About Us

Metro Medical Direct was founded in 2009, offering primary medical care and psychiatric house calls combined with private health management in Manhattan, New York. Medical house calls are the way health care ought to be: convenient, compassionate, confidential, and comprehensive.

We use familiar web-based technology to connect you to your trusted primary care provider when you need care the most. You and your loved ones can request an appointment online, via text message, or through our secure patient portal. You can access your personal health information and test results, share information, request refills, or even ask simple questions without having to be put on hold.

Dr. Zakhari offers comprehensive and integrative treatments such as:

  • Psychiatric medication management
  • Psychiatry diagnostics and treatments
  • Reduction of side effects from medication
  • Second opinions and diagnostic clarification for medical/psychiatric conditions
  • Medical diagnosis screening
  • Laboratory testing, including hepatitis and HIV
  • Healthy weight loss and weight gain treatment considerations
  • Medical causes of depression, mood, anxiety, psychosis, and negative thoughts
  • Head/brain imaging: CT, MRI, PET, EEG
  • Consultation and liaison with primary and specialty care doctors

Does Dr. Zakhari Provide Consulting and Education Services?

Dr. Raymond Zakhari, triple board-certified nurse practitioner, offers professional education and consulting services in a professional setting. Dr. Zakhari is available for public speaking engagements at universities, medical practices, conventions, and other meetings in which his expertise in primary and psychiatric care is relevant.

Don’t put off asking for help any longer. Call Dr. Zakhari today at (917) 484-2709 or request an appointment online.

About Me

I am the husband of my wonderful wife Lisa and proud father of Zach and Elizabeth. I have lived in NYC for the past 14 years.

  • Born in NYC, raised in Central New Jersey, went to college in Virginia
  • The kitchen is where I relieve stress
  • The purpose of health care is to help people live well

I had the misfortune of being a patient for two years (after avoiding any care for more than 10 years). I went to see a highly recommended internal medicine doctor for a new symptom. He referred me to a top-rated specialist. The specialist performed an extensive number of tests requiring several days of outpatient visits and trips to radiologists over the course of a month. The doctors did not communicate with each other.

I spent hours in waiting rooms and on phone calls. I repeatedly told my story with all the embarrassing details to various medical professionals and dealt with impersonal staff, including a doctor who performed unneeded tests just because they were covered by insurance. Eventually, it was my ophthalmologist who asked better questions and helped me arrive at a diagnosis. Unlike the other physicians, he was patient, concerned, and empathetic.

I developed a simplified health care approach because my experience (and the experiences of friends and loved ones) led me to realize the importance of putting the patient at the center of their care and equipping them with a knowledgeable primary care provider dedicated to their well-being.

Practice Philosophy

I make medical house calls in Manhattan in order to practice relationship-based primary and mental health care. I want to hear your concerns and desires for your health. I want to know if you are afraid of a possible diagnosis or outcome. I believe we all do things for various reasons, and the fact that you have decided to get help now is admirable. 

I am not here to judge you. I am here to help you achieve the best possible outcome, given the circumstances. I want this to be your best health care experience. I promise it will not be like anything you have ever experienced in the past.

Education and Professional Background

I am triple board certified in adult and adolescent health, family practice, and family psychiatry, with extensive experience in gerontology. Currently, I am appointed to the department of internal medicine of Payne Whitney Clinic through New York-Presbyterian Hospital’s Weill Cornell Department of Psychiatry.


  • Doctor of Nursing Practice (DNP): Chatham University, Pittsburgh, Pennsylvania
  • Post-Graduate Studies:
    • Family Practice, Mount Saint Mary’s College, Newburgh, New York
    • Family Psychiatry, Hunter College – The City University of New York
  • Master of Education (M Ed): Teacher’s College, Columbia University
  • Master of Science - Adult Nurse Practitioner (MS-ANP): Hunter College – The City University of New York
  • Bachelor of Science in Nursing (BSN): Liberty University, Lynchburg, Virginia


Attitudes toward evidence‐based clinical decision support tools to reduce exposure to ionizing radiation: The Canadian CT Head Rule
R Zakhari, SE Sterrett - Journal of the American Association of Nurse Practitioners, 2016

Pharmacogenomics: Shaping Prescribing
Raymond Zakhari - Advance Healthcare Network, 2015

Ethylene Glycol Poisoning: Resolution of Cranial Nerve Deficit
R Zakhari - The Journal for Nurse Practitioners, 2014

Smoking: Harm reduction versus abstinence R Zakhari - Journal of the American Academy of Nurse Practitioners, 2013

Female sexual dysfunction: a primary care perspective
R Zakhari - Journal of the American Academy of Nurse Practitioners, 2009


What is a nurse practitioner?

A nurse practitioner (NP) is a healthcare provider offering patient-centered relationship-based primary, acute, and specialty care. NPs do not merely diagnose medical conditions, write prescriptions, and make referrals to specialists and rehab services. They treat the whole-person by spending more time getting to know you and the context in which you live. Also, nurse practitioners partner with you to offer prevention services and health education, and counseling to help you achieve your best life now. All of this takes more than the usual 5-8 minutes of a doctor's office visit.  


What services can a nurse practitioner provide?

Nurse practitioners not only provide many of the same services you would find at your doctor’s office such as the diagnosis and treatment of medical conditions by ordering diagnostic tests, prescribe medications, and manage both acute and chronic illness they also spend time building a trusting relationship with you in which you are encouraged to participate and ask questions, and explore all your healthcare options without feeling rushed.  The care is less paternalistic and more collaborative. The nurse practitioner will provide you the tailored information in order to allow you to make an informed decision. 

What are the benefits of seeing a nurse practitioner?

Because of their dedication to high-quality care, nurse practitioners (NPs) are viewed as your partner in your journey to better health. NPs treat you as a whole person, not just your symptoms, to help you experience mind and body wellness. Patients report a higher level of satisfaction after receiving care from an NP.

Nurse practitioners are cost effective in the long run. Patients who utilize NPs as their primary care providers have lower medication costs, fewer instances of emergency room visits, reduced admissions, and shorter hospital stays. Patients save an average of 20 percent on visits alone when compared to being treated by a physician.  

The initial investment of time and money upfront will enhance your return on investment in the future. 

Metro Medical Direct