The New Jersey State Board of Medical Examiners (the "Board") has taken the following actions in March 2009. This information is a summary prepared by the Board Administrative Office staff. Copies of the Orders can be found at www.njmedicalboard.gov under the right-hand pull down menu, "Board Activities," "Monthly Summaries." Requests for certified, true copies should be made in writing directed to William V. Roeder, Executive Director, P.O. Box 183, Trenton, New Jersey 08625.

AZAM, Chowdhury M. Faruque, M.D.,
License #MA063822
Edison, New Jersey 08837
Chittagong Medical College, 1978
FLEX Endorsement

ORDER IMPOSING MONITORING REQUIREMENTS AND REQUIREMENTS FOR
PSYCHOSEXUAL EVALUATION Filed February 3, 2009. This matter was opened before the Board on December 18, 2008, upon the filing of a Verified Complaint. The Complaint alleged that on or about October 16, 2008, Dr. Azam engaged in acts of sexual misconduct during the course of a psychotherapy session with patient E.Y. Through his counsel, Dr. Azam filed an Answer to the Verified Complaint on January 12, 2009, denying many of the allegations within the Complaint and repeatedly claiming that the allegations within the Complaint misconstrue and embellish upon evidence that was submitted in support of the Complaint. A Hearing on the application was held before the Board on January 14, 2009. The Board ordered on February 3, 2009, nunc pro tunc January 14, 2009, that for the period of January 14, 2009 through and including January 24, 2009, Dr. Azam had to make appropriate arrangements to transfer care of all his existing patients. In the event Dr. Azam saw any existing, female patients during that time period, such visits were only to occur in the presence of a chaperone. After January 24, 2009, and until further Order of this Board, Dr. Azam can only practice in a monitored practice setting with a physician practice monitor pre-approved by the Board. The Board presently approved a practice monitor, who will provide written reports to the Board detailing Dr. Azam’s compliance with the Board. Dr. Azam must limit his practice to male patients only, and he is to submit to a complete psychosexual evaluation. EFFECTIVE DATE: January 14, 2009.

DeMARCO, Charles J., M.D.
License #MA078035
Paramus, NJ 07652
St. Georges Univ, 1984
Appl International

CONSENT ORDER filed March16, 2009. This matter was opened to the Board upon receipt of information that on or about September 23, 2008, the New York Board entered into a "Consent Agreement and Order" with Dr. DeMarco, which provided that his license to practice was limited insofar as it precluded the performance and interpretation of breast imaging studies including, but not limited to: mammography, ultra sound, magnetic resonance images and digital mammography. Additionally, Dr. DeMarco was placed on probation for three years subject to certain terms. More specifically, Dr. DeMarco pled guilty to the First Specification in the Statement of Charges which stated that Dr. DeMarco committed professional misconduct by practicing the profession of medicine with negligence on more than one occasion in connection with his care and treatment of Patients "A" and "B." As a result of the foregoing, the New Jersey Board determined that Dr. DeMarco’s acts giving rise to the New York Consent Agreement and Order provided a basis for disciplinary action. The New Jersey Board ordered, and Dr. DeMarco agreed to, his license to practice medicine and surgery in New Jersey be reprimanded. Dr. DeMarco’s license to practice medicine and surgery will be placed on probation for three years commencing retroactively, and to run concurrently, with the probationary period set forth in the New York Consent Agreement and Order. The probationary period will not terminate until Dr. DeMarco can demonstrate to the satisfaction of the Board that he holds an active, unrestricted license to practice medicine in New York. Dr. DeMarco’s license also was limited to preclude the performance and interpretation of breast imaging studies including, but not limited to: mammography, ultra sound, magnetic resonance images and digital mammography. EFFECTIVE DATE: March 11, 2009.

