Provider Service: Family Medicine

Anjali Sivendra, MD

Physician Leads with Insight, Listens with Heart

“I want patients to feel like they’ve found a safe space—where they’re seen, heard, and supported at every stage of life.”

Dr. Anjali Sivendra discovered her passion for medicine at an early age, inspired by watching her father, an internal medicine physician, build close, meaningful relationships with patients in their community. While she initially envisioned a similar path, it was during her third year of medical school that she found her true calling in family medicine. “It was everything—pediatrics, women’s health, geriatrics, OB,” she says. “I loved the idea of caring for people across all ages and stages.”

As a family medicine physician at Vanguard Medical Group’s Jersey City Downtown office, Dr. Sivendra brings that full-scope care to life every day. She chose Vanguard because of its provider-led structure and patient-first approach. “I was drawn to the emphasis on lifestyle medicine and innovative, holistic care,” she says.

Women’s health remains a key area of focus for Dr. Sivendra, both clinically and through community service. As a past president of the Camden Prenatal Collaborative, she worked to connect underserved women with vital prenatal care. “It wasn’t just about medical procedures—it was about education,” she explains. “Helping patients better understand their health gives them more autonomy and confidence.”

Patients often describe Dr. Sivendra as having a calm, reassuring presence. “I try to explain things in plain language and really meet people where they are,” she says. “I think that makes them feel safer and more at ease.”

She believes the beauty of family medicine lies in building lasting relationships. “You get to know patients as whole people—not just their conditions. Understanding their goals, families, and what motivates them is key to providing truly personalized care.”

Dr. Sivendra is a strong advocate for inclusivity in healthcare. “I want every patient to know they’re welcome here, no matter who they are or what they’re going through.”

Outside of work, she enjoys cooking traditional Tamil dishes, tackling home improvement projects, painting, and cross stitching. She also regularly volunteers at GRACE Church in Summit and the Ozanam Shelter Soup Kitchen in Edison.

Zoe Tenny PA-C

Physician Assistant finds joy in helping patients thrive

“One of the most powerful parts of family medicine is helping patients feel confident in managing their own health.”

Zoe Tenny’s nurturing personality – combined with her love for math and science — made a career in healthcare a natural fit. After shadowing clinicians and gaining hands-on experience as both a scribe and a medical assistant, she discovered her ideal role as a Physician Assistant (PA).

During her PA training, Zoe completed a clinical rotation in family medicine at Vanguard Medical Group and was immediately drawn to its patient-first approach and supportive, collaborative environment.

“I was really interested in women’s health and pediatrics, but what stood out about family medicine is how you get to see it all and treat the patient as a whole person,” she explains. “It’s not just about managing a condition—it’s about understanding their medical history, lifestyle, and personal goals, and creating care plans that truly fit their lives.”

Zoe brings a thoughtful, relationship-driven approach to her practice. Patients often tell her that she’s a great listener who takes time to ask the right questions and explain things in a way they understand. “I love working one-on-one with patients and making sure they feel informed, comfortable, and in control of their health.”

She finds motivation in the tangible impact she sees through follow-up visits and long-term care. “It’s incredibly rewarding to witness the progress patients make over time and to know that I had a part in that. Building those relationships and seeing that positive change—that’s what drives me.”

Outside of the office, Zoe enjoys spending time outdoors—especially at the beach—as well as baking, listening to podcasts, and being with her family.

Kristina Chan, PA-C

Physician Assistant Builds Trust Through Compassionate Listening

“The most powerful thing we can do in medicine is listen—with empathy, patience, and purpose.”

Kristina Chan got an early introduction to the power of healthcare. In high school, she watched as a dedicated medical team helped her grandmother recover from a stroke, restoring her to nearly full function over a period of months. That experience made a lasting impact and sparked Kristina’s decision to pursue a career where she could make the same kind of difference for others—as a Physician Assistant (PA).

Before earning her PA degree, Kristina gained hands-on experience working as an EMT—a role that proved especially meaningful when her team responded to a stroke patient. Thanks to their training, they were able to recognize the signs quickly and get him to the hospital promptly. “In that moment, it all came full circle for me,” she recalls. “I was able to help someone in a situation similar to what my grandmother went through.”

