Andrew Seise, PA-C

Physician Assistant Brings Clinical Experience with Navy to Family Medicine

“The connections that I make with my patients are my reason to come to work every day.”

As a former Navy corpsman, Andrew Seise (pronounced “cease”) has treated patients of all ranks and statuses. But it’s the connections he makes every day as a physician assistant in primary care that are the most meaningful to him.

“I love the patient interaction,” Andrew said, calling it the highlight of his day. “I enjoy getting to know my patients so that I can better help them stay healthy.”

Andrew’s career choice was initially inspired by an incredible high school science teacher who taught him the fundamentals of anatomy, physiology, and biology. When he enlisted in the Navy, Andrew continued on that track as a hospital corpsman, dispensing first aid and care to the sick and wounded on ship and shore. After completing his enlistment, he decided to continue his education in a physician assistant program. “The more that they described it to me, the more it sounded like what I was doing in the Navy,” he said.

Family medicine was the perfect place for this veteran, father of two, and former youth sports coach. He enjoys helping everyone from children to seniors stay healthy. His patients say he’s a good communicator and easy to talk to. His military service gives him a special connection to his patients who are veterans.

In addition to treating illness and disease, Andrew educates his patients on options for treatment and preventive care. “Education is essential so that patients can be advocates for their own health,” he said.

When he’s not working, Andrew enjoys hiking, kayaking, camping, and outdoor activities with his family.

Laura Cannito, APN

Laura Cannito Focuses on Wellness to Improve Patients’ Quality of Life

“Anxiety is the No. 1 behavioral health concern that I treat, and understanding emotional stressors is key to improving one’s overall physical health.”

Laura Cannito’s career journey was driven by her desire to work with patients who have mental health concerns. “I became interested in the relationship between psychology and biology and how this relates to mental health care when I was in college,” says Laura. “Mental health plays a major role in one’s physical health and in primary care practice. Understanding social and family relationships can have a major impact on daily life.”

Prior to joining Vanguard in 2013 as a psychiatric advanced nurse practitioner, she was a charge nurse on the psychiatric unit at New York Presbyterian Hospital/Weill Cornell Medical Center and a psychiatric nurse practitioner at Saint Clare’s Hospital in Denville. According to Laura, “I was attracted to joining Vanguard Medical Group by its unique patient-centered medical home model where health care providers treat patients as a whole – incorporating physical, mental and behavioral health practices.”

Laura is a behavioral health resource for primary care providers at Vanguard, who help provide the right-fit mental health care for our patients. She consults on mental health issues, helps with referrals, and also sees patients.

Taking the time to talk with patients about their concerns and creating a wellness self-care plan that includes addressing their mental health concerns and lifestyle changes is Laura’s specialty. “Seeing someone with a mental health concern whose job performance or relationships improved after counseling and is able to function at [his or her] full potential is very gratifying,” she says. Laura’s specialties include medication management and the treatment of generalized anxiety disorder, panic disorder, obsessive-compulsive disorder, illness anxiety disorder and depression.

During her time away from the office, Laura enjoys dancing, hiking and yoga. She is an avid photographer who loves to travel to new destinations in order to recharge.

Justin Yucht, DO, CAQSM

Sports Medicine Physician Helps People With Sports Injuries, Arthritis, Back and Neck Pain, and More

“Problem-solving with patients to help find the right diagnosis and intervention is essential to restoring physical health. This is true for athletes injured on the field as much as it is for people hurt at work lifting a heavy box or having pain while playing with their children or grandchildren.”

Dr. Justin Yucht is on a mission to restore quality of life for all-level athletes, young adults, adults, and seniors with sports and occupational injuries; arthritis; back, neck, and joint pain; carpal tunnel syndrome; and other musculoskeletal and painful ailments. He is a primary care sports medicine physician and a physical medicine and rehabilitation (PM&R) specialist, which makes him uniquely qualified to tackle both complex cases and common physical impairments.

“I’m a problem-solver. My goal is to identify the root cause of people’s pain and impaired function,” he explains, “which helps me determine the best path to returning them to a fulfilling and active lifestyle.”

