Subject Numbers Regarding Health Provider Authorizations
July 10, 2018
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 | CITY OF PRACTICE | AUTHORIZATION NUMBER* | EFFECTIVE DATE |
|---|---|---|---|---|
| Arora, Komal | Anatomic Pathology, Clinical Pathology, Blood Banking/Transfusion Medicine | Vestal | 291360-6W | June 29, 2018 |
| Choi, Jason Jae | Anesthesiology | Rye Brook | 264923-4W | June 11, 2018 |
| Desai, Pratik Arvindkumar | Anesthesiology | Syracuse | 286869-3W | June 29, 2018 |
| Hung, Susan Lien | Anesthesiology | Scarsdale | 274911-7W | June 22, 2018 |
| Jamil, Shibrah Maryam | Anesthesiology | Flushing | 215463-1B | June 22, 2018 |
| Johnson, Patrick Robert | Anesthesiology | New York | 284974-3B | June 22, 2018 |
| Khan, Muzammil Usman | Anesthesiology | Islandia | 288467-4W | June 29, 2018 |
| Plachta, Waldemar Wojciech | Anesthesiology | Long Island City | 179279-5W | June 29, 2018 |
| Vatakencherry, Abe Joseph | Anesthesiology, Pain Management | New York | 250594-9W | June 14, 2018 |
| Wu, Christopher Lee | Anesthesiology | New York | 183194-0W | June 29, 2018 |
| Yim, Peter D. | Anesthesiology | New York | 279958-3W | June 29, 2018 |
| Weinstein, Velez Mara Chaye | Dermatology | Pittsford | 284319-1W | June 22, 2018 |
| Ball, Gregory Raymond | Diagnostic Radiology | Orchard Park | 267538-7W | June 18, 2018 |
| Bartolotta, Roger J. | Diagnostic Radiology | New York | 246872-6W | June 28, 2018 |
| Byrns, Kory Andrew | Diagnostic Radiology, Neuroradiology | Beechhurst | 280998-6W | June 29, 2018 |
| Das, Krishna Kumar | Diagnostic Radiology | Poughkeepsie | 274277-3W | June 6, 2018 |
| Fitzgerald, John Michael | Diagnostic Radiology | Orchard Park | 218039-6W | June 19, 2018 |
| Heller, Samantha | Diagnostic Radiology | New York | 248850-0W | June 28, 2018 |
| Hu, Jessica Yung Chung | Diagnostic Radiology, Neuroradiology | New York | 259276-4B | June 29, 2018 |
| Kazam, James Jacob | Diagnostic Radiology | New York | 262585-3W | June 29, 2018 |
| Reichel, Michael Aaron | Diagnostic Radiology, Neuroradiology | New York | 256753-5W | June 29, 2018 |
| Weiss, Stan Lee | Diagnostic Radiology | Rochester | 157423-5W | June 6, 2018 |
| Van Amerongen, Robert Howell | Emergency Medicine | Cedarhurst | 174703-9B | June 22, 2018 |
| Wheeler, Jeffrey | Emergency Medicine | Amityville | 213785-9W | June 19, 2018 |
| Borowski, Lauren Elizabeth | Family Practice, Sports Medicine | New York | 288609-1B | June 22, 2018 |
| Cheek, Sarah Aisling | Family Practice | Stony Brook | 287810-6W | June 22, 2018 |
| Fitzgerald, Daniel Joseph | Family Practice | Catskills | 285860-3W | June 6, 2018 |
| Galilova, Lada | Family Practice | Brooklyn | 256092-8W | June 5, 2018 |
| Guest, Simone Keisha | Family Practice | Albany | 259196-4W | June 7, 2018 |
| Khanna, Neha | Family Practice | Lake Success | 264088-6W | June 6, 2018 |
| Lin, Xin Fu | Family Practice | Stony Brook | 287960-9B | June 29, 2018 |
| Marici, Kathleen Bulovas | Family Practice | Hudson | 213768-5W | June 6, 2018 |
| Murphy, William Patrick | Family Practice | Chatham | 204465-9W | June 6, 2018 |
| Pregont, Scott Michael | Family Practice, Sports Medicine | Hudson | 246069-9W | June 6, 2018 |
| Reiter, Braden James | Family Practice | Buffalo | 179939-4B | June 19, 2018 |
