Clinical Team

Integrative Health Specialists

Allow me to introduce Justin Szpilka, the President and CEO of Coastal MD, a dedicated healthcare professional with an impressive background and a passion for improving the well-being of patients. Justin's journey in the field of healthcare began with his undergraduate studies at Wilkes University, where he earned a Bachelor of Science degree in Biology with a minor in Neuroscience. He continued his education at Touro University, where he obtained both a Master of Science in Physician Assistant Studies and a Bachelor of Science in Health Sciences.

Throughout his career, Justin has accumulated valuable experience in various medical specialties. He spent a significant portion of his time in Trauma Surgery at both Good Samaritan University Hospital, a Level 1 Trauma Center, and previously at South Shore University Hospital. He continues to operate in Thoracic Surgery within Catholic Health. Additionally, Justin has several years of experience in multiple surgical subspecialties, including Vascular Surgery, Plastics, Colorectal, Bariatrics, and ENT. His extensive background in surgery has equipped him with a diverse skill set and a deep understanding of patient care.

Outside of his professional responsibilities, Justin enjoys pursuing several hobbies, including working out, boating, and surfing. These activities provide him with relaxation and balance in his life. One of the aspects Justin enjoys most about being a healthcare provider at Coastal MD is the opportunity to practice medicine with a human touch. He values the personal connection with patients and finds it rewarding to witness their journey toward better health and achieving their goals.

Justin's inspiration to pursue a profession focused on helping others improve their well-being stems from his appreciation of the profound impact healthcare providers can have on people's lives. While a significant part of his career involved caring for traumatically injured patients, practicing at Coastal MD has allowed him to work on the other end of the spectrum. Patients at Coastal MD actively seek to enhance their health and quality of life, making it an uplifting experience for Justin to assist them in achieving their goals.

Coastal MD's commitment to personalized care aligns with Justin's own approach to healthcare. His hobbies and interests outside of work, particularly his passion for working out and understanding various exercise patterns, enable him to relate to patients on an individual level. Many patients share a passion for exercise, and Justin's knowledge of different workout regimes allows him to tailor strategies that suit each patient's unique goals and needs. In summary, Justin Szpilka is a healthcare professional who brings a wealth of experience and a personal touch to his role as President and CEO of Coastal MD. His dedication to improving patients' well-being, combined with his diverse background and personal interests, makes him a valuable asset in the field of healthcare.

Introducing, Nicole Polimeni, the Vice President and Director of Compliance & New Technologies of Coastal MD, a dedicated healthcare professional with a strong commitment to patient well-being and a diverse background. Nicole's educational journey took her to Stony Brook University for her undergraduate studies, where she honed her academic foundation. She furthered her education at the New York Institute of Technology, where she completed her Physician Assistant studies.

While Nicole's primary focus is her role at Coastal MD, her passion for helping others extends beyond the workplace. Throughout her life, she has dedicated herself to compassionate service, whether through fundraising events, medical missions, or simply being there to lend a listening ear. One of her most cherished job opportunities occurred during her time in PA school when she served as a horseback riding instructor for children and adults with special needs, as well as an instructor for Special Olympics. These experiences further ignited her passion for assisting others.

After completing her education, Nicole specialized in Surgical ICU, Thoracic Surgery, and Dermatology. However, her true calling was in the vision she shared with Justin, the President and CEO of Coastal MD, to "do more," "reach more," and "help more." This vision led to the creation of Coastal MD, which Nicole considers her most significant career accomplishment. Coastal MD's focus on an integrative medical approach aligns with her belief in a more encompassing and personalized approach to healthcare, which she believes is essential in the future of medicine. She takes pride in the role Coastal MD plays in restoring vitality and helping patients achieve their health goals, regardless of their size or complexity. Outside of her professional life, Nicole's lifelong passion is horseback riding. She began riding at a young age and has maintained a deep connection with horses throughout her life. She is the proud owner of two horses, one for over 20 years and the other for over 10 years, who hold a special place in her heart alongside her family.