Before he became a physician, Justin studied visual arts and biology. But he discovered his true passion in medical school, where he found the PM&R/physiatry rotations to be the most engaging. “There was nothing that brought me as much joy as being able to restore or preserve quality of life for patients,” he states. He completed his physiatry residency training at the Thomas Jefferson University Hospital in Philadelphia, followed by subspecialty sports medicine fellowship training at Crozer-Keystone, one of the first of such programs in the country. When he added sports medicine to his credentials, he became part of a small group of specialists uniquely qualified to diagnose and treat complex cases.

“I want to make sure that my patients have a good understanding of what’s going on with them so that they engage with the treatment plan,” he states, and he notes that this is part of why he takes the time to teach his patients about their conditions and to answer any questions they have.

A Bergen County native, Justin wanted to raise his family and practice medicine in North Jersey. He chose Vanguard for its collaborative approach, its focus on the whole patient, and its dedication to expanding the role of community-centered outreach for local sports programs.

When he is not working, Justin stays active with his wife and two young children. He enjoys drawing, cooking, reading, music, and traveling.

Palwasha Fazli Daftani, MD

Dr. Daftani Takes a Whole-Patient, Preventive Approach to Primary Care

“As a family physician, I want to educate my patients, to help them improve their health and quality of life.”

Dr. Palwasha Daftani always had a love for art as a child, and imagined herself going into fashion design. She declined a spot at a prestigious fashion design high school in the city to attend high school in Queens. That pivotal move put her on a much different trajectory, one that included a medical education program in her senior year of high school. It was there that she discovered her talent for math and science, and her excitement about a career in medicine. She views medicine as a scientific study and its practice as a form of art.

“We got to explore different health professions, and we took trips to local colleges and once to a research lab,” she said. “They taught us scientific techniques and offered fun opportunities to explore and learn about health care careers and how to prepare an educational path to pursue them.I hadn’t had any female role models growing up who were physicians and so I never thought about it. But once I learned more, I knew that this is what I wanted to do. I could already imagine myself doing it.”

She got a jump on college classes during her senior year of high school, and went on to earn her biology degree, a medical degree, and a master’s degree in health services administration. She chose family medicine as her specialty because of its comprehensive focus and opportunity for continuity of care.

“In family medicine, we take on a role not just of examining the disease of a patient, but we also explore his or her social and emotional factors,” she said. “It’s a biopsychosocial approach to medicine, and it’s very important in treating patients as a whole.” Dr. Daftani prides herself on being a good listener. “I let my patients talk,” she said. “It’s very rewarding. It also helps to make a better diagnosis when you listen to the full details of their stories.”

The whole-patient focus was one of the aspects that attracted Dr. Daftani to Vanguard Medical Group. “Everyone here works as an advocate for the patient,” she said. “There is also an emphasis on preventive care, which is so important in overall health.”

When she’s not working, Dr. Daftani enjoys spending time with her husband and their three children. She is an avid reader and also enjoys exercising and traveling.

Debora Geller, MD

Allergist Takes a Preventive Approach to Seasonal and Food Allergies, Skin Conditions and Asthma

“Allergies are the 6th leading cause of chronic illness in the U.S. and the most common health issue affecting children; as allergists, there is a lot we can do.”

Dr. Debora Geller has managed the challenges patients face caused by environmental allergies, asthma, atopic dermatitis or eczema, hives and other skin allergies, food allergies, medication allergies and more. “Allergies can severely impact one’s ability to function” she said. “Yet there is a lot we can do to relieve those symptoms—and even prevent them in the future.” Trained in pediatric and adult allergy, asthma and immunology, Dr. Geller has helped countless patients with focused, personalized approaches to manage their allergy symptoms on a daily basis.

Helping others is a calling for Dr. Geller, and has been since she was very young. At just six years of age, she aspired to follow in the footsteps of her pediatrician, a woman who formed a strong connection with her. After medical school, she completed a residency in general pediatrics, then a fellowship in pediatric and adult allergy, asthma and immunology.

Dr. Geller traditionally sees patients who require more intensive allergy care than what is available over-the-counter or by their primary care physicians.  “These may be patients with moderate or severe cases that need a higher level of treatment,” she said. “My goal is to keep them healthy and functioning.”

Dr. Geller chose to work at Vanguard for its preventative and collaborative care approach. She noted, “It makes for better patient care, when the medical team works together with a similar focus.” Dr. Geller’s caring and personalized medical approach has earned her such awards as NJ Monthly Top Doctor, Castle Connolly Top Doctor and the Top Doctor for Children.

