A New Vision of Independence

Founded on the eve of Hurricane Sandy in 2012, PIER Practice Solutions’ first leap into the healthcare community included outreach and localized services for physicians and hospitals across New Jersey in the disastrous aftermath of the storm. Since then, PIER’s mission has been to deliver high quality, innovative professional solutions to build successful, productive and satisfied physician practices by improving providers’ lives through the business of medicine.

PIER Practice Solutions is a contemporary physician and healthcare consulting company that offers an array of physician services including: Medical Malpractice Insurance, Captive Management, Business Owners Insurance, Workers’ Compensation, Health Insurance/RX/Vision/Dental, Life Insurance, Medical Group Purchasing, Medical Billing & Revenue Cycle Management, Physician Recruitment and Development, Virtual Practice Management, Practice Starts-up, and Clinically Integrated Network Management to name a few.

We work closely with our affiliates, partners, and hospitals to deliver physicians career and practice enhancement services tailored to their independent needs.




Fred brings a unique perspective and provides actionable healthcare insights at solving complex issues, executing revenue-based strategies, decreasing costs, and deploying business development plans. With over 35 years of experience in the insurance industry and over a decade of experience directly in healthcare, Fred works closely with key stakeholders in our healthcare ecosystem such as private practice physicians, hospitals, and the payers, developing and implementing business strategies that support and align with PIER’s objectives.  Fred enjoys spending time with his family and traveling around the world.



Chief Financial Officer

Lew brings a wealth of financial acumen to all aspects of our business. Lew is accountable for our financial functions including accounting, audit, treasury, and corporate finance. His career spans more than 30 years of varied experience in financial management, business leadership and corporate strategy of multiple insurance companies. Lew enjoys fresh water fishing and spending time with his recent family addition, grandson.



Vice President of Ambulatory & Financial Services

Nick applies his consultative background to recruit, develop, and expand physician strategies and services to the physician community. He brings forth a business development mindset to help physicians sustain and thrive in the healthcare environment, constantly seeking solutions and services that are valuable to the community. He is responsible for delivering business results across PIER Practice Solutions and looking for new and different ways to generate additional value-added revenue streams that diversify our organization. Nick enjoys golf, tennis, and soaking up the warm weather.



Vice President, Risk Management Services and Physician Cultivation

Marlene’s training as a Critical Care Nurse has been foundational to her career as a Director of Risk Management, Insurance and Compliance across the healthcare continuum in New Jersey. She brings demonstrated expertise in Claims and Captive Management, Physician Cultivation and the Business side of Medical Practice to the PIER team. Marlene serves as a Councilwoman on her Town Council, Board Trustee and Chair of the Risk and Insurance Committee for a community based Behavioral Health organization. She enjoys spending time with her daughters, running and performing stand-up comedy.