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Why Immigration Medical Exam Is Necessary

USCIS immigration physicals in New Jersey

Immigration USCIS Physicals are necessary to ensure you are physically fit to enter the United States. The US has a strict policy regarding USCIS Physicals to contain critical illnesses and prevent further damage.

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Why Do I Have High Blood Pressure?

Blood pressure is necessary to keep the blood pumping to all body parts. If the pressure falls below the usual limits, some parts of your body are not getting enough blood flow and suffer from blood loss. If the blood pressure is greater, clots and permanent damage to vessels are possible. It can originate from:

Sometimes, underlying kidney diseases, disorders, and other issues can lead to high blood pressure.

What Should My Blood Pressure Level Be?

It is necessary to monitor your blood pressure if you suffer from any pressure variations. The normal blood pressure in a healthy human is 120/80 mm of hg, while in older adults, blood pressure within 130/80 mm of hg is considered normal. However, 130/80 mm of hg is considered to be stage 1 hypertension in adults under 65. For adults aged above 65 years, blood pressure above 140/90 mm of hg is considered to be stage 2 hypertension, and it is advised to take the medication within these limits.

Stage 2 hypertension means that your blood pressure is 140/90 mmHg or higher. Because your blood pressure can fluctuate throughout the day, especially after exercise or after consuming caffeine, getting several blood pressure readings at various points throughout the day can help confirm a high blood pressure diagnosis.

Are There Symptoms of High Blood Pressure?

High blood pressure is referred to as a ‘silent killer’ due to the dangers it poses without raising alarms of symptoms. Thus, not many noticeable symptoms are visible during the early onset. In later stages, severe discomfort can be experienced. If the pressure rises to 180/120 mm of hg, it is a medically emergent condition that requires immediate assistance.

How is high blood pressure treated?

Blood pressure cannot be lowered or regulated by using medications alone. Proper changes in lifestyle, diet, and other factors are necessary to regulate, mediate, and reduce high blood pressure. Some of the key ideas to reduce blood pressure include:

High blood pressure can cause severe vascular issues in your heart, and therefore, it should not be avoided. It should be given due importance, and proper treatment is mandatory.


High Cholesterol

Cholesterol is a necessary element in your blood. But if the level goes beyond a limit, it can create severe issues for you. High cholesterol can cause discomfort and reduce the quality of life. Cholesterol can arise due to a variety of issues, including but not limited to

Food habits, lack of exercise, and certain medications can critically contribute to higher cholesterol levels in your body.

What Should My Cholesterol Level Be?

Cholesterol is a complex phenomenon consisting of triglycerides, bad cholesterol (LDL), and good cholesterol (HDL). Healthy cholesterol levels in adults vary according to age and gender. The generic recommended levels are:

Total cholesterol is the sum of each type of cholesterol we have mentioned.

What are the common symptoms of High Cholesterol?

There are no noticeable symptoms presented for high cholesterol. However, you might face general difficulties while handling routine tasks. Some of the major issues you might face in daily life include:

If you are getting tired easily while doing simple tasks it can indicate high cholesterol levels.

As a lifestyle disease, doctors advise changes in daily routine over-prescribed medicines. Using medicines means that you will have to continue their usage over a long time, which can also be bad for your health. Thus, lifestyle changes, diet regulations, and regular exercise are good ways to regulate your cholesterol levels. Some of the prescribed medicines include:

Why Do I Have Angina?

Angina or chest pain can arise due to a wide range of reasons. Some of the reasons are associated with the lifestyle, while other reasons can be genetic, work stress, underlying medical conditions, or even the intense daily routine. Angina can be caused by coronary artery disease, which can open up a whole lot of critical health issues. In addition, it might be due to:

What are the different types of Angina?

Depending on the underlying condition and the characteristics of pain, angina can be of different forms. The most common Angina types include:
Stable Angina: It is a common chest pain randomly and instantly triggered by external factors that can be regulated and controlled.
Unstable Angina: Medically complicated conditions that can keep going bad due to the blockage of arteries or other medically explainable issues.
Variant Angina: Chest pain that occurs at night without any trigger on random occasions.

Are There Symptoms For Angina?

Angina usually starts with a tightness in your chest and progresses towards extreme pain. Other noticeable symptoms include:

How is Angina treated?

Angina treatment focuses on improving the blood flow to the heart and regulating your blood pressure. Although vasodilators and other relaxing medications are provided, lifestyle changes and regular exercise are advised for everyone. Common medications prescribed by doctors include:


In addition to these medications and lifestyle changes, angioplasty is a common procedure done to save patients from potentially dangerous incidents.

