SUKETU H. NANAVATI, M.D. VS. CAPE REGIONAL MEDICAL CENTER SUKETU H. NANAVATI, M.D. VS. CAPE REGIONAL HEALTH SYSTEMS, D/B/A CAPE REGIONAL MEDICAL CENTER (C-000078-16 AND L-4126-17, CAPE MAY COUNTY AND STATEWIDE) (CONSOLIDATED) ( 2020 )


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  •                                 NOT FOR PUBLICATION WITHOUT THE
    APPROVAL OF THE APPELLATE DIVISION
    This opinion shall not "constitute precedent or be binding upon any court ." Although it is posted on the
    internet, this opinion is binding only on the parties in the case and its use in other cases is limited. R. 1:36-3.
    SUPERIOR COURT OF NEW JERSEY
    APPELLATE DIVISION
    DOCKET NOS. A-4111-17T3
    A-4126-17T3
    SUKETU H. NANAVATI, M.D.,
    Plaintiff-Appellant,
    v.
    CAPE REGIONAL MEDICAL
    CENTER,
    Defendant-Respondent.
    ____________________________
    SUKETU H. NANAVATI, M.D.,
    Plaintiff-Appellant,
    v.
    CAPE REGIONAL HEALTH
    SYSTEMS, d/b/a CAPE REGIONAL
    MEDICAL CENTER, CAPE REGIONAL
    HEALTH SYSTEM BOARD OF
    TRUSTEES, JOANNE CARROCINO,
    WILLIAM BRADWAY, D.O.,
    MICHAEL BORISS, D.O., and
    ARTHUR CHILDS, D.O.,
    Defendants-Respondents.
    __________________________________
    Argued December 12, 2019 – Decided May 19, 2020
    Before Judges Alvarez, Suter and DeAlmeida.
    On appeal from the Superior Court of New Jersey,
    Chancery Division, Cape May County, Docket No.
    C-000078-16 in A-4111-17.
    On appeal from the Superior Court of New Jersey, Law
    Division, Cape May County, Docket No. L-0125-17 in
    A-4126-17.
    Anthony Morgano, Jr. argued the cause for appellant
    (Levine Staller Sklar Chan & Brown, PA, attorneys;
    Anthony Morgano, Jr., on the briefs).
    Anthony P. Monzo argued the cause for respondents
    (Monzo Catanese Hillegass, PC, attorneys; Anthony P.
    Monzo, on the briefs).
    PER CURIAM
    Plaintiff Suketu H. Nanavati, M.D., a board certified cardiologist, appeals
    from two orders granting summary judgment dismissing his complaints in
    related cases. In 2016, Nanavati filed a Chancery action appealing defendant
    Cape Regional Medical Center's (Hospital) failure to reappoint him as a staff
    physician, and the termination of his clinical privileges at the facility. In 2017,
    Nanavati filed an action in the Law Division seeking damages, among other
    causes of action, pursuant to the New Jersey Law Against Discrimination
    A-4111-17T3
    2
    (NJLAD), N.J.S.A. 10:5-1 to -49, common-law claims of wrongful discharge
    under Pierce v. Ortho Pharmaceutical Corp., 
    84 N.J. 58
     (1980), and the
    Conscientious Employee Protection Act (CEPA), N.J.S.A. 34:19-1 to -14,
    allegedly caused by the Board of Trustees of Cape Regional Health System
    (Board), and certain named individuals, stemming from his termination of
    employment by the Hospital. Nanavati and the Hospital's predecessor entity
    have previously engaged in litigation regarding his status as a Hospital
    physician. See Nanavati v. Burdette Tomlin Mem'l Hosp., 
    107 N.J. 240
     (1987).
    We now reverse both orders. As to the Chancery matter, we conclude the
    standards of review employed by the Fair Hearing Committee (Committee) in
    two proceedings substantively strayed from the standard expressed in Nanavati.
    Thus, we reverse the grant of summary judgment to defendants in the Chancery
    proceeding, as the decision assumed the standard applied by the Committee was
    correct.
