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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. 

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.