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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.

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Marlyn Alvarado, FNP-C, is a board-certified family nurse practitioner at Union Spine and Pain Management. The practice has locations in Union, Scotch Plains, South Bound Brook, New Brunswick, Old Bridge, and Woodbridge, New Jersey. Proficient in English and Spanish, Marlyn brings a wealth of experience delivering comprehensive care to diverse populations of all ages.

Marlyn embarked on her nursing journey at New Jersey City University in Jersey City, where she earned her nursing degree. During this time, she served as a surgical nurse at Jersey City Medical Center in Jersey City, New Jersey, where she cared for patients undergoing chemotherapy, dialysis, and surgery.

Continuing her work at Jersey City Medical Center, Marlyn served in pivotal roles as a transition discharge nurse and maternal child health nurse. Here, she managed patients with high-risk pregnancies, substance use disorder, and teen pregnancy, demonstrating her versatility in addressing complex healthcare needs.

She also served as a case manager at United Healthcare in West New York, New Jersey, and later as a wellness coach/chronic condition manager at Premise Health. These roles further developed her understanding of holistic healthcare management and patient support.

Passionate about advancing her nursing practice, Marlyn pursued her Master of Science in nursing at Spring Arbor University in Spring Arbor, Michigan. This led to her family nurse practitioner certification from the American Academy of Nurse Practitioners. 

Marlyn holds additional certifications in neonatal resuscitation from the American Academy of Pediatrics and advanced cardiac life support from the American Heart Association.

In her role at Union Spine and Pain Management, Marlyn enjoys collaborating with the team, ensuring that she meets the diverse needs of her patients. 

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

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

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

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

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

Dr. Selorm Takyi joined Revive Spine and Pain Center in 2020. He completed his physiatry residency at JFK Johnson Rehabilitation Institute, offered through the Department of Physical Medicine and Rehabilitation at Rutgers Robert Wood Johnson Medical School. With a passion for teaching, he served as an academic chief resident and graduated residency in 2019. He then completed his fellowship in regenerative orthopedics and musculoskeletal medicine.

Dr. Takyi practices compassionate medicine and was inducted into the Gold Humanism Honor Society in 2014 while attending Rutgers New Jersey Medical School. Specializing in both ultrasound-guided and fluoroscopic-guided techniques to treat pain and sports medicine injuries, he is excited to share his goal of using non-surgical procedures to help restore function and quality of life to his patients. With his training in physiatry, Dr. Takyi enjoys creating comprehensive treatment plans for his patients. In addition to offering interventional spine injections such as epidurals and nerve blocks, he performs platelet-rich plasma (PRP) and micro-fragmented adipose tissue (MFAT) injections to help treat a variety of neuromusculoskeletal conditions. His clinical interests include regenerative medicine, rotator cuff tears, osteoarthritis, ACL injuries, and meniscus tears.

He has co-authored the physical modalities, therapeutic exercise, extended bedrest, and aging effects chapter in the Physical Medicine and Rehabilitation Board Review 4th Edition and an upcoming publication, Atlas of Interventional Orthopedics Procedures chapter on autologous tissue harvesting techniques: bone marrow aspirate and adipose tissue. He is a member of the American Academy of Physical Medicine and Rehabilitation, Interventional Orthobiolgoics Foundation, Spine Intervention Society, and the American Medical Society for Sports Medicine. When not in the office, Dr. Takyi enjoys photography, exercising, and spending time with his family.

Mahmud Ibrahim, MD, at Revive Spine and Pain Center Marlton, Hamilton Township, East Brunswick and Northfield, New Jersey, holds dual board certification in sports medicine and physical medicine and rehabilitation and is fellowship trained in interventional pain management.

When treating patients at Revive Spine and Pain Center, his goal is to restore function, reduce pain, and promote an active, healthy lifestyle using conservative measures whenever possible.

Though Dr. Ibrahim treats pain from any cause, his special clinical interests include musculoskeletal medicine, non-operative spine procedures, orthopedics, sports medicine, electrodiagnostic medicine, and restorative therapy.

In addition to performing the full range of fluoroscopic-guided interventional pain-management procedures, he also uses diagnostic and therapeutic ultrasound. He has extensive skill in minimally invasive procedures such as discectomies and percutaneous tenotomies.