    We also reverse the grant of summary judgment dismissing Nanavati's
    complaint in the Law Division matter. That court, ignoring an unopposed
    request for adjournment made by defendants, who had filed a motion to dismiss
    for failure to state a claim, converted defendants' motion to an "unopposed"
    summary judgment motion before discovery was taken. We also reverse the
    A-4111-17T3
    3
    Law Division's denial of Nanavati's request for reconsideration, in which the
    court, while acknowledging the request for adjournment and Nanavati's
    assumption it would be granted, denied reconsideration on the merits without
    explaining the reason the adjournment request was overlooked.
    By way of abbreviated background, Nanavati has openly expressed his
    disapproval of Hospital policies and some staff for years; he and the Hospital
    have a history of being at odds. The ongoing conflict led to the Hospital's
    Credentials Committee's initial recommendation on March 25, 2015, to the
    Medical Staff Executive Committee (MSEC) that Nanavati's request for
    reappointment and renewal of his medical privileges be denied.             This
    recommendation, adopted by the MSEC, led to the hearings before the
    Committee. The Committee recommended that Nanavati complete a behavioral
    program, which he did but months after the deadline.
    The later June 6, 2016 Committee report stated:
    [Nanavati] has failed to prove that the recommendation
    was arbitrary, unreasonable or capricious because of a
    lack of evidence that his behavior toward others could
    adversely affect the ability of the hospital to deliver
    quality health care to patients.
    There is substantial credible evidence in the record
    before the [MSEC] from which it could have concluded
    that [Nanavati] had engaged in a course of conduct,
    from 2009 to 2014, that was so disruptive as to interfere
    A-4111-17T3
    4
    with the orderly operation of the hospital in a way that
    could affect the ability of the hospital to deliver quality
    health care to patients.
    [(emphasis added).]
    The Hospital bylaws express a different standard than the one employed by the
    Committee:
    A basis for corrective action exists whenever a
    Practitioner engages in any action or behavior which is
    disruptive or is reasonably likely to be disruptive of
    Medical Center operations or to be detrimental to
    patient safety or delivery of good patient care, as
    outlined in the Medical Staff policy "Code of Conduct."
    [Article IX, § 5 (Disruptive Behavior) of the Medical
    Staff (emphasis added).]
    The MSEC adopted the Committee's June 6, 2016 report. After Nanavati
    completed the internal appeal process, the Board affirmed the denial of his
    request for reappointment and renewal of clinical privileges. Nanavati filed the
    Chancery complaint following this decision.
    By August 10, 2017, when a telephonic case management conference was
    conducted in the Chancery matter, Nanavati had also initiated the Law Division
    action.   The Chancery judge requested the parties file cross-motions for
    summary judgment on the legal issues. Nanavati indicated he would seek only
    A-4111-17T3
    5
    partial summary judgment because the Committee had applied an incorrect
    standard in its decision.
    In the interim, an incident occurred which led to Nanavati's summary
    suspension. The summary suspension hearing was guided by the same hearing
    officer who guided the Committee through the parallel reappointment process.
    The Committee issued a report on September 18, 2017, stating that Nanavati had
    failed to carry his burden of proof of demonstrating by clear and convincing
    evidence that the Board acted arbitrarily and without a credible basis in
    summarily suspending him on June 16, 2015, and upheld the suspension.
    The Law Division action, filed March 20, 2017, was assigned a 450-day
    discovery track, scheduled to end August 17, 2018.         On May 24, 2017,
    defendants moved to dismiss the Law Division complaint for failure to state a
    claim or, in the alternative, for summary judgment, pursuant to Rule 4:6-2(e).
    The parties agreed the motion would be adjourned to allow the summary
    suspension hearing to move forward. On June 14, 2017, Nanavati's attorney
    requested an adjournment until August 14, 2017, to allow sufficient time for a
    hearing in the companion Chancery matter to occur. That request was granted
    and communicated to defense counsel on June 20, 2017. On June 22, 2017,
    A-4111-17T3
    6
    defendants, the moving parties, requested a second postponement—which was
    granted—that the motion be carried until September 2017.
    During an August 10, 2017 telephonic management conference in the
    Chancery matter, the parties again agreed to carry defendants' Law Division
    motion until the cross-motions for summary judgment in the Chancery matter
    were decided. Nanavati's attorney took no action because he assumed the
    request would be handled internally and conveyed to the Law Division by the
    Chancery court.