Why Do I Have Diabetes?

Diabetes is a lifestyle disease that raises the sugar level in your blood. It can occur due to increased sugar consumption or other factors. Genetics is a critical component that contributes to diabetes. Diabetes based on the type and nature can be classified into:
Type 1 Diabetes: It is an auto-immune disease that occurs when the insulin-producing cells in your practice are under attack from the body’s immune system, thereby reducing the insulin level and leading to an imbalance of sugar regulation.


Type 2 Diabetes: It is the most common form due to insulin deficiency due to the pancreas being unable to produce the proper amount of insulin to regulate the sugar level in your blood. Genetics, obesity, unhealthy diet, and family history have severe effects on these types.

What Should My Sugar Level Be?

The blood sugar level can be measured after fasting and at random intervals. The fasting blood sugar level should be less than 100mg/dl milligram per decilitre in a healthy individual. Random blood sugar should be less than 140 mg/dl when measured 2 hours after eating. Among both measurements, fasting blood sugar level is considered more relevant to finding and analyzing proper treatment plans.

How is Diabetes treated?

Diabetes is usually treated with insulin injections and lifestyle meditation. Depending on the type of diabetes, other complex procedures may be suggested for the individuals. Based on your overall health and other conditions, doctors might prescribe other oral medications in addition to insulin injections.

Why Do I Have Heart Attack?

Heart attacks can be caused by a number of factors ranging from obesity to cardiovascular issues. Some of the major reasons behind heart attacks in the present society include:

How to reduce the risk of heart attack?

Some lifestyle changes are necessary to reduce the risks of having a heart attack and improve your heart’s health. Our heart specialist usually advise them to improve their eating habits and to quit smoking. Changing some food habits and moving into a healthy diet can make all the changes regarding cardiovascular issues.

Are There Symptoms For Heart Attack?

The major symptoms associated with heart attack include:

Since heart attack often leads to blood flow problems, you can experience severe discomfort all over the body.

How is Heart Attack treated?

Heart attacks can be prevented by using lifestyle mediation and other medications. However, in the event of a heart attack, you should resort to emergency steps to mitigate the danger and evade the critical situation. Some of the most common treatment steps include:

Why Do I Have Foot Pain?

Foot pain is a generic condition that can be caused due to a number of serious underlying conditions or other environmental factors. Some of the major causes of foot pain that you should be concerned with include:

How To regulate my foot pain?

You can manage your foot pain, regulate the discomfort, and reduce the pain by using massage therapy and regularly cleansing your foot in warm water. In addition you can also try changing the footwear and using a more comfortable footwear at all times.

Are There Symptoms For Foot Pain?

The major symptom that helps you to identify foot pain includes excruciating pain similar to a stabbing experience. Burning or tightening sensation in your foot. Numbness, swelling and redness in the foot. These symptoms are often paired with difficulty walking, running, or even sitting in certain postures.

How is Foot Pain treated?

Foot pain is often treated with massage therapy, ice treatment, warm water cleansing and, over-the-counter medications and pain relievers. Patients with severe pain are advised to take complete rest for the next few days; it will help in analysing if the pain is related to the daily work they have.

Why Do I Have Varicose Veins?

A varicose vein is commonly associated with old age people. It occurs due to faulty blood flow in certain parts of the body, increased pressure in veins, and due to old age. As you get older, the vein will experience difficulty supplying blood due to many underlying conditions and thus can lead to varicose veins. It is commonly present in your legs or ankles as these are the body parts farther away from your heart.

How do you reduce the risk of Varicose Veins?

You can reduce the risk associated with varicose veins by maintaining a healthy body weight, making lifestyle changes to accommodate a healthy diet, and avoiding smoking or drinking habits. You can also ensure that you properly care for your body by not standing for too long and wearing supportive shoes.

Are There Symptoms For Varicose Veins?

The main symptoms varicose vein patients present include bulged veins in their bodies. You might also face aching and throbbing in those bulged areas. Visible skin colour changes can be observed in those areas, making spotting the problem easier. In addition, you might also feel tightness and swelling in the leg.

How are Varicose Veins treated?

Varicose vein treatments include various modern technologies that use laser, radio frequency, and other agents to remove dead tissue from the affected areas. This helps in improving the blood flow. Some of the most common techniques include:

Why Do I Have Peripheral Vascular Disease?

Peripheral vascular disease refers to peripheral artery disease in which the blood flow through your arteries is restricted due to blocked or partially blocked arteries. This can occur due to the narrowing of arteries. The major reasons behind this condition include:

How do we reduce the risk of peripheral vascular?

