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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. 

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.

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.

Milind Patel, MD, MBA, is a double board-certified pain management specialist and physiatrist at Peak Spine & Sports Medicine in Marlton, New Jersey. He continuously provides the latest treatment options available in his field and collaborates with his multidisciplinary team to offer top-tier care. While working with new or returning patients, Dr. Patel gains an in-depth understanding of their goals and uses a holistic approach to treat chronic pain and sports injuries. Dr. Patel attended Drexel University where he earned his bachelor’s degree in biological sciences. He earned his medical degree at Drexel University College of Medicine in 2014. In 2012, Dr. Patel completed a master’s degree in business administration, focusing on health care management and finance. After earning his degrees, Dr. Patel completed his residency, including acting as Chief Resident, and fellowship training in Pain Medicine at the prestigious University of Pennsylvania in Philadelphia.

Jill Kalariya, MD, is a double board-certified interventional pain management specialist and anesthesiologist at Peak Spine & Sports Medicine in Marlton and Collingswood, New Jersey. Her talent for educating patients and students alike shines through in her current pain management work as she helps patients navigate their many care options for back pain, neck pain, joint pain, and neuropathy.

Dr. Kalariya grew up in Scranton, Pennsylvania, before graduating from Wilkes University. After earning her Bachelor of Science in biology, she attended medical school at Drexel University College of Medicine. Following the completion of medical school, Dr. Kalariya completed residency training and acted as chief resident in anesthesiology at Cooper University Hospital, followed by fellowship training in Pain Medicine.

Today, Dr. Kalariya uses her skill to offer a wide range of pain management treatment options to her patients at Peak Spine & Sports Medicine. She frequently helps patients manage concerning and often worsening symptoms like neuropathy, sciatica, and chronic pain. She provides innovative treatments like stem cell therapy, spinal injections, and spinal cord stimulation. She holds board certifications in Anesthesiology and Pain Medicine.

Outside of her work, Dr. Kalariya loves to bake, travel the world, and sample the desserts of every culture. 

Milind Patel, MD, MBA, is a double board-certified pain management specialist and physiatrist at Peak Spine & Sports Medicine in Marlton, Collingswood, and Lawrenceville, New Jersey. He continuously provides the latest treatment options available in his field and collaborates with his multidisciplinary team to offer top-tier care. While working with new or returning patients, Dr. Patel gains an in-depth understanding of their goals and uses a holistic approach to treat chronic pain and sports injuries. 

Dr. Patel attended Drexel University where he earned his bachelor’s degree in biological sciences. He earned his medical degree at Drexel University College of Medicine in 2014. In 2012, Dr. Patel completed a master’s degree in business administration, focusing on health care management and finance. 

After earning his degrees, Dr. Patel completed his residency, including acting as Chief Resident, and fellowship training in Pain Medicine at the prestigious University of Pennsylvania in Philadelphia. He also pursued a special fellowship in Healthcare Quality Improvement and Clinical Safety at the University of Pennsylvania School of Medicine. He continues to use the knowledge he learned during his training in practice today at Peak Spine & Sports Medicine.

Dr. Patel displays a clear passion for his work at Peak Spine & Sports Medicine, where he frequently treats cases of low back pain, arthritis, knee injuries, sciatica, and sprains using advanced techniques like regenerative medicine, injections, and spinal cord stimulation. He holds Board Certifications in Physical Medicine & Rehabilitation and Pain Medicine.

In his current role, Dr. Patel enjoys constantly learning about new models of health care and innovative technologies in his field. He uses his expertise and skill to create meaningful impacts in patients’ lives.

Outside of work, Dr. Patel loves the Philadelphia Eagles, Tesla vehicles, and learning about futuristic technology.

Alexander Gimpelevich, DO, is a board-certified physiatrist at Igor Rubinshteyn, MD, in the Brighton Beach area of Brooklyn and Rego Park, New York. A lifelong competitive athlete, Dr. Gimpelevich became interested in physiatry after experiencing first-hand the multitude of injuries athletes endure. He specializes in helping people reduce pain and improve their quality of life.

Dr. Gimpelevich earned his bachelor’s degree at Columbia University in New York City. After working for two years doing research for the Mount Sinai Columbia University Hospital, Dr. Gimpelevich earned his Doctorate of Osteopathy from the New York College of Osteopathic Medicine in Old Westbury. 

He completed a rotating internship program at the Maimonides Medical Center in Brooklyn and a physical medicine and rehabilitation residency at Long Island Jewish Hospital. Prior to joining the team at Igor Rubinshteyn, MD, Dr. Gimpelevich worked in sports medicine and served as a general physiatrist, technician, and research assistant.

Dr. Gimpelevich is board-certified in physical medicine and rehabilitation from the American Board of Physical Medicine and Rehabilitation.

Dr. Larisa Likver is a board-certified physiatrist with over 25 years of medical experience, specifically pain management, both in New York City and abroad. She has been trained in Prolotherapy by the Hackett-Hemwall Foundation, the leading institution for Prolotherapy education and research. For over 35 years, the Hackett-Hemwall foundation has hosted a medical missionary trip to Honduras.

Dr. Likver has advanced her expertise in Prolotherapy by participating in these missions in 2014 and 2015, dedicating her time and service to treat people who are otherwise unable to afford medical care.

She is also a specialist in Neural Prolotherapy. This treatment was developed by New Zealand physician Dr. John Lyftgoft. Dr. Likver participated in some of the few global conferences in Neural Prolotherapy to obtain training from Dr. Lyftogt himself. In 2013, Dr. Likver participated in the most comprehensive global conference for Neural Prolotherapy held in Guadelajara, Mexico — further solidifying her expertise in the treatment.

