Here’s what nobody tells you about power in New York: it’s not just about how much money you make. It’s about who picks up when you call at 3 AM.
Your lawyer. Your accountant. Your banker.
And your doctor.
Because here’s the thing—you can have all the money in the world, but if you’re sitting in some emergency room waiting to be triaged between a guy with a broken finger and someone’s food poisoning, you’ve already lost. You’re playing by someone else’s rules. You’re in their system.
The real players? They don’t wait. They don’t sit. They don’t fill out forms on clipboards.
They have a number. They make a call. And someone shows up.
Let me introduce you to the physicians treating New York’s 1%. The ones you’ll never find on ZocDoc. The ones who don’t take your insurance because they don’t need to. The ones whose patient lists read like the Forbes 400.
These aren’t doctors. They’re assets. And if you’re serious about staying in the game, you better understand how they work.
THE PARK AVENUE PLAYBOOK
MD2 International has three Manhattan locations—Park Avenue, Fifth Avenue, Madison Avenue. You know why? Because having one office means you’re a practice. Having three means you’re an empire.
Dr. Andy McCullough. Dr. Shari Midoneck. Dr. Eric Goldberg. Dr. Howard Rosenberg—the guy other doctors call when they need a doctor.
These aren’t the physicians you see once a year for a physical. These are the people who know your metabolic panel better than you know your own portfolio. They’ve got your blood work from six months ago memorized. They know what you ate for breakfast based on your glucose levels.
And here’s the kicker: they’re available. Not “leave a message and we’ll get back to you in 24-48 hours” available. Actually available. Same day. Same hour if it matters.
You pay for that. Fifteen to fifty grand a year in membership fees before you even walk through the door. No insurance accepted because insurance is for people who need permission. These doctors work for you, not some claims adjuster in a cubicle deciding whether your MRI is “medically necessary.”
The math is simple: What’s your time worth? What’s your health worth? What’s the competitive advantage of never waiting, never wondering, never being told “the doctor will see you in three weeks”?
Do the calculation. Then write the check.
THE LONGEVITY ARMS RACE
While everyone else is going to their general practitioner for their annual checkup—bloodwork, blood pressure, “everything looks fine, see you next year”—the elite are doing something completely different.
Elitra Health on the Upper East Side. The Elitra Exam. Five to six hours. Not minutes. Hours. Full-body MRI. Cardiac imaging. Cancer screening. Genomic analysis. The kind of diagnostic workup that finds problems before they’re problems.
This is early detection as competitive strategy. You think Steve Jobs wished he’d caught his pancreatic cancer earlier? You think anyone who’s ever gotten a Stage 4 diagnosis thought, “I’m glad I skipped that comprehensive screening”?
The wealthy figured this out. They’re not waiting to feel sick. They’re hunting for threats at the cellular level.
Dr. Richard Firshein has been doing this on Park Avenue for 25 years. Integrative medicine. Anti-aging protocols. Precision-based interventions. He’s not treating symptoms—he’s optimizing systems.
Dr. Halland Chen—double board-certified, studied longevity protocols globally, brought them back to Manhattan. His patient list? People who’ve decided that aging is optional.
Extension Health opened this year with one explicit goal: “ultra-human performance.” Not health. Not wellness. Performance. Because when you’re competing at the highest levels, merely being healthy isn’t enough. You need to be optimized.
The concierge medicine model isn’t about luxury—it’s about information asymmetry. While everyone else is getting the standard care protocol designed for the average patient, these physicians are customizing interventions based on your specific biomarkers, genetics, and goals.
That’s an edge. And edges compound.
THE HAMPTONS CONTINGENCY
Now here’s where it gets interesting. Because the people who can afford Park Avenue doctors don’t just stay in Manhattan.
Memorial Day hits, and half of the Upper East Side migrates to the Hamptons. You think they’re leaving their medical infrastructure behind?
Not a chance.
Dr. Asma Rashid runs Hamptons Boutique Medicine in Southampton. Board-certified family physician. Ten-plus years in the Hamptons. Trained at Southampton Hospital, which means she knows the summer colony inside and out.
Same-day appointments. Twenty-four-seven physician access. Home visits. Because when you’re at your estate in Water Mill and you need medical attention, you’re not driving to an urgent care clinic and sitting next to tourists with jellyfish stings.
But here’s the brilliant part: Her practice has a sister operation in Palm Beach. Why? Because the same people who summer in the Hamptons winter in Florida. She’s built a bi-coastal medical network that follows the money.
That’s strategic positioning. That’s understanding your client base. That’s knowing that continuity of care isn’t just medical—it’s operational.
Sollis Health took the same approach. Manhattan location. Water Mill location. Members-only, twenty-four-seven concierge urgent and emergency care. No appointments. No waiting. You show up, you’re seen. Immediately.
Led by Dr. Ian Leber as Chief Medical Officer. And here’s what makes this smart: It’s not a practice, it’s a system. Your medical records, your protocols, your physicians—they’re all networked. You’re in the city Monday, you’re in Southampton Friday, and nothing changes.
That’s frictionless. And in a world where friction costs time and time costs money, frictionless is priceless.
THE MOBILE OPERATORS
But some players took it even further.
White Glove Medicine. Dr. Hamptons—yeah, that’s the actual name, because branding matters. These aren’t practices with locations. They’re mobile units.