    On August 31, 2017, defendants' counsel contacted Nanavati's attorney to
    confirm his consent to the adjournment. He confirmed consent because the Law
    Division calendar still listed the motion as returnable on September 1.
    Defendants' attorney, upon receiving confirmation of the consent, again
    requested the court adjourn the motion. He wrote:
    Please accept this letter as our request for an
    adjournment of the Motion for Summary Judgment
    pending before this Court. We are requesting that a
    hearing in this matter be adjourned until the first motion
    date in December. Adjourning the return date on this
    Motion will allow for a determination to be made in the
    Chancery Division case, Docket No. CPM-C-78-16.
    Cross Summary Judgment Motions are scheduled to be
    heard on October 3, 2017, and a resolution of the
    Chancery matter will likely resolve portions of the Law
    Division case. We have spoken to opposing counsel,
    and he has consented to this adjournment.
    A-4111-17T3
    7
    The Law Division judge, without notice to either party, decided the
    motion. He found there was "no general issue of material fact[,]" and that "[t]he
    arguments in Plaintiff's Complaint contradict themselves or the relevant statute
    . . . ." The judge noted in the decision that the application was "unopposed." He
    converted the motion to dismiss for failure to state a claim to a motion for
    summary judgment.
    Nanavati's counsel was served with the summary judgment order
    September 25, 2017, and on October 11, moved for reconsideration. In their
    response, defendants did not object to the rescheduling of the motion to dismiss
    to allow Nanavati to file "a reply brief," and have the "opportunity to present
    oral argument to the court."      Defendants reiterated that the request for
    adjournment stemmed from the parties' consensus that resolution of the
    Chancery action "would have simplified the claims for damages in the [Law
    Division action] . . . ." They also asserted that they were entitled to summary
    judgment as a matter of law.
    In his decision on the motion for reconsideration, the judge did not
    mention his notation that the prior application was "unopposed," nor did he
    explain the reason he decided the initial application in the face of the movant's
    unopposed request for adjournment, stemming from the earlier parallel
    A-4111-17T3
    8
    proceeding in Chancery, and before discovery had begun in the matter. The
    court instead addressed the merits—finding that Nanavati was an independent
    contractor not protected under NJLAD, common law, or CEPA, and further
    finding that the Healthcare Quality Improvement Act of 1986 (HCQIA), 
    42 U.S.C. §§ 11111
    (a)(2) and 11151(9), immunized defendants from any action
    taken adverse to Nanavati.
    Nanavati raises the following points on the appeal of the Chancery matter:
    POINT I
    The Lower Court Erred In Holding That The Hospital's
    Bylaws Afforded Dr. Nanavati A Fundamentally Fair
    Process.
    A.   The Lower Court Erred In Declaring That
    Dr. Nanavati Received A Fair Process As The
    Hospital's Bylaws Allow The MSEC To Reach
    An Ex-Parte Recommendation Before Dr.
    Nanavati Is Entitled To Any Due Process.
    B.   The Lower Court Erred In Declaring That
    Dr. Nanavati Received A Fair Process As Once
    The Ex-Parte Recommendation Is Made, The
    Hospital's Bylaws Impermissibly Shift The
    Burden Of Proof To The Physician To Prove By
    Clear And Convincing Evidence That
    Recommendation Was Arbitrary, Capricious, Or
    Unreasonable.
    POINT II
    The Lower Court Erred In Failing To Address Dr.
    Nanavati's Argument That The Hearing Officer
    Misapplied Controlling Supreme Court Precedent.
    A-4111-17T3
    9
    POINT III
    The Lower Court Erred As A Fair Process Required Dr.
    Nanavati To Have Subpoena Power To Compel
    Recalcitrant Witnesses To Appear For A Hearing.
    POINT IV
    The Lower Court Erred In Failing To Address Dr.
    Nanavati's Argument That He Was Precluded By The
    Hearing Officer From Introducing Highly Relevant
    Evidence.
    A.    The Hearing Officer Improperly Precluded
    Dr. Nanavati From Introducing Evidence That He
    Had Attended An Approved Behavior
    Modification    Course,     And     Psychiatric
    Evaluation.
    B.    The Hearing Officer Erred In Allowing
    The Hospital To Introduce Evidence Of Certain
    Events That Occurred Before 2010 While
    Simultaneously Precluding Dr. Nanavati From
    Testifying As To Events That Occurred During
    The Same Time Period.
