Syracuse Dermatology, PLLC
NPI 1649159930 · Dermatology Physician · Clay, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Syracuse Dermatology, PLLC is a Dermatology Physician organization in Clay, NY (NPI 1649159930).
Provider details
- NPI number
- 1649159930
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mark Ash, Owner/Ao(315) 500-3376
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
Under 1 yr in 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
- 2025-08-29
- Last updated
- 2026-01-23
- Certified
- 2026-01-23
Frequently asked questions
- What is Syracuse Dermatology, PLLC's NPI number?
- Syracuse Dermatology, PLLC's National Provider Identifier (NPI) is 1649159930, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Syracuse Dermatology, PLLC?
- Syracuse Dermatology, PLLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Syracuse Dermatology, PLLC located?
- Syracuse Dermatology, PLLC's practice location on file with NPPES is 4106 Route 31 # 904, Clay, NY 13041-8789.
- What is Syracuse Dermatology, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Syracuse Dermatology, PLLC is (315) 500-3376.
- Does Syracuse Dermatology, PLLC accept Medicare?
- Syracuse Dermatology, 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 Syracuse Dermatology, PLLC?
- The authorized official listed on Syracuse Dermatology, PLLC's NPPES record is Mark Ash, Owner/Ao. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Syracuse Dermatology, PLLC's NPI active?
- Yes — Syracuse Dermatology, PLLC's NPI (1649159930) is active in the NPPES registry as of the last update on 2026-01-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.