JOHN ROBERTSON M D FAMILY MEDICINE PLLC
NPI 1992427736
Family Medicine in New York Mills, NY

Active since September 19, 2022CLIA 33D2311059 · Waiver
587 MAIN ST STE 104, NEW YORK MILLS, NY 13417(315) 732-9368 Get Directions Write a Review

NPPES record last updated: September 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John Robertson M D Family Medicine Pllc NPPES

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

JOHN ROBERTSON M D FAMILY MEDICINE PLLC (NPI 1992427736), doing business as Anchor Family Medicine, is a healthcare organization registered as a family medicine in New York Mills, New York and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through September 15, 2026 and lists John S Robertson, Owner, as its authorized official.

NPPES Registry Identity

NPI1992427736
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJOHN ROBERTSON M D FAMILY MEDICINE PLLC
Location Address587 MAIN ST STE 104New York Mills, NY 13417-1490
Mailing Address587 Main St Ste 104New York Mills, NY 13417-1490
Organization SubpartNo
Authorized OfficialJohn S RobertsonOwner · (315) 732-9368
Enumeration DateSeptember 19, 2022
NPPES CertifiedSeptember 19, 2022
NPI 1992427736 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.
587 MAIN ST STE 104, New York Mills, NY 13417

Other Names 1

Doing Business AsAnchor Family Medicine

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 33D2311059

John Robertson MD Family Medicine PLLC Anchor Family Medicine · New York Mills, NY
Active · expires Sep 15, 2026
CLIA Number33D2311059
Laboratory TypePhysician Office
Certificate Effective DateSeptember 16, 2024
Certificate Expiration DateSeptember 15, 2026
Laboratory DirectorDr. John S. Robertson
Laboratory Phone(315) 765-0122
Laboratory LocationJohn Robertson MD Family Medicine PLLC Anchor Family Medicine587 Main St Ste 104, New York Mills, NY 13417
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
587 MAIN ST STE 104
NEW YORK MILLS, NY 13417

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 John Robertson M D Family Medicine PLLC's NPI number?

The NPI number for John Robertson M D Family Medicine PLLC is 1992427736. It was assigned to this organization in the NPPES registry on September 19, 2022. The provider is doing business as Anchor Family Medicine.

Where is John Robertson M D Family Medicine PLLC located?

John Robertson M D Family Medicine PLLC is located at 587 Main St Ste 104, New York Mills, NY 13417. The listed phone number is (315) 732-9368.

What is John Robertson M D Family Medicine PLLC's specialty?

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

Does John Robertson M D Family Medicine PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2311059) is associated with this NPI, valid through September 15, 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 John Robertson M D Family Medicine PLLC was last updated on September 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.