FAMILY MEDICINE ASSOCIATES OF FAYETTEVILLE
NPI 1023322286
Family Medicine in Fayetteville, NY

Active since July 29, 2010CLIA 33D1061235 · Waiver
212 HIGHBRIDGE ST, SUITE C, FAYETTEVILLE, NY 13066(315) 637-0477(315) 637-0559 Get Directions Write a Review

NPPES record last updated: August 24, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Family Medicine Associates Of Fayetteville NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY MEDICINE ASSOCIATES OF FAYETTEVILLE (NPI 1023322286) is a healthcare organization registered as a family medicine in Fayetteville, New York and active in the NPI registry since July 2010. The organization holds a CLIA Waiver certificate valid through November 13, 2026 and lists Errol Mckenzie, Phyisician, as its authorized official.

NPPES Registry Identity

NPI1023322286
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameERROL S MCKENZIE MD PLLC
Location Address212 HIGHBRIDGE ST, SUITE CFayetteville, NY 13066-1981
Mailing Address212 Highbridge St, Suite CFayetteville, NY 13066-1981 · (315) 637-0477 · Fax (315) 637-0559
Fax(315) 637-0559
Organization SubpartNo
Authorized OfficialErrol MckenziePhyisician · (315) 637-0477
Enumeration DateJuly 29, 2010
Last NPPES UpdateAugust 24, 2010
NPI 1023322286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 222899
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
212 HIGHBRIDGE ST, Fayetteville, NY 13066

Other Names 1

Doing Business AsFamily Medicine Associates Of Fayetteville

Other Identifiers 1

Medicare UPINH50040

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1061235

Errol S Mckenzie MD PLLC Dba / Family Medicine Associates Of Fayetteville · Fayetteville, NY
Active · expires Nov 13, 2026
CLIA Number33D1061235
Laboratory TypePhysician Office
Certificate Effective DateNovember 14, 2024
Certificate Expiration DateNovember 13, 2026
Laboratory DirectorDr. Errol S. Mckenzie
Laboratory Phone(315) 637-0477
Laboratory LocationErrol S Mckenzie MD PLLC Dba / Family Medicine Associates Of Fayetteville212 Highbridge Street, Suite C, Fayetteville, NY 13066
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
212 HIGHBRIDGE ST, SUITE C
FAYETTEVILLE, NY 13066
Physician Assistant
212 HIGHBRIDGE ST
FAYETTEVILLE, NY 13066
Specialist
212 HIGHBRIDGE ST, SUITE A
FAYETTEVILLE, NY 13066
Physician Assistant
212 HIGHBRIDGE ST, SUITE A
FAYETTEVILLE, NY 13066

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Errol S Mckenzie MD PLLC's NPI number?

The NPI number for Errol S Mckenzie MD PLLC is 1023322286. It was assigned to this organization in the NPPES registry on July 29, 2010. The provider is doing business as Family Medicine Associates Of Fayetteville.

Where is Errol S Mckenzie MD PLLC located?

Errol S Mckenzie MD PLLC is located at 212 Highbridge St Suite C, Fayetteville, NY 13066. The listed phone number is (315) 637-0477.

What is Errol S Mckenzie MD PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Errol S Mckenzie MD PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1061235) is associated with this NPI, valid through November 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Errol S Mckenzie MD PLLC was last updated on August 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.