After graduating from the New York University Grossman School of Medicine in New York City, Dr. Ibrahim completed his residency training in physical medicine and rehabilitation at the Icahn School of Medicine at Mount Sinai School (also in New York City). After receiving an Accreditation Council for Graduate Medical Education (ACGME) fellowship, he stayed at Mount Sinai to subspecialize in sports and interventional spine medicine. 

Dr. Ibrahim has published several articles on musculoskeletal medicine. He’s also a contributing author in a textbook on how to perform ultrasound-guided injections and the author of a book exploring what causes pain, how to reduce it, and ways to live with persistent pain.

Dr. Ibrahim has provided sideline coverage at football games, captained the medical tents at the New York City marathon, and was a ringside physician for the Golden Gloves of America boxing tournament and professional wrestling. 

Michael Rizkalla, MD, a skilled physician with double-board certification in sports medicine and physical medicine and rehabilitation, founded Revive Spine and Pain Center in 2017. At the practice’s offices in Marlton, Hamilton Township, East Brunswick and Northfield, New Jersey, he provides a patient-centered approach to treating acute and chronic pain.

He begins each appointment by listening to patients who all too often say that they’ve been everywhere and no one listens to or helps them. After hearing and understanding each person’s unique story and completing a physical exam, Dr. Rizkalla creates a tailored treatment plan using evidence-based treatments drawn from traditional medicine, interventional medicine, physical therapy, and complementary and restorative practices.

Dr. Rizkalla received his medical degree from Ross University School of Medicine in Miramar, Florida, then finished an internship in internal medicine before completing a residency in physical medicine and rehabilitation at Harvard Medical School, Spaulding Rehabilitation Hospital in Cambridge, Massachusetts.

Dr. Rizkalla has a subspecialty in sports medicine, has fellowship training in interventional pain management, and is certified in contemporary medical acupuncture. In addition to diagnosing and treating pain, his clinical interests include spine and joint care, sports medicine, electrodiagnostic and neuromuscular medicine, and nonsurgical orthopedics.

He has extensive training in performing numerous interventional pain procedures and restorative injections, such as platelet-rich plasma (PRP) and bone marrow aspirate cells. Dr. Rizkalla is also proficient in using musculoskeletal ultrasound to diagnose and treat injuries.

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. 

About Michael A. Romello, MD

Offering expert care to New Jersey residents, Michael A. Romello, MD, is committed to putting his patients first. Board-certified by the American Board of Physical Medicine and Rehabilitation, Dr. Romello brings his expertise in non-operative musculoskeletal care and interventional pain management to the team at Orthocenter. 

Dr. Romello received his Bachelor's Degree in Biology from Ursinus College in Collegeville, Pennsylvania. While there, he was a 4-year starter and 2-year captain of the Ursinus baseball team and graduated Magna Cum laude. After completing his undergraduate studies, Dr. Romello went on to earn his medical degree from the University of Medicine and Dentistry of New Jersey (UMDNJ/Rutgers) in Newark. Dr. Romello did his internship in Internal Medicine at Jersey Shore University Medical Center, followed by his Residency in Physical Medicine and Rehabilitation at UMDNJ/Kessler institute for Rehabilitation.

Dr. Romello then went on to complete Fellowship training in Interventional Pain Management from Lags Spine and Sports Care in Santa Maria, California. While there, he received additional training in non-operative care of spine, musculoskeletal conditions, and sports related injuries. In addition to spinal procedures, Dr. Romello also gained further experience in electrodiagnostic testing (EMG) as well as musculoskeletal ultrasound guided procedures.

As a part of the Orthocenter team, Dr. Romello focuses on neck and back pain management. He provides comprehensive non operative care for his patients including spinal procedures under fluoroscopic guidance such as epidural steroid injections, nerve blocks, radiofrequency ablation (RFA) and joint injections. He performs dorsal column spinal cord stimulator trials and works closely with the orthopedic spine team for permanent placement of spinal cord stimulators. 

Dr. Romello is an active member of the American Academy of Physical Medicine and Rehabilitation, (AAPM&R), the North American Spine Society (NASS), Spine Intervention Society (SIS) and the New Jersey Society of Physical Medicine and Rehabilitation. He strives to provide quality care to maximize each person’s function and improve their quality of life.