| Riskevich, Michael | Family Practice | Brooklyn | 208815-1B | June 28, 2018 |
| Samedov, Nikolay | Family Practice | Hensonville | 244913-0W | June 6, 2018 |
| Ahdoot, Allen | Gastroenterology | Lake Success | 229284-5W | June 6, 2018 |
| Arevalo, Diana C. | Internal Medicine | New Rochelle | 257679-1W | June 22, 2018 |
| Ayala, Jenny Soledad | Internal Medicine, Hospice and Palliative Medicine | West Harrison | 267259-0W | June 22, 2018 |
| Bella, Saif Ali | Internal Medicine | Johnson City | 290098-3W | June 29, 2018 |
| Caballes, Frederick Ryan Michae | Internal Medicine | Ithaca | 266026-4W | June 29, 2018 |
| Chua, Abigail Tan | Internal Medicine, Pulmonary Disease | Stony Brook | 292589-9B | June 29, 2018 |
| Dubin, Michael | Internal Medicine | Carmel | 208056-2W | June 20, 2018 |
| Ferdaus, Akash | Internal Medicine | Brooklyn | 266730-1W | June 29, 2018 |
| Gupta, Jessica | Internal Medicine | Webster | 289944-1W | June 20, 2018 |
| Hadi, Nicole C. | Internal Medicine | Yonkers | 260254-8W | June 22, 2018 |
| Isaacs, Andrea Gail Patrice | Internal Medicine, Pulmonary Disease, Critical Care Medicine | Pomona | 212109-3W | June 8, 2018 |
| Jaitovich, Adolfo Ariel | Internal Medicine, Pulmonary Disease, Critical Care Medicine | Albany | 275633-6W | June 22, 2018 |
| Jones, Zachary Allyn | Internal Medicine | Johnson City | 290601-4W | June 29, 2018 |
| Kessler, Matthew C. | Internal Medicine | Brewster | 288131-6W | June 22, 2018 |
| Khullar, Neha | Internal Medicine | Hudson | 271705-6W | June 6, 2018 |
| Monrroy, Prado Maricio Ricardo | Internal Medicine, Nephrology | Albany | 281624-7W | June 20, 2018 |
| Oliva, Diosmary A. | Internal Medicine, Infectious Diseases | Glendale | 209949-7W | June 7, 2018 |
| Ong, Eric Seen Han | Internal Medicine | Cooperstown | 292432-2W | June 29, 2018 |
| Peredo-Wende, Ruben Alfredo | Internal Medicine, Rheumatology | Albany | 285364-6W | June 20, 2018 |
| Quidort, Aaron John | Internal Medicine, Pediatrics | Castleton on Hudson | 289402-0W | June 13, 2018 |
| Romero, Carla Maria | Internal Medicine, Endocrinology, Diabetes and Metabolism | Lake Success | 257258-4W | June 6, 2018 |
| Santana, Calie | Internal Medicine | White Plains | 234774-8W | June 22, 2018 |
| Schulman-Marcus, Joshua | Internal Medicine, Cardiovascular Disease | Albany | 258720-2W | June 18, 2018 |
| Serynek, Stephen Brian | Internal Medicine, Cardiovascular Disease | New Hyde Park | 247440-1W | June 7, 2018 |
| Strassberg, Peter | Internal Medicine | Nanuet | 106427-8B | June 29, 2018 |
| Sudar, Singh Prabahar Cynthia | Internal Medicine | Bronx | 282698-0B | June 19, 2018 |
| Hongalgi, Krishnakumar Dundappa | Nephrology | Albany | 267018-0W | June 18, 2018 |
| Bhalla, Tarun | Neurological Surgery | Rochester | 283235-0W | June 29, 2018 |
| Siddiqui, Anila Qaiser | Neurology | Old Westbury | 242229-3B | June 29, 2018 |
| Zhou, Jin | Neurology | Little Neck | 292348-0W | June 20, 2018 |
| Lefkovits, Andrew | Obstetrics/Gynecology | Hudson | 148296-7W | June 7, 2018 |
| Ellant, Jonathan Philip | Ophthalmology | New York | 195706-7W | June 28 2018 |
| Kohara, Eunice Maya | Ophthalmology | Brooklyn | 258651-9W | June 28, 2018 |
| Nickel, Jonathan Aaron | Ophthalmology | Gloversville | 221925-1W | June 15, 2018 |
