ADVANTAGE MEDICAL ASSOCIATES, P.A. v. ELECTROSTIM MEDICAL SERVICES, INC.

CourtDistrict Court, D. New Jersey
DecidedSeptember 30, 2025
Docket3:24-cv-02992
StatusUnknown

This text of ADVANTAGE MEDICAL ASSOCIATES, P.A. v. ELECTROSTIM MEDICAL SERVICES, INC. (ADVANTAGE MEDICAL ASSOCIATES, P.A. v. ELECTROSTIM MEDICAL SERVICES, INC.) is published on Counsel Stack Legal Research, covering District Court, D. New Jersey primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
ADVANTAGE MEDICAL ASSOCIATES, P.A. v. ELECTROSTIM MEDICAL SERVICES, INC., (D.N.J. 2025).

Opinion

NOT FOR PUBLICATION

UNITED STATES DISTRICT COURT DISTRICT OF NEW JERSEY

ADVANTAGE MEDICAL ASSOCIATES, P.A.,

Plaintiff, Civil Action No. 24-2992 (GC) (JBD)

v. MEMORANDUM OPINION

ELECTROSTIM MEDICAL SERVICES, INC.,

Defendant.

CASTNER, District Judge THIS MATTER comes before the Court upon Defendant Electrostim Medical Services, Inc.’s Motion for Summary Judgment. (ECF No. 40.) Plaintiff Advantage Medical Associates, P.A. opposed, and Defendant replied. (ECF Nos. 41, 42.) The Court has carefully reviewed the parties’ submissions and decides the matter without oral argument pursuant to Federal Rule of Civil Procedure (Rule) 78(b) and Local Civil Rule 78.1(b). For the reasons set forth below, and other good cause shown, Defendant’s Motion is DENIED. I. BACKGROUND1 A. Factual Background Plaintiff is a medical practice in East Brunswick, New Jersey. (ECF No. 41-1 at 6; ECF No. 42-1 at 2.) Dr. Misha Basalaev is the president of, and practices internal medicine and primary

1 On a motion for summary judgment, the Court “draw[s] all reasonable inferences from the underlying facts in the light most favorable to the nonmoving party.” Jaffal v. Dir. Newark N.J. Field Off. Immigr. & Customs Enf’t, 23 F.4th 275, 281 (3d Cir. 2022) (quoting Bryan v. United States, 913 F.3d 356, 361 n.10 (3d Cir. 2019)). The factual circumstances surrounding this action, as revealed through discovery, are set forth in the parties’ submissions in accordance with Local Civil Rule 56.1. Defendant’s Statement of Undisputed Material Facts is at ECF No. 40-1, care at, the medical practice. (ECF No. 40-1 at 1; ECF No. 41-1 at 1, 6; ECF No. 42-1 at 2.) Defendant sells electrostimulation devices, which are used to treat chronic pain. (See ECF 40-1 at 2; ECF No. 41-1 at 3, 7; ECF No. 42-1 at 2.) At issue in the case is a fax Defendant sent to Plaintiff in 2020 and, more specifically, whether Plaintiff consented to receiving that fax. About once or twice a year, Dr. Basalaev prescribes electrostimulation devices to patients

who experience chronic pain. (ECF No. 40-1 at 2; ECF No. 41-1 at 2, 7; ECF No. 42-1 at 2, 6-7.) In these instances, a specialist—such as a physical therapist—is ordinarily the individual who first determines a patient should receive care via an electrostimulation device, and that specialist then contacts Dr. Basalaev. (See ECF 40-1 at 2; ECF No. 41-1 at 2.) This is because a medical doctor, like Dr. Basalaev, must sign a “letter of medical necessity” for a patient to receive electrostimulation devices. (ECF No. 41-1 at 7; ECF No. 42-1 at 2.) The letter of medical necessity serves as a prescription. (ECF No. 41-1 at 7; ECF No. 42-1 at 2.) It articulates the reasons why the patient needs an electrostimulation device and describes the specific device being prescribed. (ECF No. 40-1 at 2; ECF No. 41-1 at 2-3.)