When she’s not working, Dr. Geller enjoys traveling and learning about different cultures. She is an athlete and enjoys cycling and skiing. She stays active with her husband, also a physician, and three kids. She has a rescue Shih-Tzu named Sandy.

Peter Heit, MD

Gastroenterology Specialist Peter Heit Gets to the ‘Gut’ of the Problem

“I take an old-fashioned approach to clinical exams. We talk first in my office, and again afterward. It’s a more comfortable encounter and you learn so much more.”

From an early age, Peter Heit knew his future career. In fact, at his sixth-grade graduation, he wrote down that he was going to be a doctor. “Back then, there were not too many outlets for kids who liked the sciences,” he says. “It was research or medicine, and I knew that I wanted to take care of people.”

He received a full scholarship to attend Boston University and got accepted into medical school during his sophomore year. That allowed him to take graduate and undergraduate courses concurrently, and fit in some medical research. He ruled out the other specialties and chose gastroenterology/hepatology because the specialty featured interesting procedures and had the potential to build longstanding patient relationships.

The relationships are especially important to him. “Every visit starts with a conversation in my office,” he says. “I want to make it as comfortable as possible, to allay any concerns and to find out how I can help.” Then he examines the patient in the exam room.  Finally, they meet back in the office to discuss the findings and put together a plan. “Sometimes, we focus on self-management; other times we  recommend procedures or medication. Importantly, this is a plan that evolves over time as part of continuity of care.”

Preventive care, including colonoscopy screening, is a large part of his focus. “I help my patients get past the stigma and embarrassment of this test, and understand how powerful a colonoscopy is in helping them live longer, healthier lives.” In addition, Peter treats the full spectrum of gastrointestinal disorders such as irritable bowel syndrome, inflammatory bowel disease, abdominal pains, reflux, Crohn’s and ulcerative colitis, and stress-related gastroenterological issues. “The enteric nervous system is second only to the brain in complexity,” he says, “and so there are quite a number of potential gastrointestinal issues.”

When he’s not working, he enjoys going to the theater with his wife. He also is a skilled clock maker and has made over 100 clocks.

Stern, Alyse, PA-C

Alyse Stern Believes Treating Entire Families Helps Treat Each Individual

“Treating entire families is a special opportunity where you see the whole rather than only part of the picture.”

Alyse Stern started her career in a genetic testing lab, but was not totally fulfilled. “Although the experience was invaluable, I recognized early on that I needed to connect with people, and family medicine would allow me to work directly with patients,” says Alyse. “I wanted to care for whole families. I recognized that individual family members could provide insight and history that would greatly enhance patient and health care provider relationships, and result in improved quality care.”

For over a decade, Alyse has been enjoying the continuity of care and trust that develops between individuals and family members, and their health care providers. She finds it rewarding when her patients refer friends and other family members. “My patients inspire me every day, and for me it’s the icing on the cake when someone comes into the office and asks for me,” she says.

Alyse joined Vanguard in 2004 as a physician assistant and, under the guidance of a medical doctor, provides a variety of services to patients, including annual physicals, wellness checkups, diagnoses, medication management, blood pressure screenings, inoculations and vaccinations.

She’s also a certified Department of Transportation medical examiner, one of the few in New Jersey. This allows her to conduct the detailed physicals required for bus and truck drivers with commercial drivers’ licenses.

When she’s off the clock, Alyse is a busy mom who enjoys cooking, baking and spending time with family and friends.

Smith, Stephanie, MD

Patients Inspire Dr. Smith Every Day

“The best care evolves from trusting relationships built over time.”

Dr. Stephanie Smith chose family medicine because it was “the package deal,” where she had the chance to do it all. “In medical school, we have the opportunity to rotate through each specialty area to see which we like best,” she explains. “I enjoyed every aspect of every rotation, from pediatrics to surgery to OB/GYN.”

Now at Vanguard, she’s developing the trusting relationships with her patients that are the foundation of great medical care. “Perhaps because I’m a woman, I see a lot of female patients,” she notes. “They tell me that they feel more comfortable talking to me about female problems. I really enjoy helping my patients, getting them through crises and making sure they’re doing all they can to stay healthy. It’s what motivates me to come to work every day.”

