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Emergency Medicine
Karen launched her clinical career in the fast-paced Emergency Rooms of Christ Hospital and Hoboken University Medical Center, where she spent a decade refining her skills in acute and emergency care. This experience honed her ability to make critical, life-saving decisions and adapt swiftly to high-pressure situations.

Primary Care & Urgent Care
In 2020, Karen transitioned to urgent care settings in Central Jersey, broadening her expertise in Primary Care. This shift allowed her to cultivate meaningful patient relationships, manage chronic conditions, and address acute illnesses. Her adaptability and holistic approach became pivotal in delivering effective, compassionate care.

Specialization in Endocrinology
Currently, Karen’s focus is on Endocrinology, a field she finds deeply rewarding. She specializes in managing intricate conditions like diabetes, thyroid disorders, and metabolic challenges. Her patient-first approach ensures tailored, evidence-based solutions that empower individuals to achieve better health and well-being.

Commitment to Professional Growth
Karen actively engages in continuing education and professional development to remain at the forefront of advancements in medical science. She participates in seminars and workshops, ensuring her practice integrates the latest research and technologies.

Karen’s approach to healthcare is rooted in empathy, respect, and collaboration. She believes that every patient deserves a customized care plan, clear communication, and a trusted partnership to navigate their health journey. Her philosophy combines medical expertise with genuine compassion to ensure positive outcomes.

• Clinical Excellence: Recognized for her exceptional diagnostic skills and patient rapport in both emergency and primary care settings.
• Community Engagement: Participates in health awareness programs and local health fairs, promoting preventive care and wellness education.
• Mentorship: Serves as a mentor to aspiring healthcare professionals, sharing her insights and fostering a commitment to compassionate care.

Karen is a dedicated wife and mother of three young children who keep her energized and inspired. She is also the proud owner of a Yorkie who completes the family. In her downtime, she channels her creativity into crafting and baking and unwinds with her favorite Netflix series. She loves outdoor adventures with her family and is passionate about maintaining a balanced life, both personally and professionally.

Welcome to EnLyv Clinics, where we combine advanced medical expertise, personalized care, and cutting-edge technology to help you achieve optimal health. Whether you're managing a chronic condition, navigating hormonal imbalances, or seeking early detection and prevention, we’re here to provide the comprehensive care you deserve.

With four locations in Bridgewater Township, Edison, Flemington, and Piscataway, NJ our goal is to make exceptional healthcare accessible and convenient for you.

At the helm of EnLyv Clinics is Dr. Vivek Bansal, a triple board-certified physician specializing in Endocrinology, Diabetes, and Obesity Medicine. Dr. Bansal is passionate about addressing the root causes of health concerns and creating individualized care plans that improve not only your health but your quality of life.

With his expertise, you can trust that you’re in capable hands every step of the way.

💡 Tailored Care: Every plan is built around your unique needs and lifestyle.
💬 Transparent Communication: We simplify the medical jargon, so you always know what’s happening.
🔬 Advanced Tools: Cutting-edge diagnostics and treatments to address your health concerns effectively.
🤝 Dedicated Support: A compassionate team ready to guide you through your health journey.

We’re proud to offer a comprehensive range of services to address a variety of health concerns:

🩺 Diabetes Management: From diagnosis to treatment, we help you gain control over your diabetes with expert care and guidance.

🌀 Thyroid and Adrenal Health: Diagnosing and treating thyroid disorders, adrenal dysfunctions, and hormone imbalances to restore your energy and vitality.

🌟 Bone Health: Expert care for osteoporosis and related conditions, ensuring stronger, healthier bones.

📊 Liver Health: Advanced Fibroscan Ultrasound to assess liver health and detect issues early.

⚡ PCOS Management: Comprehensive care for polycystic ovary syndrome, tailored to improve hormonal balance and overall well-being.

💓 Cardiovascular Screening: PAD (Peripheral Arterial Disease) Screening to detect and manage vascular conditions effectively.

🧠 Parathyroid and Calcium Disorders: Expert treatment to manage conditions affecting your bones, kidneys, and overall metabolism.

🔎 Preventative Care: Proactive health screenings and lifestyle coaching to prevent chronic illnesses and keep you feeling your best.

We’re here to make your journey to better health as seamless as possible. Find us at:

📍 Bridgewater Township – State-of-the-art facilities and a welcoming team.
📍 Edison – Conveniently located for all your healthcare needs.
📍 Flemington – A comfortable environment with top-notch care.
📍 Piscataway

At EnLyv Clinics, we don’t just treat conditions—we partner with you to transform your health. Whether you’re managing a chronic illness or looking to prevent future health issues, we’re here to guide you every step of the way.

💖 Your Journey to Wellness Starts Here!

Click below to explore our services or schedule your first consultation. Together, we’ll take your health to the next level.

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. 

Philip M. Rojo, MLP-NP, is a highly skilled nurse practitioner passionate about delivering customized care. Through his work at Union Spine and Pain Management, which has offices in Union, Scotch Plains, South Bound Brook, New Brunswick, Old Bridge, and Woodbridge, New Jersey, Philip helps patients feel more comfortable as they progress in treatment. 

A lifelong learner, Philip earned a Bachelor of Science in nursing from Rutgers, The State University of New Jersey, in New Brunswick. He remains at Rutgers to complete a Master of Science in nursing, focusing on adult and geriatric care. 

