are valid but are invalid for any services rendered on or after that date. Requests to cross-examine any of the above for services rendered prior to the effective date should not be denied due to the removal of their authorizations.

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

Clarissa M. Rodriguez
Chair