Edward Nejat

The clinic is small, both physically and in their medical staff. There are only two doctors, which means you get to know one doctor well and they know you. Conversely, there are a lot of nurses, who are all working to get you in and out quickly during the morning monitoring. The procedure rooms and offices are cramped, but all modern and updated. The waiting room opens out onto the building's atrium, which is exposed to views from other floors and offices, so it doesn't feel that private. The desk staff are all very young, and often seem to need Adult Supervision to answer simple questions, but they are kind and eager to try.

The clinic is very clean and feels like a safe place to be. There is plenty of seating and I have never waited very long to be seen. The systems they have for doing blood work and ultrasounds are very efficient. I also appreciate the rage of appointment times they have available all days of the week!

I have previously cycled with a larger IVF clinic that is part of a major hospital system where I felt like a number and protocol was very textbook high dosage stims despite my being told that I have diminished ovarian reserve. I didn't feel like an outcast at Generation Next Fertility because I am in my 40s with diminished ovarian reserve. Don't be deceived by the physical size of the clinic when you come in for a consult. The original facility (they have moved a few floors to their brand new custom built offices during summer 2020) was very clean, you have the requisite amount of privacy that you need as a patient but it was very tiny. My time at GNF was coming to an end by the time they moved upstairs. The new facility is a remarkable improvement for patients and staff alike-- I was impressed by that and it was a smart business move to push that forward because it is a fast- growing and busy practice. The patient demographics is diverse along race/ethnicity/age which is encouraging to see. Back in 2019 and even in 2020, I still believe they stand to hire additional nurses and an ultrasound tech just to keep things flowing in order to minimize the wait for ultrasounds. Their finance department is a mess and diminished my impression of the clinic. It was easier to pay out of pocket without insurance coverage. Once insurance got involved for 2020-- you had to perform quality control review on the invoices they sent to you and question everything that is not adding up. Just because you are sing an insurance company does not mean that you should get ripped off. Also there were some communication hiccups- when I first started at the clinic in 2019, I was given the price points for donor egg (DE) IVF treatment. In spring 2020 I asked for the persons that handle inquiries about donor egg IVF to put me in contact with patients willing to talk about their DE cycle and to some follow up questions that I had about selecting an egg bank-- I submitted this request in writing at least twice...one request was relayed to that person/department by Dr. Nejat himself and did not receive a response. Even if you could not find a patient willing to discuss their DE experience with me...put that in writing so that at last I would know that you tried....presuming GNF actually attempted to connect me with DE IVF patient. I also discuss in another section of my feedback survey about the clinic's lack of communication when it came to disposing my embryos.

One thing that I have discovered is unique about the clinic is that they allow you to do your procedure with only local anesthesia, rather than general anesthesia. I am a single woman, and this was extremely helpful. You can walk yourself out of a retrieval and take the subway home if you have local. With general you have to find someone to escort you home during the middle of the work day. This was stressful for me as a single person, and the local anesthesia, was totally fine. I think if you have tons of eggs, its not a good option, but I did it with 12 eggs. And I hear some woman did it with 20 (not sure if this is true). We as woman have all experienced worse. And its nice to be able to watch the procedure on the monitor. I also appreciate the clinics aptitude in less medicated cycles and the personal attention you get from the doctors. I wish I had gotten more detailed written instructions directly from the clinic about what to expect and what steps I could take to help/hurt at home. I ended up spending a lot of time googling around my appointments as many of us probably do. And trying to interpret results and answer my own questions. I guess I could have just asked, but I am shy about asking. I don't know what other clinics are like, but a number of the rooms are small and not a lot of places to put your stuff. They are doing an expansion into another part of the building, so I guess that will change. I love that they have a Japanese bidet in the bathroom. That is a great touch. And I think the nurses and finance team do a really good job of handling the insurance and prescriptions. They fought for coverage on a few things for me, and knew where I would get the best prices on meds, and I always felt like those two things were being handled in a way that I didn't have to think about them. Ultimately, I felt like this clinic is more affordable than the places I got quoted in my process of choosing. I had to watch the billing department and correct at least one mistake. And when I am done with my treatments I will go line by line through the charges, but overall, the costs were lower than I thought they would be. I felt like I had two issues in the hand-off between doctors. When Dr Nejat was on vacation, and my third IVF cycle was starting, I got instructions to start with a protocol that I had used in my 2nd IVF, even though that protocol was less successful than my 1st IVF. They immediately alter the protocol when I brought it up, but in that moment, I had to be an advocate for my own treatment and remember the conversation I had had with Dr. Nejat after the dip in success. During this same 3rd IVF cycle, I also saw a rapid drop in estrogen on a day when Dr. Nejat was out. After monitoring, Dr. Luk called me back in to do a retrieval that day, rather than the following morning as it had been scheduled for. I came back in, and we retrieved one immature egg after opening three follicles, and paused and decided that I should come back in the next day and have Dr. Nejat retrieve the rest. So I had to do two retrievals back to back, which was not fun, but ultimately this cycle produced the only normal embryo that I've gotten so far. Not sure if we would have had the same result if Dr. Nejat had been doing the monitoring day, but perhaps. The clinic expanded its monitoring hours, which really helped my schedule. If you are starting your fertility journey, I think it's important that you track your own care and advocate for yourself at all times. There are so many people involved in your care and so many details that no clinic can be 110% on everything. I have thought about whether I should try another clinic, but I just had a good feeling the first time I walked in the door, and I do a lot of things on instinct. I think this clinic was able to quickly find a path that was smart for my treatment, and I feel like I'm in the right place.

I think the previous setup was bad, but the new office space is more inviting and welcoming and does not feel like you are sharing all your information with the world. I think that getting the money before you go in is better than after, and there needs to be a specific area devoted to paying that is not out in the open where others are checking in. The clinic needs air conditioner in all the rooms. it was stifling in the office spaces and small. Also, cleaner bathrooms!!