Nicole's favorite work-related accomplishment is being part of the creation of Coastal MD, where patient-centric medicine and individualized care take center stage. Witnessing patients succeed in their health goals is a gratifying experience for her, and she values being a part of their journeys. To unwind after a busy day, Nicole prioritizes health and wellness. She enjoys taking long walks with her family, including their dog, Hank, to enjoy the outdoors and reset. Preparing a delicious and healthy meal together is also an important part of her unwinding routine. Nicole recognizes the importance of making these activities realistic within a busy schedule and finds that they provide a meaningful way for her family to unwind and bond.

Beyond her role at Coastal MD, Nicole practices personal wellness by finding an outlet that she loves, in her case, horseback riding. This activity allows her to reset her mind and prioritize self-care. She also emphasizes the importance of organizing and prioritizing her daily agenda, as well as dedicating quality family time to her loved ones. Nicole believes that maintaining a healthy work-life balance and nurturing family relationships are essential components of well-being. In summary, Nicole Polimeni is a healthcare professional who brings her passion for compassionate care and a commitment to individualized patient well-being to her role as the Vice President of Coastal MD. Her diverse experiences, personal interests, and dedication to both professional and personal wellness make her a valuable asset in the field of healthcare.

Meet Aimee Gosse, a dedicated healthcare professional with a unique journey that led to a career focused on helping others improve their well-being. Aimee earned her undergraduate degree in Business and Marketing from Siena College before embarking on a path in healthcare. She pursued her passion for science by completing her pre-medical studies at Farmingdale, setting the stage for her future endeavors. Eventually, Aimee attended Touro PA School, where she honed her skills and expertise in the field of medicine.

In addition to her medical career, Aimee has a full-time job that complements her dedication to healthcare. Her extensive job experience spans various healthcare settings, including Primary Care, Assisted Livings, Nursing Homes, Urgent Care facilities, and even specialized areas like Vein Specialists. She also gained valuable experience in the field of aesthetics, having started her career in this domain with rigorous training under the guidance of a specialized Doctor of Aesthetics. Notably, she worked tirelessly in urgent care settings during the height of the COVID-19 pandemic, showcasing her commitment to patient care and safety. Aimee was among the first to join Coastal at its inception, demonstrating her passion for growth and innovation in healthcare.

Beyond her professional life, Aimee finds solace and rejuvenation in her hobby of working out and embracing the outdoors, regardless of the season. Her dedication to health and wellness extends beyond her career. A fun fact about Aimee is that she played D1 volleyball in college, and her athletic prowess led her to the NCAA championship. In high school, she was a state-ranked track and field athlete, showcasing her competitive spirit and drive. After a busy day, Aimee unwinds by hitting the gym and lifting heavy weights, prioritizing her health and wellness. This commitment to staying physically fit is a reflection of her dedication to helping others lead healthier lives.

When it comes to sharing valuable resources, Aimee recommends the Huberman Labs podcast hosted by Dr. Andrew Huberman, a neuroscientist and professor at Stanford University. Through this podcast, she delves into topics related to health, fitness, hormone optimization, weight loss, supplements, and more, emphasizing the importance of obtaining information from credible professionals. Aimee's inspiration to pursue a profession centered on improving others' well-being came from a deeply personal place. Her father's battle with Parkinson's and Lewy Body Dementia was a source of motivation. Witnessing his struggles and determination to contribute to medical research by donating his brain for Parkinson's and Alzheimer's research inspired Aimee to enter healthcare. She was driven by the desire to help individuals like her father stay active and healthy for as long as possible.

One of the most gratifying aspects of Aimee's career is witnessing patient success stories. She highlights Steve as a shining example of the impact of Coastal's comprehensive care. Steve's journey to improved well-being under Aimee's guidance exemplifies the importance of her work. As "Mr. November," Steve has experienced remarkable improvements in his health and quality of life, thanks to Aimee's dedication and expertise. In summary, Aimee Gosse is a healthcare professional with a diverse background and a passion for promoting well-being. Her journey from a marketing degree to a career in healthcare showcases her unwavering commitment to helping others lead healthier, more fulfilling lives. Whether it's through her professional expertise, dedication to health and fitness, or personal inspiration, Aimee is making a positive impact on the lives of those she serves.

