To Schedule An Appointment

Call 732-228-7273

  • Facebook Social Icon

To Schedule and Appointment with Tiffany call 732-228-7273

Visit our website for more information:

Tiffany graduated from Rutgers University in 1997, majoring in Exercise Science and Sports Studies. Her sincere love for people and her drive to help them, led her to continue her education at the University of Rhode Island, earning a Master of Science degree in Physical Therapy in 2001. Tiffany has completed countless continuing education courses that have enabled her to keep up on current treatment techniques.


Some of her areas of interest include sports rehab, geriatrics, and post-op rehabilitation. As a physical therapist, Tiffany's number one priority is to deliver quality, hands-on care, that includes soft tissue mobilization, joint mobilization, modalities to aid in pain relief and the creation, when appropriate, of an exercise program that will help to facilitate the full recovery of her patients. Tiffany strives to create a comfortable and dynamic atmosphere in which her patients can succeed in achieving all of their set goals.

Tiffany Anne Puleio, P.T., M.S. / Physical Therapist

Physicians //

For information on New Jersey Pain Care Specialist website:


To Schedule an appointment for all of your Pain Management needs

Call (732)-720-0247



Dr. Harris Bram is a graduate of the University of Arkansas for Medical Sciences. His postgraduate training in anesthesia was performed at Hahnemann University Hospital where he sub-specialized in cardiac anesthesia. He completed his pain management fellowship at Thomas Jefferson University Hospital in Philadelphia, PA.


In 1993, Dr. Bram was recruited by Monmouth Medical Center to establish and coordinate the Acute and Chronic Pain Services Section of the hospital’s Anesthesia Department. Appointed Director of Pain Management Services,


Dr. Bram set up a post-operative epidural service for acute pain. He helped write protocols and was involved in all aspects of training, including the nursing staff, anesthesia and orthopedic residents, and attending physicians. Dr. Bram participated in the development of treatment for patients with acute and chronic pain problems, from severe headaches to back pain to cancer pain.


In 1997, Dr. Bram conceived and co-founded Spine and Pain Medicine of NJ & NY, where he specialized in interventional pain management. Over the years, his practice evolved as pain management technology advanced, and Dr. Bram became adept at minimally-invasive procedures.

In September 2012, Dr. Bram founded NJ Pain Care Specialists, where he now brings the highest levels of pain management care to his patients in Central and Southern New Jersey.

New Jersey Neck and Back Institute/ Dr. Sandro LaRocca, M.D.

To Schedule an appointment for all of your Orthopedic Neck and Back Issues

Call (609) 896-0020


For information on New Jersey Neck and Back Institute visit


After a career as a mechanical engineer, he pursued medicine and received his medical doctorate from The Jefferson Medical College of the Thomas Jefferson University (now the Sidney Kimmel Medical College). He completed his residency in orthopedic surgery at the Albert Einstein Medical Center, which included specialized training in pediatric scoliosis at the Shriners Hospitals for Children in Philadelphia, PA.


He then continued further specialized training and completed a fellowship in complex spinal reconstruction and clinical management of disorders of the neck and back at the New England Baptist Hospital in Boston, MA.


Dr. LaRocca’s training is international, having had the privilege of visiting with the distinguished and world-renowned spinal surgeon, Professor Jurgen Harms at the Klinikum Karlsbad-Langensteinbach in Karlsbad, Germany. Dr. LaRocca has authored and presented research at national meetings, including the North American Spine Society.


Board Certification and Professional Affiliations

Dr. LaRocca is board certified by the American Board of Orthopedic Surgery. He is a member of the American Academy of Orthopedic Surgeons, the North American Spine Society, the New Jersey Spine Society, and the Society for Minimally Invasive Spine Surgery, The Orthopedic Surgeons of New Jersey, and the American Medical Association.


Humanitarian Relief

There are many places in our world today where specialized care is simply not available. Dr. LaRocca feels privileged to have had to opportunity to participate in surgical humanitarian relief by volunteering his much needed skills and expertise in spinal surgery to the medically undeserved in Lima, Peru.



Dr. LaRocca is fluent in both English and Spanish.



Dr. LaRocca has been in private practice since 2001. He has extensive experience in minimally invasive and open techniques of spinal reconstructions, stabilization, and nerve (spinal cord) decompression of the cervical (neck), thoracic (mid-back), and lumbar (low back) spine.

The traditional techniques may involve using large incisions to access the spine during treatment. In certain cases, minimally invasive surgery (MIS) can be used as an alternative.

Advanced techniques and technology are used to minimize the  access the spine. This can result in a decrease in pain, recovery, complications, and hospitalization. In many cases, patients go home the same day of the operation.