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Availability last updated 09/13/2025
Gerald F. Gaughan, MD, is a highly experienced physical medicine and rehabilitation physician at Doctors United, with offices in the West Farms and Wakefield neighborhoods in the White Plains, and Ardsley, New York. Dr. Gaughan focuses on enhancing and restoring the functional abilities and quality of life for his patients with physical impairments and disabilities.
After earning his Doctor of Medicine at the State University of New York (SUNY) Health Science Center (now known as SUNY Downstate Health Sciences University) in Brooklyn, New York, Dr. Gaughan completed a one-year medicine internship at New Rochelle Hospital (now known as Montefiore New Rochelle Hospital) in New Rochelle, New York.
Dr. Gaughan then went on to complete his anesthesia residency at Montefiore Medical Center, the University Hospital for Albert Einstein College of Medicine, in the Bronx, followed by his physical medicine and rehabilitation residency at New York Medical College in Valhalla, New York.
He is board-certified by the American Board of Physical Medicine and Rehabilitation and is licensed to practice medicine in the state of New York.
Dr. Gaughan has hospital affiliations with St. Barnabas Hospital in the Bronx and St. John’s Riverside Hospital in Yonkers.
Taking a patient-centered approach to care, Dr. Gaughan makes himself available when his patients need him.
Dr. Gerald Gaughan, MD
Physiatrist
174 Grand Street
White Plains, NY 10601
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.
Philip Rojo, MSN
Nurse Practitioner
655 Amboy Avenue
Woodbridge, NJ 07095
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.
Marlyn Alvarado, FNP
Nurse Practitioner
655 Amboy Avenue
Woodbridge, NJ 07095
With more than 20 years of experience, Grigory Kizelshteyn, MD, FIPP, offers the best in pain management to AABP Integrative Pain Care and Wellness patients in White Plains.
With his two board certifications in anesthesiology and pain management, Dr. Kizelshteyn provides expert care for many chronic pain conditions, including back pain, leg pain, and arthritis.
Dr. Kizelshteyn uses many different pain management techniques to help his patient feel and move better, including ultrasound-guided interventional epidural injections and nerve blocks, ketamine infusions, medical marijuana, and platelet-rich plasma (PRP). He uses a holistic, multimodal approach that also incorporates lifestyle changes such as altered focus meditation.
Dr. Kizelshteyn earned his medical degree at New York Medical College (NYMC) in Valhalla, New York. He completed his residency anesthesiology training at Westchester Medical Center, also in Valhalla, New York, and completed his pain management fellowship at New York Medical College.
He spent seven years as Director of the fellowship program at New York Medical College.
Since starting his first private practice in 1998, Dr. Kizelshteyn has helped many patients to overcome chronic pain, as well as publishing work in specialty medical journals. He also holds a patent for a unique surgical device to treat fibrotic lesions.
Dr. Kizelshteyn is among the “Top 100 Doctors of Westchester” and “America’s Top Doctors,” and he’s grateful that he gets to do what he loves — helping patients overcome chronic pain.
Dr. Grigory Kizelshteyn, MD
Anesthesiologist
6010 Bay Parkway
6th Floor
Brooklyn, NY 11204
Joseph Hadi, MD
Physiatrist
423 Avenue N
Brooklyn, NY 11230
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.
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.
Karen Edgecomb, Physician Assistant
Physician Assistant
2 State Route 27, Levinson Plaza
Suite 508
Edison, NJ 08820
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.
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.
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.
Elena Procaccini
Physician Assistant
2 State Route 27, Levinson Plaza
Suite 508
Edison, NJ 08820
Dr. Alhov received his medical degree in Russia, after which completed his residency (Pain Management) in the United States, where he has now worked for over 13 years. Dr. Alhov was one of the first doctors to use ultrasound imaging when administering injections – a method that allows to alleviate pain most effectively. He was also on the team of doctors who developed a pain-relieving and healing ointment in conjunction with a pharmaceutical company.
Dr. Vladimir Alhov, MD
Physiatrist
1720 East 14 Street
Brooklyn, NY 11229
Dr. David Borenstein, MD
Physiatrist
15 Barstow Rd
Great Neck, NY 11021
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.
Dr. Dmitriy Dvoskin
Pain Medicine Physician
2090 NJ-27
Edison, NJ 08817
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.
Dr. Boleslav Kosharskyy
Anesthesiologist
2090 NJ-27
Edison, NJ 08817
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.
Marlyn Alvarado, FNP
Nurse Practitioner
141 Main Street
South Bound Brook, NJ 08880
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.
Philip Rojo, MSN
Nurse Practitioner
141 Main Street
South Bound Brook, NJ 08880
About The Practice
Ajay Kumar MD, DABPM, DABPM, is an interventional spine and pain physician at New Jersey Advanced Pain Management, which has locations in Hackettstown, New Jersey, Matamoras, Pennsylvania, and Warwick New York
Dr. Kumar earned his Doctor of Medicine from the prestigious All India Institute of Medical Sciences in New Delhi, India. He completed his residency in physical medicine and rehabilitation at Temple University Hospital in Philadelphia. He is fellowship-trained in interventional pain medicine, board certified in physical medicine, and a diplomate of the American Board of Pain Medicine.
In India, Dr. Kumar was an orthopedic surgeon with specialized training in doing fluoroscopic and ultrasound-guided minimally invasive pain procedures. He is one of the few physicians who have extensive training in prolotherapy. At New Jersey Advanced Pain Management Center, Dr. Kumar works with the patient to offer them various solutions for their problem. He routinely treats patients affected by musculoskeletal injuries that cause back pain, neck pain, knee pain, and shoulder pain. Dr. Kumar has extensive experience in NCV/EMG studies to diagnose the cause of the pain. He offers minimally invasive spine procedures and spinal cord stimulation trials as well as spinal cord stimulation permanent implants for various medical diagnoses.
Dr. Kumar's strengths include diagnosing difficult cases and offering sensible treatments that are logical and safe. He understands the ability of the body to naturally heal itself as a basis for his treatment protocols. Dr. Kumar also embraces multidisciplinary care, including physical therapy, acupuncture, and chiropractic, to get well and stay healthy.
To schedule an appointment with Dr. Kumar and the team at New Jersey Advanced Pain Management Center, call the office or book an appointment online today.
Dr. Ajay Kumar, MD
Physiatrist
57 RT 46
Suite 105
Hackettstown, NJ 07840