Introducing Angela Pagano, a dedicated healthcare professional who has embarked on a remarkable journey to help others improve their well-being. Angela completed her undergraduate studies at Lynn University in Boca Raton, FL, earning a Bachelor of Science degree. She then pursued her passion for healthcare by attending Touro College in Bay Shore, NY, where she obtained her Masters of Physician Assistant Studies.

In addition to her role as a Physician Assistant, Angela serves as a full-time member of the NYU Langone Long Island Department of Neurosurgery. Her commitment to her profession is evident in her extensive job experience, which has equipped her with valuable skills and insights. Angela's diverse background and expertise have led her to aspire to work at Coastal MD. Outside of her demanding career, Angela dedicates time to several hobbies that help her unwind and find balance in life. She enjoys going to the gym, snowboarding, and expressing her creative side through drawing and painting.

A fascinating fun fact about Angela is her impressive food log streak on MyFitnessPal, which spans an astonishing 2,650 days, equivalent to 7 years and 3 months of dedicated tracking. Angela's inspiration to pursue a profession focused on improving others' well-being is deeply rooted in her pride as a member of Coastal MD. She believes in the transformative power of medicine to enhance patients' lives in myriad ways, from prevention and diagnosis to treatment. Angela is particularly fortunate to provide an interdisciplinary approach that encompasses both surgical intervention for neurological conditions and holistic care to improve overall well-being. Additionally, she looks forward to boosting patients' confidence through cosmetic enhancements, promoting happiness and wellness.

Beyond her role at Coastal MD, Angela practices personal wellness strategies that influence her approach to helping patients feel good, look good, and live their best lives. She recognizes that wellness is an active pursuit of activities, choices, and lifestyles that lead to holistic health. Angela shares some key lifestyle choices that have positively impacted her overall well-being: Physical Activity: Angela emphasizes the importance of regular exercise, acknowledging that it can be challenging to find the motivation initially. However, once she begins her workout and immerses herself in physical activity, it becomes a mental and physical escape from the daily grind, dramatically improving her mental and physical state. Quality Time: Spending time with loved ones and cherished pets is a source of fulfillment and happiness for Angela. Meaningful relationships and strong bonds play a crucial role in enhancing well-being. Purposeful Eating: Angela encourages mindful eating, where individuals identify the reasons behind their dietary choices, whether it's for nutrients, hunger, boredom, convenience, or taste. This approach helps in re-evaluating and making healthier dietary decisions. Stress Management: Angela advises against stressing over factors beyond one's control. She shares relatable experiences of enduring long shifts and frustrating traffic commutes, highlighting the importance of maintaining composure and not allowing external factors to negatively affect one's well-being. These lifestyle modifications are common experiences that Angela shares with her patients. She understands the challenges of maintaining holistic health and uses her personal journey as a source of inspiration and guidance for others. Angela's commitment to improving the well-being of her patients extends beyond medical expertise, making her a valuable asset in the healthcare field.

Physical Activity: Angela emphasizes the importance of regular exercise, acknowledging that it can be challenging to find the motivation initially. However, once she begins her workout and immerses herself in physical activity, it becomes a mental and physical escape from the daily grind, dramatically improving her mental and physical state. Quality Time: Spending time with loved ones and cherished pets is a source of fulfillment and happiness for Angela. Meaningful relationships and strong bonds play a crucial role in enhancing well-being. Purposeful Eating: Angela encourages mindful eating, where individuals identify the reasons behind their dietary choices, whether it's for nutrients, hunger, boredom, convenience, or taste. This approach helps in re-evaluating and making healthier dietary decisions. Stress Management: Angela advises against stressing over factors beyond one's control. She shares relatable experiences of enduring long shifts and frustrating traffic commutes, highlighting the importance of maintaining composure and not allowing external factors to negatively affect one's well-being.

These lifestyle modifications are common experiences that Angela shares with her patients. She understands the challenges of maintaining holistic health and uses her personal journey as a source of inspiration and guidance for others. Angela's commitment to improving the well-being of her patients extends beyond medical expertise, making her a valuable asset in the healthcare field.

