Cardiologist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Chiropractor providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Dentist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Dermatologist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Family Physician providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
OB-GYN providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Ophthalmologist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Orthopedic Surgeon providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Pediatrician providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Physical Therapist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Podiatrist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Psychiatrist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Marlyn Alvarado, FNP-C, is a board-certified family nurse practitioner at Union Spine and Pain Management. The practice has locations in Union, Scotch Plains, South Bound Brook, New Brunswick, Old Bridge, and Woodbridge, New Jersey. Proficient in English and Spanish, Marlyn brings a wealth of experience delivering comprehensive care to diverse populations of all ages.
Marlyn embarked on her nursing journey at New Jersey City University in Jersey City, where she earned her nursing degree. During this time, she served as a surgical nurse at Jersey City Medical Center in Jersey City, New Jersey, where she cared for patients undergoing chemotherapy, dialysis, and surgery.
Continuing her work at Jersey City Medical Center, Marlyn served in pivotal roles as a transition discharge nurse and maternal child health nurse. Here, she managed patients with high-risk pregnancies, substance use disorder, and teen pregnancy, demonstrating her versatility in addressing complex healthcare needs.
She also served as a case manager at United Healthcare in West New York, New Jersey, and later as a wellness coach/chronic condition manager at Premise Health. These roles further developed her understanding of holistic healthcare management and patient support.
Passionate about advancing her nursing practice, Marlyn pursued her Master of Science in nursing at Spring Arbor University in Spring Arbor, Michigan. This led to her family nurse practitioner certification from the American Academy of Nurse Practitioners.
Marlyn holds additional certifications in neonatal resuscitation from the American Academy of Pediatrics and advanced cardiac life support from the American Heart Association.
In her role at Union Spine and Pain Management, Marlyn enjoys collaborating with the team, ensuring that she meets the diverse needs of her patients.
Wayne Fleischhacker, DO, DABA, DABPM, DAAPM, is the director of Union Spine and Pain Management with offices in Union, Scotch Plains, South Bound Brook, New Brunswick, Old Bridge, and Woodbridge, New Jersey. He has vast experience in anesthesiology and pain management, including minimally invasive pain management procedures and surgery.
Dr. Fleischhacker began his education at Rochester Institute of Technology in Rochester, New York, receiving his bachelor’s degree in biology. He later achieved his medical degree at the New York College of Osteopathic Medicine in Old Westbury.
Shortly after, he completed a rotating internship at Massapequa General Hospital in Seaford, New York, followed by anesthesiology and pain management training at Temple University Hospital in Philadelphia, Pennsylvania.
Dr. Fleischhacker is on staff at multiple hospitals and surgery centers in New Jersey.
He also served as the attending anesthesiologist and chairman of the anesthesiology and pain management department at Union Hospital in New Jersey and the Endo-Surgical Center as the director of anesthesiology and pain management.
Established in the medical field, Dr. Fleischhacker is a diplomate of the American Board of Anesthesiology, the American Board of Pain Medicine, the American Academy of Pain Management, and the National Board of Osteopathic Medical Examiners.
He is also a member of the American Society of Anesthesiologists, the New Jersey Society of Anesthesiologists, the American Board of Pain Management, the International Spine Intervention Society, the American Society of Interventional Pain Physicians, and Director of the New Jersey Society of Interventional Pain Physicians.
Dr. Fleischhacker's dedication to patient-centered care and his commitment to enhancing medical knowledge continue to make a profound impact on the lives of countless patients and his team at Union Spine and Pain Management.
Dr. Daniel Eskinazi is a skilled and compassionate Pain Management Physician at Union Anesthesia Associates. With extensive training and experience in both anesthesiology and pain management, he specializes in the comprehensive evaluation and treatment of acute and chronic pain conditions. Dr. Eskinazi is dedicated to providing personalized care using a combination of medical, interventional, and non-invasive techniques to help his patients achieve long-term pain relief and improved quality of life.
Dr. Eskinazi completed his fellowship in Multidisciplinary Pain Medicine at Westchester Medical Center in Valhalla, NY. He has also held positions as an Anesthesiologist at Garden State Anesthesia Associates and Hackensack University Medical Center, bringing valuable expertise in anesthesia and pain care to his current practice.
