Enrique Javier Armenta, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

130762-1 Issued in NY

Practice address

3107 E Genesee St
Syracuse, NY 13224-1646

Phone

(315) 299-5313

Fax

(315) 299-5661

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Plastic and Reconstructive Surgery

Education

Other, 1969

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Syracuse Plastic Surgery, PLLCGroup PAC ID 5799106910, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: enrique.armenta@cnyplasticsurgeonspc.chartmakerdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Syracuse Plastic Surgery, PLLC

  • Plastic Surgery Physician
  • Syracuse, NY
  • NPI 1134757891
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1225111917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 E GENESEE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102298",
            "telephone_number": "315-476-7459",
            "fax_number": "315-471-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 E GENESEE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132241646",
            "telephone_number": "315-299-5313",
            "fax_number": "315-299-5661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 E Genesee St",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132102298",
            "country_code": "US",
            "telephone_number": "315-476-7459",
            "fax_number": "315-471-4036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3107 E Genesee St",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132241646",
            "country_code": "US",
            "telephone_number": "315-299-5513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARMENTA",
        "first_name": "ENRIQUE",
        "middle_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1307628",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "130762-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PLASTIC SURGRY",
            "identifier": "160984946",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arise Child and Family Service Inc.
• Aristacare Health Inc
• Alyssa Armelino, MS, CTRS
• Steven Alejandro Armendarez, LCSW
• Barbara Jannette Armendariz, MD
• Wendy Anne Armenta, M.D.
• Jermaine Armfield
• Joan Lura Armstrong, D.D.S.
• Andrea Patricia Arnaiz-Wong, PA-C
• Daisy Arnau, PT

• Plastic Surgery Physician in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Plastic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.