ENG, Kenneth, D.O.
License #MB066005
Colts Neck, NJ 07722
New York Coll of Osteo Med, 1996
National Boards

CONSENT ORDER OF REPRIMAND filed March 26, 2009. This matter was opened before the Board upon receipt of a report and recommendation from the Medical Practitioner Review Panel (the "Panel") detailing findings by the Panel at the conclusion of an investigation concerning Dr. Eng. Specifically, a report was received from Dr. Eng’s malpractice carrier about an action brought by the estate of patient M.M.. The estate alleged that he failed to properly diagnose and treat a 45 year old patient who presented with chest pain. The report noted that Dr. Eng had referred M.M. to a cardiologist, but M.M. expired from a myocardial infarction prior to being seen by the cardiologist. During the pendency of its investigation, the Panel reviewed available information and considered the testimony offered by Dr. Eng when he appeared before the Panel on November 14, 2008. The Panel found Dr. Eng, a family practice physician, saw M.M. who presented with a complaint of hot/searing mid chest pain present for a week and left arm numbness which was reported to be worse on exertion. Dr. Eng performed an EKG, the results of which were abnormal with inverted T-waves. Dr. Eng did not seek to determine whether any prior EKGs were available to compare with the EKG taken, nor did he seek to review prior office records for M.M. and concluded that the most likely diagnosis was pericarditis. Dr. Eng did not advise M.M. that he needed to be evaluated immediately by a cardiologist nor did he insist that M.M. be transferred to an emergency department for additional testing. The Panel concluded Dr. Eng engaged in gross negligence in his care of M.M., specifically, his work-up and evaluation of M.M. was grossly inadequate and found his interpretation of M.M.’s EKG was inaccurate. The Panel also found Dr. Eng engaged in gross negligence by failing to perform any additional testing to rule out the possibility of an acute cardiac event or other life threatening diagnosis and that his medical records for the patient were illegible. The Board adopted the findings made by the Panel and concluded that cause for disciplinary action against Dr. Eng existed. The Board ordered, and Dr. Eng agreed, that he be reprimand for engaging in gross negligence when he provided care to M.M. and for failing to maintain patient records in accordance with the requirements of N.J.A.C. 13:35-6.5. Dr. Eng was assessed a penalty in the amount of $10,000.00 and he is to attend and successfully complete within six months of the date of entry of this Order a review course in internal medicine with a focus on cardiology. Moreover, he is to attend and successfully complete within six months of the date of entry of this Order a course in medical record-keeping. EFFECTIVE DATE: March 26, 2009.

HAKIMI, Farid M., D.P.M.
License #MD002410
Parsippany, NJ 07054
Temple Univ, 1996
National Boards

ORDER AUTHORIZING RESUMPTION OF PRACTICE DURING STAYED SUSPENSION WITH CONDITIONS filed March 20, 2009. This matter was reopened before the Board upon receipt of a request from Dr. Hakimi to resume the practice of podiatry during the stayed period of his licensure suspension. The Board reviewed and considered available information, including testimony from Dr. Hakimi when he appeared before a Preliminary Evaluation Committee of the Board on June 25, 2008, and a confidential report detailing findings and recommendations made following a psychosexual evaluation conducted at the J.J. Peters Institute. Based thereon, the Board concluded that cause existed to authorize Dr. Hakimi to resume the practice of podiatry, however, subject to conditions. The Board ordered and Dr. Hakimi agreed to resume the practice of podiatry during a period of probation which will commence upon the entry of this Order and continue through May 2011. Dr. Hakimi was to complete a refresher course in podiatry prior to him resuming practice, and this was completed and approved by the Board. He will limit his practice of podiatry to a setting where a Board approved practice supervisor is present and can oversee his practice. He is also only permitted to practice podiatry in the presence of a Board approved, practice chaperone, who must be present at all times and at all locations at which he sees and/or treats any patients. Dr. Hakimi will continue to participate in treatment with a Board approved psychologist or psychiatrist, consistent with recommendations that were made within the report from the J.J. Peters Institute. Finally, he must repay all penalties and costs which were previously assessed upon him in the amount of $85,934.66. EFFECTIVE DATE: March 20, 2009.