To reduce the risk of having Peripheral vascular disease or PAD, it is advisable to quit smoking and manage blood pressure and cholesterol levels. Regularly undergo a checkup to see if there are any complications. You can also make lifestyle changes like:

Are There Symptoms For Peripheral Vascular?

The main symptoms of peripheral vascular disease include pain in certain body parts and numbness in different areas. Since the blood flow is affected, you might experience

How are Peripheral Vascular treated?

The treatment protocols for peripheral vascular disease are quite similar to other blood flow conditions. You have the option to regulate, control and monitor the situation using medications and anti-inflammatory drugs, or in severe cases, surgery might be the only choice. The treatment protocols commonly used to treat PAD include:

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Fatima Shaik MD


Fatima Shaik is a board certified internist and cardiologist. She specializes in general cardiology and heart rhythm disorders. She cares for patients at Advanced Medical Group in Jersey City and North Bergen. She also performs procedures at Jersey City Medical Center.

She completed her undergraduate education at NYU and received her MD degree for SUNY Downstate Medical Center. She completed her residency training at Mount Sinai Beth Israel Medical Center and her cardiology fellowship at New York Presbyterian Queens. She went on for advanced training in electrophysiology at Cooper Hospital in Camden, NJ.
She is trained in device implantation, SVT and atrial fibrillation ablations as well as watchman implantations.
She is fluent in English and Hindi.
She is currently accepting new patients.

Reema Parikh, DPT

Physical Therapist

Reema Parikh received two bachelor’s degrees from Long Island University and Touro College, and graduated as a Doctor of Physical Therapy from Touro College in 2013. In her early years as a DPT, she received an award for excellence in research and taught a course for the national physical therapy licensing board exam. Dr. Parikh has a passion for helping patients on their health journey; she is experienced in all ages and care of patients, ranging from pediatric care to geriatric care. She has hosted live and virtual workouts for varying levels of physical activity, incorporating mobility and strength segments. Dr. Parikh has furthered her education by receiving certifications in many aspects of physical therapy and holistic care including Nutritional PT, Restorative Yoga, Pilates, and Reiki.

Ms. Maria Avila

Maria Avila, NP

Nurse Practitioner

Coming Soon


Jersey City

Union City

West New York

North Bergen

Jersey City

North Bergen

Aishwarya Parab, PT

Physical Therapist

Aishwarya Parab received her Bachelors in Physiotherapy in India in 2015 and furthered her studies at Long Island University where she graduated with her Masters in Exercise Science, Sports, and Nutrition in 2019. She has experience working with various conditions, including herniated disks, spondylolysis, and post-operative mobility issues. Aishwarya has taken courses to expand her knowledge in the physical therapy world, including spinal mobility courses, neuromuscular reeducation courses, and getting a certificate with Revolution in Motion. Aishwarya finds it exceedingly rewarding to build a long-term relationship with her patients and shows commitment towards providing structured and effective healthcare.

Dr. Prajakta Avhad

Prajakta Avhad, MD

Pain Management located in Franklin Township, Somerset, NJ & East Brunswick, NJ

About Dr. Avhad
Dr. Prajakta Avhad is double board-certified in Pain Management and Anesthesiology. Dr. Avhad received her M.B.B.S. from MIMER, India, and completed her Surgical internship and Anesthesia residency at Brookdale University Hospital in Brooklyn, New York during which she interned at Memorial Sloan Kettering, St. Luke’s Roosevelt, and Staten Island Hospital.

She then completed her Pain Management Fellowship from Cleveland Clinic Foundation.

Dr. Avhad is a diplomate of the American Board of Anesthesiology and a member of the American Academy of Pain Medicine.

Dr. Avhad has been in practice in Central and South Jersey for more than 12years. She is a caring physician with expertise and experience in treating a spectrum of Pain conditions like chronic back and neck pain, herniated discs/sciatica with minimally invasive interventional procedures.

Dr. Avhad and her family reside in New Jersey. She is an avid gardener active with her kids, dog, and garden if not tending to her broad and exotic orchid collection.

Radhika Patel PA-C

Radhika Patel, PA-C

Physician Assistant located in Jersey City, NJ

About Patel
Graduating summa cum laude from Rutgers University with a BA in Biological Sciences and minor in Spanish, Radhika Patel obtained experiences in outpatient medicine as well as in emergency medical services prior to pursuing a career as a physician assistant. She graduated from the Rutgers University Physician Assistant program with a Master of Science after training in cardiology, internal medicine, and urgent care, among many other fields at various hospitals and private practices throughout the state of New Jersey. She is a proud member of the team at Advanced Garden State Cardiology and looks forward to meeting with patients each day in our Jersey City office.

