Individual provider Active NPI

Ezra Joseph Guttmann, DO

  • Family Medicine Physician
  • Fishkill, NY
National Provider Identifier
1417607045
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
335860 Issued in NY
Practice address
200 Westage Business Ctr Dr Ste 240
Fishkill, NY 12524-2268
Phone
(845) 896-8784
Fax
(845) 896-8793
NPI assigned
Mar 26, 2022
Last updated
Jan 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 335860 NY Primary

Addresses

Primary practice location

200 Westage Business Ctr Dr Ste 240
Fishkill, NY 12524-2268

Mailing address

200 Westage Business Ctr Dr Ste 240
Fishkill, NY 12524-2268
Phone (845) 896-8784

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250826004292 NY Practitioner - Family Practice 5395245997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

200 Westage Business Ctr Dr
Suite 240
Fishkill, NY 12524-2268
Phone (845) 896-8784

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
335860NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nuvance Health Medical Practice PC CurrentSince Sep 8, 2025 Accepting new patients

Locations

150 Route 52
Carmel, NY 10512
Phone (845) 228-2910

200 Westage Business Ctr Dr
Ste 240
Fishkill, NY 12524
Phone (845) 896-8784

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

Organizations & group practices 1

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1648252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1417607045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WESTAGE BUSINESS CTR DR STE 240",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125242268",
            "telephone_number": "845-896-8784",
            "fax_number": "845-896-8793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WESTAGE BUSINESS CTR DR STE 240",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125242268",
            "telephone_number": "845-896-8784",
            "fax_number": "845-896-8793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTTMANN",
        "first_name": "EZRA",
        "middle_name": "JOSEPH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-26",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "335860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishkill, NY

Sources for this page

Verify at the official NPI Registry.