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.
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.
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.
“I have been seeing the doctor for 7 months now. He will go above and beyond to try to make sure you get pain relief. He is patient and takes time to explain all procedures you may need. A smart doctor. The doctor and his team are very pleasant to talk to. Exceptional office staff. ⭐️⭐️⭐️⭐️⭐️”
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.
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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.
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.
Joshua Macklin, MD, DABA, DABPM is an established physician at Union Spine and Pain Management with offices in Union, Scotch Plains, South Bound Brook, New Brunswick, Old Bridge, and Woodbridge, New Jersey. He specializes in interventional procedures for the relief of neck and back pain.
Dr. Macklin began his education at Binghamton University in New York, receiving his Bachelor of Arts in psychology. He discovered his passion for health care and pursued his medical degree at St George’s University School of Medicine in True Blue, Grenada.
After achieving his medical degree, Dr. Macklin completed an internal medicine internship at Long Island College Hospital, followed by his anesthesiology residency at SUNY Health Science Center in Brooklyn.
He was later recognized as an outstanding resident at Kings County Hospital and served as an attending anesthesiologist at Raritan Bay Medical Center for several years.
Dr. Macklin is a diplomate of the American Board of Anesthesiology and the American Board of Pain Medicine. He is a member of the Spine Intervention Society, the American Board of Anesthesiology, the American Society of Anesthesiologists, and the New Jersey State Society of Anesthesiologists.
Beyond his professional achievements, Dr. Macklin is known for his compassionate and patient-centered approach to health care. He enjoys connecting with patients and working alongside the team at Union Spine and Pain Management.
Edward Novik, MD, DABA, DABPM, is a board-certified pain medicine specialist at Union Spine and Pain Management with offices in Union, Scotch Plains, South Bound Brook, New Brunswick, Old Bridge, and Woodbridge, New Jersey. With over 34 years of experience in the medical field, he demonstrates extensive knowledge in anesthesiology, pain management, and internal medicine.
Before relocating to the United States, Dr. Novik earned his medical degree from Samarkand State Medical School in Uzbekistan. He later completed an internal medicine residency at St. John’s Episcopal Hospital in Far Rockaway and an anesthesiology residency at SUNY Health Science Center in Brooklyn, New York.
In addition to his work at Union Spine and Pain Management, Dr. Novik serves as a pain management specialist at Overlook Hospital in Summit, New Jersey, and Trinitas Hospital in Elizabeth, New Jersey.
He has served on staff at Middlesex Surgery Center, Millburn Surgery Center, and Union Endocenter in New Jersey. He also worked as an attending anesthesiologist and pain management specialist at Union Hospital in New Jersey.
Dr. Novik is fellowship-trained in interventional pain management and is a diplomate of the American Board of Anesthesiology. He is also a member of the American Society of Anesthesiology, the New Jersey State Society of Anesthesiology, the International Spine Intervention Society, and the American Society of Interventional Pain Physicians.
Dr. Novik’s reputation extends beyond his professional accomplishments. Patients consistently commend him for his compassionate and empathetic approach, praising his ability to provide a positive experience for all individuals in his care.
“Dr. Novik is an outstanding pain management doctor. He takes the time to truly listen, explain treatment options clearly, and make sure you feel comfortable with the plan. His approach is both professional and compassionate, and he genuinely cares about improving his patients’ quality of life. The office staff is also very helpful and accommodating, which makes every visit smooth and stress-free. I highly recommend Dr. Novik to anyone seeking effective and attentive pain management care.”
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.
Michael Wilcenski, MD, DABA, DABPM, is a distinguished physician anesthesiologist at Union Spine and Pain Management with offices in Union, Scotch Plains, South Bound Brook, New Brunswick, Old Bridge, and Woodbridge, New Jersey. With a passion for health care, Dr. Wilcenski has provided quality care to patients for over three decades.
Dr. Wilcenski received his bachelor’s degree at SUNY Health Science Center in Stonybrook, New York. He later pursued his medical degree at SUNY Health Science Center in Brooklyn, New York, where he completed his anesthesiology residency, becoming chief resident.
In addition to his work with Union Spine and Pain Management, he is on staff at medical centers throughout New Jersey, such as the Middlesex Surgery Center, the Ambulatory Surgical Center of Union, the Millburn Surgery Center, and the Union Endocenter. He also served as the attending anesthesiologist at Elizabeth General Medical Center.
He is a diplomate of the American Board of Anesthesiology and the American Board of Pain Medicine. He is also a member of several organizations, including the International Spine Intervention Society, the American Society of Interventional Pain Physicians, the American Board of Anesthesiologists, and the American Board of Pain Medicine.
Dr. Wilcenski’s patients describe him as trustworthy and compassionate, with the ability to alleviate their discomfort and create a stable environment. His dedication, expertise, and compassion positively impact his patients and team at Union Spine and Pain Management.
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.
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.
Philosophy of Care
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.
Achievements
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.
Personal Life
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 three locations in Bridgewater Township, Edison, and Flemington, NJ, our goal is to make exceptional healthcare accessible and convenient for you.
Meet Dr. Vivek Bansal
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.
What Makes EnLyv Clinics Different?
💡 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.
Our Services
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.
Three Locations, One Goal: Your Health
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.
Start Your Journey Today
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.