Mobile Physician Services PLLC
Organization Active NPI Family Medicine Physician · Buffalo, NY
NPI 1194132415 · NPPES record last updated Feb 12, 2026
Key facts
- NPI
- 1194132415
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 134888 (NY)
- Legal business name
- MOBILE PHYSICIAN SERVICES PLLC
- Practice address
- 40 La Riviere Dr Ste 201
Buffalo, NY 14202-4036 - Phone
- (337) 991-9276
- NPI assigned
- Jul 18, 2014
- Organization subpart
- No
Authorized official
- Name
- Nicole Howard
- Title
- SVP of Admin Services
- Phone
- (337) 408-0797
Practitioners 165
-
Jeffrey D Amidon, D.O.
-
Judith A Balch, FNP
-
Emily Kathryn Bell, FNP-BC
-
Judith Ann Bell, ANP
-
Trish M Bellinger, FNP-C
-
Hollie Bojarski, NP
-
Michael J Brodowski, M.D.
-
Steven Buslovich, M.D.
-
John M Callahan, MD
-
Teresa P Chau, M.D.
-
Heather J Cook-Smith, DNP
-
Yoel Cruz, ARNP
-
Erin Dabney, FNP
-
Jana Marie Dosztan-Reiss, NP-C
-
Lindsay Dunlop, NPP, FNP
-
Cory Egan, DNP
-
Tammy Elizabeth Engle, N.P.
-
Maria Lisa Francati, N.P.
-
Matthew Joseph Gianetto, FNP-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2205619 | Mobile Physician Services, PLLC | Certificate of waiver | Mar 26, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, VT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141203001681 | NY | Part B Supplier - Clinic/Group Practice | 8325360290 | Receives reassigned benefits from 145 practitioners |
| O20211109000305 | VT | Part B Supplier - Clinic/Group Practice | 8325360290 |
Receives reassigned benefits from 5 practitioners Practice locations: Burlington, VT |
National Provider Directory
Locations
50 Lakefront Blvd
Buffalo, NY 14202
Phone (716) 849-8750
40 La Riviere Dr
Buffalo, NY 14202
40 La Riviere Dr
Ste 201A
Buffalo, NY 14202
Phone 7168931010221
10 Herkimer St
Buffalo, NY 14213
40 La Riviere Dr
Ste 201
Buffalo, NY 14202
Phone 7168931010210
40 La Riviere Dr
Ste 140
Buffalo, NY 14202
4459 Bailey Ave
Buffalo, NY 14226
Phone (716) 835-2543
4975 Strickler Rd
Clarence, NY 14031
8820 Transit Rd
East Amherst, NY 14051
2720 N Forest Rd
Getzville, NY 14068
2235 Millersport Hwy
Getzville, NY 14068
Phone (716) 504-1000
5285 S Park Ave
Hamburg, NY 14075
Phone (716) 649-9111
21 Danforth St
Hoosick Falls, NY 12090
Phone (518) 686-4371
48 Colonial Dr
Horseheads, NY 14845
Phone (607) 739-0304
602 Hudson St
Ithaca, NY 14850
Phone (607) 272-8282
5979 Broadway St
Lancaster, NY 14086
7264 Nash Rd
North Tonawanda, NY 14120
Phone (716) 694-7700
1919 Elmwood Ave
Rochester, NY 14620
Phone (585) 271-8700
4192B Bolivar Rd
Wellsville, NY 14895
Phone (585) 593-3900
6076 Main St
Williamsville, NY 14221
Phone (716) 201-0087
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 134888 | NY | Yes |
Addresses
Primary practice location
40 La Riviere Dr Ste 201
Buffalo, NY 14202-4036
Mailing address
5750 Johnston St Ste 205
Lafayette, LA 70503-5345
Phone (337) 991-9276
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- Mobile Telemedicine Ny PC
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All providers in Buffalo, NY · Family Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.