204 Jack Martin Blvd C-3
Brick NJ 08724
Medical School: Other - 1985
Accepts Medicare: Yes
Participates In eRX: No
Participates In PQRS: No
Participates In EHR: No
License #: MA50509
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Awards & Recognitions
|HCPCS Code||Description||Average Price||Average Price
Allowed By Medicare
|HCPCS Code:93000||Description:Electrocardiogram complete||Average Price:$60.00||Average Price Allowed
|HCPCS Code:Q2038||Description:Fluzone vacc, 3 yrs & >, im||Average Price:$34.98||Average Price Allowed
|HCPCS Code:81002||Description:Urinalysis nonauto w/o scope||Average Price:$25.00||Average Price Allowed
|HCPCS Code:J1040||Description:Methylprednisolone 80 MG inj||Average Price:$20.00||Average Price Allowed
|HCPCS Code:J3420||Description:Vitamin b12 injection||Average Price:$10.00||Average Price Allowed
|HCPCS Code:G0008||Description:Admin influenza virus vac||Average Price:$34.97||Average Price Allowed
|HCPCS Code:94640||Description:Airway inhalation treatment||Average Price:$24.28||Average Price Allowed
|HCPCS Code:99204||Description:Office/outpatient visit new||Average Price:$162.25||Average Price Allowed
|HCPCS Code:99213||Description:Office/outpatient visit est||Average Price:$78.27||Average Price Allowed
|HCPCS Code:36415||Description:Routine venipuncture||Average Price:$3.06||Average Price Allowed
|HCPCS Code:96372||Description:Ther/proph/diag inj sc/im||Average Price:$25.44||Average Price Allowed
|HCPCS Code:99214||Description:Office/outpatient visit est||Average Price:$97.27||Average Price Allowed
|HCPCS Code:69210||Description:Remove impacted ear wax||Average Price:$40.00||Average Price Allowed
HCPCS Code Definitions
- Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular
- Pressurized or nonpressurized inhalation treatment for acute airway obstruction or for sputum induction for diagnostic purposes (eg, with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing [IPPB] device)
- Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report
- Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A detailed history; A detailed examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 25 minutes are spent face-to-face with the patient and/or family.
- Removal impacted cerumen requiring instrumentation, unilateral
- Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 45 minutes are spent face-to-face with the patient and/or family.
- Administration of influenza virus vaccine
- Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Typically, 15 minutes are spent face-to-face with the patient and/or family.
- Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
- Injection, methylprednisolone acetate, 80 mg
- Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone)
Medical Malpractice Cases
Medical Board Sanctions
Cardiovascular Disease (Cardiology)
Cardiovascular Disease (Cardiology)
*These referrals represent the top 10 that Dr. Lichnowski has made to other doctors
[Childhood sexual traumatic events and sexual life and relationship of a patient]. - Psychiatria polska
The assessment of links between traumatic events of sexual nature recollected from the past and patients' later functioning in sexual life and relationships.Comorbidity of memories of traumatic sexual events from childhood and adolescence in patients with the features of their current partner relationships was analysed on the basis of Live Inventory completed by 2,582 women and 1,347 men, undergoing treatment between the years 1980-2002, before they were admitted to a day ward of neurotic disorder department.The existence of numerous significant links was observed e.g. the information regarding incest or incest attempt experience was related with a significant risk ofa sexual life assessment as completely dissatisfying in women (OR = 2.71) and almost completely dissatisfying in men (OR = 2.38). Sexual initiation by rape was related with women's more frequent incidence of getting married as a result of social pressure (OR = 3.77) and a feeling of hatred towards a partner (OR = 5.41). Men and women who considered themselves completely sexually uneducated (before the age of 18) assessed their sexual life as completely dissatisfying (OR = 2.48 and OR = 2.07), which was similar to men who would get punished for masturbation or sexual plays by their guardians (OR=2.68).Traumatic events and circumstances relating to sexuality, indicated in the questionnaire interview, turned out to be connected with the risk of dysfunctions in a sexual life and relationship. The traumas included, among others, rape during initiation, early initiation, incest, but also unfavourable circumstances of less traumatic nature such as a lack of sexual education, punishment for masturbation, "mostly undesired initiation". Their likely effects were rooted in relationship dysfunctions: reasons for their formation, power division, instability, problems with resolving conflicts and, most of all, sexual life dysfunctions. The results were obtained on the basis of simple questionnaire questions, which allows for the recommendation that they be used in a routine interview.