    POINT V
    The Lower Court Erred In Failing To Address Dr.
    Nanavati's Arguments That The Hospital Violated Its
    Own Bylaws During The Course Of Its Investigations.
    A.     The Lower Court Erred In Failing To
    Address Dr. Nanavati's Argument that the MSEC
    failed to interview all relevant witnesses and
    failed to include relevant exculpatory eviden[ce].
    B.   The Lower Court Erred In Failing To
    Address Dr. Nanavati's Argument That The
    Appointment Of A Non-Physician To The
    A-4111-17T3
    10
    Investigative   Committees      Violated     The
    Hospital's Bylaws.
    POINT VI
    The Lower Court Erred As A Matter Of Law In
    Granting Summary Judgment In Its Entirety As The
    Record Was Deeply Controverted And Necessitated A
    Plenary Hearing.
    In the Law Division matter, Nanavati raises the following issues:
    POINT I
    The Lower Court's September 13, 2017 Order Erred In
    Granting Defendants' Motion To Dismiss As
    Unopposed.
    A.   The Lower Court Abused Its Discretion
    When It Decided Defendants' Motion As
    Unopposed In Light Of The Fact That Defendants
    Had Requested An Adjournment Of Its Own
    Motion, Plaintiff Consented Thereto, And The
    Court Provided No Notice Of Its Intention To
    Decide The Motion As Unopposed.
    B.    Plaintiff's Complaint, Which Must Be
    Read Liberally, Sufficiently Stated Causes Of
    Action To Withstand A Motion To Dismiss.
    1.    Defendants' Argument That Plaintiff
    Failed To Plead Sufficient Facts To
    Support A New Jersey Law Against
    Discrimination Claim.
    2.   Defendants' Position That Dr.
    Nanavati Failed To State A Claim Under
    CEPA was without merit.
    A-4111-17T3
    11
    3.   Defendants'   Immunity   Argument
    Was Premature.
    4.   Plaintiff's Common Law Claims
    Were Not Waived By Asserting A CEPA
    Claim.
    C.    The Lower Court Improperly Converted
    Defendants' Motion To Dismiss Into A Motion
    For Summary Judgment Which Was Procedurally
    Premature As No Discovery Had Taken Place.
    POINT II
    The Lower Court's April 18, 2018 Order Erred In
    Denying Plaintiff's Motion For Reconsideration.
    A.   The Court's Decision Made No Findings
    With Respect To Plaintiff's Procedural
    Arguments That Defendants' Motion To Dismiss
    Should Not Have Been Granted As Unopposed In
    Light Of The Fact That Defendants Had
    Requested An Adjournment Of Their Own
    Motion, Plaintiff Consented Thereto, And The
    Court Provided No Notice Of Its Intention To
    Decide The Motion As Unopposed.
    B.    The Court Erred As A Matter Of Law In
    Finding That Plaintiff Was An Independent
    Contractor And Therefore Not Protected Under
    The Law Against Discrimination.
    C.  The Court Erred In Finding That Plaintiff
    Had Failed To Plead Sufficient Facts To
    Demonstrate A Hostile Work Environment.
    D.    The Court Erred As A Matter Of Law In
    Finding That Plaintiff Could Not Maintain A
    Conscientious Employee Protection Act Claim
    A-4111-17T3
    12
    Because He Was Classified As An Independent
    Contractor.
    E.    The Court Erred As A Matter Of Law In
    Finding That The Hospital Was Entitled To
    Immunity Under The Health Care Quality
    Improvement Act.
    F.    The Court Erred In Finding That Plaintiff
    Had Failed To State Causes Of Action For Breach
    Of Contract And Breach Of Good Faith And Fair
    Dealing.
    We discuss each judge's analysis in greater detail in the relevant sections
    of this decision.
    I.
    In Nanavati, the Court decided the appropriate standard for termination of
    hospital privileges during a fair hearing requires "concrete evidence" that the
    "prospective disharmony" caused by a staff physician, "will probably have an
    adverse impact on patient care." Nanavati, 
    107 N.J. at 254
     (emphasis added)
    (quoting Sussman v. Overlook Hosp. Ass'n, 
    92 N.J. Super. 163
    , 182 (Ch. Div.