During her PA clinical training, Kristina completed two rotations at Vanguard Medical Group and immediately felt at home. “The teamwork stood out to me,” she says. “I loved how PAs and physicians collaborated, and how there was access to specialties like sports medicine. I knew this was the kind of practice I wanted to be a part of.”

Kristina is drawn to the variety of family medicine, where no two days—or patients—are ever the same. “One patient may come in with a cold, another with diabetes, and another with a skin concern,” she says. Her background in dermatology gives her a special interest in skin health and cancer screening. “I always tell patients that skin checks are just as important as colonoscopies. It’s about prevention and early detection.”

Patients appreciate Kristina’s calm, compassionate approach. “Sometimes people come in anxious, worried about their symptoms or a possible diagnosis. I make it a point to listen—really listen. That alone can bring a lot of comfort.”

What does she love most about being a PA? “Helping people. It’s that simple. Just like the team helped my grandmother, I want to be that person for someone else. That makes me happy.”

Outside of the office, Kristina enjoys staying active—especially playing volleyball—and is involved in her local church, where she helps foster community and fellowship.

Christie Joshi, PA-C

Physician Assistant Values Quality Patient Interactions

“It’s a privilege to be part of my patients’ lives.”

Long before she chose a career in healthcare, Christie Joshi witnessed the deep bond between patients and providers. When her father fell ill, her mother—a hospice nurse—became his caregiver. “I understood what it felt like to need comfort and guidance,” Christie recalls. “I saw firsthand how trust and rapport make all the difference.”

That experience led her to become a primary care physician assistant, a role she loves for its variety. “In a single day, I might see patients with respiratory infections, chronic conditions like diabetes or hypertension, or those simply coming in for preventive screenings,” she explains. “No matter the reason for their visit, I want to help them take control of their health.”

Christie joined Vanguard because of its comprehensive, team-based approach to patient care. “The model here is unique,” she says. “We have primary care providers and specialists—cardiology, gastroenterology, sports medicine—all in one place. Plus, having a pharmacist on staff to consult about medications is invaluable. It’s an environment designed for high-quality care.”

Patients describe Christie as approachable, kind, and empathetic. Known for her calming presence and clear explanations, she strives to make every patient feel at ease. “I want them to feel heard and reassured, especially if they’re nervous.”

For Christie, the most rewarding part of her work is being there for patients during difficult times. “When someone is facing a health challenge, you’re reminded of our shared humanity,” she says. “Making a difference in those moments is the greatest service I can provide.”

Outside of work, Christie enjoys walking, playing tennis, and baking gluten-free treats. An avid reader, she loves curling up with a good book alongside her rescue cats.

Paige Seavey, PA-C

Primary Care Physician Assistant Values Patient Relationships

“When you’re part of a practice like Vanguard where everyone wants the best for the patient, that’s when they receive exceptional care.”

Paige Seavey played a lot of sports growing up. While her siblings largely dodged the injuries, she was the one who always seemed to end up at the doctor’s office. Those countless visits and hours in physical therapy left a lasting impression, sparking her fascination with both the medical and rehabilitation aspects of care. It ultimately led to her career as a physician assistant.

“As I began to explore both careers, I discovered that I prefer primary care over rehabilitation,” she explained. “It allows me to explore all aspects of medicine. I like that it’s always evolving and keeps me continually challenged. It’s inspiring to see doctors with more than 30 years of experience still pursuing education and training to improve themselves.”

She chose Vanguard because it is a physician-driven practice. “I feel as though the quality of patient care is held to a higher standard,” she said. “Patients are not just a number or a medical billing code.” Vanguard is also a full circle moment for Paige, who grew up in the area. “I’m excited to bump into some familiar faces, both when I’m out and about and also at the practice.”

Patients appreciate Paige’s attention to detail and her thoughtful approach to their concerns. “I’m very patient when they explain things because I genuinely want to understand what they’re trying to say,” she shared. “They trust me, feel comfortable with me, and often come to me first to discuss their concerns. They know I truly care about their well-being.”

Paige also finds immense fulfillment in her relationships with patients. “Honestly, the thing I love most about my job is the patients,” she said. “I’ve formed bonds with them that feel like a genuine connection—almost like being part of the family.”

When she’s not working, Paige loves hitting the slopes, whether it’s skiing in Vermont or out west in Utah. She’s also an avid traveler, always eager to explore new destinations and experiences. In her downtime, Paige enjoys cooking and even shares tips with patients on ways to improve their diets. Most of all, she cherishes spending time with her family—her wife and their beloved dog.

