Subject Numbers Regarding Health Provider Authorizations

Authorization No. 148049-0W

December 3, 2013

Please be advised that Dr. James Avellini has resigned his authorization to treat injured workers in the New York State workers’ compensation system effective December 2, 2013. Dr. Avellini's last known practice address is 770 Broadway, 2nd Floor, New York, NY 10003.

Dr. Avellini previously had his authorization temporarily suspended from October 19, 2012, to September 20, 2013. He was prohibited from rendering treatment and care to injured workers between those dates, and is again prohibited as of December 2, 2013. Reports submitted by Dr. Avellini for services rendered outside of his temporary suspension period and prior to December 2, 2013, are valid. Also, requests to cross-examine Dr. Avellini for services rendered outside of his temporary suspension period and prior to December 2, 2013 should not be denied due to his prior temporary suspension and/or resignation.

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