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Patrick Fall, DO, is a pain management physician at SEPA Pain & Spine in Horsham, Langhorne, and Chalfont, Pennsylvania. Dr. Fall joined the team in 2006. 

Dr. Fall grew up in central Pennsylvania and received his Bachelor of Science from Juniata College in Huntingdon, Pennsylvania. He received a Master of Science with an emphasis in biology from Fairleigh Dickinson University in Teaneck, New Jersey. 

Dr. Fall moved to the Philadelphia area in 1997 and received his Doctor of Osteopathic Medicine in 2001. He completed his residency in anesthesiology at Thomas Jefferson University Hospital in Philadelphia, followed by a fellowship in pain medicine at Thomas Jefferson University Hospital and The Jefferson Pain Center. 

He is a Diplomate of the American Board of Anesthesiology and is dual-certified in both anesthesiology and pain medicine. Dr. Fall obtained certification in Suboxone® therapy in 2014 and is certified by the state of Pennsylvania to register patients in the medical marijuana program.

Dr. Fall provides state-of-the-art pain management treatments with precision and compassion. His goal is to allow his patients to become active participants in their own treatment, which he believes leads to better outcomes and overall care. He strives to stay current with his treatment plans using evidence-based protocols in all aspects of the care he provides. 

He is committed to finding the right treatment for each patient, increasing quality of life, and restoring function. It is his intention to provide help and hope to patients who feel they have exhausted all other options.

Dr. Fall has been married for over twenty years and has three children. He enjoys spending time with his family and pets. He’s an enthusiastic skier, traveler, and movie buff.

Sanjay Shah, MD, is a pain management physician at SEPA Pain & Spine in Horsham, Langhorne, and Chalfont, Pennsylvania. He joined the team in 2006.

Dr. Shah earned his undergraduate degree from Johns Hopkins University in Baltimore, Maryland, and his medical degree from Ponce Health Sciences University in Puerto Rico. He then completed his residency in anesthesiology and a fellowship in pain management, both at Thomas Jefferson University Hospital.

He is a pain management physician who specializes in treating debilitating and painful conditions through various interventional orthopedic therapies. His philosophy for treating patients is based on staying current with the latest pain management, minimally invasive spine surgery, and regenerative techniques so he can provide the best possible care for his patients.

Dr. Shah is dual board-certified in anesthesiology and pain medicine through the American Board of Anesthesiology with a subspecialty certification in pain medicine. In 2014, Dr. Shah founded Regenexx Philadelphia, where he began treating patients by utilizing their own platelets and stem cells to regenerate tissue. 

On a personal note, Dr. Shah is an avid do-it-yourselfer and makes every effort to stay current on technology. In his spare time, he enjoys cooking, traveling, and spending time with his family.

Chad Metzger, DO, is a pain management physician at SEPA Pain & Spine in Horsham, Langhorne, Chalfont, and Meadowbrook, Pennsylvania.

Dr. Metzger is a graduate of Penn State University where he received his Bachelor of Science degree in kinesiology, the study of human movement. His passion for the musculoskeletal system and biomechanics led him initially to pursue a doctoral degree in chiropractic medicine where he developed a passion for spine care. He then went on to receive his medical degree from the Philadelphia College of Osteopathic Medicine. Dr. Metzger completed his residency training in physical medicine and rehabilitation (physiatry) at Temple University Hospital where he served as chief resident, followed by additional fellowship training in pain medicine at Penn State Hershey Medical Center. 

Dr. Metzger takes a holistic patient-centered approach to his care with a focus on palliating pain and restoring function. His goal is to use his knowledge and interventional skill set to give his patients their best shot at returning to a normal functional life, using all of the multi-modal disciplines, medications, modern technologies, and state of the art procedures available. He strives to encourage his patients to take an active role in their healthcare for ultimate long-term success and improved quality of life. 

When not at work, Dr. Metzger lives an active lifestyle and enjoys exploring local hiking and running trails with his family. He is a proud father and husband. His wife Dana is a successful chiropractor who also shares a passion for spine care. His favorite days are college football Saturdays cheering on his Penn State Nittany Lions with friends. He also enjoys cooking and exploring all of the unique cuisines and exquisite foods that Philadelphia has to offer. 

Soon Jung, MD, is a pain management physician at SEPA Pain & Spine in Horsham, Langhorne, Chalfont, and Meadowbrook, Pennsylvania. He joined the team in 2021.

Dr. Jung is originally from the New York metro area. He graduated from the State University of New York Binghamton University before completing his medical education at SUNY Upstate Medical University in Syracuse, New York, in 2010.

He began his medical career as a neurosurgical resident at Rutgers New Jersey Medical School in Newark, New Jersey. After completing multiple years of training, Dr. Jung realized that, unfortunately, many patients continued to have chronic pain despite surgery, and during his time there, he became exposed to chronic pain management under the tutelage of Dr. Andrew Kaufman.  

After seeing the positive and life-changing impact of helping someone alleviate chronic pain, he decided to pursue a career in pain management. Therefore, he made a career move and began his anesthesia training at the Westchester Medical Center. Upon completing his residency, he began his pain management fellowship training at the University of Pittsburgh Medical Center. After completing his fellowship in 2016, he became an attending physician at the Lehigh Valley Medical Center in Allentown, Pennsylvania. While there, he was in charge of the neuromodulation program and the intrathecal pump program. With the use of intrathecal drug delivery, Dr. Jung was able to get patients off oral opioids while continuing to treat patients who required opioids in a safe, controlled manner that was physician-controlled.