Management of respiratory tract infections in primary care in Poland--results of the happy audit 2 project. - PrzeglaÌ§d epidemiologiczny
The Polish results of the international Happy Audit 2 project are reported which objective was to present therapeutic decisions made by general practitioners (especially antibiotics prescribed) and diagnostic methods applied to patients with respiratory tract infections (RTI).[corrected] Following each visit of patient with respiratory tract infection, general practitioners participating in the study completed the questionnaire. The questionnaire included patient's data (age, gender), the duration of disease, clinical symptoms, diagnosis, prescribed antibiotics, additional testing as well as the influence of various factors on therapeutic decision.Having considered the results of HappyAudit in Poland, a total of 5,137 office visits of patients reporting symptoms of RTIs were analyzed. The average duration of symptoms before visiting GP was 4.8 days (compared to average 4.4 in other countries). Worth noting is that additional testing in diagnosis of RTIs was performed less frequently in Poland: rapid streptococcal test was conducted in 0.4% of cases (European average: 4.45%), CRP--in 2.2% of patients (average from other countries: 14.2%) and chest X-ray in 2.3% of cases compared to 14% in other project's participants. In Poland, the most frequently applied antibiotic was amoxicillin, which was used in 28.9% of cases ended with antibiotic prescribing (amoxicillin/pivampicillin were also predominant in other countries, excluding Sweden). In Poland, macrolides (22.4% of all prescriptions for antibiotic) and cephalosporins (12.1%) were frequently used. The results indicate that narrow-spectrum antibiotics are prescribed in Poland less frequently, with the example being penicillin V which was prescribed in 6.7% of patients with RTIs who were given antibiotic.Comparing the results of Happy Audit 2 in Poland and other project's participants, the major differences consist in rare use of phenoxymethylpenicillin in favour of amoxicillin and macrolides as well as infrequent use of additional testing in diagnosis of RTIs in Poland.
Dinuclear berenil-platinum (II) complexes as modulators of apoptosis in human MCF-7 and MDA-MB231 breast cancer cells. - Anti-cancer agents in medicinal chemistry
The metabolism of alkylating agents is accompanied by the generation of reactive oxygen species. The aim of this study was to treat estrogen receptor-positive and estrogen receptor-negative human breast cancer cells, MCF-7 and MDA-MB-231, respectively, with cisplatin and five different berenil-platinum (II) complexes, and then to investigate the oxidative modifications of DNA, lipid and protein, and to compare them with the profile of various pro- and antiapoptotic proteins. Changes in the levels of 8-hydroxy-2'-deoxyguanosine, 4-hydroxynonenal, carbonyl groups, dityrosine, active caspases 3, 8 and 9, as well as the expression of Bcl-2, Bax, cytochrome c, and p53 were subsequently examined. Activities of superoxide dismutase, catalase and glutathione, vitamin C levels were also investigated. Cellular reactions to cisplatin and the berenil-platinum (II) derivatives were more pronounced in MCF-7 cells as compared with the MDA-MB231 cells. Furthermore, the berenil-platinum (II) derivatives were found to be more effective than cisplatin. All of the complexes reduced the activity of superoxide dismutase and catalase, and also lowered the levels of non-enzymatic antioxidants. Increased level of lipid, protein as well as DNA damage markers was also observed after berenil-platinum (II) derivatives treatment. Similarly, the increase in the levels of the proapoptotic factors, were detected in MCF-7 and MDA-MB231 cells. Incubation of examined cells with the berenil-platinum (II) complexes also led to the increase in the levels of active caspases 3, 8 and 9. In conclusion, the results of the present study demonstrated that berenil-platinum (II) complexes more efficiently mediate cellular oxidative modifications and proapoptotic metabolism, particularly in MCF-7 cells, compared to cisplatin. Pt2(isopropylamine)4berenil2 and Pt2(piperidine)4(berenil)2 notably affected the cellular metabolism of estrogen-positive breast cancer cells. Thus, these complexes may be valuable for the design of additional anticancer drugs.