KINTANAR, Agnes C., M.D.
License #MA040595
Brooklyn, NY 11210-3538
Southwestern University, 1975
FLEX Endorsement

FINAL ORDER OF DISCIPLINE filed March 31, 2009. This matter was opened to the Board upon receipt of information that the California Board entered into a Consent Agreement effective July 15, 1995, thereby, revoking Dr. Kintanar’s license to practice medicine in California. On May 18, 1996, the New York Board issued a Determination and Order revoking Dr. Kintanar’s license to practice medicine effective May 28, 1996, based on the California Agreement. Dr. Kintanar admitted that she had created multiple false reports and bills with regard to her medical treatment of two patients in California; that for at least two years she had permitted unlicensed personnel to administer physical therapy; that she was negligent in her handling of the referral of a patient for emergency care, in that she did not contact the emergency room to properly advise of the referral; that she did not stabilize the patient; that she did not send an adequate history and physical evaluation; and that she did not assure safe transit. Dr. Kintanar further admitted that she had been negligent in her management of an ill pregnant patient who subsequently expired in that she did not properly evaluate or diagnose the patient, did not properly manage or treat the patient, she did not seek an obstetrical consultation or make an appropriate and timely referral, and she took inappropriate and insufficient steps to deal with the patient’s complaints and symptoms. The California revocation was stayed and Dr. Kintanar was actively suspended for 120 days and placed on probation for seven years. She was required to take 40 hours of Continuing Medical Education courses per year; to enter an intensive clinical training program; take and pass an oral or written exam and submit to monitoring; and she was to restrict her practice to the general practice of medicine. The revocation of Dr. Kintanar’s New York license was stayed and placed on probation for seven years. The revocation of Dr. Kintanar’s medical license in California and New York provided the New Jersey Board with grounds for suspension. The New Jersey Board felt Dr. Kintanar’s actions constituted acts of fraud and dishonesty, gross negligence, malpractice and gross incompetence, repeated acts of negligence, and professional misconduct. The New Jersey Board ordered the license of Dr. Kintanar to practice medicine and surgery in New Jersey suspended. Dr. Kintanar is granted leave to reapply for a license to practice medicine in New Jersey when she can demonstrate successful compliance with, and completion of, the requirements of her California and New York probation and hold an unrestricted license to practice medicine in all other jurisdictions where she is so licensed. Prior to resuming active practice in New Jersey, Dr. Kintanar will be required to appear before the Board, or a committee thereof, to demonstrate her fitness to do so, and any practice in this State prior to said appearance will constitute grounds for a charge of unlicensed practice. EFFECTIVE DATE: March 31, 2009.

MANALO, Elmer P., M.D.
License #MA049407
Greenwood, IN 46143
University of the Philippines, 1980
FLEX Endorsement

FINAL ORDER OF DISCIPLINE filed March 18, 2009. This matter was opened to the Board upon receipt of information that by Order filed September 11, 2008, the Medical Licensing Board of the State of Indiana (the "Indiana Board") permanently revoked Dr. Manalo’s license to practice medicine based upon multiple violation of the Indiana Code. The Indiana Board found that Dr. Manalo engaged in a course of lewd or immoral conduct in connection with the delivery of services to the public, as evidenced by his inappropriate touching of a detective of the Indiana State Police while she made an undercover visit to his office and his solicitation of dates from her; that he had engaged in sexual contact with a patient under the practitioner’s care or used the practitioner-patient relationship to solicit sexual contact with a patient under a practitioner’s care, as evidenced by his own admission that he had sexual relations with at least three patients in the last several years; that he continued to practice although unfit due to failure to keep abreast of current theory as evidenced by his prescribing of controlled substances without legitimate medical purposes; the pre-signing of controlled substance prescriptions and leaving them for his office manager to fill out; not having proper safeguards to insure that controlled substances were being used as prescribed; and engaging in lewd or immoral conduct in connection with the delivery of services, as evidenced by his participation in a murder for hire plot against a former patient. The New Jersey Board found grounds to take disciplinary action against Dr. Manalo’s license to practice medicine and surgery in New Jersey, in that his authority to engage in the activity regulated by the Board had been revoked by another state. The New Jersey Board ordered the license of Dr. Manalo to practice medicine and surgery suspended until his Indiana license is actively reinstated with no restrictions or conditions. Dr. Manalo must refrain from engaging in the practice of medicine and surgery or representing himself as a physician or surgeon until such time as his license is reinstated. In the event he seeks reinstatement of his New Jersey license at any time in the future, he will be required to appear before the Board, or a Committee thereof, to demonstrate his fitness to practice medicine and show proof that he holds an active, unrestricted license to practice medicine in the State of Indiana. EFFECTIVE DATE: March 18, 2009.