Board certified by the American Board of Anesthesiology with additional certification in Pain Medicine, Dr. Eskinazi is committed to delivering patient-centered care with a focus on safety, compassion, and the most up-to-date treatment options. His advanced skills in both pain management and anesthesia allow him to approach each case with a comprehensive and holistic perspective.
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Boleslav Kosharskyy, MD, is a triple board-certified pain management physician specializing in anesthesiology, interventional pain medicine, and palliative care. Recognized as one of New York’s leading pain management doctors, he provides advanced, minimally invasive treatments at Hudson Specialty Care with locations throughout New York City and New Jersey.
As an Associate Professor of Anesthesiology and Rehabilitation Medicine at Albert Einstein Medical College and Associate Medical Director of Pain Medicine at Montefiore Medical Center, Dr. Kosharskyy combines academic expertise with compassionate patient care. Since 2003, he has treated a wide range of conditions, including back, neck, and joint pain, neuropathic disorders, spinal stenosis, and cancer-related pain. His approach emphasizes a multidisciplinary strategy tailored to each patient’s needs.
Dr. Kosharskyy is skilled in innovative procedures such as spinal cord and dorsal root ganglion (DRG) stimulation, kyphoplasty and vertebroplasty, percutaneous discectomy, and the MILD® procedure for spinal stenosis. He also offers alternative pain management options, including medical marijuana therapy.
Educated at the Free University of Berlin Medical School, Dr. Kosharskyy completed his anesthesiology residency at Boston University Medical Center and an interventional pain medicine fellowship at Upstate University Hospital in Syracuse, NY. He is an active member of the American Society of Anesthesiologists, the New York State Society of Anesthesiologists, and the Eastern Pain Association.
Patients trust Dr. Kosharskyy for his precision, experience, and dedication to improving the quality of life through safe, effective, and personalized pain management care.
Dmitriy Dvoskin, MD, is a dual board-certified physician specializing in interventional pain management and physical medicine and rehabilitation. Part of Hudson Specialty Care’s highly rated pain management team serving patients throughout New York City and New Jersey, he is dedicated to helping patients find long-term relief from chronic pain through advanced, minimally invasive treatments.
A Brooklyn native, Dr. Dvoskin earned his undergraduate degree from Cornell University before completing his medical degree at St. George’s University School of Medicine in 2012. He went on to complete his residency in Physical Medicine and Rehabilitation at SUNY Upstate Medical Center and advanced fellowship training in Interventional Pain Medicine at Emory University in Atlanta, GA.
Dr. Dvoskin is an active member of the North American Spine Society, International Spine Intervention Society, Society of General Internal Medicine, and American Medical Association. His expertise spans a wide range of conditions, including back and neck pain, herniated discs, neuropathy, sciatica, and joint pain, as well as advanced procedures such as epidural injections, nerve blocks, and radiofrequency ablation.
Currently pursuing a dual MBA/MS in Healthcare at Cornell University, Dr. Dvoskin combines clinical excellence with a strong understanding of healthcare leadership and innovation. Outside of medicine, he enjoys entrepreneurship, traveling, reading, and fencing.
Patients appreciate Dr. Dvoskin’s compassionate approach, thorough evaluations, and personalized treatment plans, which are designed to restore function and improve quality of life.
Gerald F. Gaughan, MD, is a highly experienced physical medicine and rehabilitation physician at Doctors United, with offices in the West Farms and Wakefield neighborhoods in the White Plains, and Ardsley, New York. Dr. Gaughan focuses on enhancing and restoring the functional abilities and quality of life for his patients with physical impairments and disabilities.
After earning his Doctor of Medicine at the State University of New York (SUNY) Health Science Center (now known as SUNY Downstate Health Sciences University) in Brooklyn, New York, Dr. Gaughan completed a one-year medicine internship at New Rochelle Hospital (now known as Montefiore New Rochelle Hospital) in New Rochelle, New York.