Rafael Alexandre, PA-C

Physician Assistant Creates Caring Connections with Patients

“When you take the time to understand all the factors in a patient’s life, you get a more complete picture of their health—enabling you to provide more effective care.”

Growing up in a family of healthcare professionals, Rafael always knew he wanted to help people. A self-professed science enthusiast, he found that a career in healthcare perfectly combined his passion and skills. He discovered the physician assistant profession during college while shadowing a PA.

“I was inspired when I first learned about physician assistants—their versatility, integral role in the healthcare system, and ability to work across specialties,” said Rafael. “Shadowing PAs opened my eyes to a dynamic and impactful career, and I knew it was the perfect fit for me.”

While at Rutgers, he volunteered at the HOPE Clinic, providing medical care for the underserved and uninsured in South Plainfield. Not only was he able to make a difference, he honed his skills as a medical professional and solidified his passion for primary care.

“I love the longevity of primary care,” said Rafael. “It allows me to build lasting relationships with my patients, understanding not just their physical health but their mental well-being too. I get to address their concerns, treat their problems, and follow their progress as they grow and navigate through life. It’s incredibly rewarding to be an integral part of their journey.”

Patients like that Rafael takes his time and is attentive to their concerns. “They say I am thorough and that I listen,” he explained. “If I can do anything, it’s to be the listening ear that they need. Plus, you’ll find that often, if you slow down and just listen, patients will share the essential information that helps you to help them.”

When he’s not working, Rafael enjoys spending time with friends, and regularly joins them for jam sessions. Singing and making music is one of his favorite ways to unwind. He also enjoys working out, playing volleyball and video games.

Melissa Ann Eppinger, MD

Family physician sees the person behind the diagnosis

“My goal is to provide compassionate care that acknowledges each patient’s unique story, empowering them through every step of their healthcare journey.”

Melissa Ann Eppinger’s path to medicine seems almost destined. With a father who is a nephrologist and a mother who works as a physician assistant, healthcare was always a central theme in her life. During high school, a volunteer job as a hospital courier, delivering flowers and plants to patients, gave her a firsthand look at the difference a kind gesture can make. However, it was a profound personal experience with a life-changing diagnosis that truly set her on the path to becoming Dr. Melissa Ann Eppinger.

“I understand what it’s like to be on the other side of the examination table,” she said, “feeling the fear and worry. My goal is to ensure my patients know that I’m here for them, seeing them as more than just their medical conditions.”

Dr. Eppinger ultimately pursued her medical education with a focus on family medicine. Her formative experiences included internships in surgery and pediatric neurosurgery, where she conducted and published research in areas such as breast oncology, hypertension, pediatric neurosurgery, and neurology.

Returning to New Jersey, where she considers home, she said “I feel a strong connection to the community that helped shape who I am today.” Dr. Eppinger chose Vanguard for its comprehensive resources and patient-centered approach.

Dr. Eppinger values the diversity of her patients, from newborns to the elderly and everyone in between. “I could be seeing a sick appointment, and then seeing a baby, and after that treating someone with a chronic medical condition,” she said. “They are so much more than their chronic medical conditions, hypertension, anxiety, depression, and diabetes, so much more than their blood pressure value, hemoglobin count or A1C value. They are also mothers and fathers, chefs and firefighters and marathon runners, and that’s how I think we should be treating our patients. We need to take a step back and truly get to know who our patients are to really be effective clinicians.”

She has a particular passion for women’s health, engaging in meaningful conversations about issues that many women are hesitant to discuss. “I aim to empower women and emphasize the importance of healthcare screenings. I also provide services like pap smears, birth control implants, and intrauterine device insertions.”

Her patients appreciate her personable and compassionate approach, noting her dedication to listening and understanding their concerns. “It’s incredibly rewarding to be a part of my patients’ lives, helping them through both the big and small challenges,” she said.

Outside of work, Dr. Eppinger enjoys traveling, staying fit through cardio kickboxing, and dancing competitively in jazz, contemporary, and ballet.

Urvi Patel, PA-C

Physician assistant helps patients take control of their health

“I think of primary care as the headquarters for a patient’s health.”

When Urvi Patel was in high school, her grandfather had a heart attack. That’s when she realized that no one in her family was equipped to deal with a medical emergency.  “I had this opportunity as a first-generation college student to pursue whatever career I wanted, and that’s when I decided on medicine,” she said.

