A link to sign up will be available July 1, 2026
Direct Care Endocrinology
Dedicated to restoring your hormonal balance with unrushed, personalized expert care.
A Direct Care Model
We believe that endocrinology should be about the relationship, not the paperwork. Our direct care model eliminates insurance-driven hurdles, allowing for unrushed visits, prompt scheduling, and immediate access to your clinician. With a smaller patient base, we prioritize personalized attention and transparent pricing, ensuring you receive the time and care you deserve.
Diabetes care
Type 1 and 2, insulin pump management, continuous glucose sensor readings
Thyroid disease
Expert diagnosis and management of hyperthyroidism, hypothyroidism, and nodules.
Obesity management
Evidence-based approaches for sustainable weight loss and metabolic health.
Adrenal disorders
Comprehensive care for adrenal insufficiency, Cushing’s syndrome, and nodules.
Pituitary disorders
Specialized hormonal assessment and management for pituitary tumors and dysfunction.
Bone health
Management of osteoporosis, osteopenia, and complex metabolic bone diseases.
PMOS (Previously PCOS)
Comprehensive metabolic and hormonal care for Polycystic Ovarian Syndrome.
Parathyroid & calcium
Diagnostic evaluation and long-term care for parathyroid and calcium disorders.
Male hypogonadism
Expert evaluation and treatment including Male hormonal therapy.
Our Services
About Us
Dr. Treat and Dr. Joffe are board-certified endocrinologists with almost 40 years combined experience who decided to open a direct care endocrine practice that focuses solely on the patient-doctor relationship. This way of practice will allow for unrushed visits , prompt scheduling, and more immediate access to your clinician. In this model, there are no insurance driven hurdles. There will be a smaller patient base, more personalized visits, and more transparent pricing. We want our patients to feel like they are getting the services and time that they deserve.
Meet the Physicians
Dr. Vanita Treat, MD
Dr. Denise Joffe, MD
Dr. Treat completed her undergraduate education at the University of Pennsylvania. She then went on to do her medical school training at MCP Hahnemann School of Medicine and her internship, residency, and fellowship training at Thomas Jefferson University in Philadelphia. She has been a part of Bryn Mawr Medical Specialists on the main line for almost 20 years, where she had the opportunity to build strong relationships with her patients and her fellow physicians.
Dr. Treat valued that experience but decided it was time to spend more time with her patients, because much of medicine to her and what drew her to Endocrinology as a specialty was the relationships she formed getting to know her patients on a more personal level.
Dr. Treat enjoys tennis and other racket sports along with various forms of dance, including tap and hip-hop. She shares these interests with her beloved family and enjoys spending time with her King Charles cavalier.
Dr. Joffe completed her undergraduate education at the University of Pennsylvania before earning her medical degree from MCP Hahnemann School of Medicine. She completed her residency at Boston University Medical Center and her endocrinology fellowship at Mount Sinai Hospital in New York City.
Dr. Joffe began her career at Cooper Hospital in South Jersey, then joined Bryn Mawr Medical Specialists on the Main Line, where she practiced for nearly 17 years alongside Dr. Treat. During that time, she built a thriving practice, cultivating meaningful, long-lasting relationships with her patients.
Driven by a desire to provide more personalized, attentive care, Dr. Joffe transitioned to a direct care model — allowing her to dedicate more time to each patient and deliver the individualized attention everyone deserves.
Outside of medicine, Dr. Joffe enjoys playing padel, learning golf, and exploring new restaurants throughout Philadelphia, where she lives and spends time with family and friends.
Transparent Pricing & Plans
Existing Patients
(former patients of Dr. Treat and Dr. Joffe from BMMSA Endocrine division)
$100 / Monthly
Option A: monthly billing of $100 a month for 12 month minimum with yearly renewal
$1000 / Yearly
Option B: $1000 up front for the year with yearly renewal option
New Patients
(an initial meet and greet will be required)
$100 / Monthly
+ Initial Consult Fee of $350
Option A: One time Initial consult fee $350, and then monthly billing of $100 for 12 months with yearly renewal option
$1000 / Yearly
+ Initial Consult Fee of $250
Option B: One time Initial consult fee $250, and then $1000 annual fee with yearly renewal option
Fee for Service
(not for Medicare or diabetic patients)
$250 per follow-up
+ Initial Consult Fee of $500
We require two visits per year. If you require more than two visits per year, you will need to roll into a 12 month membership program. An initial meet and greet will be required.
Frequently asked questions
Get in Touch
To sign up, please check back on July 1st or email info@mainlineendo.com and we will be in touch when our sign-up link is available.
We are here to provide the personalized care you deserve. Reach out to schedule a consultation or ask any questions about our direct care model.
919 Conestoga Rd
Rosemont, PA 19010