Individual provider Active NPI

Jana Marie Dosztan-Reiss, NP-C

  • Adult Health Nurse Practitioner
  • Liverpool, NY
National Provider Identifier
1629125976
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F302363 Issued in NY
Practice address
4800 Bear Rd
Liverpool, NY 13088-4604
Phone
(315) 391-6645
NPI assigned
Jan 5, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F302363 NY Primary

Addresses

Primary practice location

4800 Bear Rd
Liverpool, NY 13088-4604

Mailing address

PO Box 152
Skaneateles, NY 13152-0152
Phone (315) 391-6645

Other identifiers 1

IdentifierTypeStateIssuer
F302363-1OtherNYLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060228000590 NY Practitioner - Nurse Practitioner 0749296879 Reassigns benefits to 3 organizations
Practice locations: Liverpool, NY; Syracuse, NY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Mobile Medical Care PCGroup PAC ID 8426575325, 97 clinicians
Mobile Physician Services PLLCGroup PAC ID 8325360290, 104 clinicians

Practice addresses (Care Compare)

Buffalo, NY 14202
Phone (716) 893-1010

40 La Riviere Dr
Suite 201
Buffalo, NY 14202-4036
Phone 7168931010210

Merit-based Incentive Payment System (MIPS)

Final score
22.49 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
74.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F302363NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Physician Services PLLC CurrentSince Feb 17, 2026 Accepting new patients
Physician Mobile Medical Care PC CurrentSince Feb 17, 2026 Accepting new patients
Jana Dosztan-Reiss, Inc. Adult Health CurrentSince Jul 16, 2017 Accepting new patients
Thomas D Maher MD PLLC PastSince Jul 24, 2022 Accepting new patients
Cap Medical, LLC Past Accepting new patients

Locations

40 La Riviere Dr
Ste 201
Buffalo, NY 14202
Phone 7168931010210

40 La Riviere Dr
Ste 201A
Buffalo, NY 14202
Phone 7168931010221

4800 Bear Rd
Liverpool, NY 13088
Phone (315) 391-6645

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1629125976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 152",
            "city": "SKANEATELES",
            "state": "NY",
            "postal_code": "131520152",
            "telephone_number": "315-391-6645",
            "fax_number": "866-581-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 BEAR RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130884604",
            "telephone_number": "315-391-6645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOSZTAN-REISS",
        "first_name": "JANA",
        "middle_name": "MARIE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F302363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "F302363-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

Verify at the official NPI Registry.