Enrique D Chappilliquen Lucio, PA-C

Enrique Chappilliquen, PA-C

Physician Assistant located in Union City, NJ & Jersey City, NJ

About Dr. Chappilliquen
Graduated from Mercy College Physician Assistant Program with a Masters of Science in Physician Assistant Studies, Enrique has extensive experience in the medical field for more than 6 years.

He has clinical experience and training in internal medicine, cardiology, general and vascular surgery, hematology, oncology, and emergency medicine. He joined Dr. Richard’s practice in October of 2016. Since then, he has been a dedicated medical provider working in the Union City office and the Hematology/Oncology office in Jersey City as well.

As a Hispanic, he proudly serves his community with passion and devotion. Being able to communicate fluently with his patients allows him the opportunity to provide excellent medical care to the Hispanic community in Union City and Jersey City. Also, sharing the same language, culture, and values as his patients allows him to connect at a personal level with his patients. Enrique continues to develop his knowledge and skills constantly to continue satisfying the needs of his patients.

Dr Christopher Samaniego, DPM

Christopher Samaniego, DPM

Podiatrist located in Jersey City, NJ, Union City, NJ, and West New York, NJ

Christopher Samaniego, DPM, is originally from Freehold, New Jersey. He attended college at Messiah College, where he graduated Magna Cum Laude with a degree in Biology. He earned his podiatric medical degree from Temple University School of Podiatric Medicine in Philadelphia, PA and completed his surgical residency training at Detroit Medical Center in Detroit, MI. 

Dr. Samaniego provides comprehensive foot and ankle care at Advanced Medical Group in Jersey City, Union City, and West New York. His specialized surgical training includes

  • Bunion
  • Hammertoe correction
  • Diabetic foot care
  • Fungal nail care
  • Plantar fasciitis, tendinitis, orthotics
  • Gout, warts, neuroma care
  • Flat feet and high arched feet
  • Foot and ankle trauma
  • Adult and paediatric foot conditions
  • Arthritis of the foot and ankle
  • Arthroscopy, joint replacement, minimally invasive techniques

Samaniego is a member of the American College of Foot and Ankle Surgeons and the American Podiatric Medical Association. He keeps up to date on the latest surgical techniques and available technology in foot and ankle care.

Prior to joining Advanced Medical Group, Samaniego studied public healthcare in Zambia and assisted in providing care to the local community. He has also presented research at the annual meeting of the American College of Foot and Ankle Surgeons. Samaniego achieved the highest rank of Eagle Scout through the Boy Scouts of America and volunteered with Troop 454 for scouts with special needs and the Freehold Public Library. In his free time, Samaniego volunteers with his local church community service and youth programs.

Samaniego resides in Jersey City, NJ and maintains his health by cycling and interval training several times a week. He explains, “Healthy doctors inspire healthy patients. I follow the same advice I give my patients, and I read constantly to become a better physician every day. I encourage my patients to ask questions and learn about the cause of their symptoms. An ounce of prevention is worth a pound of cure.”

Dr. Merwin Richard, MD. A cardiologist

Merwin Richard, MD

Cardiologist located in Jersey City, NJ & Union City, NJ

As an established board-certified internist and cardiologist, Merwin Richard, MD, has a reputation for helping patients with the most complex of health conditions. He cares for patients at Advanced Medical Group in West New York, Jersey City, and Union City, New Jersey.

Richard began his undergraduate education in medicine at Stanley Medical College in India. He earned his doctor of medicine degree from Tamil Nadu Dr. M.G.R. Medical University before relocating to New York City.

After completing both his internship and internal medicine residency through the Albert Einstein College of Medicine, Dr. Richard went through advanced fellowship training. He completed a cardiovascular fellowship at Columbia University College of Physicians and Surgeons, then went on to finish a second fellowship in interventional cardiology through Mount Sinai School of Medicine (now Icahn).


Throughout his career, Richard has stayed involved in numerous research projects and previously served as a professor at the University of Medicine and Dentistry of New Jersey (now Rutgers University). Richard went on to become the director of the first cardiac catheterization and interventional laboratory in Jersey City and has extensive training in vein treatments.

To ensure he continues staying up to date with the latest research and techniques, Richard maintains his board memberships. He’s board certified through the American Board of Internal Medicine in cardiovascular disease and interventional cardiology.

Being fluent in English,  Spanish, and Tamil gives Richard the opportunity to communicate with patients from diverse cultural backgrounds. Richard is currently accepting new patients.