Downstate Adult Health NP
Verified listingAbout Downstate Adult Health NP
What is Downstate Adult Health NP?
Downstate Adult Health NP is a cash-pay clinic with offices in Port Jervis and Brooklyn, New York. Its web address is downstatenp.com. The clinic describes itself as a weight loss and BHRT clinic and says it is owned and operated by a Nurse Practitioner. It names Magda Szczepańska, a Nurse Practitioner, as the clinician behind the practice and its blog.
The clinic offers five services. For hormones, it offers bioidentical hormone replacement therapy (BHRT) for women and testosterone replacement therapy (TRT) for men. It also offers weight management for men and women, peptide therapies, intravenous infusion and injection therapies, and medical grade vitamins and supplements. Its blog discusses GLP-1 medications and names semaglutide and tirzepatide, but it does not say which weight loss medications the clinic prescribes. Its Google rating is 5 stars from 38 reviews.
This listing is for its Port Jervis office at 22 US-6 Ste R1.
What does it cost?
It does not publish prices, a consultation fee, or the cost of a weight loss or hormone program. It says plainly: "At Downstate Adult Health NP, we are a self-pay practice and do not accept insurance." Expect to pay the full cost yourself. It does not say whether its fees cover medication, whether it offers financing or HSA payment, or how cancellation works. Ask for every figure in writing before your first visit.
What should you ask before you book?
Ask who writes your prescription and who manages your care after the first visit. The clinic names Magda Szczepańska, a Nurse Practitioner, but it does not say whether she would be the prescriber for your treatment, so confirm that before you book.
Ask whether any monthly fee includes medication, and if it does, which medication. Ask whether the drug is brand-name or compounded, and who makes it. Ask which weight loss medications the clinic prescribes, since its blog mentions semaglutide and tirzepatide without saying which it uses.
Ask what lab work, follow-up visits, and consultations cost, and whether any of them are included. Ask whether visits can be done by video, because the clinic does not say. Ask for its hours, since none are listed. Finally, ask how you cancel and whether any agreement runs for a set period.
Who is it a good fit for?
This is a good fit if you want a cash-pay clinic focused on hormone and weight care, you are ready to pay the full cost yourself, and you are willing to call first to confirm who prescribes, what the prices are, and what a monthly fee covers. It is less suited to you if you need a published price before booking or if you need insurance to pay any part of your care.
Sources: downstatenp.com, downstatenp.com/services/bhrt-hormone-replacement-therapy, downstatenp.com/what-glp-1-medications-actually-do-beyond-weight-loss-and-why-that-matters
Services Offered
What we confirmed
Read off Downstate Adult Health NP’s own website on 2026-10-14. These are their words, not ours.
- ✓Medical weight loss — listed on their site as “We approach GLP-1 therapy as part of a comprehensive metabolic health plan” source
- ✓Hormone therapy — listed on their site as “BHRT/Hormone Replacement Therapy” source
- ✓Peptide therapy — listed on their site as “Peptide Therapies” source
We have not yet collected published prices or prescriber credentials for this clinic. When we do, they will appear here with a link to the page they came from — or a note saying the clinic publishes none, which is itself worth knowing. Call them for a price in the meantime.