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FULTON FAMILY MEDICINE PRACTICE PC
NPI 1275806036
Family Medicine in Fulton, NY

Active since February 09, 2012CLIA 33D2039131 · Waiver
20 CANALVIEW MALL, FULTON, NY 13069(315) 532-8049 Get Directions Write a Review

NPPES record last updated: May 1, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fulton Family Medicine Practice Pc NPPES

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

FULTON FAMILY MEDICINE PRACTICE PC (NPI 1275806036) is a healthcare organization registered as a family medicine in Fulton, New York and active in the NPI registry since February 2012. The organization holds a CLIA Waiver certificate valid through April 1, 2028 and lists Esther Serwadda Lubinga, Owner, as its authorized official.

NPPES Registry Identity

NPI1275806036
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFULTON FAMILY MEDICINE PRACTICE PC
Location Address20 CANALVIEW MALLFulton, NY 13069-1735
Mailing Address1782 State Route 48Fulton, NY 13069-4108 · (315) 532-8049
Phone(315) 532-8049
Organization SubpartNo
Authorized OfficialEsther Serwadda LubingaOwner · (315) 532-8049
Enumeration DateFebruary 9, 2012
Last NPPES UpdateMay 1, 2013
✔ NPI 1275806036 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 · 2618481
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.
20 CANALVIEW MALL, Fulton, NY 13069
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Other Identifiers 2

Medicaid03444819NY
Medicare PINJ100068789NY

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 33D2039131

Fulton Family Medicine Practice, PC · Fulton, NY
Active · expires Apr 1, 2028
CLIA Number33D2039131
Laboratory TypePhysician Office
Certificate Effective DateApril 2, 2026
Certificate Expiration DateApril 1, 2028
Laboratory DirectorDr. Esther N. Lubinga-Serwadda
Laboratory Phone(315) 598-1237
Laboratory LocationFulton Family Medicine Practice, PC59 South First Street, Fulton, NY 13069
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

DR. ESTHER LUBINGA MD
Family Medicine
20 CANALVIEW MALL
FULTON, NY 13069
Oswego County (315) 598-1237
CHRISTINE ATKINS FNP
Nurse Practitioner (Family)
20 CANALVIEW MALL
FULTON, NY 13069
Oswego County (315) 598-1237

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 Fulton Family Medicine Practice PC's NPI number?

The NPI number for Fulton Family Medicine Practice PC is 1275806036. It was assigned to this organization in the NPPES registry on February 9, 2012.

Where is Fulton Family Medicine Practice PC located?

Fulton Family Medicine Practice PC is located at 20 Canalview Mall, Fulton, NY 13069. The listed phone number is (315) 532-8049.

What is Fulton Family Medicine Practice PC's specialty?

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

Does Fulton Family Medicine Practice PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2039131) is associated with this NPI, valid through April 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fulton Family Medicine Practice PC was last updated on May 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.