FIVE CORNERS FAMILY PRACTICE
NPI 1851353882
Family Medicine in Schenectady, NY

Active since April 05, 2006CLIA 33D0893325 · Microscopy
3040 BROADWAY, SCHENECTADY, NY 12306(518) 357-2011(518) 357-2330 Get Directions Write a Review

NPPES record last updated: May 13, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 13, 2021, Feb 23, 2016 (2 updates tracked since 2016).

About Five Corners Family Practice NPPES

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

FIVE CORNERS FAMILY PRACTICE (NPI 1851353882) is a healthcare organization registered as a family medicine in Schenectady, New York and active in the NPI registry since April 2006. The organization holds a CLIA Microscopy certificate valid through October 19, 2026 and lists Patricia Merritt, President, as its authorized official.

NPPES Registry Identity

NPI1851353882
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFIVE CORNERS FAMILY PRACTICE PC
Location Address3040 BROADWAYSchenectady, NY 12306-2102
Mailing Address3040 BroadwaySchenectady, NY 12306-2102 · (518) 357-2011 · Fax (518) 357-2330
Fax(518) 357-2330
Organization SubpartNo
Authorized OfficialPatricia MerrittPresident · (518) 357-2011
Enumeration DateApril 5, 2006
Last NPPES UpdateMay 13, 20212 updates tracked since enumeration
NPPES CertifiedMay 13, 2021
NPI 1851353882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.

3040 BROADWAY, Schenectady, NY 12306

Other Names 1

Doing Business AsFive Corners Family Practice

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 for Provider-Performed Microscopy Procedures (PPMP) 33D0893325

Five Corners Family Practice · Rotterdam, NY
Active · expires Oct 19, 2026
CLIA Number33D0893325
Laboratory TypePhysician Office
Certificate Effective DateOctober 20, 2024
Certificate Expiration DateOctober 19, 2026
Laboratory DirectorDonna Tuttle MD
Laboratory Phone(518) 357-2011
Laboratory LocationFive Corners Family Practice3040 Broadway, Rotterdam, NY 12306
CLIA data matches this NPI record on: 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 5

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

Family Medicine
3040 BROADWAY
SCHENECTADY, NY 12306
Nurse Practitioner (Family)
3040 BROADWAY
SCHENECTADY, NY 12306
Preferred Provider Organization
3040 BROADWAY
SCHENECTADY, NY 12306
Family Medicine
3040 BROADWAY
SCHENECTADY, NY 12306
Family Medicine
3040 BROADWAY
SCHENECTADY, NY 12306

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 Five Corners Family Practice PC's NPI number?

The NPI number for Five Corners Family Practice PC is 1851353882. It was assigned to this organization in the NPPES registry on April 5, 2006. The provider is doing business as Five Corners Family Practice.

Where is Five Corners Family Practice PC located?

Five Corners Family Practice PC is located at 3040 Broadway, Schenectady, NY 12306. The listed phone number is (518) 357-2011.

What is Five Corners Family Practice PC's specialty?

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

Does Five Corners Family Practice PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 33D0893325) is associated with this NPI, valid through October 19, 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 Five Corners Family Practice PC was last updated on May 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.