Expert, minimally invasive treatment for the spine, nerves, vessels and joints, built around every patient.
















A patient-first practice bringing advanced, minimally invasive medicine to the spine, nerves, vessels and joints, all under one roof.
Grab the brain and drag to explore.
A modern space built for healing.

One-on-one time with a specialist who truly listens.

MRI review and precise evaluation before any procedure.

Smaller incisions, less tissue damage, and a faster return to the life you love. The most advanced techniques, the least invasive approach.

A calm, modern space designed entirely around healing and your comfort.

Surgeons trusted by patients and peers nationwide.

A team committed to your safety and confidentiality.
Renowned specialists who treat you like family.

A board-certified neurological surgeon dedicated to expanding his expertise for his patients. He authored groundbreaking research on the extreme lateral transpsoas lumbar interbody fusion approach, referenced and used by neurosurgeons around the world.
Get to know Dr. Tawfik →
A recognized leader in minimally invasive endovascular medicine, performing precise, ultrasound-guided procedures with the highest standard of care and patient satisfaction.
Get to know Dr. Elder →
Herniated discs, stenosis, radiculopathy and minimally invasive decompression & fusion.

Ultrasound-guided endovascular treatment for varicose veins, swelling and venous insufficiency.

Foot and ankle care, from chronic heel and nerve pain to sports injuries.

Joint, muscle and nerve pain management with interventional and surgical options.

Board-certified neurosurgical care for complex spine and nerve conditions.
The most advanced techniques, least invasive approach.
Smaller incisions, less tissue damage, faster recovery.
Real-time imaging for precise, targeted treatment.
Catheter-based vascular care with minimal downtime.
Targeted injections and nerve treatments for lasting relief.
MRI review and thorough evaluation before any procedure.
Fast access to a specialist when you need answers.
From chronic pain to complex disorders.
View all conditions →Our team also treats orthopedic, foot & ankle, and neurological conditions. Not sure where you fit? Free Pain Evaluation →
Minimally invasive vs traditional.
Drag the handle to compare — the numbers below come from recent peer-reviewed studies.
Figures from 2024–2025 systematic reviews and meta-analyses comparing minimally invasive and open spine surgery for blood loss, infection, length of stay and long-term outcomes. Sources: PubMed 2025, tubular vs open meta-analysis. Individual results vary; this is general information, not medical advice.
Understand your body, region by region.
Where many nerve and disc problems begin. We treat herniated discs, pinched nerves, radiculopathy and chronic neck pain.
Get an evaluationTreating your pain has never been this easy.
Book quickly with a short form or a single call.
Receive confirmation to meet one of our surgeons.
Discuss your condition and goals with a specialist.
Get a treatment plan tailored specifically to you.
What our patients say.
★★★★★5.0on Google · Totowa · read all reviews →I fell and was unable to use my right arm and leg. Dr. Tawfik performed emergency surgery on my cervical spine. The next day I could actually lift my right arm and leg. I can now continue to live my life as I did before my accident.
Dr. Tawfik is an excellent physician. He is compassionate, caring, and really takes the time to explain to our family what he was doing and what to expect. An excellent neurosurgeon — I highly recommend him.
Two weeks after my consult he performed my surgery. He is very knowledgeable, explained options clearly, and I put my trust in him 100% and he delivered. His staff is amazing as well.
Dr. Tawfik literally saved my husband's life. He fell down a set of stairs and broke multiple vertebrae. Everything went perfect and my husband was able to return to work after 6 months of healing. I highly recommend them.
I was extremely fortunate to have Dr. Tawfik consult me on an emergency basis for Cauda Equina Syndrome. He saved me from being paralyzed. There are no words to express how much I appreciate his expertise and bedside manner.
See what patients across our Totowa office are saying.
Read all reviews →Two convenient New Jersey offices.
Questions, answered.
No. Surgery is never our starting point. Many patients improve with non-surgical options like image-guided injections, interventional pain management or physical therapy. We only recommend a procedure when it is the right choice for your condition and goals, and we always explain why.
Yes. Send us your MRI or imaging and our team will review it, explain what it shows, and point you to the right specialist. It is a great way to understand your options before committing to anything.
It means smaller incisions, less muscle and tissue disruption, and often lighter anesthesia. For many patients that translates to less blood loss, a lower infection risk, a shorter hospital stay (frequently same-day discharge), and a faster return to normal activity compared with traditional open surgery.
We offer same-week consultations whenever possible. If you do need a procedure, scheduling depends on your condition and insurance approval, but our team works to move quickly — many patients are treated within a couple of weeks of their consult.
We work with most major insurance plans. In most cases you can book directly with us; if your plan requires a referral, our front desk will help you arrange one. Call (201) 849-1000 and we will verify your benefits before your visit.
Yes. Alongside spine and nerve care, Dr. Elder leads our vein program, treating varicose and spider veins, leg swelling, chronic venous insufficiency and more with minimally invasive, ultrasound-guided procedures.
We see patients at two New Jersey offices — Totowa (825 Riverview Dr) and Hazlet (1270 NJ-35). Hours are Mon–Wed 9–5, Thursday 9–4 and Friday 10–3.
Let's start your recovery.
Reach us whichever way is easiest — we'll get you to the right specialist fast.
