Individual provider Active NPI

Stuti Y. Naik, PA-C

  • Medical Physician Assistant
  • Brodheadsville, PA
National Provider Identifier
1609817469
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA067091 Issued in PA
Practice address
111 Route 715 Ste 100
Brodheadsville, PA 18322-7101
Phone
(272) 212-0420
Fax
(732) 744-5614
NPI assigned
Jun 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00117900 NJ
Medical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AM0700X MA067091 PA Primary

Addresses

Primary practice location

111 Route 715 Ste 100
Brodheadsville, PA 18322-7101

Mailing address

111 Route 715 Ste 100
Brodheadsville, PA 18322-7101
Phone (272) 212-0420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040901000775 NJ Practitioner - Physician Assistant 1759356702 Reassigns benefits to 2 organizations
I20260305003070 PA Practitioner - Physician Assistant 1759356702 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Luke'S Hospital -Monroe CampusGroup PAC ID 1355637059, 53 clinicians

Practice addresses (Care Compare)

111 Route 715
Brodheadsville, PA 18322-7101
Phone (272) 212-0420

174 Harvest LN
Pocono Summit, PA 18346-7761
Phone (484) 526-4000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MP00117900NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Hospital Monroe Campus CurrentSince Jan 12, 2026 Accepting new patients
St. Luke'S Warren Physician Group, PC CurrentSince Jan 12, 2026 Accepting new patients
St Luke'S Hospital CurrentSince Jan 12, 2026 Accepting new patients
St. Luke'S Warren Physician Group, PC CurrentSince Jan 12, 2026 Accepting new patients
St. Luke'S Quakertown Hospital CurrentSince Jan 12, 2026 Accepting new patients
St. Luke'S Quakertown Hospital CurrentSince Jan 12, 2026 Accepting new patients
The Carbon Schuylkill Community Hospital, Inc. CurrentSince Jan 12, 2026 Accepting new patients
St. Luke'S Hosptial CurrentSince Jan 12, 2026 Accepting new patients
GSL Hospital CurrentSince Jan 12, 2026 Accepting new patients
St. Luke'S Hospital Monroe Campus CurrentSince Jan 12, 2026 Accepting new patients
Warren Health Care Alliance, PC Past Accepting new patients
Princeton Emergency Physicians, PA Past Accepting new patients
St. Luke'S Physician Group, Inc. Past Accepting new patients

Locations

187 County Road 519
Ste 1
Belvidere, NJ 07823
Phone (908) 847-3418

22 Walmart Plz
Clinton, NJ 08809
Phone (908) 847-5210

185 Roseberry St
Fl 2
Phillipsburg, NJ 08865
Phone (908) 847-2621

200 Strykers Rd
Ste 2
Phillipsburg, NJ 08865
Phone (908) 213-1200

200 Strykers Rd
Phillipsburg, NJ 08865
Phone (908) 847-1035

Interoperability endpoints

  • Direct secure messaging: stuti.naik.1@2983.direct.athenahealth.com

Organizations & group practices 18

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 18

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1609817469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ROUTE 715 STE 100",
            "city": "BRODHEADSVILLE",
            "state": "PA",
            "postal_code": "183227101",
            "telephone_number": "272-212-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ROUTE 715 STE 100",
            "city": "BRODHEADSVILLE",
            "state": "PA",
            "postal_code": "183227101",
            "telephone_number": "272-212-0420",
            "fax_number": "732-744-5614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIK",
        "first_name": "STUTI",
        "middle_name": "Y.",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00117900",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA067091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brodheadsville, PA

Sources for this page

Verify at the official NPI Registry.