Preview
FILED: NASSAU COUNTY CLERK 01/04/2024 02:15 PM INDEX NO. 614075/2023
NYSCEF DOC. NO. 35 RECEIVED NYSCEF: 01/04/2024
REQUEST FOR JUDICIAL INTERVENTION For Court Clerk Use Only:
ucs-840(7/2012) IAS Entry Date
SUPREME COURT, COUNTY OF NASSAU
Judge Assigned
Index No- 614075/2023 Date Index Issued: 08/31/2023
CAPTION Enter the complete case caption. Do not use et at or et ano. If more space is required, RJI Date
attach a caption rider sheet.
NICHOLAS JAMES RYAN,
Plaintiff(s)/Petitioner(s)
-against-
ELIZABETH S. LUSTRIN, M.D., CHRISTOPHER R. WILKINS, M.D., BHUMIKA BALGOBIN,
M.D., MARLON SELIGER, M.D., AJAY K. MISRA, M.D., SUCHISMITA DATTA, M.D., NYU
LANGONE RADIOLOGY ASSOCIATES, NYU LANGONE AMBULATORY CARE EAST
MEADOW, ADVANCED NEUROLOGICAL SERVICES OF LONG ISLAND P.C., NYU
Defendant(s)/Respondent(s)
EMERGENCY NYU LANGONE HOSPITAL- LONG ISLAND f/k/a NYU
MEDICINE,
WINTHROP HOSPITAL and NYU LANGONE HEALTH SYSTEM,
NATURE OF ACTION OR PROCEEDING: Check ONE box only and specify where indicated
MATRIMONIAL COMMERCIAL
D Contested O Business Entity (including corporations, partnerships, LLCs, etc.)
O Contract
NOTE: For all Matrimonial actions where the parties have children under
O Insurance (where insurer is a party, except arbitration)
the age of 18, complete and attach the MATRIMONIAL RJi Addendum.
For Uncontested Matrimonial actions, user RJI form UD-13. O UCC (including sales negotiable instruments)
TORTS O Other Commercial:
O Asbestos
NOTE: For Commercial Division assignment requests [22 NYCRR §
O Breast Implant
202.70(d)], complete and attach the COMMERCIAL DIV RJi Addendum.
O Environmental:
(specify)
[X] Medical, Dental, or Podiatric Malpractice REAL PROPERTY: How many properties does the application include?
Motor Vehicle O Condemnation
Products Liability: O Mortgage Foreclosure O Residential O Commercial
(specify)
property Address:
Other Negligence: Address
Street City State Zip
[ ]
('P®°i*) NOTE: For foreclosure actions involved a one-to four-family, owner-
O Other Professional Negligence: occupied, residential property, or an owner-occupied condominium,
(specify) Complete and attach the FORECLOSURE RJI Addendum.
O Other Tort: O Tax Certiorari-Section: Block: Lot
(speciIy) O Tax Foreclosure
O Other Real Property:
(specify)
OTHER MATTERS SPECIAL PROCEEDINGS
O Certificate of Incorporation/Dissolution [see NOTE under O CPLR Article 75 (Arbitration) [see NOTE under Commercial]
Commercial]
D Emergency Medical Treatment O CPLR Article 78 (Body or Officer)
O Habeas Comus O Election Law
O Local Court Appeal O MHL Article 9.60 (Kendra's Law)
O Mechanic's Lien O MHL Article 10 (Sex Offender Confinement-Initial)
O Name Change O MHL Article 10 (Sex Offender Confinement-Review)
O Pistol Permit Revocation Hearing O MHL Article 81 (Guardianship)
D Sale or Finance of Religious/Not-for-Profit Property O Other Mental Hygiene:
O Other: (SPeciIy)
(5P°°ify) O Other Special Proceeding:
1 of 4
FILED: NASSAU COUNTY CLERK 01/04/2024 02:15 PM INDEX NO. 614075/2023
NYSCEF DOC. NO. 35 RECEIVED NYSCEF: 01/04/2024
(specify)
STATUS OF ACTION OR PROCEEDING: Answer YES or NÒ for EVERY question AND enter additional information where indicated
YES NO
Has a summons and complaint or summons w/notice been filed? [X] O If yes, date filed: 8/31/2023
Has a summons and complaint or summons w/notice been served? [X] O If yes, date served: 09/1/2023
Is this action/proceeding being filed post-judgment? O [X] If yes, judgment date:
NATURE OF JUDICIAL INTERTENTION: Check ONE box only AND enter additional information where indicated.