Let me introduce you to Pamella Grillo, a dedicated healthcare professional with a significant role in pulmonary and sleep medicine and at Coastal MD. Pamella's educational journey took her to Wagner College, where she completed both her undergraduate studies and PA school, laying the foundation for her career in healthcare. In her full-time role as a pulmonary and sleep medicine PA, Pamella's daily responsibilities include rounding on patients at St. Catherine's Hospital and providing care to patients at the CHS outpatient office. She follows this routine diligently from Monday to Friday and also dedicates some of her Saturdays to her role at Coastal MD.

Pamella's career path led her to the world of pulmonary and sleep medicine, and her valuable experience working closely with thoracic surgery under the guidance of Dr. Brevitti, Justin, and Nicole played a significant role in her journey. Prior to joining Coastal MD, she completed her training in pulmonary and sleep medicine and also engages in critical care work at St. Catherine's ICU/CCU. Outside of her professional life, Pamella enjoys pursuing her passion for cooking. She and her husband share their culinary creations on a food Instagram account, where they delight their followers with delicious recipes. Additionally, she finds relaxation in walking her dog and cherishing quality time at home with friends and family.

Pamella's role as a healthcare provider at Coastal MD brings her immense satisfaction. She relishes the welcoming and positive environment, where professionals continuously strive to be the best versions of themselves. The motivation and positivity of her colleagues are sources of inspiration that make her work at Coastal MD both motivating and uplifting.
To unwind after a busy day, Pamella prioritizes her health and wellness. She enjoys taking her dog for a leisurely walk around their neighborhood, engaging in a workout, and preparing a healthy dinner. These practices not only help her relax but also set her up for another productive day ahead.

In addition to her role at Coastal MD, Pamella believes in the importance of a good skincare routine and self-care. She emphasizes the significance of taking care of one's body and regularly follows a skincare routine in the morning and at night. Additionally, she avails herself of Botox treatments at Coastal MD, advocating for these services to help patients look and feel their best. Pamella Grillo's commitment to healthcare and her passion for wellness and aesthetics make her a valuable member of the Coastal MD team, dedicated to helping patients live their best lives.

Introducing Nicole Pesce, a dedicated healthcare provider with a strong commitment to improving the well-being of her patients. Nicole's educational journey took her to Providence College and the University of Miami for her undergraduate studies, where she majored in Health Science and had a double minor in Business Administration and Psychology. She later pursued her PA studies at Touro College in Bayshore, furthering her expertise. Additionally, Nicole has received additional training from the Institute of Functional Medicine, enhancing her knowledge in the field.

As a healthcare professional, Nicole's career has been dynamic and impactful. She started her journey in the Emergency Room, where she witnessed the fragility of life and the potential for preventing suffering through healthier living and preventative medicine. Her subsequent work in General and Bariatric Surgery opened her eyes to the critical role that nutrition and lifestyle play in the development of metabolic disease. Collaborating with nutritionists, she learned about the concept of "food as medicine," recognizing the profound impact of dietary choices on health. Inspired by the surgeons she worked with, Nicole delved into Functional Medicine, a field that aligns with her passion for holistic well-being. Throughout her career, she has also continued to work in Emergency Medicine and Urgent Care settings.

In early 2020, during the peak of the pandemic, Nicole volunteered to work in the ICU in New York City. This experience allowed her to delve into the complexities of the immune system and its relationship with diet and lifestyle, especially in the context of COVID-19. She became a passionate advocate for healthier living to prevent complications from the virus. Outside of her medical career, Nicole has a unique and inspiring passion for organic farming and regenerative agriculture. She volunteered on a remote farm in the mountains of Italy, where she learned about sustainable farming practices. Additionally, she has a keen interest in herbal and natural medicine, having volunteered on a herbal medicine farm.

Nicole is an avid reader and podcast enthusiast. She recommends Peter Attia's podcast for the latest science-based advances in health and wellness. She also dedicates time to podcasts that focus on spiritual health and consciousness expansion, such as the Weekly Energy Boost. Her favorite book, "Autobiography of a Yogi," was influenced by Steve Jobs and has had a life-changing impact on her spiritual journey. In the coming year, Nicole aims to become a trusted expert in all things hormone-related, with a focus on helping her patients look and feel their best. She also aspires to inspire her patients to prioritize their health, enabling them to show up for their loved ones in the best way possible.