RAQUET, Jennifer L., P.A.
License #MP001795
Brigantine, NJ 08203
DuQuesne Univ, 2005
Examination

FINAL ORDER OF DISCIPLINE filed March 3, 2009. This matter was opened to the New Jersey Board Physician Assistant Advisory Committee upon receipt of information that on or about December 15, 2007, the Pennsylvania Board adopted and approved a Consent Agreement and Order executed by Ms. Raquet which provided for the suspension of her certificate to practice as a Physician Assistant for no less than three years. The Pennsylvania Board found Ms. Raquet unfit to practice as a Physician Assistant until she has at least three years of documented therapy. The disciplinary action taken by the Pennsylvania Board provided grounds to take disciplinary action against Ms. Raquet’s license to practice as a Physician Assistant in New Jersey, in that her certificate in Pennsylvania had been suspended. The New Jersey Board entered a Provisional Order of Discipline ("POD") on November 14, 2008, and had the POD served upon Ms. Raquet. Ms. Raquet responded to the POD and the Board responded by letter to her submission. Ms. Raquet argued that she was treated unfairly by the Pennsylvania Board and was not given the opportunity for a hearing, and that she is currently being treated for anorexia and as a result, the Pennsylvania Board suspended her license for three years requiring her to complete a program for eating disorders. Ms. Raquet also stated she had been discharged from the program and has had no relapses and requested the Board to permit her to appear and demonstrate that she is mentally and physically fit to practice as a Physician Assistant. The New Jersey Board found that the statutory authority to suspend Ms. Raquet’s New Jersey license to practice as a Physician Assistant was based solely upon the suspension of her Pennsylvania certificate; that she had a full and fair opportunity to provide written arguments with supporting documentation; and that the Board has sufficient information to make a final determination. The New Jersey Board ordered the license of Ms. Raquet’s to practice as a Physician Assistant in New Jersey suspended until such time as she holds an active, unrestricted certificate in Pennsylvania. In the event Ms. Raquet seeks reinstatement of her license, she will be required to appear before a Committee of the Board and demonstrate she is fit to practice as a Physician Assistant and that she holds an active, unrestricted certificate in Pennsylvania. EFFECTIVE DATE: March 3, 2009.

SNYDER, Richard Donald
License #MA018220
Pittsburgh, PA 15241-3201
New York Med Coll, 1957
National Boards

FINAL ORDER OF DISCIPLINE filed March 31, 2009. This matter was opened to the Board upon receipt of information which the Board has reviewed. In April of 1998, Dr. Snyder presented what appeared to be a prescription to an Ohio pharmacy. The document presented was not a prescription but rather a list of eight medications that his treating physician had written on a prescription blank, not intending for it to be presented for filling. The document presented to the pharmacy was altered as to dosages and/or quantities. Dr. Snyder’s actions constituted a felony in Ohio and he pled guilty to three misdemeanor counts of Attempted Deception to Obtain a Dangerous Drug in violation of the Ohio Revised Code. In a letter dated May 13, 1999, the Ohio Medical Board notified Dr. Snyder that it would take formal action against his license and that he had thirty days to request a hearing. Dr. Snyder failed to respond to the notice from the Ohio Medical Board. The Ohio Board revoked Dr. Snyder’s license on July 14, 1999. On April 27, 2000, Dr. Snyder voluntarily surrendered his New York license by way of a Surrender Order. The disciplinary action taken by the Ohio Board and the New York Board provided grounds for the revocation of Dr. Snyder’s license to practice medicine in New Jersey, in that it is based on conduct in another jurisdiction that would give rise to discipline in New Jersey. In addition, his convictions provided additional grounds for discipline. A Provisional Order of Discipline ("POD") was entered by the New Jersey Board on January 30, 2002, and served upon Dr. Snyder. Dr. Snyder failed to submit a response or a request in connection with the POD. Accordingly, the Board determined that the POD was subject to finalization on the 30th business day following January 30, 2002, and since Dr. Snyder failed to respond, the POD became final without change on the 30th business day following entry of the POD. The New Jersey Board ordered nunc pro tunc March 18, 2002 the revocation of Dr. Snyder’s license to practice medicine in New Jersey. EFFECTIVE DATE: March 18, 2002.