He is double board-certified in anesthesia and pain management. Because of his neurosurgical background, he brings a unique skill set not found in most pain management physicians to SEPA Pain & Spine.  He believes that every patient’s pain is unique and that treatment plans should be catered to the patient’s needs. He brings with him experience and knowledge in all areas of pain management, including medication management as well as minimally invasive procedures designed to treat chronic pain.

Dr. Jung now resides in the Blue Bell area and is married with three young children. He spends his free time combing the country for the newest and latest ways he can treat his patients. He feels blessed that he can truly say that for him, his work is his hobby.

Jeremy Jaffe, MD, is a pain management physician at SEPA Pain & Spine in Horsham, Langhorne, and Chalfont, Pennsylvania. Dr. Jaffe joined the team in 1996. 

Since then, he has gained a reputation as a patient listener and effective communicator while providing a thoughtful, considerate, compassionate and comprehensive approach toward chronic pain management. He enjoys the challenge of first establishing each patient's primary pain generator and then creating an individualized multimodal approach to reduce pain and improve quality of life.

Dr. Jaffe's areas of subspecialty interest include mechanical low back pain and opioid dependence counseling and treatment. Dr. Jaffe is also a registered provider of medical marijuana certification in Pennsylvania. He spent over 20 years helping to train medical students and anesthesia residents in his capacity as Director of Medical Education for United Anesthesia Services-Abington Division. Dr. Jaffe currently serves as Vice President and Director of Human Resources for SEPA Pain Management.

He is a graduate of Haverford College in Haverford, Pennsylvania. Dr. Jaffe received his medical school training at Lewis Katz School of Medicine at Temple University. After completing an internship at Abington Hospital, he completed his residency in anesthesiology at the Hospital of the University of Pennsylvania, where the majority of his subspecialty training was devoted to pain management.

When not helping patients, Dr. Jaffe devotes a great deal of time to charitable causes, including his annual participation as co-chair for Rockin’ Docs for Diabetes Cure. His other interests include drumming, bicycling, playing tennis, and traveling.

With his dedication to patient care and maximizing recovery and functionality for all patients, Steven Ferrer, MD, is a trusted board-certified practitioner. Dr. Ferrer is the co-founder of Progressive Spine & Sports Medicine in Glen Rock, New Jersey.

After earning his Bachelor of Arts from Rutgers University in New Brunswick, New Jersey, Dr. Ferrer earned his Doctor of Medicine from the University of Medicine and Dentistry of New Jersey (UMDNJ) in Newark, where he attended on the Dean’s Academic Excellence Scholarship.

Dr. Ferrer went on to complete an internal medicine internship at the Jersey Shore University Medical Center in Neptune City, New Jersey. He completed both his residency and fellowship training through Robert Wood Johnson University Hospital in New Brunswick, New Jersey and JFK Johnson Medical Center in Edison, New Jersey.

To gain additional expertise, Dr. Ferrer became board certified through the American Board of Physical Medicine and Rehabilitation. He maintains subspecialties in physical medicine and rehabilitation, as well as pain medicine. Dr. Ferrer also currently holds privileges at Saint Barnabas Medical Center in Livingston, New Jersey, and Bayshore Community Hospital in Holmdel, New Jersey.

Dr. Ferrer prides himself on being able to perform a variety of effective nonsurgical procedures where he can optimize patient outcomes and shorter recovery times for various types of conditions and injuries. He has extensive training and certification in medical acupuncture to help patients recover from chronic pain-causing conditions and sports injuries.

Throughout his career, Dr. Ferrer has helped author articles on youth rotator cuff injuries and interventional pain management assessment techniques for pain medicine fellows. Dr. Ferrer regularly hosts community lectures on the numerous innovative treatment options for pain management.

Patients of Dr. Ferrer appreciate his willingness to go above and beyond to ensure they experience relief from pain and receive the education they need to be informed about their health care. Dr. Ferrer wants to help patients get back to their regular activities quickly without pain or surgical procedures.

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.

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.

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.

Saurabh Dang, MD, MBA, is a double board-certified pain medicine and anesthesiology physician at Hudson Pain and Spine in Englewood, New Jersey. He is dedicated to helping individuals alleviate pain, regain mobility, and enhance their quality of life through advanced, minimally invasive treatments.

After earning his bachelor’s degree from Hamilton College in Clinton, NY, Dr. Dang completed a General Surgery internship at Beth Israel Medical Center in New York City, followed by an Anesthesiology residency at New York Medical College in Valhalla, NY, where he served as Chief Resident and was honored with the “Resident of the Year” award. He then completed a fellowship in Interventional Pain Medicine at The University of Toledo and earned his MBA from The Johns Hopkins University.

Dr. Dang specializes in neuromodulation and advanced interventional procedures, including spinal cord stimulation, intrathecal drug delivery, SI joint fusion, kyphoplasty, and minimally invasive lumbar decompression for spinal stenosis. He takes a multimodal approach to chronic pain, combining innovative procedures with comprehensive care tailored to each patient.

As an active member of the American Society of Interventional Pain Physicians and the North American Neuromodulation Society, Dr. Dang continues to educate fellow physicians nationwide while helping patients in New Jersey find lasting relief from chronic pain.

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. 

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.

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. 

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.

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