Urvi ultimately chose a career as a physician assistant, and during her schooling, she gravitated toward pediatrics, women’s health, and family medicine. Vanguard Medical Group was a natural fit because the primary care practice incorporates all three, and more. “Vanguard’s team-based care approach creates a supportive environment where everyone is helping each other,” she said. “That not only helps me as a provider, but in turn it benefits our patients.”

She takes the time to really listen to her patients and address their concerns. “It’s so important to listen with an unbiased, nonjudgmental ear,” she said. “That way, you can get to know your patients and get a full picture of their health. The better that you understand the whole person, the better you will be able to provide recommendations for treatment or preventive care.”

Urvi feels the impact that she makes every single day. “I like being able to go home, knowing that I made a difference in someone’s life. That is very fulfilling for me. Helping people is what drew me to medicine in the first place.”

When she’s not working, Urvi loves to read, bake, and spend time with family. “I have a huge family,” she said, “and we see each other lot.”

Ruth Dominguez Enriquez, PA-C

Physician assistant treats patients like family

“Communication is so important. There should never be a language barrier in medical care.”

Ruth Dominguez Enriquez vividly remembers the confusion in her mother’s eyes as the pediatrician tried to consult with her. As a native Spanish-speaker, her mother struggled due to the language barrier. That was the moment that young Ruth decided on a career in healthcare. As a dual-language speaker, she knew she could help.

“Medicine is complicated enough,” said Ruth. “Speaking the same language is necessary so that patients fully understand their health needs. It also is comforting to hear the explanation in your native language. It’s much easier to ask questions and patients are more likely to follow guidance.”

She considered various careers in medicine, and ultimately selected the Physician Assistant. Before she even started her graduate studies, she found Vanguard Medical Group. “I worked as a medical scribe, and I loved this practice so much that I knew I would find my way back here if I could.”

Ruth initially began her PA career in urgent care, waiting for an opening at Vanguard. Now that she’s here, she enjoys the depth and breadth that primary care brings. “With urgent care, you get a snapshot of one moment in time, but with primary care, you get the complete picture,” she explained. “It’s a continuous relationship with the patient that includes preventive care and wellness, but also understanding the various stresses and challenges in a patient’s life that could affect their health. Getting to know them helps me with the best way to give them the care that they need and deserve.”

“I think that patients really appreciate my kindness,” said Ruth, “and that I’m a great listener. I try to provide them comfort when they need it the most, and speaking their language is just the start. I treat my patients that way that I would want my loved ones to be treated.”

When she’s not working, Ruth enjoys indoor cycling, cooking, and baking.

Alana Young, MS, PA-C

Physician Assistant Brings Lifelong Passion for Care

“I absolutely love seeing the outcomes of each visit. I think it makes you a better provider.”

A friend’s childhood seizure was the reason that Alana Young chose healthcare as a career. It happened at a sleepover and understandably, young Alana was frightened. Yet she was fully prepared years later in high school when that same friend had a seizure in the back seat of a car. “After that first experience, I set out to learn all about seizures,” she says. “So, I was able to calm the people around me, and help my friend through it. That was the moment I knew I wanted to go into healthcare. This is what I was meant to be doing.”

While pursuing a science track in college, she learned about the Physician Assistant career from a family friend. He arranged for her to shadow a group of PAs, which confirmed her career choice. Upon graduation, she went to work in neurology, because of her early interest in epilepsy.

“I realized pretty quickly that I wanted more of a relationship with my patients than I could have in specialty care,” says Alana. “I wanted to be there for their lifelong healthcare needs.” That’s when she pivoted to primary care. “I love the aspect of seeing everyone in the family and really getting to know your patients and partnering with them on their care.”

Patients appreciate that Alana takes the time to listen. “I strive to be that person who listens and who is calm and empathetic, because 90% of what we do is taking a good history and understanding it. That way, we can make the most informed decision on what test to order or what follow-up is needed.”

She joined Vanguard because of its patient-first focus and its collaborative care approach. A Randolph resident, Alana adds, “I’m excited to contribute to the community in which I live.”

When she’s not working, Alana enjoys traveling and hiking. She is an avid reader and loves exploring bookstores. She is a new mom and is enjoying introducing her son to these experiences.