¡ Infants Compromise
O Note of Issue and/or Certificate of Readiness
O Notice of Medical, Dental, or Podiatric Malpractice Date Issue Joined: 11/4/2023
Q Notice of Motion Relief Sought: Retum Date:
Notion of Petition Relief Sought Return Date
O Order to Show Cause Relief Sought Return Date
O Other Ex Parte Application Relief Sought
O Poor Person Application
[x] Request for Preliminary Conference
O ResidentialMortgage Foreclosure Settlement Conference
O Writ of Habeas Corpus
O Other (specify)
List any related actions. For Matrimonial actions, include any related criminal and/or Family Court cases.
RELATED CASES:
If additional space is required, complete and attach the RJI Addendum. If none, leave blank.
Case Title Index/Case No. Court Judge (if assigned) Relationship to Instant Case
"Un-Rep" "Attomeys"
PARTIES. For parties without an attomey, check box AND enter party address, phone number and e-mail address in space.
If additional space is required, complete and attach the RJI Addendum.
Parties: Attorneys: issue
Un- Insurance
List parties in caption order and Joined
. Provide name, firm name, business address, phone number and e-mail Carrier(s):
Rep ndicate nP
address of all attomeys that have appeared in the case. (Y/N):
3 pa
NAME: SIEGEL & COONERTY, LLP.
[X] YES
419 PARK AVENUE SOUTH, SUITE 700
NICHOLAS JAMES NEW YORK, NY 10016
RYAN, (212) 532-0532
O NO
PATRICK@MYTRIALGUYS.COM
ROLE(S)
Plaintiff
NAME:ELIZABETH S. Aaronson Rappaport Feinstein & Deutsch, LLP
LUSTRIN 600 Third Avenue [X] YES
New York, NY 10016
ROLE(S) 212-593-6798
Defendant O NO
NAME: CHRISTOPHER R. Aaronson Rappaport Feinstein & Deutsch, LLP
WILKINS 600 Third Avenue [X] YES
New York, NY 10016
ROLE(S) 212-593-6798
ONO
Defendant
Name:BHUMlKA Aaronson Rappaport Feinstein & Deutsch, LLP
BALGOBIN, 600 Third Avenue [X] YES
M.D.,ROLE(S)
New York, NY 10016
212-593-6798
Defendant O NO
2 of 4
FILED: NASSAU COUNTY CLERK 01/04/2024 02:15 PM INDEX NO. 614075/2023
NYSCEF DOC. NO. 35 RECEIVED NYSCEF: 01/04/2024
Name:MARLON SELIGER, Aaronson Rappaport Feinstein & Deutsch, LLP [X] YES
M.D., 600 Third Avenue
New York, NY 10016
Role:Defendant 212-593-6798
O NO
Name: AJAY K. MISRA, Aaronson Rappaport Feinstein & Deutsch, LLP
600 Third Avenue [X] YES
M.DROLE(S)
New York, NY 10016
Defendant 212-593-6798
O NO
Name: SUCHISMITA Aaronson Rappaport Feinstein & Deutsch, LLP
DATTA, M.D 600 Third Avenue [X] YES
New York, NY 10016
ROLE(S) 212-593-6798
¡ NO
Defendant
Name: NYU LANGONE DEFAULT [ ] YES
I I
RADIOLOGY ASSOCIATES
ROLE(S) [X] NO
Defendant
Name: NYU LANGONE DEFAULT [ ] YES
AMBULATORY CARE
EAST MEADOW
[X] NO
ROLE(S)
Defendant
Name: ADVANCED DEFAULT [ ] YES
NEUROLOGICAL
SERVICES OF LONG
[X] NO
ISLAND P.C.,
ROLE(S)
Defendant
3 of 4
FILED: NASSAU COUNTY CLERK 01/04/2024 02:15 PM INDEX NO. 614075/2023
NYSCEF DOC. NO. 35 RECEIVED NYSCEF: 01/04/2024
Name: NYU EMERGENCY DEFAULT [ ] YES
MEDICINE
ROLE(S) [X] NO
Defendant
Name: NYU LANGONE Aaronson Rappaport Feinstein & Deutsch, LLP [X] YES
HOSPITAL- LONG ISLAND 600 Third Avenue
f/k/a NYU WINTHROP New York, NY 10016
212-593-6798 O NO
HOSPITAL
ROLE(S)
Defendant
Name: NYU LANGONE DEFAULT [ ] YES
HEALTH SYSTEM
ROLE(S)
[X] NO
Defendant
PENALT''
