Individual provider Active NPI

Steven Peter Nguyen, MD

  • Family Medicine Physician
  • Cortland, NY
National Provider Identifier
1679241061
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
331820 Issued in NY
Practice address
4077 West Rd
Cortland, NY 13045-1637
Phone
(607) 753-9977
Fax
(570) 887-6864
NPI assigned
Sep 1, 2021
Last updated
Oct 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MT224532 PA
Family Medicine Physician 207Q00000X 331820 NY Primary

Addresses

Primary practice location

4077 West Rd
Cortland, NY 13045-1637

Mailing address

4077 West Rd
Cortland, NY 13045-1637
Phone (607) 753-9977

Other practice location 1

8835 Germantown Ave
Philadelphia, PA 19118-2765
Phone (215) 248-8200

Other practice location 2

10 Shurs Ln Ste 203
Philadelphia, PA 19127-2123
Phone (215) 482-1234

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
I20240910002960 NY Practitioner - Family Practice 7012457617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guthrie Medical Group PCGroup PAC ID 6002728656, 795 clinicians

Practice addresses (Care Compare)

4077 W Rd
Cortland, NY 13045-1637
Phone (607) 753-9977

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
331820NYMDFamily Medicine Physician
MT224532PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Medical Group, P.C. CurrentSince Oct 1, 2024 Accepting new patients
Guthrie Medical Group, P.C. Family Medicine CurrentSince Oct 1, 2024 Accepting new patients
Guthrie Medical Group PC Past Accepting new patients

Locations

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

4057 West Rd
Cortland, NY 13045
Phone (607) 299-7116

4077 West Rd
Cortland, NY 13045
Phone (607) 753-9977

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

Interoperability endpoints

  • Direct secure messaging: snguyen217422@direct-guthrie.org

Organizations & group practices 3

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 4

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": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1679241061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4077 WEST RD",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130451637",
            "telephone_number": "607-753-9977",
            "fax_number": "570-887-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4077 WEST RD",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130451637",
            "telephone_number": "607-753-9977",
            "fax_number": "570-887-6864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8835 Germantown Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191182765",
            "country_code": "US",
            "telephone_number": "215-248-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Shurs Ln Ste 203",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191272123",
            "country_code": "US",
            "telephone_number": "215-482-1234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "STEVEN",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-01",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT224532",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "331820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortland, NY

Sources for this page

Verify at the official NPI Registry.