Nicole's personal wellness practices are integral to her approach in helping patients achieve their best lives. She prioritizes self-care, including staying active, consuming nutrient-dense foods, and engaging in stress reduction practices like daily walks in nature, meditation, light movement, and breathwork. By maintaining her own well-being, she ensures she can provide care to her patients from a place of abundance rather than depletion. Nicole believes that looking and feeling one's best can inspire others to do the same, creating a positive ripple effect in promoting well-being. Nicole Pesce's journey as a healthcare provider is driven by her personal transformation and the belief that the body has the innate ability to heal when given the right support. She is dedicated to guiding and inspiring her patients toward healthier and more fulfilling lives, both inside and outside her role at Coastal MD.

In the bustling corridors of Coastal MD, you'll find Angelica Salgado, a compassionate Physician Assistant (PA) with a story as diverse as the patients she serves. Angelica's journey into healthcare wasn't a straight path; it was a winding road of exploration and discovery, each experience shaping her into the holistic healer she is today. It all began at Molloy University, where Angelica immersed herself in the world of academia, driven by a curiosity to uncover the mysteries of science. As an undergraduate, she found herself drawn to research, eagerly collaborating with professors to design innovative studies and explore new frontiers in medicine.

But Angelica's thirst for knowledge didn't stop there. Eager to delve into the realm of clinical care, she embarked on a journey that would take her from the fast-paced world of emergency medicine as an Emergency Medical Technician (EMT) to the nurturing environment of pediatrics. Along the way, she discovered her passion for dermatology, where she became enamored with the art of aesthetics and skincare. However, it was during the dark days of the pandemic that Angelica's true calling emerged. Volunteering at Mercy Medical Center's hospice inpatient unit, she witnessed firsthand the profound impact that compassionate care can have on patients and their families during life's most challenging moments. It was here that Angelica's path crystalized, leading her to pursue a career as a PA—a role that would allow her to blend her clinical skills with her innate desire to heal.

After completing her PA education at Mercy University, Angelica set her sights on Coastal MD, drawn by its commitment to patient vitality and holistic wellness. Here, she found a home—a place where patients aren't just treated; they're nurtured, supported, and empowered to live their best lives. Outside of work, Angelica finds solace in nature, often venturing into the great outdoors to hike and reconnect with the world around her. But her commitment to wellness extends beyond the trails; she's equally passionate about staying active and exploring the world of healthy cooking, recognizing that true health encompasses both body and mind. In her role at Coastal MD, Angelica embodies the organization's mission to help patients feel good, look good, and live their best lives. With each patient she encounters, she brings not only her clinical expertise but also her genuine compassion and dedication to holistic healing. From the smallest acts of kindness to the most complex medical interventions, Angelica is committed to making a difference—one patient at a time.

Natalia Sroga is a dedicated Physician Assistant at Coastal MD, bringing a wealth of experience and a passion for patient care to her role. Natalia's journey into the medical field began at Wagner College, where she completed an accelerated five-year program, earning both her undergraduate and PA degrees.

Natalia's career has been marked by significant achievements and diverse experiences. For the past five years, she has worked as an Orthopedic PA at Riverside Orthopedics in Manhattan, NY, specializing in Joint Reconstructive Surgery. Additionally, she serves as an Aesthetic Injector at one of the top MedSpas in NYC. Her ability to help patients feel their best, both physically and aesthetically, has been a cornerstone of her practice. One of her proudest moments was receiving the Ambulatory PA of the Year award, a testament to her clinical excellence, professionalism, and dedication to patient care.

Outside of her professional life, Natalia is an avid athlete who enjoys a variety of physical activities, including running, swimming, and lifting. Having played sports her entire life, she understands the importance of being a team player and maintains a competitive spirit. Her passion for health and wellness extends into her personal time, where she engages in activities that enhance her physical and mental well-being.

Natalia is an enthusiastic reader and recommends the book "Forever Strong" by Gabrielle Lyon to her patients. The book delves into the significance of muscle health and its impact on metabolism, strength, mental health, longevity, and chronic disease prevention. She also enjoys "The Blonde Files" podcast by Arielle Lorre, which features experts on health, wellness, beauty, and cosmetic procedures.