| Savetsky, Michael | Ophthalmology | Smithtown | 264883-0W | June 29, 2018 |
| Karelsky, Sveta | Otolaryngology | Pittsford | 262317-1W | June 20, 2018 |
| Schneider, Glenn Todd | Otolaryngology | Rochester | 285109-5W | June 20, 2018 |
| Daly, Ronald Alexander | Orthopedic Surgery | Brooklyn | 288975-6W | June 20, 2018 |
| Daoust, Susan Mae | Orthopedic Surgery | Buffalo | 293199-6B | June 19, 2018 |
| Girardi, Federico Pablo | Orthopedic Surgery | New York | 237741-4W | June 22, 2018 |
| Gomoll, Andreas Hans | Orthopedic Surgery | New York | 291527-0W | June 29, 2018 |
| Leucht, Philipp | Orthopedic Surgery | New York | 276510-5B | June 29, 2018 |
| Pipitone, Paul Simon | Orthopedic Surgery | Brooklyn | 256250-2B | June 28, 2018 |
| Roberts, Susanne Meredith | Orthopedic Surgery, Hand Surgery | New York | 283339-0W | June 7, 2018 |
| Whyte, Graeme Philp | Orthopedic Surgery | New York | 277321-6W | June 28, 2018 |
| Gebremichael, Amine Fessehagior | Pediatrics | Wilton | 272530-7W | June 22, 2018 |
| Abayev, Yana | Physical Medicine/Rehabilitation | Bronx | 282916-6W | June 8, 2018 |
| Patel, Faguna Chandrakant | Physical Medicine/Rehabilitation | Melville | 253578-9B | June 29, 2018 |
| Zhang, Xiaoliang | Physical Medicine/Rehabilitation | Elmhurst | 223483-9W | June 4, 2018 |
| Chamani, Robert | Podiatry | Brooklyn | P06444-5W | June 20, 2018 |
| Chiodo, Warren Anthony | Podiatry | Flushing | P06849-5W | June 20, 2018 |
| Crable, Kevin J. | Podiatry | Syracuse | P06866-9B | June 20, 2018 |
| Levine, Roger Gary | Psychiatry | Syracuse | 172860-9W | June 13, 2018 |
| Wagner, Diane | Psychiatry | Islip | 182713-8I | June 22, 2018 |
| Haywood, Dana Marie | Psychology | New York | S20627-6W | June 18, 2018 |
| Hernandez, Ernesto | Psychology | Astoria | S22092-1B | June 18, 2018 |
| Mihaila, Christine J. | Psychology | New York | S17224-7B | June 18, 2018 |
| Moor, Tarryn Raquel | Psychology | White Plains | S21200-1W | June 18, 2018 |
| Salandanan, Krystel Topacio | Psychology | New York | S20951-0W | June 18, 2018 |
| Trout, Tara Kristyl | Psychology | New York | S22406-3W | June 18, 2018 |
| Mohabir, Anthony Dennis | Radiology – Diagnostic Radiology | Poughkeepsie | 272842-6W | June 13, 2018 |
| Williams, Danielle Schneika | Radiology – Diagnostic Radiology | Poughkeepsie | 287715-7W | June 13, 2018 |
| Astorga, Rakel Maria | Surgery | Hudson | 249738-6W | June 6, 2018 |
| Martone, Stephan Louis | Surgery, Surgical Critical Care | Albany | 290183-3W | June 8, 2018 |
| Yu, Patty Sun | Surgery | Oceanside | 279423-8W | June 7, 2018 |
| Atlas, Ian | Urology | Hudson | 164064-8W | June 6, 2018 |
| Belarmino, James Michael | Urology | Latham | 292891-9W | June 8, 2018 |
| Danziger, Marc David | Urology | Cortlandt Manor | 196895-7B | June 29, 2018 |
| Gerstenbluth, Robert Eric | Urology | Schenectady | 232057-0W | June 18, 2018 |
| Han, Christopher Sejong | Urology | Middletown | 294186-2W | June 29, 2018 |
| Loden, Gary Blaine | Urology | Middletown | 230013-5W | June 15, 2018 |
| Melamed, Daniel Evan | Urology | Hudson | 175160-1W | June 7, 2018 |
* 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.
Any questions regarding the authorized lists should be referred to the Medical Director’s Office at 1 (800) 781-2362.
Clarissa M. Rodriguez
Chair