Aesthetic Plastic Surgery of Syracuse PLLC
NPI 1609865054 · Plastic and Reconstructive Surgery Physician · Camillus, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Aesthetic Plastic Surgery of Syracuse PLLC is a Plastic and Reconstructive Surgery Physician organization in Camillus, NY (NPI 1609865054).
Provider details
- NPI number
- 1609865054
- Entity type
- Organization
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mark Potenza, Owner(315) 487-5858
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-10-18
- Last updated
- 2020-08-22
Frequently asked questions
- What is Aesthetic Plastic Surgery of Syracuse PLLC's NPI number?
- Aesthetic Plastic Surgery of Syracuse PLLC's National Provider Identifier (NPI) is 1609865054, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Aesthetic Plastic Surgery of Syracuse PLLC?
- Aesthetic Plastic Surgery of Syracuse PLLC is classified in the NPPES registry as Plastic and Reconstructive Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Aesthetic Plastic Surgery of Syracuse PLLC located?
- Aesthetic Plastic Surgery of Syracuse PLLC's practice location on file with NPPES is 5700 W Genesee St, Camillus, NY 13031-3200.
- What is Aesthetic Plastic Surgery of Syracuse PLLC's phone number?
- The practice phone number listed in the NPPES registry for Aesthetic Plastic Surgery of Syracuse PLLC is (315) 487-5858.
- Does Aesthetic Plastic Surgery of Syracuse PLLC accept Medicare?
- Aesthetic Plastic Surgery of Syracuse PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Aesthetic Plastic Surgery of Syracuse PLLC?
- The authorized official listed on Aesthetic Plastic Surgery of Syracuse PLLC's NPPES record is Mark Potenza, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Aesthetic Plastic Surgery of Syracuse PLLC's NPI active?
- Yes — Aesthetic Plastic Surgery of Syracuse PLLC's NPI (1609865054) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.