Natalia's motivation to help others stems from her selfless nature, which she has nurtured since childhood. She believes in the mantra "Look good, feel good" and strives to instill this confidence in her patients. Her holistic approach to health emphasizes the importance of self-care alongside traditional health practices, helping patients prioritize themselves to become dominant forces in their own lives.

At Coastal MD, Natalia looks forward to continuing her mission of improving patient well-being, leveraging her unique background in both aesthetics and orthopedics to help patients achieve their health and wellness goals.

Primary Care/ Women's Health

Dr. Jayman has a wealth of experience, a passion for empowering women’s health, and a holistic approach to wellness, She brings an exceptional depth of expertise to our practice. Under her leadership, Coastal MD continues its commitment to setting the standard in women’s healthcare by creating a Center of Excellence that goes beyond traditional care—focusing on overall vitality, preventive health, and personalized wellness.

Dr. Jayman’s approach to women’s health is anchored in empathy, thoroughness, and a deep understanding of the unique healthcare needs women face at every stage of life. She believes that healthcare should empower, educate, and provide a roadmap to a fulfilling, healthy life. With an extensive background in primary care and a specialized focus on women’s health, Dr. Jayman is uniquely positioned to guide our patients through each aspect of their health journey. Her philosophy centers on the idea that true health is more than just the absence of illness—it’s a state of complete physical, mental, and emotional vitality. As our Director of Women’s Health, Dr. Jayman leads a dedicated team that is committed to providing excellence in healthcare, offering services tailored specifically to the needs of women, including preventive care, hormonal health, mental wellness, and holistic treatments that support vitality from the inside out.

Coastal MD is more than just a medical practice—it’s a wellness destination where patients can expect a level of care that goes above and beyond. With Dr. Jayman at the helm of our Women’s Health and Primary Care, Coastal MD is raising the bar in healthcare by creating a Center of Excellence that emphasizes overall vitality.

Primary Care/ Family Medicine

Dr. Mamakos, an esteemed alumnus of the University of Illinois at Urbana-Champaign, pursued a dual major in Community Health and French Studies, highlighting her versatile academic prowess. Her journey into the medical field was furthered at Ross University School of Medicine, where she obtained her MD degree, showcasing her commitment and proficiency in medicine.

Post-medical school, Dr. Mamakos embarked on a residency in Family Medicine at Northwell Glen Cove Hospital, further solidifying her medical expertise. Her passion for specialized care inspired her to complete fellowships in Wound Healing at Roger Williams Medical Center, Geriatric Medicine at Montefiore Hospital – Wakefield, and Integrative Medicine at the University of Arizona. These diverse experiences have not only enriched her medical knowledge but have also been instrumental in shaping her holistic approach to patient care. Dr. Mamakos holds board certifications in Family Medicine and Geriatric Medicine, underscoring her extensive knowledge and expertise in these areas. She is also in the process of acquiring a certification in Integrative Medicine, reflecting her commitment to embracing comprehensive health practices.

Her impressive career trajectory and dedication to expanding her medical horizons have led her to a significant milestone: joining Coastal MD as the first primary care physician. This role at Coastal MD is a testament to her wide-ranging skills and her ability to integrate her diverse medical training into primary care. Her position at Coastal MD marks a pivotal step in her career, where she aims to apply her extensive knowledge and integrative approach to enhance patient care in the community. A native of Huntington, NY, Dr. Mamakos enjoys her free time by engaging in creative DIY projects, exploring new places, and indulging in her love for the French language and travel. Her rich background in diverse medical fields, combined with her dynamic personal interests, makes her an invaluable addition to the Coastal MD team, bringing a unique blend of expertise and compassionate care to her patients.

Clinical Team

Integrative Health Specialists

Dr. Gregory Brevetti, MD

Justin J. Szpilka, PA-C

Nicole P. Polimeni, PA-C

Aimee Gosse, PA-C

Meg Musorofiti, PA-C

Angela Pagano, PA-C

Pamella Grillo, PA-C

Nicole Pesce, PA-C

Angelica Salgado, PA-C

Natalia Sroga, PA-C

Primary Care/ Women's Health

Razia Jayman-Aristide, MD MS-HPPL FACP

Primary Care/ Family Medicine

Dr. Lisa Mamakos, MD

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