Strengths: Bright, clean and modern facility. Efficient bloodwork results (same day) w/ access to a patient portal, can easily view all results. Weaknesses: Too many reception staff / interns. Very disjointed experience. Disorganized communication. Resulted in things being missed and obvious errors. Reception/clinic staff are very young and seem like rotating interns. Not much interest here in your personal case / getting to the root of your issue. Purely seem to be going through the motions to maximize profits.

The clinic is smaller...but this month they moved to an all new location so it really does not matter what I say about it. Front desk is great, very helpful. You need to stay on top of billing but that is normal.

Scheduling abilities and easily accessible monitoring hours on weekday mornings and Saturdays, however the first-come-first serve nature of this lends itself to lengthy wait times. Also, it's impressive that you can make a consultation appt with Dr. Nejat within one week timeframe even though he is a busy doctor. The online portal with blood and ultrasound results makes it easy and quick to get results and is extremely helpful for tracking what happened if you have treatment over multiple cycles.

The staff is courteous. When I last visited Neway the nursing staff was new and the donor department was inexperienced. There are a lot of moving parts when it comes to coordinating a donor cycle. The nurse in charge did not seem to have a deep knowledge of how to make the cycle as smooth as possible.

The finance department was disorganized. Claims and bills were not submitted in a timely manner. I would constantly call to ask questions and sometimes I involved the Doctor. The receptionist made sure he knew every patient by their name.

reception staff are top rate. they know your name even as you are just walking in the door. they answer questions quickly by phone and email and are very welcoming and direct you pleasantly within the center. billing department was fine. only thing is that they didnt know that i would need auth for iui injection meds seperate from the auth for iui and i had to pay for the meds out of pocket. also they dont send out their bills in timely fashion, lastly, when we were preparing to start ivf they didnt go over hte fees and benefits with us in detail to show us the exact costs we would be responsible for. while they did go over our general benefits at hte beginning of our time at hte clinic, after i switched to the new clinic was the first time the fees were laid out for me and we need to postpone it again until we can afford it

I love that this clinic offers a range of treatment options and respects the natural cycles of your body, trying to support it rather than manhandle it. But they also can throw all hormones and control tools if necessary.

The clinic is well kept, clean and modern-looking. There is not much space in the exam rooms which can be a little uncomfortable when speaking with the doctor because they are sitting right in front of your feet after the exam. The exam rooms also always have this blaring 90s pop music on and at 7-8am when you are there for monitoring or right before a procedure, it seems like the last thing you want to listen to. The ultrasound tech, Lisa, is really sweet but she needs more experience. She didn't seem to really know what she was looking at 1-2x that I saw her. She got better with time. The overall wait is okay - takes no time to get your blood work but about 30-40 minutes to get the ultrasound done.

This is a small clinic, so you get personalized attention, the Drs do you ultrasounds personally, the team (even receptionists) get to know you. The Drs really listen and prescribe something uniquely for you. If a protocol has worked in the past, they are willing to work with it, but may suggest something else. They are not crazy about doing PGD for everyone. If Dr Nejat doesn't work out for you, it's easy to switch to Dr Luk. One annoying part of this clinic is billing, who would call me on Saturdays about a bill due 6 months ago that they never bothered sending to me any other way, and would ask for CC information that day, over the phone. (I declined to do so, and paid in person)

The wonderful thing about a small clinic like Neway is that you feel treated like a person, not just a number. We've had an excellent experience with the billing department, and some (though certainly not all) of the nurses. Both doctors (Dr. Nejat and Dr. Luk) are visible and available, which I gather is not necessarily the case in larger clinics. I would definitely recommend Neway to those who would like a more personal approach to their treatment.

The clinic is small, with a lot of patients. Monitoring can take up time so be prepared. If using the subway to get there, be prepared to walk some. Better use a car for egg retreivals and transfers. Sometimes you will not see your doctor but the other doctor in the practice. This was a bit disconcerting at times but I suppose unavoidable.

Very clean, structured, and knowledable in a scientific way. The place did have a coldness/ business like feel to it. If you are looking for more of a cozy warmth from the facility and not factory like, this wouldn’t be for you

RE was ill prepared to handle my case which, at the time, was very straightforward! I would not recommend him to friends. Beware of the billing department---they mismanaged my funds and were not very friendly or accessible.

Their communication skills & organization are UNMATCHED. They answer the phone, they promptly and thoroughly answer emails, they do what they say they are going to do & do it when they say they will. It’s been a REFRESHING experience. They should train all other fertility clinics in the US how torun a terrific office. This is the first time I’ve had 0 stress doing fertility because they are so on top of everything!!

It is a beautiful, upscale, clean, and well run office. From the front desk to the exam room. They were extremely timely and I was never waiting long. Everybody calls you by your first name there because they make an effort to know each patient personally. I always knew what the next steps were with same day phone calls and a very user friendly iphone app.

Strengths of the clinic : fast, efficient, kind Weakness of the clinic : very busy and get lost in the shuffle if you aren’t careful. Anything else for others to know: be your own advocate and do your own research.

I love this clinic, having been a patient at a larger one before it is nice to have the personalized and caring service and care. The clinic is growing and sometimes there can be a long wait for monitoring if you go during busy times (between 8 and 9 am) but in general the office tries to t get you in and out as quickly as possible

strengths: it offers mini-ivf; calm environment; clean and beautiful; organized; friendly and efficient front desk; friendly stuff good location weakness: busy for the morning monitoring hours

The strength is the size. You definitely do not feel like a number. I wished they were more on top of the next steps during retrieval. Make sure you have all of your paperwork and info in so your cycle does not get cancelled.