    1966)).   The Court instructed hospitals to "follow fair procedures when
    considering staff privileges," prohibiting them from "arbitrarily foreclos[ing]
    otherwise qualified doctors from their staff." 
    Id. at 248
    . It is unnecessary that
    the prospective disharmony actually harm patients—only that it "will probably
    have an adverse impact on patient care." 
    Id. at 254
    .
    A-4111-17T3
    13
    To merit termination, "hospital authorities should present concrete
    evidence of specific instances of misbehavior, such as unjustified altercations
    with other doctors or nurses, violations of hospital practices or rules, breaches
    of professional standards, or the commission of some other act that will
    adversely affect health care delivery." 
    Ibid.
     The physician's conduct must be
    so disruptive "as to throw the hospital into turmoil and prevent it from
    functioning effectively. So substantial a disruption could lead the hospital
    authorities to conclude that the probable outcome will be harm to the patients."
    
    Id. at 255
    .
    In contrast with the Nanavati standard, the Committee concluded that
    Nanavati "failed to prove that the recommendation was arbitrary, unreasonable
    or capricious because of a lack of evidence that his behavior towards others
    could adversely affect the ability of the hospital to deliver quality health care to
    patients." (emphasis added).
    This articulation of the standard made Nanavati's burden of proof
    insurmountable and predetermined the outcome—to prevail, he was required by
    "clear and convincing evidence" to prove the record lacked any evidence that
    his behavior "could" adversely affect patient care. The burden placed on him
    A-4111-17T3
    14
    was even greater than the burden of proof defined in the bylaws—which itself
    diverged to some extent from the language in Nanavati.
    The Hospital bylaws state a practitioner exposes himself to "corrective
    action . . . whenever a Practitioner engages in any action or behavior . . .
    reasonably likely to be disruptive of Medical Center operations or to be
    detrimental to patient safety or delivery of good patient care . . . ."
    "[R]easonably likely" is not as exacting as "will probably have"—however, it is
    more demanding than the "could affect" standard applied by the Committee
    when reviewing Nanavati's conduct.      "Could affect" encompasses an entire
    universe of possibilities, as opposed to probabilities. And neither phrasing
    mirrors the Nanavati language.
    Nanavati argued to the Chancery judge that the Committee employed the
    wrong standard, thereby depriving him of a fair hearing. Although the Chancery
    judge repeatedly referenced Nanavati, and even correctly repeatedly referenced
    the case's articulation of the standard, nowhere in the decision did he address
    the Committee's failure to use the Nanavati standard. The court erred in granting
    summary judgment to defendants, and in denying partial summary judgment to
    Nanavati, because the Committee expanded their inquiry to include whether
    Nanavati's conduct "could have" an adverse impact on patient care. Application
    A-4111-17T3
    15
    of a less exacting standard for his conduct to impact patient care prejudiced his
    right to a fair hearing.
    Separately from ignoring the Committee's actual language, the Chancery
    judge focused on Nanavati's real-life failures. Nanavati did not, for example,
    timely complete a behavior modification course as required by the Credentials
    Committee. He did not complete the psychiatric evaluation that might have
    prevented his immediate suspension. The judge said his conduct showed "a level
    of recalcitrance that undermines his arguments." Although those facts may be
    readily provable by defendants, and ultimately drive the outcome in the
    Chancery case—the judge did not first address the law. Had he done so, the
    inquiry would have stopped there.
    In this case, the Committee decided Nanavati's conduct "could," as
    opposed to "probably would," adversely impact patient care. See Nanavati, 
    107 N.J. at 25
    . Nanavati was entitled to partial summary judgment as a matter of
    law.
    Nanavati also contends that the judge should not have granted summary
    judgment in light of the highly controverted record. We need not reach the issue.
    A-4111-17T3
    16
    II.
    Nanavati also contends the Law Division judge erred in granting summary
    judgment to defendants because the parties had agreed, with the Chancery
    court's reasonable endorsement, to adjourn the motion to dismiss for failure to
    state a claim. He argues summary judgment was procedurally improper because
    the judge failed to address the fact the parties believed the matter was postponed,
    and because no discovery had been taken. He further asserts that the complaint
    sufficiently stated a cause of action to withstand a motion to dismiss. We decide
    this appeal based upon the judge's failure to address the requested adjournment
    in his summary judgment and reconsideration decisions, but briefly touch upon
    the judge's comments on the merits.