Additionally, Dr. Likver is recognized as a Pioneer by the American Registry for Diagnostic Medical Sonography and was one of the first to obtain Certification in Musculoskeletal Sonography in 2012. She has more than 10 years of experience implementing ultrasound guidance to dramatically improve the positive outcome of pain-alleviating procedures through directly targeted and precise injections with the help of real-time visualization.

Ali Shah, MD, is a skilled spine medicine physician practicing at MidJersey Orthopaedics (MJO), which has locations in Flemington, Bridgewater, and Washington, New Jersey.

Dr. Shah earned his Doctor of Medicine at Drexel University College of Medicine in Philadelphia, Pennsylvania. He then went on to complete his physical medicine and rehabilitation residency at The Ohio State University Medical Center before completing his interventional spine fellowship at the Cleveland Clinic. 

Dr. Shah is board-certified by the American Board of Physical Medicine and Rehabilitation and maintains membership with the American Academy of Physical Medicine and Rehabilitation. 

He provides a wide range of treatments, including radiofrequency ablation (RFA) and cervical, lumbar, and thoracic injections, to help his patients lead lives that are less impacted by chronic pain.

To schedule an appointment with Dr. Shah, call MidJersey Orthopaedics (MJO) or request an appointment online today. 

Jill Kalariya, MD, is a double board-certified interventional pain management specialist and anesthesiologist at Peak Spine & Sports Medicine in Marlton and Collingswood, New Jersey. Her talent for educating patients and students alike shines through in her current pain management work as she helps patients navigate their many care options for back pain, neck pain, joint pain, and neuropathy.

Dr. Kalariya grew up in Scranton, Pennsylvania, before graduating from Wilkes University. After earning her Bachelor of Science in biology, she attended medical school at Drexel University College of Medicine. Following the completion of medical school, Dr. Kalariya completed residency training and acted as chief resident in anesthesiology at Cooper University Hospital, followed by fellowship training in Pain Medicine.

Today, Dr. Kalariya uses her skill to offer a wide range of pain management treatment options to her patients at Peak Spine & Sports Medicine. She frequently helps patients manage concerning and often worsening symptoms like neuropathy, sciatica, and chronic pain. She provides innovative treatments like stem cell therapy, spinal injections, and spinal cord stimulation. She holds board certifications in Anesthesiology and Pain Medicine.

Outside of her work, Dr. Kalariya loves to bake, travel the world, and sample the desserts of every culture. 

Milind Patel, MD, MBA, is a double board-certified pain management specialist and physiatrist at Peak Spine & Sports Medicine in Marlton, Collingswood, and Lawrenceville, New Jersey. He continuously provides the latest treatment options available in his field and collaborates with his multidisciplinary team to offer top-tier care. While working with new or returning patients, Dr. Patel gains an in-depth understanding of their goals and uses a holistic approach to treat chronic pain and sports injuries. 

Dr. Patel attended Drexel University where he earned his bachelor’s degree in biological sciences. He earned his medical degree at Drexel University College of Medicine in 2014. In 2012, Dr. Patel completed a master’s degree in business administration, focusing on health care management and finance. 

After earning his degrees, Dr. Patel completed his residency, including acting as Chief Resident, and fellowship training in Pain Medicine at the prestigious University of Pennsylvania in Philadelphia. He also pursued a special fellowship in Healthcare Quality Improvement and Clinical Safety at the University of Pennsylvania School of Medicine. He continues to use the knowledge he learned during his training in practice today at Peak Spine & Sports Medicine.

Dr. Patel displays a clear passion for his work at Peak Spine & Sports Medicine, where he frequently treats cases of low back pain, arthritis, knee injuries, sciatica, and sprains using advanced techniques like regenerative medicine, injections, and spinal cord stimulation. He holds Board Certifications in Physical Medicine & Rehabilitation and Pain Medicine.

In his current role, Dr. Patel enjoys constantly learning about new models of health care and innovative technologies in his field. He uses his expertise and skill to create meaningful impacts in patients’ lives.

Outside of work, Dr. Patel loves the Philadelphia Eagles, Tesla vehicles, and learning about futuristic technology.

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.

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. 

James Moran, DO, is a physical medicine and rehabilitation specialist at Coastal Spine, with locations in Mount Laurel, Sewell, Galloway, and Wall Township, New Jersey. Dr. Moran specializes in the non-surgical treatment of adult spine disorders.

Emphasizing a non-invasive approach to the care of painful spinal disorders, he will formulate a comprehensive treatment plan to suit the needs of the individual patient utilizing a thorough history, physical exam and diagnostic studies. When indicated, Dr. Moran also has over twenty years of experience in interventional pain management techniques including diagnostic and therapeutic spinal injection procedures.

Dr. Moran earned his bachelor’s degree from the University of Delaware followed by a medical degree from the University of Medicine and Dentistry of New Jersey - School of Osteopathic Medicine, now part of Rowan University. He completed his residency training at Temple University Hospital in Philadelphia, and a fellowship in interventional spine techniques and pain management at MidAtlantic Spine in Wilmington, Delaware.

Dr. Moran has served as a course instructor in the spine curriculum for the Department of Physical Therapy at the University of Delaware. He has repeatedly been named a “Top Doc” by his peers in magazine polls. He is a fellow of the American Academy of Physical Medicine and Rehabilitation, and a member of the American Society of Interventional Pain Physicians.

Bernadette Livewell is a certified Physician Assistant who joined Coastal Spine in 2012. She graduated from Ursinus College with degrees in both Biology and Spanish. She then attended Philadelphia College of Osteopathic Medicine where she earned her Physician Assistant Master’s Degree in 2011. She is a member of The American Academy of Physician Assistants and the North American Spine Society.