Subject Numbers Regarding Health Provider Authorizations
May 14, 2015
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 |
|---|---|---|---|
| Agbo, Osmund Ugochukwu | Horseheads | 251622-7W | March 16, 2015 |
| Allen, Kristy Marie | Jacksonville, FL | C10774-8W | March 16, 2015 |
| Almond, Megan Elizabeth | Hansevort | 261692-8W | March 16, 2015 |
| Atakent, Pinar E. | Brooklyn | 147037-6B | March 16, 2015 |
| Barrios, Johnny Young | Spring Glen | 111147-5W | March 16, 2015 |
| Becker, Joshua A. | New York | 093723-5W | March 16, 2015 |
| Bellon, Lana | Tampa, FL | 269351-3W | March 16, 2015 |
| Bergen Chagnon, Mary Brita | Lake Placid | 117019-0W | March 16, 2015 |
| Bernstein, Peter Samuel | Tampa, FL | 230597-7W | March 16, 2015 |
| Brothman, Melvin M. | Amhurst | 082923-4B | March 16, 2015 |
| Burday, Stanford Zane | Pittsford | 090708-9W | March 16, 2015 |
| Burrows, Frederick Arthur | Hamilton, Canada, ONT | 222927-6W | March 17, 2015 |
| Chandy, Sunil Alexander | Bronx | 261989-8W | March 17, 2015 |
| Chung-Hussain, Helen K. | Owego | 254806-3W | March 16, 2015 |
| Compas, Jean C. | Brooklyn | 141141-2W | March 24, 2015 |
| Cooling, David Sabastian | Stony Brook | 174053-9W | March 16, 2015 |
| Cottrell, Jeffrey Ryan | Tampa, FL | 269198-8W | March 16, 2015 |
| Daniels, Marshall Nelson | Brooklyn | 084149-4W | March 16, 2015 |
| Das, Akhil K. | Bryn Mawr, PA | 212121-8W | March 16, 2015 |
| Decicco, John L. | Seneca Falls | C03326-6W | March 16, 2015 |
| Desagun, Guillermo E. | Oceanside | 117429-1W | March 16, 2015 |
| Elliott, Michalene Ann | Rochester | C08543-3B | March 16, 2015 |
| Farcy, Jean-Pierre Claude | Peirmont | 156776-7W | March 17, 2015 |
| Farrell, Gault Macalister | Morrisonville | 213607-5W | March 17, 2015 |
| Francis, Andrew J. | Stony Brook | 174601-5W | March 17, 2015 |
| Freeman, Sumner Lester | New York | 083335-0W | March 17, 2015 |
| Gazzo, Frank Joseph | Thousand Oaks, CA | 078169-0B | March 17, 2015 |
| Goldstone, Jonas Melvin | New York | 085319-2W | March 17, 2015 |
| Gundel, Jeffrey Christopher | Wilton | 201261-5W | March 24, 2015 |
| Hellinger, Kurt Andrew | Carmel | C06170-7W | March 17, 2015 |
| Hoogs, Kenneth Everett | Syracuse | 108021-7B | March 17, 2015 |
| Jamal, Nasiruddin M.K. | Johnson City | 123352-7W | March 17, 2015 |
| Jameson, Gerardus S. | Schenectady | 084511-5W | March 17, 2015 |
| Johnpulle, Romany Anne Nilanthi | Franklin | 269223-4W | March 17, 2015 |
| Kane, Philip Barry | Stony Brook | 101444-8W | March 17, 2015 |
| Kaza, Sarita | Bethesda, MD | 231184-3W | March 17, 2015 |
| Knox, John | Bronx | C09814-7B | March 17, 2015 |
| Laragh, John H. | New York | 049985-5W | March 17, 2015 |
| Laufer, Ira Jerome | New York | 075475-4W | March 17, 2015 |
| Lee, Frank C. | Victorville, CA | 246943-5W | March 17, 2015 |
| Lockwood, Howard | Forest Hills | 046635-9W | March 17, 2015 |
| Macdermott, Richard Pratt | Albany | 215592-7W | March 17, 2015 |
| Mc Carthy, Joseph Gerald | New York | 098980-6W | March 17, 2015 |
| Mims, Timothy Thomas | Austin, TX | 231723-8B | March 17, 2015 |
| Nam, Sang Chul | Queensbury | 111686-2W | March 17, 2015 |
| O'koniewski, Robert Francis | Albany | 090225-4W | March 17, 2015 |
| Patel, Dipen Krushnakant | McKinney, TX | 256256-9I | March 17, 2015 |
| Perez, Humberto | Madeira Beach, FL | 189678-6W | March 17, 2015 |
| Plantilla, Eduardo R. | Brooklyn | 121728-0W | March 17, 2015 |
| Randolph, David | Tampa, FL | 269412-3W | March 16, 2015 |
| Richard, Shambavi Das | Jersey City, NJ | 200928-0W | March 17, 2015 |
| Robbins, Robert Thomas | Staten Island | C11269-0W | March 17, 2015 |
| Santa-Ines, Carlos Parcutela | Norwich | 123289-1W | March 17, 2015 |
| Scheer, Justin | Millbrook | 074467-2W | March 17, 2015 |
| Seco, Guillermo M. | Staten Island | 093338-2W | March 17, 2015 |
| Shah, Sapna Ramesh | South Orange, NJ | 216230-3I | March 17, 2015 |
| Shemirani, Mehdi | Rochester | 100500-8W | March 17, 2015 |
| Sills, Stephen Joel | Diamond Point | 090817-8B | March 17, 2015 |
| Singh, Rajpaul | Hollis | 212722-3B | March 24, 2015 |
| Sorokoff, Sheldon A. | Hastings On Hudson | 079610-2W | March 17, 2015 |
| Stefano, Robert Thomas | Garden City | 077264-0W | March 17, 2015 |
| Steinbach, Andrew Maxwell | Bainbridge | 157764-2W | March 17, 2015 |
| Taylor, Robert Russell III | Binghamton | 176429-9W | March 17, 2015 |
| Urman, Simon Gregory | Brooklyn | 216120-6W | March 24, 2015 |
| Yehling, Hilary Anne | Rochester | 261538-3W | March 17, 2015 |
| Zuckerman, Frederick | New York | 081797-3W | March 17, 2015 |
* 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"
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.
Robert E. Beloten
Chair