Active NPI
Five Corners Family Practice PC
Doing business as Five Corners Family Practice
- Family Medicine Physician
- Schenectady, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Patricia Merritt, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.fivecornersfp.com | Direct |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D0893325 | Five Corners Family Practice | Provider-performed microscopy | Oct 19, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Family Medicine Physician
- Schenectady, NY
- NPI 1457326399
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.