With a master’s degree in public health, Dr. Smith maintains a strong focus on preventive care and wellness. “Sometimes you’ll be able to prevent something before it becomes a bigger issue,” she says. “A great example is a mammogram. If we can screen more women, we can help catch cancer at its earliest stages.”

Dr. Smith was an All-American athlete growing up, and played soccer while at Columbia. When she’s not working, she enjoys introducing her young children to sports and spending time with her husband and family.

Sivaraju, Kannan, M.D.

Dr. Kannan Sivaraju Makes House Calls for Good Health

“Our Home Care program offers two major advantages to our homebound patients: It gives them the personalized and comprehensive care they need while still being covered under primary care. That means it’s good for their health and for their pocketbooks.”

The first physician in his family, Dr. Kannan Sivaraju had always been interested in health care. When it came time to choose a career, it was a natural step to pursue medicine. He chose internal medicine because it is interesting and challenging.

“It’s very rewarding when you figure out the diagnosis and cure the disease,” he says, “and also help patients improve their quality of life.”

Dr. Sivaraju earned a certification in geriatrics to better understand the unique issues faced by his older patients. He works frequently with patients in the Home Care program, which means he makes house calls. Regular care at home helps patients avoid unnecessary admissions to the emergency room. “These are patients who have difficulty coming to the office,” he says. “They may be elderly and chronically ill. Importantly, we do more than simply see them and prescribe medication. We’re able to perform many of the services typically found in the office, such as blood work and other diagnostic tests, including Doppler ultrasound and echocardiograms.” The team also can refer patients to hospice care, a home health aide service or wound care at home.

Dr. Sivaraju enjoys the autonomy that comes from working in a physician-led practice rather than one dictated by a hospital. “The benefits to the patient are tremendous,” he says. “There are virtually no delays in patient care. Patients or caregivers can get in touch with us through the web portal or via phone. If they need a refill on medication, or if they want to schedule a same-day visit, they can do that easily. We also respond right away to patient messages. We work to deliver high patient satisfaction.”

When he’s not working, Dr. Sivaraju enjoys watching movies or dining out with his family at local restaurants.

Sally Mravcak, MD

Dr. Sally Mravcak Focuses on Family, Lifestyle and Relationships for Wellness and Prevention

“You’re not just looking at disease, but at family and social interactions and lifestyle. We ask the pivotal questions. Who’s cooking at home? How is the stress level? How much exercise are you getting? Do you have social relationships? All of these contribute to a patient’s well-being.”

When your mother is a registered nurse, you get an early glimpse into what it’s like to help others. That’s what happened with Dr. Sally Mravcak. “Growing up, we always had people in the neighborhood coming to the house, asking for my mom’s help or advice,” she says. “That was my inspiration for going into health care.

She chose family medicine because she enjoyed every rotation during medical training, from pediatrics to women’s health to geriatrics. “I didn’t want to give any of it up,” she says. “I like being able to treat an entire family, from the children to their parents, grandparents and great grandparents.”

Dr. Mravcak began her career working in a federally qualified health center, spending eight years caring for uninsured and underinsured people in New Jersey. “I like to advocate for my patients,” she says. “Every patient deserves excellent care offered with dignity and respect.” Prior to joining Vanguard, Dr. Mravcak also practiced full time in a women’s health center, providing comprehensive primary care, office gynecology and acupuncture. In addition to family medicine, she is board-certified in integrative medicine and medical acupuncture, and believes in evidence-based, whole-person care that takes into account the role of body, mind and science in creating wellness. She offers medical acupuncture in the Jersey City office of Vanguard. These treatments may be done alone or in concert with traditional medical practices to prevent and treat medical problems and promote emotional and physical wellness.

“Vanguard is always on the cutting edge of family medicine, as our name suggests,” notes Dr. Mravcak. “We’re pushing the ball forward in medicine, and in technology, as far as it can go. We’re also very open and accepting of patients of all backgrounds. We see patients of all ages, ethnicities, sexual orientations and gender identities, and they each feel comfortable here.”

When she’s not in the office in Jersey City, you might find Dr. Mravcak on a biking trail, taking in some live music or spending the day at the beach with her spouse and two daughters.