ELIZABETH MD FACIAL PLASTIC SURGERY LLC
NPI 1609653336
Otolaryngology - Facial Plastic Surgery in Albuquerque, NM

NPI Status: Active since September 14, 2023

Contact Information

4100 WOLCOTT AVE NE STE A
ALBUQUERQUE, NM
ZIP 87109
Phone: (505) 855-5500
Fax: (505) 855-5501

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  • Organization
  • Otolaryngology
  • Facial Plastic Surgery
  • CLIA Number: 32D2337382
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-21-2028

About ELIZABETH MD FACIAL PLASTIC SURGERY LLC

This page provides the complete NPI Profile along with additional information for Elizabeth Md Facial Plastic Surgery Llc, a provider established in Albuquerque, New Mexico operating as a Otolaryngology, focusing in facial plastic surgery . The healthcare provider is registered in the NPI registry with number 1609653336 assigned on September 2023. The practitioner's primary taxonomy code is 207YS0123X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Elizabeth Blasberg Md (Physician/owner)

NPI
1609653336
Provider Name
ELIZABETH MD FACIAL PLASTIC SURGERY LLC
Entity Type
Organization
Location Address
4100 WOLCOTT AVE NE STE A ALBUQUERQUE, NM 87109
Location Phone
(505) 855-5500
Location Fax
(505) 855-5501
Mailing Address
4100 WOLCOTT AVE NE STE A ALBUQUERQUE, NM 87109
Mailing Phone
(505) 855-5500
Mailing Fax
(505) 855-5501
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-14-2023
Last Update Date
09-14-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Otolaryngology Facial Plastic Surgery

Taxonomy Code
207YS0123X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An otolaryngologist who specializes in facial plastic surgery.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ELIZABETH BLASBERG MD

Authorized Official Title
PHYSICIAN/OWNER
Authorized Official Phone
(505) 855-5500

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
32D2337382
Facility Type
Physician Office
Certificate Effective Date
January 22, 2026
Certificate Expiration Date
January 21, 2028
Laboratory Director
ELIZABETH A. BLASBERG
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Elizabeth Md Facial Plastic Surgery Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1609653336, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
0
Doubled → 0
Pos 4
9
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
5
Unchanged
Pos 7
3
Doubled → 6
Pos 8
3
Unchanged
Pos 9
3
Doubled → 6
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 6 → 12 → 3 3 → 6 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 0 + 9 + 1 + 2 + 5 + 6 + 3 + 6 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1609653336.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Specialist
4100 WOLCOTT AVE NE STE A
ALBUQUERQUE, NM 87109
Otolaryngology (Facial Plastic Surgery)
4100 WOLCOTT AVE NE STE A
ALBUQUERQUE, NM 87109

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609653336, enumerated as an "organization" on September 14, 2023.

The provider is located at 4100 WOLCOTT AVE NE STE A ALBUQUERQUE, NM 87109 and the phone number is (505) 855-5500.

Otolaryngology with taxonomy code 207YS0123X and a focus in Facial Plastic Surgery.