Organization Active NPI

Stuart Reich PA, PC

  • Surgical Physician Assistant
  • Suffern, NY
National Provider Identifier
1912177916
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
001965 Issued in NY
Legal business name
STUART REICH PA, PC
Practice address
28 Claremont LN
Suffern, NY 10901-7012
Phone
(845) 357-2548
Fax
(845) 357-1144
NPI assigned
Mar 5, 2008
Last updated
Mar 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Authorized official

Name
Mr. Stuart Reich, PANPI 1235129669
Title
President
Phone
(845) 357-2548

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

28 Claremont LN
Suffern, NY 10901-7012

Mailing address

28 Claremont LN
Suffern, NY 10901-7012
Phone (845) 357-2548

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220118002421 NY Part B Supplier - Clinic/Group Practice 5092107383 Receives reassigned benefits from 1 practitioner
Practice locations: Suffern, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1912177916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CLAREMONT LN",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109017012",
            "telephone_number": "845-357-2548",
            "fax_number": "845-357-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CLAREMONT LN",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109017012",
            "telephone_number": "845-357-2548",
            "fax_number": "845-357-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART REICH PA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "REICH",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-357-2548",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "001965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.

Verify at the official NPI Registry.