I AFFIRM UNDER THE OF PERJURY THAT, TO MY KNOWLEDGE, OTHER THAN AS NOTED AB)VE, THERE
ARE AND HAVE BEEN NO RELA"ED ACTIONS OR PROCEEDINGS, NOR HAS A REQUEST FOR JUDICIAL
INTERVENTION PREVIOUSLY BI EN FILED IN THIS ACION OR PROCEEDING. at
Dated: January 4, 2024
SIGNATURE
5312632 PATRICK BUTLER, ESQ.
ATTORNEY REGISTRATION NUMBER PRINT OR TYPE NAME
4 of 4
Preview
FILED: NASSAU COUNTY CLERK 01/04/2024 02:15 PM INDEX NO. 614075/2023 NYSCEF DOC. NO. 35 RECEIVED NYSCEF: 01/04/2024 REQUEST FOR JUDICIAL INTERVENTION For Court Clerk Use Only: ucs-840(7/2012) IAS Entry Date SUPREME COURT, COUNTY OF NASSAU Judge Assigned Index No- 614075/2023 Date Index Issued: 08/31/2023 CAPTION Enter the complete case caption. Do not use et at or et ano. If more space is required, RJI Date attach a caption rider sheet. NICHOLAS JAMES RYAN, Plaintiff(s)/Petitioner(s) -against- ELIZABETH S. LUSTRIN, M.D., CHRISTOPHER R. WILKINS, M.D., BHUMIKA BALGOBIN, M.D., MARLON SELIGER, M.D., AJAY K. MISRA, M.D., SUCHISMITA DATTA, M.D., NYU LANGONE RADIOLOGY ASSOCIATES, NYU LANGONE AMBULATORY CARE EAST MEADOW, ADVANCED NEUROLOGICAL SERVICES OF LONG ISLAND P.C., NYU Defendant(s)/Respondent(s) EMERGENCY NYU LANGONE HOSPITAL- LONG ISLAND f/k/a NYU MEDICINE, WINTHROP HOSPITAL and NYU LANGONE HEALTH SYSTEM, NATURE OF ACTION OR PROCEEDING: Check ONE box only and specify where indicated MATRIMONIAL COMMERCIAL D Contested O Business Entity (including corporations, partnerships, LLCs, etc.) O Contract NOTE: For all Matrimonial actions where the parties have children under O Insurance (where insurer is a party, except arbitration) the age of 18, complete and attach the MATRIMONIAL RJi Addendum. For Uncontested Matrimonial actions, user RJI form UD-13. O UCC (including sales negotiable instruments) TORTS O Other Commercial: O Asbestos NOTE: For Commercial Division assignment requests [22 NYCRR § O Breast Implant 202.70(d)], complete and attach the COMMERCIAL DIV RJi Addendum. O Environmental: (specify) [X] Medical, Dental, or Podiatric Malpractice REAL PROPERTY: How many properties does the application include? Motor Vehicle O Condemnation Products Liability: O Mortgage Foreclosure O Residential O Commercial (specify) property Address: Other Negligence: Address Street City State Zip [ ] ('P®°i*) NOTE: For foreclosure actions involved a one-to four-family, owner- O Other Professional Negligence: occupied, residential property, or an owner-occupied condominium, (specify) Complete and attach the FORECLOSURE RJI Addendum. O Other Tort: O Tax Certiorari-Section: Block: Lot (speciIy) O Tax Foreclosure O Other Real Property: (specify) OTHER MATTERS SPECIAL PROCEEDINGS O Certificate of Incorporation/Dissolution [see NOTE under O CPLR Article 75 (Arbitration) [see NOTE under Commercial] Commercial] D Emergency Medical Treatment O CPLR Article 78 (Body or Officer) O Habeas Comus O Election Law O Local Court Appeal O MHL Article 9.60 (Kendra's Law) O Mechanic's Lien O MHL Article 10 (Sex Offender Confinement-Initial) O Name Change O MHL Article 10 (Sex Offender Confinement-Review) O Pistol Permit Revocation Hearing O MHL Article 81 (Guardianship) D Sale or Finance of Religious/Not-for-Profit Property O Other Mental Hygiene: O Other: (SPeciIy) (5P°°ify) O Other Special Proceeding: 1 of 4 FILED: NASSAU COUNTY CLERK 01/04/2024 02:15 PM INDEX NO. 614075/2023 NYSCEF DOC. NO. 35 RECEIVED NYSCEF: 01/04/2024 (specify) STATUS OF ACTION OR PROCEEDING: Answer YES or NÒ for EVERY question AND enter additional information where indicated YES NO Has a summons and complaint or summons w/notice been filed? [X] O If yes, date filed: 8/31/2023 Has a summons and complaint or summons w/notice been served? [X] O If yes, date served: 09/1/2023 