The waiting room is dated, the magazines are as well. However if you are looking for a phenomenal Rheumatologist...James Lipstate is your guy! My only complaint is that you do not always see him...there is a nurse practitioner in the office and when you make your appointment,. you are not told which you will see. The initial will be with Lipstate, from there on your guess is open! Dr. Lipstate is on top of current research and advises your care around that research. Not that you are treated like a guinea pig, only his services are systematic. There is an awful lot of paperwork, folders, files and clutter everywhere, but patient service is fantastic.