Errol S McKenzie MD PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

222899 Issued in NY

Legal business name

ERROL S MCKENZIE MD PLLC

Doing business as

Family Medicine Associates of Fayetteville

Practice address

212 Highbridge St
Suite C
Fayetteville, NY 13066-1981

Phone

(315) 637-0477

Fax

(315) 637-0559

NPI assigned

Jul 29, 2010

Last updated

Aug 24, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Errol McKenzie, MDNPI 1679533624

Title

Phyisician

Phone

(315) 637-0477

Specialties & licenses 1

Addresses

Other names 1

• Family Medicine Associates of Fayetteville Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8712/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Errol S McKenzie, MD

  • Family Medicine Physician
  • Fayetteville, NY
  • NPI 1679533624
  Medicare reassignment Care Compare group NPD Authorized official
• Chanele M Burgun, MD

  • Family Medicine Physician
  • Fayetteville, NY
  • NPI 1619954823
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1023322286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 HIGHBRIDGE ST",
            "address_2": "SUITE C",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661981",
            "telephone_number": "315-637-0477",
            "fax_number": "315-637-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 HIGHBRIDGE ST",
            "address_2": "SUITE C",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661981",
            "telephone_number": "315-637-0477",
            "fax_number": "315-637-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERROL S MCKENZIE MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-29",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "ERROL",
        "authorized_official_title_or_position": "PHYISICIAN",
        "authorized_official_telephone_number": "315-637-0477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "222899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medicine Associates of Fayetteville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Fayetteville, NY
• Providers in Fayetteville, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.