Provider Service: Pediatric & Adolescent Medicine

Kothari, Lara, PA-C

Lara Kothari Values Offering Small Steps to Better Health

“Being part of a patient-centered health care team that includes physicians and physician assistants gives our patients options and flexibility. It also gives our care team depth and breadth.”

Lara Kothari credits her nurturing personality – and all the “medical talk” by the physicians in her family while growing up – for her decision to become a physician assistant in a family medicine practice. She also loved science and people, so it seemed a natural fit.

Family medicine was Lara’s first choice, because she got to work in all the areas every day: OB/GYN, babies and children, women’s and men’s health, and geriatrics. She enjoys seeing the children she once treated now going off to college, and treating them when they come back home.

“It’s wonderful to see continuity of care work at its best,” says Lara, who notes the importance of patient-provider relationships. “You don’t get that in an ER or hospital setting. But as a primary physician, you often get to know the whole family and you develop those relationships that increase comfort levels in sharing important information that can improve patient outcomes.”

She often hears from patients that Vanguard is comprehensive and well organized. “A lot of patients like the patient portal,” she says, “because it gives them 24/7 access. They also like the fact that Vanguard has all the services under one roof, from X-ray to nutrition to behavioral health and home care.”

With Vanguard Medical Group since 1999, Lara can’t imagine being anywhere else. “Selfishly, it completes me,” she says. “I enjoy it. I like making a difference and helping people in whatever small way that I can. It’s part of who I am.”

When she’s not working, Lara enjoys exercising and socializing with friends and family.

Gorman, Robert, MD

Dr. Robert Gorman Sees Primary Care as a Personal and Long-Term Journey

“Patients may see a series of specialists, from an orthopedist for a replaced knee to a cardiologist for the stent in their heart. But if you ask who their doctor is, they will name their family physician.”

When Dr. Robert Gorman was in high school, he heard about the shortage of family doctors. The American Academy of Family Physicians had recently been established as a specialty to encourage more primary care physicians. He was intrigued; he was interested in the career and knew he had the scholastic aptitude. “It was a goal that I thought I could reach, and I really never looked back,” he says.

Dr. Gorman currently serves as the chair of the board of the New Jersey Academy of Family Physicians, the state chapter of the national organization that inspired this journey. As a school physician for the Cedar Grove Public Schools, he’s a constant presence in the local community. A founding member of Vanguard Medical Group, he’s also the family doctor for generations of families.

“It’s the personal relationships that we have with our patients and the longitudinal care that we provide that distinguish family medicine,” says Dr. Gorman. “Those relationships are also what I enjoy most about my job.”

Patients tell Dr. Gorman that they appreciate his thorough, comprehensive and detail-oriented approach. “They like that I listen, which is perhaps the most important of all,” he notes. “They also like that I’m friendly and that I conduct office visits with good humor, when appropriate.”

Wellness is a constant focus in those conversations. “I try to encourage my patients to schedule a wellness visit annually,” he says. “But during every encounter, I’ll touch on some parts of wellness. That means if you come in for a sore throat, I’ll check to make sure your screenings and immunizations are up to date, or talk to you about smoking if need be. Preventive care is always top of mind.”

When Dr. Gorman is not working, he enjoys skiing, camping, water sports and the Jersey Shore. A former marathoner, he now prefers running after his grandchildren.

Giangrante, Matthew, M.D.

Dr. Matthew Giangrante Builds Trust and Camaraderie with Patients

“I enjoy listening to my patients, and seeing how I can help them on a daily basis.”

Dr. Matthew Giangrante always loved science. That, and his passion for connecting with others, drove his decision to become a physician. He chose family medicine so that he had a chance to treat the full spectrum of patients and ailments.

He joined Vanguard Medical Group in 2013, a primary care practice that he says is “poised for growth without losing its focus on what’s important.” “We may be getting bigger, but quality patient care is still number one,” he says. “Patients may not even realize the depth and breadth of the practice because they still receive the kind of personalized attention that they did when we started.”

However, having access to an ever-increasing scope of services is important. Notes Dr. Giangrante, “We’re a very busy society, and when patients can get everything accomplished at one practice, from vaccines to phlebotomy, that makes it easier for them. Patients also have a level of trust when they’re getting these services done by their own doctor’s office.”

Dr. Giangrante practices the full scope of family medicine at Vanguard and has special interests in sports medicine and minor dermatologic procedures. He also has a focus on preventive care. “We handle everything from physicals to bloodwork, nutrition, weight loss strategies, vaccines for children and adults, and strategies for healthier lifestyles. When there are underlying medical issues, we help patients reduce their risk, using evidence-based research to support our recommendations.”

His easy-going, gentle nature and unique sense of humor help his patients, friends and colleagues feel comfortable around him. His patients frequently tell him that he is easy to talk to, addresses their concerns and makes them feel comfortable. Recently, Dr. Giangrante took home “New Jersey’s Favorite Kids’ Docs” honors, being listed in New Jersey Family magazine as one of the best in the business.