HCV drug resistance and DAA agents. - PrzeglaÌ§d epidemiologiczny
New treatment options for HCV infection with Direct-Acting Antivirals (DAAs) increased SVR rate in treated patients but on the other hand drew attention to the problem of HCV drug resistance. Drug-resistant HCV mutants are present in all infected patients even before the treatment initiation and their number grows significantly over the first few days of DAAs therapy. But HCV has no known genetic form of intra-cellular persistence (does not integrate with host's genome and cannot produce episomal forms) which enables its total eradication. It is likely that the effective interferon-free, based on all-oral DAAs drug combination will be available within the next few years. This paper reviews HCV resistance mechanisms and their significance in treatment. I also presents results of recent DAAs trials.
A kinematics analysis of three best 100 m performances ever. - Journal of human kinetics
The purpose of this investigation was to compare and determine the relevance of the morphological characteristics and variability of running speed parameters (stride length and stride frequency) between Usain Bolt's three best 100 m performances. Based on this, an attempt was made to define which factors determine the performance of Usain Bolt's sprint and, therefore, distinguish him from other sprinters. We analyzed the previous world record of 9.69 s set in the 2008 Beijing Olympics, the current record of 9.58 s set in the 2009 Berlin World Championships in Athletics and the O lympic record of 9.63 s set in 2012 London Olympics Games by Usain Bolt. The application of VirtualDub Programme allowed the acquisition of basic kinematical variables such as step length and step frequency parameters of 100 m sprint from video footage provided by NBC TV station, BBC TV station. This data was compared with other data available on the web and data published by the Scientific Research Project Office responsible on behalf of IAAF and the German Athletics Association (DVL). The main hypothesis was that the step length is the main factor that determines running speed in the 10 and 20 m sections of the entire 100 m distance. Bolt's anthropometric advantage (body height, leg length and liner body) is not questionable and it is one of the factors that makes him faster than the rest of the finalists from each three competitions. Additionally, Bolt's 20 cm longer stride shows benefit in the latter part of the race. Despite these factors, he is probably able to strike the ground more forcefully than rest of sprinters, relative to their body mass, therefore, he might maximize his time on the ground and to exert the same force over this period of time. This ability, combined with longer stride allows him to create very high running speed - over 12 m/s (12.05 - 12.34 m/s) in some 10 m sections of his three 100 m performances. These assumption confirmed the application of Ballerieich's formula for speed development. In most 10 m sections of the 100 m sprint, the step length was the parameter that significantly determined the increase of maximal running speed, therefore, distinguishing Bolt from the other finalists.
ExonVisualiser - application for visualization exon units in 2D and 3D protein structures. - Bioinformation
The web application oriented on identification and visualization of protein regions encoded by exons is presented. The Exon Visualiser can be used for visualisation on different levels of protein structure: at the primary (sequence) level and secondary structures level, as well as at the level of tertiary protein structure. The programme is suitable for processing data for all genes which have protein expressions deposited in the PDB database. The procedure steps implemented in the application: I) loading exons sequences and theirs coordinates from GenBank file as well as protein sequences: CDS from GenBank and aminoacid sequence from PDB II) consensus sequence creation (comparing amino acid sequences form PDB file with the CDS sequence from GenBank file) III) matching exon coordinates IV) visualisation in 2D and 3D protein structures. Presented web-tool among others provides the color-coded graphical display of protein sequences and chains in three dimensional protein structures which are correlated with the corresponding exons.http://220.127.116.11/ExonVisualiser/
[Results of the Trail Making Test among patients suffering from depressive disorders and organic depressive disorders]. - Psychiatria polska
Coexistence of depression and dementia for many years has been widely studied for many years. According to the authors for clinical practice, both psychiatric and psychological, it is also important to effectively differentiate between these disease entities. The aim of this study is to compare the implementation of the Trail Making Test (TMT) in patients diagnosed with depressive disorders and those with organic depressive disorders.A sample of 150 persons aged 18-68 years participated in the study. Patients who took part in the investigation were divided into three groups: depressive disorders (DD, n=50), organic depressive disorders (ODD, n=50) and healthy controls (C, n=50). Cognitive functions were evaluated by the Trail Making Test.Relevant statistical differences among examined group were observed: in TMT part A: DD/ODD: p=0.006; DD/C: p<0.001; TMT part B: DD/ODD: p<0.001; DD/C: p<0.001. In both cases, patients with ZD group scored higher than patients from the OZD group, but lower than those in the control group.1. Patients with organic depressive disorders achieved significantly lower results than patients with depressive disorders in TMT. 2. Subjects with depressive disorder compared to the healthy control group achieved significantly lower scores in TMT. 3. The authors determined the TMT performance indicators differentiating between groups: TMT part A: C=20-40 sec., DD>40 sec. - 90 sec.; ODD>90 sec.; TMT part B: C<60 sec.; DD>60 sec. - 180 sec.; ODD>180 sec.
