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Our Clinical Staff

Smiling nurse talking on a phone at work.

Nisha George

Casey Marchesani

Casey Marchesani

Director of Nursing

Nisha George is a compassionate Registered Nurse with nine years of experience.

Nisha believes that the best healthcare begins with compassion, trust, and meaningful connections.


Director of Nursing

Nisha George is a compassionate Registered Nurse with nine years of experience.

Nisha believes that the best healthcare begins with compassion, trust, and meaningful connections.

She believes that kindness, teamwork, and open communication are just as important as clinical excellence in providing outstanding patient care.

Nisha is proud to work alongside a dedicated team committed to delivering the highest quality vascular care. She considers it a privilege to be part of each patient's healthcare journey and looks forward to helping every patient achieve the best possible outcome with compassion, respect, and personalized care.

Medical professional operating imaging equipment in a hospital room.

Casey Marchesani

Casey Marchesani

Casey Marchesani

Radiology Technician 

Dedicated and detail-oriented Radiologic Technologist with strong expertise in diagnostic imaging, patient care, and radiation safety. Skilled in operating X-ray and imaging equipment, positioning patients accurately, and producing high-quality diagnostic images. Committed to maintaining patient comfort, following saf

Radiology Technician 

Dedicated and detail-oriented Radiologic Technologist with strong expertise in diagnostic imaging, patient care, and radiation safety. Skilled in operating X-ray and imaging equipment, positioning patients accurately, and producing high-quality diagnostic images. Committed to maintaining patient comfort, following safety protocols, and collaborating effectively with radiologists and healthcare teams to support accurate and timely diagnosis.

Medical professional prepares surgical instruments in operating room.

May Felix

Casey Marchesani

May Felix

Surgical Technician 

Ultrasound Technician

Skilled and compassionate Surgical and Ultrasound Technician with experience supporting surgical procedures, preparing and maintaining sterile environments, and performing diagnostic ultrasound examinations. Skilled in patient care, equipment operation, infection control, and collaboration with phy

Surgical Technician 

Ultrasound Technician

Skilled and compassionate Surgical and Ultrasound Technician with experience supporting surgical procedures, preparing and maintaining sterile environments, and performing diagnostic ultrasound examinations. Skilled in patient care, equipment operation, infection control, and collaboration with physicians and healthcare teams. Known for accuracy, professionalism, and maintaining patient safety and comfort in fast-paced clinical settings.

Alexander Parpas, MD

Alexander Parpas, MD is an interventional nephrologist specializing in the diagnosis and treatment of kidney disease with a focus on minimally invasive, image-guided procedures that improve vascular access and support optimal dialysis care. Dr. Parpas is committed to delivering patient-centered care by combining advanced procedural expertise with comprehensive kidney disease management.


Dr. Parpas earned his medical degree from Ross University Medical School and completed residency training in Internal Medicine at Brookdale University Hospital. He subsequently completed fellowship training in Nephrology at Rutgers University, followed by advanced training in Interventional Nephrology at SUNY Downstate, where he developed expertise in dialysis access management, endovascular procedures, and the treatment of complex vascular access disorders.

Quality First

Dr. Parpas serves as Medical Director at Advanced Surgery Center, where he provides comprehensive nephrology care and performs a wide range of minimally invasive procedures, including dialysis access evaluation and maintenance, angioplasty, thrombectomy, tunneled dialysis catheter placement, peritoneal dialysis catheter placement, endovascular fistula creation, and kidney biopsy. His clinical approach emphasizes improving access function, reducing hospitalizations, and enhancing quality of life for patients living with end-stage kidney disease.


Expert Care

In addition to his clinical practice, Dr. Parpas has contributed to research and scholarly publications. He remains actively engaged in continuing medical education and collaborates with multidisciplinary teams to incorporate the latest evidence-based treatments into patient care.

Real Results

Dr. Parpas has been recognized for his commitment to clinical excellence, leadership, and innovation in nephrology. As an active member of professional organizations and a strong advocate for patient education, he is dedicated to helping patients understand their treatment options and achieve the best possible outcomes through compassionate, personalized care.


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