Downtown Primary Care

Downtown Primary Care operates under a membership-based concierge model in partnership with Castle Connolly Private Health Partners. Members pay a recurring fee that covers a set of enhanced services beyond standard medical care. Those services include same- and next-day appointments, extended visits, 24/7 physician communication, telehealth access, and enrollment in the SENS Solution Wellness Program.

The membership fee covers the enhanced amenities the practice provides, not traditional medical services. Members receive same- and next-day appointments, extended visit times, direct 24/7 access to their physician, telehealth visits through the Spruce platform, and full access to the SENS Solution Wellness Program including unlimited health coaching. Members also gain navigation to over 60,000 Castle Connolly Top Doctors nationwide.

The practice may accept insurance for traditional medical services depending on your specific plan. Contact the office to confirm whether your insurance applies. Health insurers do not cover the membership fee itself. Members may choose to submit the fee to an FSA, HRA, or medical savings account, though eligibility depends on your individual benefits administrator.

The practice offers several payment schedules. Members can pay annually, semi-annually, quarterly, or monthly. Payments process automatically by bank account debit or credit card. Certain processing fees may apply depending on the payment method selected.

Yes, the practice offers telehealth visits through Spruce, a HIPAA-compliant secure messaging and video platform. Members access Spruce from a phone, tablet, or computer to attend virtual appointments and message their physician directly. The same 24/7 physician communication available in person extends through the platform.

The SENS Solution Wellness Program is a wellness program the practice includes with every membership at no additional charge. It focuses on four pillars: Sleep, Exercise, Nutrition, and Stress Management. Members work one-on-one with a health coach by phone, access digital content including blogs and webinars, attend member events and classes, and receive offers from Affinity Partners.

Yes, Downtown Primary Care offers same- and next-day appointments to all members. The practice also maintains no-wait-time scheduling so visits fit your schedule without delays.

Members have 24/7 direct access to their physician through the Spruce platform. Doctors respond to medical concerns through secure messaging or by phone. When a physician is on vacation, a qualified covering physician steps in, and the primary doctor remains personally reachable through Spruce in most cases.

Yes, all three physicians focus on adult internal medicine and primary care. Dr. Ora Pearlstein, Dr. Claire Binsol, and Dr. Regina Janicik each hold board certification in Internal Medicine and carry faculty appointments at NYU Langone Medical Center.

Prospective patients can schedule a consultation through the practice to determine whether membership is the right fit. The sign-up process runs through the Downtown Primary Care membership portal. The office is located at 80 Maiden Lane, Suite 1902 in New York City, and the team is reachable by phone at (212) 379-6480.