Leading edge clinical services include orthopedics, spine, and sports medicine; cardiology/cardiothoracic services including a diagnostic cardiac catheterization laboratory performing peripheral angiograms and stenting, carotid stenting and pacemaker implants; non-invasive cardiology services including Holter monitoring, 24-hour blood pressure monitoring, echocardiography and trans-esophageal echocardiography; the Acute Rehabilitation Unit providing a full range of inpatient and outpatient services such as those of the North Jersey Swallowing Center; the John Victor Machuga Diabetes Education Center, offering comprehensive education and consultation programs; and expanded Ambulatory Care Center; as well as liver, biliary, and pancreatic consultation services. The Medical Assistant does not independently assess, diagnose, determine treatment plans, determine the type of cast or splint required, perform reductions or manipulations, administer medications or injections, or perform venipuncture unless properly qualified and authorized under New Jersey law and organizational policy.