Subject Numbers Regarding Health Provider Authorizations

Authorization No. C11511-5B

March 16, 2021

Please be advised that Dr. Stephen Andre Novelli has resigned his authorizations to treat injured workers and perform independent medical examinations in the New York State workers’ compensation system effective March 16, 2021. Dr. Novelli’s last known practice address is:

3045 Southwestern Boulevard, Suite 102
Orchard Park, New York 14127

Dr. Novelli is prohibited from rendering treatment and care to injured workers, from performing independent medical examinations, and from conducting reviews of records regarding variance requests pursuant to 12 NYCRR § 324.3(b)(2)(ii)(a). Reports submitted by Dr. Novelli for services rendered prior to March 16, 2021, are valid but are invalid for any services rendered on or after that date. Requests to cross-examine Dr. Novelli for services rendered prior to March 16, 2021, 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.