When he’s not working, Dr. Giangrante is an active volunteer and enjoys spending his free time with his wife and three children in his hometown of Union. He also enjoys golfing, boating and spending time at the Shore.

Carrazzone, Peter, MD

Dr. Peter Carrazzone Blends Data with Experience for Diagnosis and Treatment

“Evidence-based medicine – the conscientious use of clinical information to direct a plan of care – makes a difference in helping a patient achieve longevity and quality of life.”

When Dr. Peter Carrazzone injured his eye in the fifth grade, he discovered his future career. “I was hospitalized, and the doctor who treated me – the ophthalmologist – really inspired me. I knew then that I was going to be a doctor.” He chose family medicine because he enjoyed most every medical rotation. “Family medicine gave me the most robust ability to see everything.”

A large focus of his practice is preventive care. “We strongly monitor our patients to identify problems,” he says. “We offer annual physicals and important screening tests. We talk to them about diet and exercise. If they’re doing something harmful, such as smoking, we want to motivate them to change behaviors so they have a greater chance of a healthier and longer life.”

Wellness is a term that is used a lot, according to Dr. Carrazzone. He cautions patients to be aware of so-called lifeline screenings. “Sometimes, companies offer screenings that don’t give you any information that pertains to your health. That’s why we practice evidence-based medicine. We do screenings that either rule out a potential problem or result in a need for monitoring or treatment.”

He treats babies to seniors, and enjoys getting to know the families at Vanguard. “Knowing the family history and dynamics plays a large role in being a good diagnostician,” he says. “It provides that additional information that is helpful in treating the whole patient.” Importantly, he takes the time to listen, and he sees the patient throughout the whole medical experience, from office to hospital. “Every morning, I do rounds at three hospitals,” he says. “It’s part of our continuity of care.”

When he’s not working, Dr. Carrazzone enjoys hiking, kayaking and spending time with family, including his six children. Visit Dr. Carrazzone’s leadership biography to learn more about his responsibilities as a part of Vanguard’s Executive Team. 

Bottiglierie, Christina, PA-C

Christina Bottiglierie Advocates for Her Patients

“When patients are educated about their health, it becomes a two-way street where they are actively involved in the decision process. The result is better care.”

Christina Bottiglierie has the distinct memory of folding laundry with her father and telling him of her future career choice. “I want to go into medicine,” 5-year-old Christina said. But it wasn’t until college that she found the perfect fit, becoming a physician assistant.

Now she’s not only a seasoned physician assistant at Vanguard but also a role model for future PAs. Students from the Robert Wood Johnson Rutgers program in Piscataway and Kean University train under her as part of their course work. She also precepts “pre-PAs” – students in high school and college who are considering physician assistance as a future career.

Christina enjoys the variety in a family medicine practice, from pediatrics to women’s health to chronic care and more. She prides herself on being an advocate as well as an educator for her patients. “When I work with children who have special needs, I’ll counsel the parent on how to approach the school district, the questions to ask and what the school should provide,” she says. “When my patients are employees of the state or county, I educate them about the NJWELL program, where they can get money back for getting physicals. Certain insurances will give you free bike helmets for kids. I spend the time and talk to my patients, and make sure that they understand how they can play a role in their health.”

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 not working, Christina is involved in running groups and does Spartan races with her kids. “You have time for what you want to make time for,” she says. “That’s what I always tell my patients.”

Becker, Julie, PA-C

Julie Becker Makes a Difference in Patients’ Lives 

“Encouraging patients to keep abreast of their health care plan is a crucial part of preventive family medicine today.”

Julie Becker’s desire to have a career in health care was influenced by her grandmother, who was a dentist as well as a mentor whom she shadowed while she was in college. “For me, I had positive role models who were in medical professions, and it was during high school that I decided to pursue a career in health care,” says Julie. “When I was in school, a physician assistant was a new medical career option, but I liked the idea that it would offer me the opportunity to examine, diagnose and treat patients under the guidance of a medical doctor.”

As a physician assistant, Julie is passionate about preventive and wellness care. “Prevention is the key to health care today,” she says. “During every visit, after reviewing my patients’ charts, I encourage and remind them to keep on top of immunizations, screenings and annual physicals, including PAPs, mammograms, colonoscopies and other screenings, so that a baseline can be recorded. If an abnormality is indicated, it can be caught and treated early.”

Julie speaks fluent Russian and Hebrew. According to her, “Once in a while, I have an opportunity to speak with patients in their native language. This came in handy for me with one of my patients who was a centenarian and was a little confused about diabetes. Being able to explain her condition in her native language put her at ease.”

As a physician assistant, Julie provides a variety of services to patients, including annual physicals, wellness checkups, diagnoses, medication management, blood pressure screenings, inoculations and vaccinations.  

As the mother of four, Julie’s schedule is jam-packed keeping up with her children and their activities, but they also find time to enjoy Broadway shows and traveling.