Once a patient has a prescription for an electrostimulation device, Defendant can sell the device to the patient listed on the prescription. (See ECF No. 41-1 at 7; ECF No. 42-1 at 2.) While the parties appear to agree that patients can buy the devices directly from Defendant, Dr. Basalaev testified that he does not “have an understanding of who provides the [] device after [he has] made the prescription.” (ECF No. 40-5 at 5:15-18.) In other words, when Dr. Basalaev signs a prescription, he does not know whether it is the “pharmacist,” the “supply stores”—like

Plaintiff’s Response to Defendant’s Statement of Undisputed Material Facts and Supplemental Statement is at ECF No. 41-1, and Defendant’s Response to Plaintiff’s Supplemental Statement of Facts and Reply Statement of Facts is at ECF No. 42-1. Page numbers for record cites (i.e., “ECF Nos.”) refer to the page numbers stamped by the Court’s e-filing system and not the internal pagination of the parties. Defendant—or “the physical therapists” who ultimately provide the prescribed devices to patients. (Id. at 5:18-25.) Dr. Basalaev’s prescriptions have listed Plaintiff’s fax number in the past. The parties agree that Plaintiff includes its fax number on prescriptions so that “pharmacists and medical providers may contact [Dr. Basalaev] if they have questions about the patient or the prescribed treatment.”

(ECF No. 41-1 at 6; ECF No. 42-1 at 2.) The parties disagree, however, on whether Plaintiff also has a second, broader purpose for including its number on the prescriptions. Defendant argues that “Plaintiff’s purpose in providing Plaintiff’s Fax Number on letters of medical necessity, and other prescriptions, is to facilitate the services authorized for its patients.” (ECF No. 40-1 at 3.) In support of its assertion, Defendant relies on Dr. Basalaev’s deposition testimony in which he states: “[I]f I give a prescription and the pharmacist o[r] the physical therapist has any questions they will not be able to contact me if they have any questions. So [for] ease in patient care I provide both the fax number and the phone number to facilitate it, the services.” (Id.; see also ECF No. 40-5 at 10:2-7.)

It is undisputed, however, that on May 9, 2017, Dr. Basalaev wrote a prescription for his patient, G.S., to receive physical therapy via an electrostimulation device because of neck and shoulder pain. (ECF No. 40-1 at 2; ECF No. 41-1 at 3.) Prior to writing the prescription, Dr. Basalaev received a message from a physical therapist who examined G.S. and recommended that G.S. receive one of Defendant’s electrostimulation products. (ECF No. 41-1 at 7; ECF No. 42-1 at 3.) The electrostimulation product was called a “Flex Gar.” (ECF No. 40-1 at 3; ECF No. 41- 1 at 4.) Defendant then sent Plaintiff a pre-filled letter of medical necessity form for Dr. Basalaev to sign, which included Plaintiff’s fax number pre-populated on the form. (ECF No. 41-1 at 7; ECF No. 42-1 at 3.) Plaintiff is aware that its fax number is available online. (ECF No. 40-1 at 2; ECF No. 41-1 at 1.) On May 24, 2017, Dr. Basalaev signed and returned the filled-out letter of medical necessity, which contained Plaintiff’s fax number. (ECF No. 40-1 at 3; ECF No. 41-1 at 3, 8; ECF No. 42-1 at 3.) Nearly three years later, on March 25, 2020, Defendant’s employee, with Defendant’s knowledge and approval, sent the fax at issue in this litigation to Plaintiff and to dozens of other

medical providers. (ECF No. 40-1 at 3; ECF No. 41-1 at 4, 8; ECF No. 42-1 at 3.) Transmitted during the beginning of the COVID-19 pandemic, Defendant’s purpose in sending the fax to Plaintiff and other medical providers was to highlight that Defendant was still providing its business services during the pandemic and could provide device instruction remotely. (ECF No. 41-1 at 9; ECF No. 42-1 at 5.) The fax opened with, “NOW IS THE PERFECT TIME TO ADD [DEFENDANT] TO YOUR TELEHEALTH SERVICES.” (ECF No. 41-1 at 8; ECF No. 42-1 at 4 (emphasis in original).) The fax closed with, “OUR TEAM IS AVAILABLE FOR REMOTE FITTING AND INSTRUCTION ON ALL DEVICES. TO EXPEDITE YOUR NEEDS CONTACT YOUR LOCAL REP.” (ECF No. 41-1 at 9; ECF No. 42-1 at 5) (emphasis in original).)

The fax also stated: In response to increased provider requests to assist their patients in continuing the necessary treatments at home, we have accelerated our remote patient instruction and shipping capacity. Our E-Stim Devices and Braces are readily available as a daily treatment solution. [Defendant] offers a variety of conservative, safe, and cost-effective treatment options for patients suffering from pain and inflammation associated with many diagnoses & conditions.

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ADVANTAGE MEDICAL ASSOCIATES, P.A. v. ELECTROSTIM MEDICAL SERVICES, INC., Counsel Stack Legal Research, https://law.counselstack.com/opinion/advantage-medical-associates-pa-v-electrostim-medical-services-inc-njd-2025.