Academic center, large cancer network, or an independent hematology practice? An honest guide to the options in New York City, Long Island and the Hudson Valley, what each is best for, and the questions worth asking before you book.
Match the practice to your problem. For iron deficiency, anemia or an abnormal blood count, look for a board-certified hematologist who can see you soon, draws labs and gives infusions in the same place, takes your insurance and is clear about how they bill. For a rare blood disorder, a blood cancer needing transplant, or a clinical trial, an academic medical center is usually the right call. Whichever you choose, ask how soon you can be seen, whether a referral is needed, and whether visits are billed as a hospital outpatient department.
14 centers across the New York metro area. No referral needed.
Book an AppointmentNew York has more hematologists than almost anywhere in the country, but they work in four quite different settings, and the setting shapes your experience as much as the doctor does.
Academic medical centers. The city’s teaching hospitals, such as NYU Langone, Mount Sinai, NewYork-Presbyterian (Columbia and Weill Cornell), Montefiore, Northwell Health and, for cancer, Memorial Sloan Kettering, have subspecialists in rare disorders, research programs and bone marrow transplant units. That depth matters most for complex disease.
Large community oncology networks. Multi-site groups such as New York Cancer & Blood Specialists see a high volume of cancer and blood patients across many offices, often with medical oncology, radiation and other services in one organization.
Independent hematology practices. Smaller physician-led practices, Premier Hematology among them, that concentrate on blood disorders, often with labs and infusion chairs in the same office.
Hospital outpatient infusion centers. These give treatments your doctor has ordered, such as IV iron. They are not where you get diagnosed, and they are often billed at hospital rates.
Here is how the settings compare on the practical things patients tell us matter most. We have tried to be fair, including about when we are not the right choice.
| Premier Hematology | Academic medical center | Large oncology network | Hospital outpatient infusion | |
|---|---|---|---|---|
| Main focus | Benign hematology: iron deficiency, anemia, abnormal blood counts; plus oncology | Complex and rare blood disorders and cancers, research | Cancer care across many specialties, with hematology | Giving treatments ordered by your doctor |
| First appointment | Next-day appointments available | Varies by department; ask | Varies by office; ask | Needs an order from a doctor first |
| Referral | Not needed (unless your plan requires one) | Often requested | Varies | Physician order required |
| Lab work | Drawn on site | Hospital lab | Often on site | Hospital lab |
| Iron infusions | In the same clinics, across 14 New York locations | Hospital infusion unit | Usually in-office | Yes; this is what they do |
| How it is billed | Independent outpatient clinic: no hospital facility charge | Hospital-based visits can include a facility charge | Usually office-based; some sites are hospital-affiliated | Facility charge on top of drug and infusion |
| The right choice when… | You need anemia or iron deficiency diagnosed and treated quickly, close to home, or a second opinion on blood work | You have a rare or complex disorder, need a bone marrow transplant, or want a clinical trial | Your cancer care needs several specialties, such as radiation, under one group | Your doctor has already ordered treatment and your plan requires that site |
The Premier column describes our own practice. The other columns describe how each type of provider is generally organized, not any specific practice. Individual practices differ, so ask the questions below wherever you are considering.
“How soon can I be seen?” For an unexplained low blood count, waiting months is not reasonable. Ask for the first available new-patient appointment, not just “soon.”
“Do I need a referral?” Many practices do not require one, but HMO and some Medicaid plans do, regardless of the practice.
“Are labs and infusions done here?” If not, you may be sent to a separate lab and a separate infusion site, which adds visits and delay.
“Is this office billed as a hospital outpatient department?” If it is, you may see a facility charge in addition to the doctor’s fee, and your coinsurance applies to both. It is the question patients most often wish they had asked. See iron infusion cost and insurance in New York.
“Will you check my benefits before treatment?” A good practice confirms coverage and prior authorization and tells you your expected cost before the first infusion.
“Who will I actually see?” Ask whether your visits are with a board-certified hematologist and who follows up on your results.
“Will you send a note to my doctor?” Your primary care doctor or OB-GYN should get your plan and results.
We would rather you end up in the right place than in our chair. An academic center is usually the better first stop if you have, or may have, an acute leukemia or another blood cancer that may need a bone marrow or stem cell transplant; a rare bleeding or clotting disorder; sickle cell disease needing specialized care; or if you want access to a clinical trial.
Many patients use both: an academic specialist for a complex diagnosis, and a practice closer to home for routine labs and infusions between visits.
Common reasons to see one: iron deficiency or anemia that has not responded to tablets, a low or high white cell or platelet count, a ferritin that is very low or unexpectedly high, a blood clot without an obvious cause, easy bruising or bleeding, or an abnormal result your primary doctor wants explained. See when to see a hematologist.
If you have your lab report, our ferritin result checker gives a plain-language reading in a minute.
14 infusion centers across Brooklyn, Queens, Manhattan, Staten Island, Long Island, Orange County and Rockland County — each with on-site lab work and next-day appointments.
25-31 30th Rd #1F
Astoria, NY 11102
3711 13th Ave
Brooklyn, NY 11218
5221 Foster Ave
Brooklyn, NY 11203
270 Doughty Blvd
Inwood, NY 11096
170 Great Neck Rd Ste 1
Great Neck, NY 11021
161-50 92nd St
Howard Beach, NY 11414
140-40 Queens Blvd
Jamaica, NY 11435
55 E 87th St #1D
New York, NY 10128
505 NY-208
Monroe, NY 10950
10 Johnsons Ln
New City, NY 10956
2 Medical Dr
Port Jefferson Station, NY 11776
163-03 Horace Harding Expy Lower Level
Fresh Meadows, NY 11365
1332 Rockland Ave
Staten Island, NY 10314
721 Flushing Ave (Lower Level)
Brooklyn, NY 11206
It depends on your condition. For rare blood disorders, blood cancers needing transplant, or clinical trials, academic centers such as NYU Langone, Mount Sinai, NewYork-Presbyterian and Memorial Sloan Kettering are strong choices. For iron deficiency, anemia and abnormal blood counts, a board-certified hematologist who can see you quickly, close to home, with on-site labs and infusions, is usually the better fit.
Not always. Many practices, including Premier Hematology, see patients without a referral. HMO plans and some Medicaid managed care plans require one from your primary care doctor regardless of the practice, so check your plan.
It varies widely by practice and setting. Premier Hematology offers next-day appointments at its New York centers. Wherever you call, ask for the first available new-patient appointment.
Often, yes. Hospital-based outpatient departments can bill a facility charge in addition to the physician fee, and your coinsurance applies to both. Independent practices bill only for the visit, tests and treatment. Ask any practice how it bills before booking.
A hematologist specializes in blood disorders, both non-cancerous ones such as anemia, iron deficiency and clotting problems and blood cancers. An oncologist treats cancer. Many physicians are trained in both, which is why practices are often called hematology-oncology.
Yes. A second opinion on a diagnosis or a treatment plan is common and usually covered by insurance. Bring your lab results and any prior records to the visit.
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