Aesthetic Plastic Surgery of Syracuse PLLC
NPI 1609865054ActiveOrganization· Surgery, Plastic and Reconstructive Surgery· Camillus, NY
Surgery, Plastic and Reconstructive Surgery in Camillus, New York, registered in NPPES in October 2005. The authorized official on file is Mark S. Potenza, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1609865054 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 18, 2005 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Plastic and Reconstructive Surgery Primary | 2086S0122X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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