    The judge did not explain his decision to address the motion despite the
    request for adjournment. To reiterate, defendants—the moving party—were the
    ones who asked for the postponement. Although Nanavati did not join in that
    request, he consented to and had previously obtained postponements.
    In deciding whether to grant a request for adjournment, a court assesses a
    number of well-established factors. See State v. Hayes, 
    205 N.J. 522
    , 538
    (2011). A court is expected to engage in a "balancing process informed by
    intensely fact-sensitive inquiry."    
    Ibid.
       Applications for continuances or
    A-4111-17T3
    17
    adjournments are reviewed for abuse of discretion. State ex rel. Comm'r of
    Transp. v. Shalom Money St., LLC, 
    432 N.J. Super. 1
    , 7 (App. Div. 2013).
    That the judge here ignored the request for adjournment was in itself an
    erroneous exercise of discretion. He failed to even acknowledge it, much less
    make a fact-sensitive determination in light of the factors enumerated by
    defendants in their written request.
    The notation on his summary judgment decision that the application was
    "unopposed" is also problematic. The judge was told a related Chancery action
    was ongoing. He had previously granted two requests for postponements made
    by Nanavati. This should have triggered some inquiry as to the status of
    opposition.
    Equally problematic is that the judge converted the motion to dismiss for
    failure to state a claim to a summary judgment application even though they
    should not ordinarily be granted prior to the completion of discovery. Mohamed
    v. Iglesia Evangelica Oasis De Salvacion, 
    424 N.J. Super. 489
    , 498 (App. Div.
    2012) (citing Wellington v. Estate of Wellington, 
    359 N.J. Super. 484
    , 496 (App.
    Div. 2003)). No discovery was taken here. Nanavati's discrimination and
    retaliation causes of action in particular required discovery.
    A-4111-17T3
    18
    The judge's written decision on Nanavati's motion for reconsideration did
    not mention in the analysis portion, or the conclusion section, the request for
    adjournment. This is so despite the opinion mentioning the request in the
    recitation of facts, and the contention that the court overlooked the request for
    an adjournment. The judge instead denied the motion on the merits.
    Motions for reconsideration are controlled by Rule 4:49-2. "And, the
    magnitude of the error cited must be a game-changer for reconsideration to be
    appropriate." Palombi v. Palombi, 
    414 N.J. Super. 274
    , 289 (App. Div. 2010).
    The magnitude of the error in this case would seem to us to be a game changer.
    Ignoring the request for adjournment was incomprehensible.            The parties
    reasonably assumed the matter would be adjourned. No discovery had been
    taken. The matter was hotly contested.
    Reconsideration falls "within the sound discretion of the Court, to be
    exercised in the interest of justice." D'Atria v. D'Atria, 
    242 N.J. Super. 392
    , 401
    (Ch. Div. 1990). We review such decisions applying the same legal standard as
    the trial court. See Fusco v. Newark Bd. of Educ., 
    349 N.J. Super. 455
    , 461-62
    (App. Div. 2002).
    As a matter of fundamental justice, a reconsideration motion filed because
    a judge overlooks a consented-to and reasonable request for adjournment is one
    A-4111-17T3
    19
    that should have been granted. Furthermore, we have other concerns regarding
    the judge's initial decision on the motion for summary judgment.
    On the motion, after setting forth the procedural history, plaintiff's
    arguments, and then defendants' arguments, the court said only the following:
    Viewed in favor of Plaintiff, Defendant's [sic] Motion
    shows that there is no genuine issue of material fact. In
    combination with Plaintiff's long legal history of
    dismissed complaints, Defendant's [sic] arguments
    indicate that this . . . matter is so one sided that
    Defendant[s] should prevail as a matter of law.
    The arguments in Plaintiff's Complaint contradict
    themselves or the relevant statutes, and have failed to
    establish facts in issue sufficient to warrant the matter
    proceeding to trial.
