Harvey Gutman, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

139016 Issued in NY

Practice address

48 Route 25a
Suite 201
Smithtown, NY 11787-1431

Phone

(631) 862-3700

Fax

(631) 862-3736

NPI assigned

May 25, 2006

Last updated

May 11, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: harveygutman@imppllc.allscriptsdirect.net

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.

• Hudson Valley Lithotripsy Associates, P.C.

  • Urology Physician
  • Hartsdale, NY
  • NPI 1437242781
  Medicare reassignment NPD
• Integrated Medical Professionals PLLC

  • Non-Pharmacy Dispensing Site
  • New Hyde Park, NY
  • NPI 1073918009
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336694400000",
    "number": "1427004175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 BROADHOLLOW RD",
            "address_2": "SUITE 142",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473672",
            "telephone_number": "516-931-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 ROUTE 25A",
            "address_2": "SUITE 201",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117871431",
            "telephone_number": "631-862-3700",
            "fax_number": "631-862-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTMAN",
        "first_name": "HARVEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2012-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "139016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip Tomas Guillen, MD
• Kelly Lynn Gullestad, R.N.
• Julie Gulotta, LPN
• Gabrielle B Gunsam
• Gregory J. Gunyan, D.O.
• Aviva Guttmann, MSW, LMSW
• H E a R S Audiology P C
• Jordyn Gabrielle Habshoosh
• Marianna Hacker, NP
• Ann Haddad

• Urology Physician in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Urology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.