Active NPI
Jana Dosztan-Reiss, Inc.
- Adult Health Nurse Practitioner
- Liverpool, NY
National Provider Identifier
1962925495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F302363-1
- Legal business name
- JANA DOSZTAN-REISS, INC.
- Practice address
- 4800 Bear Rd
Liverpool, NY 13088-4604 - Phone
- (315) 457-9946
- NPI assigned
- Jul 17, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Mogren
- Title
- Practice Administrator
- Phone
- (315) 391-6645
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F302363-1 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03171840 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Liverpool, NY
- NPI 1629125976
-
- Family Nurse Practitioner
- Syracuse, NY
- NPI 1518979376
-
- Family Medicine Physician
- Liverpool, NY
- NPI 1467412643
-
- Geriatric Medicine (Internal Medicine) Physician
- Marcellus, NY
- NPI 1568495323
-
- Psychiatric/Mental Health Nurse Practitioner
- Rome, NY
- NPI 1154335685
Adult Health
-
- Internal Medicine Physician
- Cary, NC
- NPI 1689795270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1500249600000",
"number": "1962925495",
"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": "315-457-9946"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JANA DOSZTAN-REISS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-17",
"last_updated": "2017-07-17",
"status": "A",
"authorized_official_last_name": "MOGREN",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "315-391-6645"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F302363-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03171840",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Liverpool, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.