    That abbreviated analysis does not satisfy the requirements of Rule 1:7-4, which
    mandate that a judge rendering a decision on a motion must make findings of
    fact and render conclusions of law. There is a reference to the prior history
    between the parties that may have factored into the judge's decision from
    irrelevant information. Curiously, on the motion for reconsideration, the judge
    addressed the merits at great length. In sum, the judge, having erred in ignoring
    the adjournment request, compounded the error by failing to address the request
    on the motion for reconsideration.
    A-4111-17T3
    20
    We briefly discuss some of our concerns regarding the language in the
    merits section of the judge's reconsideration decision. We do not suggest by this
    discussion that Nanavati should or should not withstand a second motion for
    summary judgment, or prevail at trial, should matters reach that phase.
    First, in denying reconsideration, the court found Nanavati to be an
    independent contractor and therefore not protected under the NJLAD. The judge
    did so in reliance upon Pukowsky v. Caruso, 
    312 N.J. Super. 171
    , 178 (App.
    Div. 1998). But in Rubin v. Chilton, 
    359 N.J. Super. 105
    , 111 (App. Div. 2003),
    a more recent case, we rejected the argument that N.J.S.A. 10:5-12(l) never
    applies to independent contractors. "The conduct prescribed by [N.J.S.A. 10:5-
    12(l)] is exclusively related to non-employee relationships . . . . [A] Hospital
    [is] not required to contract for [a contractor's] service but [cannot] not refuse
    to do so for discriminatory reasons." 
    Ibid.
     If Nanavati enjoys the protection of
    NJLAD despite being an independent contractor, then the judge's out -of-hand
    rejection of the claim was error.
    Nanavati also points out that his claim was not time barred by the two-
    year statute of limitations for NJLAD. See Montells v. Haines, 
    133 N.J. 282
    ,
    290 (1993). He alleges the Hospital's improper conduct of him began in 1979
    and included actions taken through and including November 1, 2016.
    A-4111-17T3
    21
    In D'Annuzio v. Prudential Insurance Co. of America, 
    192 N.J. 110
    , 121
    (2007), the New Jersey Supreme Court in the context of a CEPA claim stated
    that the definition of employee "does not exclude, explicitly, p ersons who are
    designated as independent contractors," and included "more than the narrow
    band of traditional employees." The Court in D'Annuzio adopted the Pukowsky
    factors for assessing the real employer-employee status of an alleged
    independent contractor, which require a highly fact-sensitive inquiry.
    D'Annuzio, 
    192 N.J. at 114
    . In other words, even where an employee is labeled
    an independent contractor, he or she may enjoy the protection under CEPA after
    consideration of the Pukowsky factors. 
    Id. at 120-21
    . The issue was highly
    fact-sensitive—and ordinarily should not be decided based on unopposed
    submissions by defendants on a motion for summary judgment.
    Similarly, Nanavati's common-law claims should not have been dismissed
    out of hand, pursuant to Pierce. Defendants' contention that by alleging causes
    of action under CEPA, he waived his common-law claims is unconvincing here.
    Given that defendants took the position CEPA is inapplicable because Nanavati
    was an independent contractor and not an employee of the hospital, it then
    follows logically that Nanavati's common-law claims are not waived under the
    exclusivity provision, N.J.S.A. 34:19-8. Assuming that CEPA is applicable,
    A-4111-17T3
    22
    dismissal of the common-law claims under the exclusivity provision was in any
    event premature. Nanavati did not engage in discovery and was not in a position
    to make a meaningful election of whether he wished to pursue his claims under
    CEPA or under Pierce.
    Additionally, the judge found that the named defendants had immunity
    pursuant to the HCQIA, 
    42 U.S.C. §§ 11111
    (a)(2) and 11151(9). Nanavati
    contends that dismissal under the immunity argument was premature because
    the judge did not determine if he was denied procedural due process, or if the
    peer review process defendants engaged in was undertaken in bad faith or with
    improper motive.     On that score, obviously, precluding Nanavati from
    submitting a response to the original motion and scheduling oral argument
    prevented him from presenting any facts to challenge the immunity.
    In sum, we do not understand the reason the judge initially did not address
    the request for postponement.       Nor do we understand the absence on
    reconsideration of discussion about the adjournment request or why discovery
    had not been completed, and why the judge converted the motion for failure to
    state a claim to a motion for summary judgment.
    Reversed.
    A-4111-17T3
    23