Philip is trained in basic life support and advanced cardiac life support. He is also certified as an adult/gerontology acute care nurse practitioner. 

Philip’s professional experience includes working in emergency room settings and managing patient care across various crisis and trauma needs. He also brings experience in managing patient care after surgical interventions, in addition to treating numerous acute and chronic musculoskeletal pain disorders. 

Philip enjoys working one-on-one with those in his care, getting to know them and their unique health needs. He finds his work deeply rewarding, especially when patients overcome significant challenges in 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.

Garen Gajian, MD, is an experienced pain management physician practicing at Pain & Anesthesia Care, located in New Brunswick, New Jersey. 

Dr. Gajian earned his Doctor of Medicine from Kiev Medical School in Ukraine prior to completing his initial training in general surgery at New York Hospital Medical Center of Queens, an affiliate of Cornell Medical School. He also completed a primary residency in anesthesiology at St. Vincent Medical Center in New York City before completing a pain management fellowship at the University Hospital of Cleveland, an affiliate of Case Western Reserve University. While at the University Hospital of Cleveland, Dr. Gajian trained under Dr. Mark Bosewell, one of the leading experts in the field of pain management. 

At Pain & Anesthesia Care, Dr. Gajian provides an array of treatments for chronic pain, including epidural injections, ketamine infusions, PRP therapy, facet joint injections, and rehabilitation services. 

Dr. Gajian is board certified in pain management and anesthesiology. Over the years, he has also received several top physicians honors from various independent research groups. 

To schedule an appointment with Dr. Gajian, call Pain & Anesthesia Care, or request an appointment online today.

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. 

Philip M. Rojo, MLP-NP, is a highly skilled nurse practitioner passionate about delivering customized care. Through his work at Union Spine and Pain Management, which has offices in Union, Scotch Plains, South Bound Brook, New Brunswick, Old Bridge, and Woodbridge, New Jersey, Philip helps patients feel more comfortable as they progress in treatment. 

A lifelong learner, Philip earned a Bachelor of Science in nursing from Rutgers, The State University of New Jersey, in New Brunswick. He remains at Rutgers to complete a Master of Science in nursing, focusing on adult and geriatric care. 

Philip is trained in basic life support and advanced cardiac life support. He is also certified as an adult/gerontology acute care nurse practitioner. 

Philip’s professional experience includes working in emergency room settings and managing patient care across various crisis and trauma needs. He also brings experience in managing patient care after surgical interventions, in addition to treating numerous acute and chronic musculoskeletal pain disorders. 

Philip enjoys working one-on-one with those in his care, getting to know them and their unique health needs. He finds his work deeply rewarding, especially when patients overcome significant challenges in 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.

Welcome to EnLyv Clinics, where we combine advanced medical expertise, personalized care, and cutting-edge technology to help you achieve optimal health. Whether you're managing a chronic condition, navigating hormonal imbalances, or seeking early detection and prevention, we’re here to provide the comprehensive care you deserve.

With four locations in Bridgewater Township, Edison, Flemington, and Piscataway, NJ our goal is to make exceptional healthcare accessible and convenient for you.

At the helm of EnLyv Clinics is Dr. Vivek Bansal, a triple board-certified physician specializing in Endocrinology, Diabetes, and Obesity Medicine. Dr. Bansal is passionate about addressing the root causes of health concerns and creating individualized care plans that improve not only your health but your quality of life.

With his expertise, you can trust that you’re in capable hands every step of the way.

💡 Tailored Care: Every plan is built around your unique needs and lifestyle.
💬 Transparent Communication: We simplify the medical jargon, so you always know what’s happening.
🔬 Advanced Tools: Cutting-edge diagnostics and treatments to address your health concerns effectively.
🤝 Dedicated Support: A compassionate team ready to guide you through your health journey.

We’re proud to offer a comprehensive range of services to address a variety of health concerns:

🩺 Diabetes Management: From diagnosis to treatment, we help you gain control over your diabetes with expert care and guidance.

🌀 Thyroid and Adrenal Health: Diagnosing and treating thyroid disorders, adrenal dysfunctions, and hormone imbalances to restore your energy and vitality.

🌟 Bone Health: Expert care for osteoporosis and related conditions, ensuring stronger, healthier bones.

📊 Liver Health: Advanced Fibroscan Ultrasound to assess liver health and detect issues early.

⚡ PCOS Management: Comprehensive care for polycystic ovary syndrome, tailored to improve hormonal balance and overall well-being.

💓 Cardiovascular Screening: PAD (Peripheral Arterial Disease) Screening to detect and manage vascular conditions effectively.

🧠 Parathyroid and Calcium Disorders: Expert treatment to manage conditions affecting your bones, kidneys, and overall metabolism.

🔎 Preventative Care: Proactive health screenings and lifestyle coaching to prevent chronic illnesses and keep you feeling your best.

We’re here to make your journey to better health as seamless as possible. Find us at:

📍 Bridgewater Township – State-of-the-art facilities and a welcoming team.
📍 Edison – Conveniently located for all your healthcare needs.
📍 Flemington – A comfortable environment with top-notch care.
📍 Piscataway

At EnLyv Clinics, we don’t just treat conditions—we partner with you to transform your health. Whether you’re managing a chronic illness or looking to prevent future health issues, we’re here to guide you every step of the way.

💖 Your Journey to Wellness Starts Here!

Click below to explore our services or schedule your first consultation. Together, we’ll take your health to the next level.