Active NPI
Genesee Street Surgeons PLLC
- Plastic Surgery Physician
- Syracuse, NY
National Provider Identifier
1659246528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Legal business name
- GENESEE STREET SURGEONS PLLC
- Practice address
- 3107 E Genesee St
Syracuse, NY 13224-1646 - Phone
- (315) 299-5313
- Fax
- (315) 885-3831
- NPI assigned
- Oct 9, 2025
- Last updated
- Oct 9, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dean Deroberts, MD
- Title
- Board Certified Plastic Surgeon
- Phone
- (315) 299-5313
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | Primary |
Addresses
Primary practice location
3107 E Genesee St
Syracuse, NY 13224-1646
Mailing address
3107 E Genesee St Ste G
Syracuse, NY 13224-1646
Phone (315) 299-5313
National Provider Directory
National Provider DirectoryLocations
3107 E Genesee St
Ste G
Syracuse, NY 13224
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Plastic Surgery Physician
- Syracuse, NY
- NPI 1396771424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759968000000",
"number": "1659246528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3107 E GENESEE ST STE G",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132241646",
"telephone_number": "315-299-5313",
"fax_number": "315-885-3831"
},
{
"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": "315-885-3831"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESEE STREET SURGEONS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-09",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A",
"authorized_official_last_name": "DEROBERTS",
"authorized_official_first_name": "DEAN",
"authorized_official_title_or_position": "BOARD CERTIFIED PLASTIC SURGEON",
"authorized_official_telephone_number": "315-299-5313",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
- Vincent M. Gemelli, PA
- Lacey Gemmell, BSN, RN, AMB-BC
- Abigail Patrice Gendron, PHARMD
- Genesee Dental Services
- Genesee Home Health Care Products, Inc (Rothschild's Home Healthcare Center)
- Ivayla Ilieva Geneva, M.D., PH.D.
- Genoa Healthcare LLC
- Genoa Healthcare LLC
- Genoa Healthcare LLC
- Teresa C Gentile, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.