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FAMILY MEDICINE OF MECHANICVILLE PLLC
NPI 1487898425
Clinic/Center - Primary Care in Mechanicville, NY

Active since April 21, 2009CLIA 33D1098073 · Microscopy
242 S CENTRAL AVE, MECHANICVILLE, NY 12118(518) 664-4185(518) 539-2003 Get Directions Write a Review

NPPES record last updated: September 14, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Family Medicine Of Mechanicville Pllc NPPES

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

FAMILY MEDICINE OF MECHANICVILLE PLLC (NPI 1487898425) is a healthcare organization registered as a primary care in Mechanicville, New York and active in the NPI registry since April 2009. The organization holds a CLIA Microscopy certificate valid through April 9, 2027 and lists Ingrid Bermudez, Owner, as its authorized official.

NPPES Registry Identity

NPI1487898425
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameFAMILY MEDICINE OF MECHANICVILLE PLLC
Location Address242 S CENTRAL AVEMechanicville, NY 12118-3522
Mailing Address242 S Central AveMechanicville, NY 12118-3522 · (518) 664-4185 · Fax (518) 539-2003
Phone(518) 664-4185
Fax(518) 539-2003
Organization SubpartNo
Authorized OfficialIngrid BermudezOwner · (518) 664-4185
Enumeration DateApril 21, 2009
Last NPPES UpdateSeptember 14, 2009
✔ NPI 1487898425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in NY · 236934
242 S CENTRAL AVE, Mechanicville, NY 12118
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINI41835NY

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 for Provider-Performed Microscopy Procedures (PPMP) 33D1098073

Family Medicine Of Mechanicville PLLC · Mechanicville, NY
Active · expires Apr 9, 2027
CLIA Number33D1098073
Laboratory TypePhysician Office
Certificate Effective DateApril 10, 2025
Certificate Expiration DateApril 9, 2027
Laboratory DirectorIngrid Bermudez
Laboratory Phone(518) 664-4185
Laboratory LocationFamily Medicine Of Mechanicville PLLC242 South Central Avenue, Mechanicville, NY 12118
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 3

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

JAN PATTERSON MD PC
Family Medicine
242 S CENTRAL AVE
MECHANICVILLE, NY 12118
Saratoga County (517) 779-5225
JAN LOUISE PATTERSON MD
Family Medicine
242 S CENTRAL AVE
MECHANICVILLE, NY 12118
Saratoga County (518) 779-5225
RACHEL SCAGNELLI FNP-BC
Nurse Practitioner (Family)
242 S CENTRAL AVE
MECHANICVILLE, NY 12118
Saratoga County (518) 779-5225

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 Family Medicine Of Mechanicville PLLC's NPI number?

The NPI number for Family Medicine Of Mechanicville PLLC is 1487898425. It was assigned to this organization in the NPPES registry on April 21, 2009.

Where is Family Medicine Of Mechanicville PLLC located?

Family Medicine Of Mechanicville PLLC is located at 242 S Central Ave, Mechanicville, NY 12118. The listed phone number is (518) 664-4185.

What is Family Medicine Of Mechanicville PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Family Medicine Of Mechanicville PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 33D1098073) is associated with this NPI, valid through April 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Family Medicine Of Mechanicville PLLC was last updated on September 14, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.