Dr. Gaughan then went on to complete his anesthesia residency at Montefiore Medical Center, the University Hospital for Albert Einstein College of Medicine, in the Bronx, followed by his physical medicine and rehabilitation residency at New York Medical College in Valhalla, New York.
He is board-certified by the American Board of Physical Medicine and Rehabilitation and is licensed to practice medicine in the state of New York.
Dr. Gaughan has hospital affiliations with St. Barnabas Hospital in the Bronx and St. John’s Riverside Hospital in Yonkers.
Taking a patient-centered approach to care, Dr. Gaughan makes himself available when his patients need him.
Michael Rizkalla, MD, a skilled physician with double-board certification in sports medicine and physical medicine and rehabilitation, founded Revive Spine and Pain Center in 2017. At the practice’s offices in Marlton, Hamilton Township, East Brunswick and Northfield, New Jersey, he provides a patient-centered approach to treating acute and chronic pain.
He begins each appointment by listening to patients who all too often say that they’ve been everywhere and no one listens to or helps them. After hearing and understanding each person’s unique story and completing a physical exam, Dr. Rizkalla creates a tailored treatment plan using evidence-based treatments drawn from traditional medicine, interventional medicine, physical therapy, and complementary and restorative practices.
Dr. Rizkalla received his medical degree from Ross University School of Medicine in Miramar, Florida, then finished an internship in internal medicine before completing a residency in physical medicine and rehabilitation at Harvard Medical School, Spaulding Rehabilitation Hospital in Cambridge, Massachusetts.
Dr. Rizkalla has a subspecialty in sports medicine, has fellowship training in interventional pain management, and is certified in contemporary medical acupuncture. In addition to diagnosing and treating pain, his clinical interests include spine and joint care, sports medicine, electrodiagnostic and neuromuscular medicine, and nonsurgical orthopedics.
He has extensive training in performing numerous interventional pain procedures and restorative injections, such as platelet-rich plasma (PRP) and bone marrow aspirate cells. Dr. Rizkalla is also proficient in using musculoskeletal ultrasound to diagnose and treat injuries.
Mahmud Ibrahim, MD, at Revive Spine and Pain Center Marlton, Hamilton Township, East Brunswick and Northfield, New Jersey, holds dual board certification in sports medicine and physical medicine and rehabilitation and is fellowship trained in interventional pain management.
When treating patients at Revive Spine and Pain Center, his goal is to restore function, reduce pain, and promote an active, healthy lifestyle using conservative measures whenever possible.
Though Dr. Ibrahim treats pain from any cause, his special clinical interests include musculoskeletal medicine, non-operative spine procedures, orthopedics, sports medicine, electrodiagnostic medicine, and restorative therapy.
In addition to performing the full range of fluoroscopic-guided interventional pain-management procedures, he also uses diagnostic and therapeutic ultrasound. He has extensive skill in minimally invasive procedures such as discectomies and percutaneous tenotomies.
After graduating from the New York University Grossman School of Medicine in New York City, Dr. Ibrahim completed his residency training in physical medicine and rehabilitation at the Icahn School of Medicine at Mount Sinai School (also in New York City). After receiving an Accreditation Council for Graduate Medical Education (ACGME) fellowship, he stayed at Mount Sinai to subspecialize in sports and interventional spine medicine.
Dr. Ibrahim has published several articles on musculoskeletal medicine. He’s also a contributing author in a textbook on how to perform ultrasound-guided injections and the author of a book exploring what causes pain, how to reduce it, and ways to live with persistent pain.
Dr. Ibrahim has provided sideline coverage at football games, captained the medical tents at the New York City marathon, and was a ringside physician for the Golden Gloves of America boxing tournament and professional wrestling.
Dr. Selorm Takyi joined Revive Spine and Pain Center in 2020. He completed his physiatry residency at JFK Johnson Rehabilitation Institute, offered through the Department of Physical Medicine and Rehabilitation at Rutgers Robert Wood Johnson Medical School. With a passion for teaching, he served as an academic chief resident and graduated residency in 2019. He then completed his fellowship in regenerative orthopedics and musculoskeletal medicine.