YAMADA, Nobushisa, M.D.
License #MA079125
Eatontown, NJ 07724
Rush Med Coll Of Rush Univ, 2001
Application

CONSENT ORDER filed March 31, 2009. This matter was opened before the Board upon the Board’s receipt of a report from the Medical Practitioner Review Panel (the "Panel") detailing findings made by the Panel at the conclusion of an investigation of Dr. Yamada. The Panel commenced its investigation upon receiving a report detailing that Dr. Yamada voluntarily surrendered his clinical privileges while being investigated for illegal drug use while on hospital premises. The Panel reviewed information submitted by the Hospital and considered the testimony offered by Dr. Yamada when he appeared before the Panel, accompanied by a representative of the Professional Assistance Program of New Jersey (the "PAP") on May 16, 2008. Dr. Yamada testified that he initially began using Fentanyl and Versed in December 2005. Dr. Yamada enrolled in the PAP on November 9, 2006, and thereafter, was able to maintain abstinence from drug use for a brief period. Dr. Yamada admitted when appearing before the Panel that he resumed using drugs at the end of January 2007. On March 8, 2007, Dr. Yamada was found unconscious at the hospital after he had used drugs obtained illegally from hospital supplies. Dr. Yamada was then sent for treatment at an in-patient rehabilitation facility for one month. The Impairment Review Committee (the "IRC") was notified of Dr. Yamada’s relapse. The Board then directed Dr. Yamada to remain out of practice for a minimum period of six months. Consistent with the Board’s directive, Dr. Yamada did not engage in any practice of medicine between March 8, 2007 and September 17, 2007. Dr. Yamada executed an agreement with the PAP requiring him to attend Alcoholics Anonymous ("AA") meetings; submit to random urine monitoring; and to participate in meetings with a PAP representatives on a regular basis. Dr. Yamada resumed practicing in September 2007 with the knowledge and approval of the IRC. The Medical Director of the PAP appeared before the Panel with Dr. Yamada on May 16, 2008, and testified that Dr. Yamada had remained enrolled with, and was fully compliant with, the PAP since his return from in-patient treatment, and that Dr. Yamada has maintained fourteen months of ongoing, documented recovery. Since the date of Dr. Yamada’s appearance, his involvement with the PAP has continued to be monitored by the Board’s IRC and it determined through review of IRC records, that Dr. Yamada had remained drug and alcohol free and is fully compliant with the terms of his agreement with the PAP through March 2, 2009. Based on the information reported and Dr. Yamada’s own admissions when testifying before the Panel, the Board found that cause for disciplinary sanction against Dr. Yamada does exist. The Board ordered, and Dr. Yamada agreed to, the suspension of his license for six months. The suspension will be deemed to have been served from March 3, 2007 through September 3, 2007, which the parties stipulate is a period of time during which Dr. Yamada did not engage in any practice of medicine consistent with the directions that were then provided to him by the Board through the IRC. Dr. Yamada must continue to participate with and be monitored by the PAP; he is to maintain absolute abstinence from all psychoactive substances including alcohol; he is to attend AA meetings at a minimum frequency of three meetings per week; he is to continue to participate in weekly group aftercare; he will be subject to random urine monitoring to be conducted twice weekly for a minimum of one year after the date of entry of this agreement; he is to continue to take the opiate blocker Naltrexone; and he is to participate in face to face meetings with a clinical representative of the PAP. EFFECTIVE DATE: March 31, 2009.

THE NEW JERSEY STATE
BOARD OF MEDICAL EXAMINERS

William V. Roeder
WVR/jj Executive Director