Subject Numbers Regarding Health Provider Authorizations
December 5, 2013
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 |
AUTHORIZATION NUMBER* |
EFFECTIVE DATE |
|---|---|---|---|
| SCINTO JOHN DANIEL | ALLERGY AND IMMUNOLOGY, INTERNAL MEDICINE | 202276-2B | 11/25/2013 |
| CHU KIMBERLY ERIN | ANATOMIC PATHOLOGY | 231642-0I | 11/4/2013 |
| SHARMA VANDANA | ANESTHESIOLOGY | 266449-8W | 11/13/2013 |
| MEHTA NEEL DEVENDRA | ANESTHESIOLOGY | 245312-4W | 11/20/2013 |
| ERFE FRANCISCO FERNANDEZ JR | ANESTHESIOLOGY | 206567-0W | 11/25/2013 |
| COMUNIELLO CARL JEFFREY | ANESTHESIOLOGY | 203644-0W | 11/25/2013 |
| JOYO GHULAM SHABIR | ANESTHESIOLOGY | 232612-2W | 11/25/2013 |
| GARGANI STEPHANIE | ANESTHESIOLOGY | 259528-8W | 11/25/2013 |
| SHIN MICHAEL MINCHUL | ANESTHESIOLOGY | 219628-5W | 11/25/2013 |
| SHAHBAZ NOREEN | ANESTHESIOLOGY | 227254-0W | 11/25/2013 |
| RODRIGUEZ EVAN MATTHEW | ANESTHESIOLOGY | 267963-7W | 11/25/2013 |
| PFEIFFER THOMAS ALLEN | ANESTHESIOLOGY | 267850-6W | 11/25/2013 |
| KO MICHAEL | ANESTHESIOLOGY, ANESTHESIOLOGY - PAIN MANAGEMENT | 271704-9W | 11/27/2013 |
| WAINWRIGHT BRENT DENMAN | DERMATOLOGY | 234018-0B | 11/25/2013 |
| BELLON LANA | DIAGNOSTIC RADIOLOGY | 269351-3W | 11/5/2013 |
| JAWETZ SHARI TAMAR | DIAGNOSTIC RADIOLOGY | 250245-8W | 11/20/2013 |
| EWY BRIAN RANDALL | DIAGNOSTIC RADIOLOGY | 239044-1W | 11/20/2013 |
| NEVSKY GREGORY | DIAGNOSTIC RADIOLOGY | 253980-7W | 11/25/2013 |
| MARTINO JENNIFER MARIE | DIAGNOSTIC RADIOLOGY | 203941-0W | 11/25/2013 |
| ZITO JOSEPH ANTHONY | EMERGENCY MEDICINE | 257254-3B | 11/1/2013 |
| PERSKY ADAM DAVID | EMERGENCY MEDICINE | 258692-3W | 11/8/2013 |
| NACCA KATHERINE MICHELE | EMERGENCY MEDICINE | 265852-4W | 11/12/2013 |
| NICHOLAS ELIZABETH ELLEN | EMERGENCY MEDICINE | 270884-0W | 11/13/2013 |
| PATRICK PAUL A | EMERGENCY MEDICINE | 240139-6W | 11/20/2013 |
| DICKINSON DANIEL S | EMERGENCY MEDICINE | 251231-7B | 11/27/2013 |
| SHIVES ERIC RUSSELL | FAMILY PRACTICE | 272179-3W | 11/5/2013 |
| FAVREAU-HERZ DAHLIA | FAMILY PRACTICE | 264411-0W | 11/8/2013 |
| JANAS NODAR | FAMILY PRACTICE | 226527-0I | 11/12/2013 |
| GUPTA SADHANA | FAMILY PRACTICE | 214772-6W | 11/12/2013 |
| ELKINS CINTHIA LISA | FAMILY PRACTICE | 271048-1W | 11/13/2013 |
| LETTRICK MICHAEL ALLEN | FAMILY PRACTICE | 189372-6W | 11/15/2013 |
| SEIGEL REBECCA RAE | FAMILY PRACTICE | 210769-6W | 11/25/2013 |
| SALEI INESA | FAMILY PRACTICE | 270930-1B | 11/27/2013 |
| ELLIOTT BRIAN MARC | INTERNAL MEDICINE | 251161-6I | 11/4/2013 |
| LANE MATTHEW JOHN | INTERNAL MEDICINE | 237202-7W | 11/8/2013 |
| TAYLOR EMILY OTIS | INTERNAL MEDICINE | 256407-8W | 11/8/2013 |
| HESS MATTHEW J | INTERNAL MEDICINE | 269454-5W | 11/12/2013 |
| SIP ANNA KATARZYNA | INTERNAL MEDICINE | 271612-4W | 11/20/2013 |