Dr. Takyi practices compassionate medicine and was inducted into the Gold Humanism Honor Society in 2014 while attending Rutgers New Jersey Medical School. Specializing in both ultrasound-guided and fluoroscopic-guided techniques to treat pain and sports medicine injuries, he is excited to share his goal of using non-surgical procedures to help restore function and quality of life to his patients. With his training in physiatry, Dr. Takyi enjoys creating comprehensive treatment plans for his patients. In addition to offering interventional spine injections such as epidurals and nerve blocks, he performs platelet-rich plasma (PRP) and micro-fragmented adipose tissue (MFAT) injections to help treat a variety of neuromusculoskeletal conditions. His clinical interests include regenerative medicine, rotator cuff tears, osteoarthritis, ACL injuries, and meniscus tears.
He has co-authored the physical modalities, therapeutic exercise, extended bedrest, and aging effects chapter in the Physical Medicine and Rehabilitation Board Review 4th Edition and an upcoming publication, Atlas of Interventional Orthopedics Procedures chapter on autologous tissue harvesting techniques: bone marrow aspirate and adipose tissue. He is a member of the American Academy of Physical Medicine and Rehabilitation, Interventional Orthobiolgoics Foundation, Spine Intervention Society, and the American Medical Society for Sports Medicine. When not in the office, Dr. Takyi enjoys photography, exercising, and spending time with his family.
Gerald F. Gaughan, MD, is a highly experienced physical medicine and rehabilitation physician at Doctors United, with offices in the West Farms and Wakefield neighborhoods in the White Plains, and Ardsley, New York. Dr. Gaughan focuses on enhancing and restoring the functional abilities and quality of life for his patients with physical impairments and disabilities.
After earning his Doctor of Medicine at the State University of New York (SUNY) Health Science Center (now known as SUNY Downstate Health Sciences University) in Brooklyn, New York, Dr. Gaughan completed a one-year medicine internship at New Rochelle Hospital (now known as Montefiore New Rochelle Hospital) in New Rochelle, New York.
Dr. Gaughan then went on to complete his anesthesia residency at Montefiore Medical Center, the University Hospital for Albert Einstein College of Medicine, in the Bronx, followed by his physical medicine and rehabilitation residency at New York Medical College in Valhalla, New York.
He is board-certified by the American Board of Physical Medicine and Rehabilitation and is licensed to practice medicine in the state of New York.
Dr. Gaughan has hospital affiliations with St. Barnabas Hospital in the Bronx and St. John’s Riverside Hospital in Yonkers.
Taking a patient-centered approach to care, Dr. Gaughan makes himself available when his patients need him.
Marlyn Alvarado, FNP-C, is a board-certified family nurse practitioner at Union Spine and Pain Management. The practice has locations in Union, Scotch Plains, South Bound Brook, New Brunswick, Old Bridge, and Woodbridge, New Jersey. Proficient in English and Spanish, Marlyn brings a wealth of experience delivering comprehensive care to diverse populations of all ages.
Marlyn embarked on her nursing journey at New Jersey City University in Jersey City, where she earned her nursing degree. During this time, she served as a surgical nurse at Jersey City Medical Center in Jersey City, New Jersey, where she cared for patients undergoing chemotherapy, dialysis, and surgery.
Continuing her work at Jersey City Medical Center, Marlyn served in pivotal roles as a transition discharge nurse and maternal child health nurse. Here, she managed patients with high-risk pregnancies, substance use disorder, and teen pregnancy, demonstrating her versatility in addressing complex healthcare needs.
She also served as a case manager at United Healthcare in West New York, New Jersey, and later as a wellness coach/chronic condition manager at Premise Health. These roles further developed her understanding of holistic healthcare management and patient support.
Passionate about advancing her nursing practice, Marlyn pursued her Master of Science in nursing at Spring Arbor University in Spring Arbor, Michigan. This led to her family nurse practitioner certification from the American Academy of Nurse Practitioners.
Marlyn holds additional certifications in neonatal resuscitation from the American Academy of Pediatrics and advanced cardiac life support from the American Heart Association.
In her role at Union Spine and Pain Management, Marlyn enjoys collaborating with the team, ensuring that she meets the diverse needs of her patients.
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