Specialty
Vein & Vascular
Narrowed leg arteries, non-healing ulcers and limb-threatening ischemia — treated under one roof at Hudson County’s only in-office vascular lab.
Over time, high blood sugar damages the inner lining of blood vessels and the small nerves that travel alongside them. The result is a cluster of related problems — narrowed leg arteries (peripheral artery disease), reduced sensation in the feet (neuropathy), and wounds that struggle to heal because oxygen and nutrients cannot reach the tissue.
Left alone, these problems compound: a small cut that would heal in a week becomes an ulcer, then an infection, then — in the worst case — an amputation. The fix is rarely a single procedure. It is a coordinated plan: restore blood flow, manage the diabetes itself, and protect the feet for life.
Book a Consulting →Minimally invasive, in-office diagnostics and procedures — no hospital stay.
Care led by a board-certified interventional cardiologist, not a generalist.
Endocrinology, vascular and wound care under one roof — one plan, not five referrals.
Same-week new-patient appointments across five Hudson County locations.
Insurance verified before your visit — no billing surprises.
A small, senior team — board-certified cardiology, vascular, podiatry and endocrinology — sharing one chart and one plan.
Dr. Merwin Richard, MDInterventional Cardiologist
Dr. Bakul Desai, MDBoard-Certified Cardiologist
Margaret M. Ciechanowska, MDEndocrinologist
Dr. Maher BadriInternal Medicine
Christopher Samaniego, DPMPodiatrist
Each option is selected to the specific blockage and your overall diabetes picture — most are done in our North Bergen OBL.
Restore blood flow in narrowed leg arteries — same-day, in-office.
Learn more →
Map vascular blockages with minimally invasive imaging.
Learn more →
Open up blocked arteries to relieve pain and prevent tissue loss.
Learn more →
Targeted relief for diabetic knee pain — without surgery.
Learn more →Coordinated foot-care for non-healing diabetic ulcers.
Learn more →Coordinated, specialist-led vascular care — in five Hudson County locations, close to home.
Specialist-led care
In-office OBL
Same-week appointments
Coordinated care team
Minimally invasive
Insurance conciergeIf two or more of these apply to you, a baseline vascular evaluation is one of the highest-yield prevention steps you can take.
A predictable four-step path — no guesswork, no months of waiting between appointments.
Vascular exam, ABI and on-site imaging — usually completed in one visit.
A coordinated written plan tailored to your anatomy and goals.
Minimally invasive treatment in our OBL, under local anesthesia.
Structured follow-ups, surveillance imaging and risk-factor coaching.
Real, specific answers from our team. If your question is not here, our front desk can usually answer it in a 5-minute phone call.
Established tissue damage cannot be undone, but progression can almost always be slowed — and in many cases reversed in functional terms. Restoring blood flow with angioplasty, controlling HbA1c and quitting smoking together return most patients to walking, healing wounds and avoiding amputation.
Diabetes changes how vessels narrow — often in smaller arteries below the knee — and how wounds heal. Standard PAD pathways miss these patterns. Our team images and treats those distal vessels and coordinates wound care under one roof.
Most patients do not. Diagnostic angiograms and the majority of interventions (angioplasty, stents, GAE) are minimally invasive, in-office and use only local anesthesia. Open surgical bypass is reserved for the small fraction of cases that need it — and we coordinate that referral.
Patients who undergo angioplasty for claudication typically notice walking distance improve within days. Wound-healing improvements after revascularization usually appear within 2–6 weeks alongside dedicated foot care.
Yes — evaluation, ABI and diagnostic ultrasound are covered by Medicare and most commercial plans when there is a documented vascular concern. Our concierge verifies coverage before your visit and explains any out-of-pocket cost up front.
Yes. PAD in diabetics is often silent for years before the first ulcer or rest-pain episode. A baseline vascular screen at 10+ years of diabetes (sooner with smoking or other risk factors) is one of the highest-yield prevention steps you can take.
Names changed where requested. Every quote below comes from a patient seen at one of our Hudson County locations.
“My foot ulcer had not healed in 8 months. Within 6 weeks of Dr. Richard’s angioplasty it was closed. I cannot believe I almost lost the toe.”
“I have been diabetic for 17 years. The fact that endocrinology and vascular were in the same building meant I actually finished the plan instead of dropping referrals.”
“Walking was painful after one block. The procedure was done in their office, I drove myself home. Now I walk two miles most evenings.”
A vascular evaluation takes one visit, is covered by most insurance plans, and could be the most important step in protecting your feet, your mobility and your independence.
Patient Login
(201) 581-6100