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NEW IMAGE COSMETIC SURGERY CENTER
NPI 1053598409
Clinic/Center - Ambulatory Surgical in Plantation, FL

Active since January 29, 2008CLIA 10D1076664 · Waiver
10167 W SUNRISE BLVD, SUITE 104, PLANTATION, FL 33322(954) 424-8882(954) 424-8858 Get Directions Write a Review

NPPES record last updated: January 29, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About New Image Cosmetic Surgery Center NPPES

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

NEW IMAGE COSMETIC SURGERY CENTER (NPI 1053598409) is a healthcare organization registered as an ambulatory surgical in Plantation, Florida and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through November 18, 2027 and lists Maria D. Jacobson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053598409
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameNEW IMAGE COSMETIC SURGERY CENTER, INC.
Location Address10167 W SUNRISE BLVD, SUITE 104Plantation, FL 33322-7619
Mailing Address10167 W Sunrise Blvd, Suite 104Plantation, FL 33322-7619 · (954) 424-8882 · Fax (954) 424-8858
Phone(954) 424-8882
Fax(954) 424-8858
Organization SubpartNo
Authorized OfficialMaria D. JacobsonCeo · (954) 424-8882
Enumeration DateJanuary 29, 2008
✔ NPI 1053598409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
10167 W SUNRISE BLVD, Plantation, FL 33322
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Other Names 1

Doing Business AsNew Image Cosmetic Surgery Center

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 of Waiver 10D1076664

New Image Cosmetic Surgery Ctr · Plantation, FL
Active · expires Nov 18, 2027
CLIA Number10D1076664
Laboratory TypePhysician Office
Certificate Effective DateNovember 19, 2025
Certificate Expiration DateNovember 18, 2027
Laboratory DirectorMaria Jacobson
Laboratory Phone(954) 424-8882
Laboratory LocationNew Image Cosmetic Surgery Ctr10167 W Sunrise Blvd Ste 109, Plantation, FL 33322
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only 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.

SOUTH FLORIDA ANESTHESIOLOGISTS, INC
Anesthesiology
10167 W SUNRISE BLVD, SUITE 103
PLANTATION, FL 33322
Broward County (954) 336-4981

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 New Image Cosmetic Surgery Center, Inc.'s NPI number?

The NPI number for New Image Cosmetic Surgery Center, Inc. is 1053598409. It was assigned to this organization in the NPPES registry on January 29, 2008. The provider is doing business as New Image Cosmetic Surgery Center.

Where is New Image Cosmetic Surgery Center, Inc. located?

New Image Cosmetic Surgery Center, Inc. is located at 10167 W Sunrise Blvd Suite 104, Plantation, FL 33322. The listed phone number is (954) 424-8882.

What is New Image Cosmetic Surgery Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does New Image Cosmetic Surgery Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1076664) 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 New Image Cosmetic Surgery Center, Inc. was last updated on January 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.