You’re on your yacht? They come to the yacht. You’re at your compound? They come to the compound. You’re at a charity gala and need a vitamin drip before you go on stage to give a speech? They’re in the back room with an IV bag ready.
This is healthcare as service. Medicine as logistics. It’s not about where they are—it’s about where you are.
And the services? IV therapy. NAD+ infusions. Peptide injections. Executive physicals conducted in your home office. Blood draws done by your pool so you can review quarterly earnings while they’re pulling labs.
Time is the one asset you can’t get back. These physicians understand that. So they come to you.
Is it expensive? Obviously. Is it worth it? Ask yourself: What’s an hour of your time worth? Because every hour you’re not sitting in a waiting room is an hour you’re working, strategizing, closing deals.
The ROI is immediate.
THE CELEBRITY EFFECT
And then there’s the celebrity doctors. The ones treating people whose faces you’d recognize. Whose net worths get reported in tabloids.
Dr. Ernst von Schwarz—heart transplant cardiologist doing stem cell injections to reverse aging. Hollywood clients. Professional athletes. People who literally can’t afford to look older because their careers depend on perception.
When Bloomberg publishes “Five Longevity Secrets from an Elite Concierge Doctor,” you better believe people are paying attention. Because if financial media is covering it, that means the people with serious money are already doing it.
The treatments? Stem cells. Advanced peptide protocols. Regenerative therapies that aren’t FDA-approved for anti-aging but are prescribed off-label by physicians who understand the research and are willing to take calculated risks for clients who demand results.
Is it legal? Yes. Is it conventional? No. Does it work? The data’s still coming in, but the people spending six figures annually on these protocols aren’t gambling—they’re making calculated bets based on early evidence.
And here’s the thing about early evidence: If you wait for consensus, you’re already behind.
WHAT YOU’RE ACTUALLY BUYING
Let’s be clear about something: You’re not paying these doctors to make you healthy.
You’re paying them to give you certainty.
Certainty that if something goes wrong, you’re handled. Certainty that you’re not guessing about your health—you’re measuring it, tracking it, optimizing it. Certainty that when you need answers, you get them immediately, not after three weeks of phone tag with a scheduling department.
You’re buying access. Not just to physicians, but to diagnostic tools, specialists, treatments, and protocols that most people don’t even know exist.
You’re buying time. Because when you can call your doctor at midnight and get a prescription sent to a 24-hour pharmacy without leaving your apartment, that’s time saved. When you can have labs drawn at home and results analyzed by morning, that’s time saved. When you can skip every waiting room, every form, every bureaucratic obstacle that stands between you and care, that’s time reclaimed.
And you’re buying performance. Not just health. Not just longevity. Actual, measurable enhancement of cognitive function, energy levels, recovery speed, and competitive capacity.
That’s what separates the players from everyone else. Most people are trying to avoid getting sick. The 1% is trying to optimize being alive.
Completely different game.
THE ACTUAL NUMBERS
So what does this cost?
- Concierge membership: $15K-$50K annually, before any actual services
- Elitra’s executive exam: $5K-$10K for the comprehensive workup
- Monthly optimization protocols (peptides, NAD+, monitoring): $5K-$10K
- Mobile concierge services: $500-$1,500 per visit
- Bi-coastal medical coverage (Hamptons + Manhattan): Additional premium on top of base membership
All in? You’re looking at $50K-$150K annually for top-tier concierge medical care with full optimization protocols.
That’s more than most people make in a year. That’s a down payment on a house in most of America. That’s a luxury car, fully loaded.
But here’s the question: What’s the alternative?
Wait three weeks for an appointment? Sit in an emergency room for six hours? Miss a critical diagnosis because your annual checkup only caught the obvious stuff? Lose competitive edge because you’re running on suboptimal biology while your competitors are pharmacologically enhanced?
For the 1%, that’s not a trade they’re willing to make.
THE UNCOMFORTABLE REALITY
Here’s what nobody wants to say out loud, but everyone knows: Healthcare in America is a two-tier system.
There’s the system for everyone else—insurance networks, referrals, prior authorizations, billing departments, claim denials, and endless bureaucratic friction.
And then there’s the system for people with money—concierge practices, direct access, cutting-edge protocols, and zero waiting.
Is that fair? No.
Is it reality? Yes.
And the gap is widening. While public healthcare debates about coverage and costs, private medicine is racing ahead with longevity protocols, regenerative therapies, and optimization strategies that are completely inaccessible to 99% of the population.
The people in this article? They’re not better humans. They just have better access.
And access, as always, is expensive.
THE FINAL PLAY
If you’re reading this and you’re in the game—actually in it, not watching from the sidelines—you already know what I’m about to say.
Your health is your foundation. Everything else is built on top of it. Your business. Your relationships. Your capacity to perform under pressure. Your ability to outthink, outwork, and outlast the competition.
You can have all the money in the world, but if you’re operating on compromised biology, you’re vulnerable. You’re one diagnosis away from everything changing. One missed symptom away from a problem that could’ve been caught early becoming a crisis.
The physicians in this article—the ones on Park Avenue and Meadow Lane—they’re not just treating patients. They’re managing risk. They’re providing infrastructure. They’re ensuring that their clients stay in the game as long as possible, performing at the highest possible level.
Is it expensive? Absolutely.
Is it worth it?
Ask yourself what happens if you don’t.
Then make the call.