It's easy to get a first appointment, but if you need follow up you can pretty much give up. They prioritize and hold open spots for new patients; however, make existing patients wait 3-4 months to get in even if there is an issue. My labs came back horrible and they said that they could just switch my dose and see what happens but i would have to wait to get another appointment for 4 months even though ZocDoc showed open appts for that week. They said they were for new patients. I'm guessing they make more money that way. Regardless, Dr Mishra's team was quick to change my dose of medication without even a thought to ask what other new meds I had been on or what my vitals had been. It's really sad to have a physician that prefers new patients over existing patients with problems. Time to find a new endocrinology office with better practice policies. The staff is pretty rude in addition to taking two weeks to call me back. Very frustrating!