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Doctors on Lien (LOP) in North New Jersey

Injured in an accident in North Jersey with no way to cover treatment right now? On qualifying cases, our Clifton specialists treat accident patients on a lien or letter of protection (LOP) — care now, payment from your settlement. We treat and document accident and injury cases across Passaic, Essex, Bergen, and Morris Counties.

Request an Appointment Call (732) 630-7246

Board-certified specialists · Same-week appointments · We document every visit for your claim

What “Treating on a Lien” Means

A medical lien — usually arranged through a letter of protection (LOP) from your attorney — lets you get treated now and defer payment until your personal-injury case settles. Your provider agrees to be paid from the settlement instead of up front. For accident victims who have exhausted their PIP benefits or are waiting on a liability claim, it can keep necessary care from being put on hold.

How it works: your attorney sends a letter of protection, we treat and document your injuries, and payment is addressed from your settlement — not your pocket today.

Who We Help

We work with North Jersey attorneys and their clients hurt in car accidents, falls, and other injury events who need specialist care while a claim is pending. Detailed, well-organized medical records matter as much to the case as they do to recovery — and we produce both.

How We Treat Accident Injuries

We start with the least invasive option that can solve the problem and only step up if needed. For many injuries that means physical therapy and targeted medication first, then image-guided injections such as epidural steroid injections or radiofrequency ablation when appropriate, and minimally invasive spine or orthopedic procedures — like knee arthroscopy or rotator cuff repair — only when conservative care is not enough. Common accident injuries we treat include herniated and bulging discs, neck and whiplash injuries, sprains and strains, joint injuries, and pinched or irritated nerves.

Where We Serve in North New Jersey

Attorney referrals and lien-based patients are seen at our Clifton office. Our Clifton office in Passaic County serves patients across Passaic, Essex, Bergen, and Morris Counties. Pain management, spine, and orthopedic care are all in one place, so your treatment stays coordinated from the first visit through recovery.

What to Expect

Once your attorney sends the letter of protection, we schedule your evaluation, confirm the diagnosis with imaging when needed, and build a treatment plan. We document each visit thoroughly for your attorney and keep them updated as you progress.

Frequently Asked Questions

What is a letter of protection (LOP)?

It is a written agreement, usually from your attorney, to pay your medical bills from your personal-injury settlement — letting you get treated now and defer payment until the case resolves.

Do you treat patients on a lien in New Jersey?

On qualifying accident and personal-injury cases, yes. Each case is reviewed individually, typically alongside your attorney.

What if I don’t have an attorney yet?

Lien-based treatment generally requires legal representation, since the letter of protection comes from your attorney. Get evaluated first and we can discuss options.

Does treating on a lien change my care?

No. You receive the same evaluation, specialists, and treatment options. Only the timing and source of payment differ.

Where is your North Jersey office?

Our Clifton office in Passaic County, serving Passaic, Essex, Bergen, and Morris Counties.

This page is general information, not legal or medical advice. Lien and letter-of-protection arrangements are reviewed case by case and typically involve your attorney.

Need Care Now While Your Case Is Pending?

Ask your attorney about a letter of protection, or have your law office contact us directly. Book a consultation or call our Clifton team.

Book a Consultation Call (732) 630-7246

Medicare, Workers Comp,
No Fault & Others.

We accept most major insurance plans across our New York and New Jersey offices. Select your state to see accepted plans.

Accepted at our New York Locations
Workers' Compensation No-Fault (NY & NJ) Lien Cases Medicare Empire BCBS BCBS / Anthem Cigna Aetna Empire NYSHIP Oxford (PPO) United Health Care GHI / Emblem Health Humana (PPO) Magnacare (PPO) Northwell Direct 1199 SEIU Self Pay
Accepted at our New Jersey Locations
No-Fault (NJ) Lien Cases Horizon BCBS Empire NYSHIP BCBS / Anthem (PPO) Cigna Aetna (PPO) GHI / Emblem (PPO) Port Authority UHC Verizon Plan Carpenter & Trade Unions Self Pay
Medicare and Medicaid are not accepted at our New Jersey locations. Not sure about your plan? Call us and we'll verify before your visit.
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Meet Our Pain Management & Orthopedic Specialists

Board-certified physicians dedicated to accurate diagnosis and minimally invasive care.

Dr. John Akhnoukh, M.D.
Pain Management

John Akhnoukh, M.D.

Board Certified Anesthesiologist & Interventional Pain Management Physician

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Dr. Salvatore Corso, M.D.
Orthopedics

Salvatore Corso, M.D.

Board Certified Orthopedic & Sports Medicine Surgeon

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Dr. Jeffrey Guttman, M.D.
Orthopedics

Jeffrey Guttman, M.D.

Board Certified Orthopedic & Sports Medicine Surgeon

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Dr. Monika Misak
Pain Management

Monika Misak, M.D.

Interventional Pain Specialist

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Dr. James Yu, D.O.
Pain Management

James Yu, D.O.

Board Certified Anesthesiologist & Interventional Pain Management Physician

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Dr. Andrew Joshua Appel, M.D.
Spine Surgery

Andrew J. Appel, M.D.

Minimally Invasive & Endoscopic Spine Surgeon

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Pain Conditions Affecting Daily Life


Back Pain

Back pain can also be caused by injury or illness. Depending on the cause, there are different treatments available.

Neck Pain

We offer the latest in neck pain relief treatments to help you get your life back. Learn more about our neck pain treatment options.

Spinal Nerve Pain

There are many potential causes of spinal nerve pain, including spinal stenosis, herniated discs, spinal fractures, and certain medical conditions.

Muscular Pain

Muscular pain is a common health condition that causes discomfort and soreness of muscles.

Cancer pain

It is important to manage cancer pain as early as possible to help improve the quality of life.

Abdominal Pain

The symptoms of abdominal pain can vary depending on the cause of the pain.

Hand Pain

It is important to follow your doctor’s recommendations for treatment to help relieve your pain and improve your hand function.

Foot Pain

It is important to speak with a healthcare provider if you are experiencing persistent or severe foot pain.

Chest Pain

If you are experiencing chest pain, it is important to seek medical attention as soon as possible, call us today to for an appointment


Improve your quality of life with our comprehensive approach to pain management

We are dedicated to finding individualized treatment options tailored to fit your needs. Our team is dedicated to helping you lead a productive and active life, free from pain and disruption.


Book an Appointment

We use an integrative approach to conduct a comprehensive evaluation and assess your condition.

Conduct Checkup

Physical examination and review of your medical history. We assess the cause of your pain, determine its severity and duration, and help you develop an individualized treatment plan.

Perform Treatment

We provide a range of treatments and procedures to address your chronic pain. These include nerve blocks, injections, physical therapy, implantable therapies and more. We also offer health education to help you better manage your condition.


Our Offices

Plainview, NY
146A Manetto Hill Rd,
Ste 100
Plainview, NY 11803

New York, NY
800 2nd Ave,
New York, 
NY 10017

New Hyde Park, NY
1991 Marcus Ave,
Suite M217
North New Hyde Park,
NY 11042

Ronkonkoma, NY
4155 Veterans Memorial Hwy, Suite 5, Ronkonkoma, NY 11779

Montville, NJ
115 Horseneck # Rd 3
Montville
NJ 07045

Clifton, NJ
1005 Clifton Avenue Suite 205,
Clifton NJ 07013