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SYRACUSE DERMATOLOGY, PLLC
NPI 1649159930
Dermatology in Clay, NY

Active since August 29, 2025CLIA 33D2334317 · Microscopy
4106 ROUTE 31 # 904, CLAY, NY 13041(315) 500-3376(315) 600-3376 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Syracuse Dermatology, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SYRACUSE DERMATOLOGY, PLLC (NPI 1649159930) is a healthcare organization registered as a dermatology in Clay, New York and active in the NPI registry since August 2025. The organization holds a CLIA Microscopy certificate valid through November 18, 2027 and lists Mark Mckinley Ash, Owner/ao, as its authorized official.

NPPES Registry Identity

NPI1649159930
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSYRACUSE DERMATOLOGY, PLLC
Location Address4106 ROUTE 31 # 904Clay, NY 13041-8789
Mailing Address4106 Route 31 # 904Clay, NY 13041-8789 · (315) 500-3376 · Fax (315) 600-3376
Phone(315) 500-3376
Fax(315) 600-3376
Organization SubpartNo
Authorized OfficialMark Mckinley AshOwner/ao · (315) 500-3376
Enumeration DateAugust 29, 2025
Last NPPES UpdateJanuary 23, 2026
NPPES CertifiedJanuary 23, 2026
✔ NPI 1649159930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
4106 ROUTE 31 # 904, Clay, NY 13041
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 33D2334317

Syracuse Dermatology PLLC · Clay, NY
Active · expires Nov 18, 2027
CLIA Number33D2334317
Laboratory TypePhysician Office
Certificate Effective DateNovember 19, 2025
Certificate Expiration DateNovember 18, 2027
Laboratory DirectorDr. Mark M. Ash
Laboratory Phone(315) 500-3376
Laboratory LocationSyracuse Dermatology PLLC4106 Route 31 # 904, Clay, NY 13041
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARK MCKINLEY ASH M.D.
Dermatology
4106 ROUTE 31 # 904
CLAY, NY 13041
Onondaga County (315) 500-3376

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Syracuse Dermatology, PLLC's NPI number?

The NPI number for Syracuse Dermatology, PLLC is 1649159930. It was assigned to this organization in the NPPES registry on August 29, 2025.

Where is Syracuse Dermatology, PLLC located?

Syracuse Dermatology, PLLC is located at 4106 Route 31 # 904, Clay, NY 13041. The listed phone number is (315) 500-3376.

What is Syracuse Dermatology, PLLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Syracuse Dermatology, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 33D2334317) is associated with this NPI, valid through November 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Syracuse Dermatology, PLLC was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.