[Initiative of introducing the applications of genetics for public health purposes in Poland]. - PrzeglaÌ§d epidemiologiczny
An integration of scientific associations involved in public health and genetics to apply genetics achievements might create new perspectives of public health and health promotion in Poland and allow to apply genomic applications that are currently in transition from research to public health practice. Activities might enable to undertake preventive actions as population screening programs based on genome-based knowledge and technologies as targeted preventive interventions. The achievements in the field of public health genetics or genomics have been taking place in several countries and have begun to have an impact on population health status.
Evaluation of prognostic value of selected biochemical markers in surgically treated patients with acute mediastinitis. - Medical science monitor : international medical journal of experimental and clinical research
Monitoring of biochemical markers of inflammation in acute mediastinitis (AM) can be useful in the modification of treatment. This study was a retrospective evaluation of selected biochemical parameters with negative impact on the prognosis in surgically treated patients.There were 44 consecutive patients treated surgically due to AM of differentiated etiology. Selected biochemical markers (WBC, RBC, HGB, HCT, PLT, CRP, PCT, ionogram, protein and albumins) were assessed before surgery and on the 3rd day after surgery. ANOVA was applied to find factors influencing observations. Numerical data [laboratory parameters] were compared by means of medians.The overall hospital mortality rate was 31.82%. In the group of dead patients, there were observed statistically significant lower mean preoperative values of RBC [p=0.0090], HGB [p=0.0286], HCT [p=0.0354], protein [p= 0.0037], albumins [p=0.0003] and sodium [p<0.0001] and elevated values of CRP [P=0.0107] and PCT p<0.0001]. High level of inflammatory markers on day 3 after surgery was found to increase the risk of death - for WBC (by 67%), for CRP (by 88%) and for PCT (by 100%).Poor prognosis was more frequent in patients with preoperative high levels of CRP, PCT, anemia, hypoproteinemia and hyponatremia. The risk of death increases significantly if in the immediate postoperative period no distinct decrease in WBC count and of the CRP and PCT level is observed. In such a situation the patients should be qualified earlier for broadened diagnostic workup and for reoperation.
[Endoscopic treatment of giant skull base osteomas]. - Otolaryngologia polska. The Polish otolaryngology
Osteomas are relatively common, benign, slow-growing neoplasms. Mainly occurring in frontal and ethmoid sinuses. Endoscopic surgery plays an important role in management of ethmoid, sphenoid and frontal osteomas.We discuss our experiences in endoscopic treatment of giant osteomas.In giant osteomas Draf III or Lothrop approaches are prefered. Periostium of the orbit was intact in all cases. Discharge of cerebrospinal liquid was not observed.Size of tumor determines type of surgical aprroach. Endoscopic surgery is more and more popular way in surgical treatment of giant osteomas..
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204 Jack Martin Blvd C-3 Brick, NJ 08724
212 Jack Martin Blvd Suite D2
1631 Route 88 W Suite A
1640 Highway 88 Suite 201
1608 Highway 88 Suite 208