Organization Active NPI

Five Corners Family Practice PC

Doing business as Five Corners Family Practice

  • Family Medicine Physician
  • Schenectady, NY
National Provider Identifier
1851353882
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FIVE CORNERS FAMILY PRACTICE PC
Doing business as
Five Corners Family Practice
Practice address
3040 Broadway
Schenectady, NY 12306-2102
Phone
(518) 357-2011
Fax
(518) 357-2330
NPI assigned
Apr 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Authorized official

Name
Ms. Patricia Merritt, M.D.NPI 1457326399
Title
President
Phone
(518) 357-2011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3040 Broadway
Schenectady, NY 12306-2102

Mailing address

3040 Broadway
Schenectady, NY 12306-2102
Phone (518) 357-2011

Other names 1

  • Five Corners Family Practice Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.fivecornersfp.com Direct

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0893325Five Corners Family Practice3040 Broadway, Rotterdam, NY 12306Provider-performed microscopyOct 19, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1851353882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 BROADWAY",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123062102",
            "telephone_number": "518-357-2011",
            "fax_number": "518-357-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 BROADWAY",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123062102",
            "telephone_number": "518-357-2011",
            "fax_number": "518-357-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE CORNERS FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "MERRITT",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-357-2011",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.fivecornersfp.com",
            "affiliation": "N",
            "endpointDescription": "work",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3040 Broadway",
            "city": "Schenectady",
            "state": "NY",
            "country_code": "US",
            "postal_code": "123062102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Five Corners Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Schenectady, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.