Is this action/proceeding being filed post-judgment? O [X] If yes, judgment date: NATURE OF JUDICIAL INTERTENTION: Check ONE box only AND enter additional information where indicated. ¡ Infants Compromise O Note of Issue and/or Certificate of Readiness O Notice of Medical, Dental, or Podiatric Malpractice Date Issue Joined: 11/4/2023 Q Notice of Motion Relief Sought: Retum Date: Notion of Petition Relief Sought Return Date O Order to Show Cause Relief Sought Return Date O Other Ex Parte Application Relief Sought O Poor Person Application [x] Request for Preliminary Conference O ResidentialMortgage Foreclosure Settlement Conference O Writ of Habeas Corpus O Other (specify) List any related actions. For Matrimonial actions, include any related criminal and/or Family Court cases. RELATED CASES: If additional space is required, complete and attach the RJI Addendum. If none, leave blank. Case Title Index/Case No. Court Judge (if assigned) Relationship to Instant Case "Un-Rep" "Attomeys" PARTIES. For parties without an attomey, check box AND enter party address, phone number and e-mail address in space. If additional space is required, complete and attach the RJI Addendum. Parties: Attorneys: issue Un- Insurance List parties in caption order and Joined . Provide name, firm name, business address, phone number and e-mail Carrier(s): Rep ndicate nP address of all attomeys that have appeared in the case. (Y/N): 3 pa NAME: SIEGEL & COONERTY, LLP. [X] YES 419 PARK AVENUE SOUTH, SUITE 700 NICHOLAS JAMES NEW YORK, NY 10016 RYAN, (212) 532-0532 O NO PATRICK@MYTRIALGUYS.COM ROLE(S) Plaintiff NAME:ELIZABETH S. Aaronson Rappaport Feinstein & Deutsch, LLP LUSTRIN 600 Third Avenue [X] YES New York, NY 10016 ROLE(S) 212-593-6798 Defendant O NO NAME: CHRISTOPHER R. Aaronson Rappaport Feinstein & Deutsch, LLP WILKINS 600 Third Avenue [X] YES New York, NY 10016 ROLE(S) 212-593-6798 ONO Defendant Name:BHUMlKA Aaronson Rappaport Feinstein & Deutsch, LLP BALGOBIN, 600 Third Avenue [X] YES M.D.,ROLE(S) New York, NY 10016 212-593-6798 Defendant O NO 2 of 4 FILED: NASSAU COUNTY CLERK 01/04/2024 02:15 PM INDEX NO. 614075/2023 NYSCEF DOC. NO. 35 RECEIVED NYSCEF: 01/04/2024 Name:MARLON SELIGER, Aaronson Rappaport Feinstein & Deutsch, LLP [X] YES M.D., 600 Third Avenue New York, NY 10016 Role:Defendant 212-593-6798 O NO Name: AJAY K. MISRA, Aaronson Rappaport Feinstein & Deutsch, LLP 600 Third Avenue [X] YES M.DROLE(S) New York, NY 10016 Defendant 212-593-6798 O NO Name: SUCHISMITA Aaronson Rappaport Feinstein & Deutsch, LLP DATTA, M.D 600 Third Avenue [X] YES New York, NY 10016 ROLE(S) 212-593-6798 ¡ NO Defendant Name: NYU LANGONE DEFAULT [ ] YES I I RADIOLOGY ASSOCIATES ROLE(S) [X] NO Defendant Name: NYU LANGONE DEFAULT [ ] YES AMBULATORY CARE EAST MEADOW [X] NO ROLE(S) Defendant Name: ADVANCED DEFAULT [ ] YES NEUROLOGICAL SERVICES OF LONG [X] NO ISLAND P.C., ROLE(S) Defendant 3 of 4 FILED: NASSAU COUNTY CLERK 01/04/2024 02:15 PM INDEX NO. 614075/2023 NYSCEF DOC. NO. 35 RECEIVED NYSCEF: 01/04/2024 Name: NYU EMERGENCY DEFAULT [ ] YES MEDICINE ROLE(S) [X] NO Defendant Name: NYU LANGONE Aaronson Rappaport Feinstein & Deutsch, LLP [X] YES HOSPITAL- LONG ISLAND 600 Third Avenue f/k/a NYU WINTHROP New York, NY 10016 212-593-6798 O NO HOSPITAL ROLE(S) Defendant Name: NYU LANGONE DEFAULT [ ] YES HEALTH SYSTEM ROLE(S) [X] NO Defendant PENALT'' I AFFIRM UNDER THE OF PERJURY THAT, TO MY KNOWLEDGE, OTHER THAN AS NOTED AB)VE, THERE ARE AND HAVE BEEN NO RELA"ED ACTIONS OR PROCEEDINGS, NOR HAS A REQUEST FOR JUDICIAL INTERVENTION PREVIOUSLY BI EN FILED IN THIS ACION OR PROCEEDING. at Dated: January 4, 2024 SIGNATURE 5312632 PATRICK BUTLER, ESQ. ATTORNEY REGISTRATION NUMBER PRINT OR TYPE NAME 4 of 4