NYC’s Leading Integrative Health Care Center
NYC’s Leading Integrative Health Care Center
The Longevity Membership Program at Patients Medical is a physician-led, self-pay program directed by Dr. Rashmi Gulati, MD at 1148 Fifth Avenue in New York. Members receive comprehensive laboratory and biomarker testing, a personalized optimization plan, and scheduled physician visits through the year, with advanced diagnostics including biological age and multi-cancer screening at higher tiers. Three tiers are available: Foundation at $300 per month, Optimization at $600 per month, and Executive Longevity at $1,250 per month. New patients can start with a free 10-minute introductory call.
Longevity medicine : the physician-directed practice of measuring, tracking, and intervening in the biological processes that drive age-related disease — metabolic health, hormonal function, inflammation, body composition, cardiovascular risk, and cognitive resilience — with the goal of extending healthspan, meaning the years lived in good function, rather than treating disease only after it presents.
A longevity membership is an ongoing medical relationship rather than a series of appointments. You are measured comprehensively, given a plan built on what the measurements show, and then tracked and adjusted over time by the same physician. That continuity is what makes the difference — most of what determines how the next thirty years go is visible in data years before it becomes a diagnosis, and nobody finds it in a fifteen minute annual visit.
Patients Medical has practiced integrative and preventive medicine in New York since 1974. Dr. Rashmi Gulati, MD has been Medical Director since 2004. This program formalizes what our patients have been asking for: a structured, measured, physician-led way to stay well rather than a reactive way to get treated.
Conventional medicine is built to find and treat disease. It does that well. What it is not built to do is notice the decade-long drift that precedes disease — the fasting insulin creeping up while glucose stays normal, the thyroid antibodies rising while TSH holds in range, the muscle mass quietly declining, the inflammatory markers ticking higher year over year.
Every one of those trends is measurable, and every one is more modifiable early than late. Longevity medicine is the discipline of measuring them deliberately, interpreting them together rather than in isolation, and intervening while intervention is still cheap and effective.
The word “anti-aging” gets used for this and we generally avoid it. Nothing available today stops aging. What is available is a serious attempt to compress the period of poor function at the end of life — to stay strong, sharp, and independent for longer. That goal is realistic, measurable, and worth structuring a medical relationship around.
Your program begins with a full one-hour evaluation with Dr. Gulati ($600, credited into your first month for members). This covers your complete history, family history, current symptoms, prior treatment, medications and supplements, sleep, training, nutrition, stress, and — importantly — what you actually want from the next twenty years. Physical examination as indicated.
Laboratory work is ordered against your presentation and your tier. Core panels include complete metabolic and lipid assessment with ApoB, fasting insulin and HbA1c, a full thyroid panel with antibodies, complete sex hormone panel, cortisol rhythm, inflammatory markers, and nutrient status including vitamin D, B12, ferritin, and homocysteine. Testing runs through Labcorp or Quest and is billed separately; portions may be billable to your insurance.
Higher tiers add body composition analysis, advanced cardiovascular risk markers, biological age and genetic testing and multi-cancer early detection screening.
This is the visit patients tell us they have never had before. Dr. Gulati walks through what every result means, how the results relate to each other, and where your actual risks and limiting factors are. You leave with a written plan: what to address, in what order, and how we will know it worked.
The plan is specific. It may include medication or hormone adjustment, targeted nutritional intervention, a training prescription, sleep intervention, referral for a sleep studypeptide therapy (PM), hormone optimization, or a structured metabolic and weight program. It will also name the things you should stop doing.
Between visits you have a program coordinator and a defined path back to Dr. Gulati. Protocols get adjusted when something is not working rather than at the next annual visit. Members receive priority scheduling.
Repeat testing at defined intervals — typically six months, or three for members addressing something active. Trends matter more than single values, and the second and third rounds of testing are where the program's value compounds. Your plan is revised against what actually changed.
The people who get the most from it fall into three groups. First, people in their forties through sixties who feel their body has changed in ways their annual physical does not explain, and who want somebody to look harder. Second, people with a family history that worries them — early cardiac disease, dementia, cancer — who want to know their actual risk rather than assume it. Third, people who are genuinely well and want to stay that way, and who would rather invest in measurement now than intervention later.
It is not for people seeking a specific procedure and nothing more; those are available individually. It is also not appropriate as a substitute for urgent or acute care, or for management of a serious active condition that belongs with a specialist — though we coordinate with specialists routinely and gladly.
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A few commitments worth stating plainly, because they define how this program operates.
We will tell you when a test would not change what we do, and decline to order it. We will tell you when your limiting factor is sleep, alcohol, or training volume rather than anything we can prescribe. We will tell you when a supplement you are taking is doing nothing, and when to stop it. We will tell you when a service we offer is not right for you.
And we will tell you when the evidence behind something is preliminary rather than established. Longevity medicine attracts more claim than proof, and distinguishing between the two is the most useful thing a physician in this field can do for you.
Fifty years of continuous practice in New York. A Medical Director who has led it since 2004 and who personally conducts every membership evaluation. A full integrative capability under one roof at 1148 Fifth Avenue —
functional medicine, hormone therapy, peptide therapy, IV nutrient therapy, and comprehensive diagnostics — which means when the workup finds something, the treatment for it is available in the same office rather than
in a referral six weeks out.
And a bias toward telling you the truth. If your limiting factor is sleep, we will tell you that before we sell you a
panel. If a test would not change what we do, we will say so.
Free introductory call, then your comprehensive evaluation with Dr. Gulati. Laboratory orders
issued the same days.
Testing completed at Labcorp or Quest, plus body composition assessment in our office. Advanced
testing where your tier includes it.
Implementation, with coordinator support and adjustment as needed. Most members notice
something in this window — usually sleep or energy first.
First reassessment. This is where the program starts compounding, because we now have a trend
rather than a snapshot, and the plan is revised against what actually moved.
Concierge medicine typically buys access — faster
appointments, direct physician contact — applied to conventional primary care. This program buys a different kind of medicine: comprehensive measurement, longitudinal tracking, and intervention aimed at healthspan. Access improves too, but that is not the point of it.
No. We work alongside your primary physician and any specialists you see, and we share findings with them. Members should keep their existing primary care relationship.
Every service is available individually. Membership makes them less expensive and puts them in a plan; it is not required to access them.
Book a free 10-minute introductory call to ask whether this program fits your situation before committing to
anything. Patients Medical, 1148 Fifth Avenue, Suite 1B, New York, NY 10128 — Upper East Side at 96th Street,
serving all five boroughs, Long Island, Westchester, Fairfield County, and northern New Jersey. Call (212) 794-8800.
Medical disclaimer: educational content only; not a substitute for professional medical advice, diagnosis, or treatment. The Longevity Membership Program is a self-pay medical program and is not a substitute for primary care, emergency care, or specialist management of active disease. Individual results vary.
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