NPIMap

Individual provider Active NPI

Stuart H Reich, PA

  • Surgical Physician Assistant
  • Mahwah, NJ
National Provider Identifier
1235129669
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
001965 Issued in NY
Practice address
115 Franklin Tpke Ste 238
Mahwah, NJ 07430-1325
Phone
(845) 357-2548
Fax
(845) 261-0436
NPI assigned
Oct 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 001965 NY
Physician Assistant 363A00000X PA3075 FL
Surgical Physician Assistant 363AS0400X 001965 NY Primary

Addresses

Primary practice location

115 Franklin Tpke Ste 238
Mahwah, NJ 07430-1325

Mailing address

115 Franklin Tpke Ste 238
Mahwah, NJ 07430-1325
Phone (845) 357-2548

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040406000063 NY Practitioner - Physician Assistant 5597758631 Reassigns benefits to 2 organizations
I20240117004693 NJ Practitioner - Physician Assistant 5597758631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chronic Care Specialists of NJ PCGroup PAC ID 0547778995, 7 clinicians

Practice addresses (Care Compare)

100 W Magnolia Ave
Maywood, NJ 07607-1121
Phone (212) 734-6621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001965NYMDMental Health Counselor
PA3075FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sr PA Ny PLLC Surgical CurrentSince Nov 18, 2025 Accepting new patients
Southeast Florida Physician Assistant Assoc. Inc Surgical CurrentSince Apr 21, 2004 Accepting new patients
Greater Rockland Surgical PC Past Accepting new patients
Bon Secours Charity Health System Medical Group, P.C. PastSince Jul 13, 2015 Accepting new patients
Horizon Medical Group, P.C. PastSince Aug 17, 2025 Accepting new patients
Karadan Anesthesiology and Pain Management, LLP Past Accepting new patients
Eva Fischer, MD, PLLC Past Accepting new patients
New York Neurological Surgery P C Past Accepting new patients
Urogynecology of Ny PC Past Accepting new patients
Kyung H Kim MD PC Past Accepting new patients
Ramapo Valley Surgical Associates Prof Corp Past Accepting new patients
Newyork-Presbyterian/Queens Physician Assistant Past Accepting new patients
Central Avenue Office-Based Surgery, P.C. Past Accepting new patients

Locations

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

115 Franklin Tpke
Ste 238
Mahwah, NJ 07430
Phone (845) 357-2548

967 N Broadway
Yonkers, NY 10701
Phone (914) 798-8956

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Organizations & group practices 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1235129669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 FRANKLIN TPKE STE 238",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074301325",
            "telephone_number": "845-357-2548",
            "fax_number": "888-972-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 FRANKLIN TPKE STE 238",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074301325",
            "telephone_number": "845-357-2548",
            "fax_number": "845-261-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICH",
        "first_name": "STUART",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2023-11-28",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "001965",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA3075",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "001965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mahwah, NJ

Sources for this page

Verify at the official NPI Registry.