| AGNO FELIZEN SOTO | INTERNAL MEDICINE, CARDIOVASCULAR | 271686-8W | 11/5/2013 |
| VASAVADA BALENDU C | INTERNAL MEDICINE, CARDIOVASCULAR | 133619-7W | 11/12/2013 |
| WINCHESTER-PENNY SHERMA GAIL | INTERNAL MEDICINE, CARDIOVASCULAR | 188808-0B | 11/12/2013 |
| RIBAUDO THOMAS P | INTERNAL MEDICINE, CARDIOVASCULAR | 139063-2W | 11/15/2013 |
| SILVERMAN GARY E | INTERNAL MEDICINE, CARDIOVASCULAR, INTERVENTIONAL CARDIOLOGY | 172939-1B | 11/8/2013 |
| LEDERMAN STEVEN J | INTERNAL MEDICINE, CARDIOVASCULAR, INTERVENTIONAL CARDIOLOGY | 194055-0W | 11/12/2013 |
| PERILLO IRENE B | INTERNAL MEDICINE, CRITICAL CARE MEDICINE, PULMONARY DISEASES | 197242-1B | 11/20/2013 |
| DHALIWAL RUBAN | INTERNAL MEDICINE, ENDOCRINOLOGY | 270057-3W | 11/12/2013 |
| COHEN DARA HOPE | INTERNAL MEDICINE, ENDOCRINOLOGY, DIABETES AND METABOLISM | 252609-3I | 11/8/2013 |
| GUPTA PARANTAP | INTERNAL MEDICINE, GASTROENTEROLOGY | 264327-8B | 11/8/2013 |
| MINANO CECILIA | INTERNAL MEDICINE, GASTROENTEROLOGY | 247086-2B | 11/8/2013 |
| SETHI DINESH | INTERNAL MEDICINE, GERIATRIC MEDICINE | 230596-9W | 11/1/2013 |
| GOLDSTEIN JONATHAN MILES | NEUROLOGY | 270535-8W | 11/22/2013 |
| GERALDI-SAMARA DANIELLE | NEUROLOGY | 240518-1W | 11/25/2013 |
| PERSAUD ANDRE A | OBSTETRICS/GYNECOLOGY | 151520-4B | 11/1/2013 |
| SHAKOOR AKBAR | OPHTHALMOLOGY | 269311-7W | 11/8/2013 |
| PENCE MELANIE LYNN | OTOLARYNGOLOGY | 269960-1W | 11/15/2013 |
| INGLE JOHN WALTER | OTOLARYNGOLOGY | 271897-1W | 11/20/2013 |
| MITRANI PAUL ANTHONY | PEDIATRICS, PSYCHIATRY, CHILD PSYCHIATRY | 254109-2W | 11/4/2013 |
| MOTTAHEDEH DEBORA | PHYSICAL MEDICINE/REHABILITATION | 248391-5W | 11/12/2013 |
| ANAND ANURADHA | PHYSICAL MEDICINE/REHABILITATION | 271954-0W | 11/20/2013 |
| WALTON BENITA JO | PSYCHIATRY | 171559-8W | 11/13/2013 |
| SWAMINATHAN KAMALI | PSYCHIATRY | 260431-2W | 11/13/2013 |
| GLOZMAN ALEXANDR JOSIFOVICH | PSYCHIATRY | 209215-3W | 11/13/2013 |
| BEASLEY-IRVING APRIL MARIE | PSYCHIATRY | 239779-2W | 11/13/2013 |
| HYON SUNG | PSYCHIATRY | 251141-8W | 11/18/2013 |
| ELSHAFEI ASHRAF G | PSYCHIATRY | 249211-4W | 11/25/2013 |
| KIMBALL RANDALL MARK | SURGERY | 271859-1W | 11/8/2013 |
| WIGDERSON JONATHAN DAVID | SURGERY | 186538-5W | 11/8/2013 |
| ARSENOUS ANNA | SURGERY | 204725-6W | 11/8/2013 |
*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”
The following doctors have been added to the list of Impartial Specialists eligible for appointment in specific cases by the Board.
| NAME | SPECIALTY AREA OF PRACTICE |
LICENSE NUMBER |
EFFECTIVE DATE |
END DATE |
|---|---|---|---|---|
| SCHAEFFER MARTIN ALAN | PHYSICAL MEDICINE/REHABILITATION, PAIN MANAGEMENT | 186783 | 11/13/2013 | 11/13/2018 |
Any questions regarding the authorized lists should be referred to the Medical Director’s Office at 1 (800) 781-2362.
Robert E. Beloten
Chair