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

Q: What is Elizabeth MD Facial Plastic Surgery LLC's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Active since September 14, 2023CLIA 32D2337382 · Waiver

4100 WOLCOTT AVE NE STE A, ALBUQUERQUE, NM 87109(505) 855-5500(505) 855-5501 Get Directions Write a Review

NPPES record last updated: September 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Elizabeth Md Facial Plastic Surgery Llc NPPES

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

ELIZABETH MD FACIAL PLASTIC SURGERY LLC (NPI 1609653336) is a healthcare organization registered as a facial plastic surgery in Albuquerque, New Mexico and active in the NPI registry since September 2023. The organization holds a CLIA Waiver certificate valid through January 21, 2028 and lists Elizabeth Blasberg, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1609653336

Entity TypeOrganization

Primary Taxonomy207YS0123X

Legal Business NameELIZABETH MD FACIAL PLASTIC SURGERY LLC

Location Address4100 WOLCOTT AVE NE STE AAlbuquerque, NM 87109-4572

Mailing Address4100 Wolcott Ave Ne Ste AAlbuquerque, NM 87109-4572 · (505) 855-5500 · Fax (505) 855-5501

Phone(505) 855-5500

Fax(505) 855-5501

Organization SubpartNo

Authorized OfficialElizabeth BlasbergPhysician/owner · (505) 855-5500

Enumeration DateSeptember 14, 2023

NPPES CertifiedSeptember 14, 2023

✔ NPI 1609653336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207YS0123X

Definition

An otolaryngologist who specializes in facial plastic surgery.

4100 WOLCOTT AVE NE STE A, Albuquerque, NM 87109

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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 of Waiver 32D2337382

Elizabeth MD Facial Plastic Surgery · Albuquerque, NM

Active · expires Jan 21, 2028

CLIA Number32D2337382

Laboratory TypePhysician Office

Certificate Effective DateJanuary 22, 2026

Certificate Expiration DateJanuary 21, 2028

Laboratory DirectorElizabeth A. Blasberg

Laboratory Phone(505) 855-5500

Laboratory LocationElizabeth MD Facial Plastic Surgery4100 Wolcott Ave NE Suite A, Albuquerque, NM 87112

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

RONALD J ESCUDERO MD PC

Specialist

4100 WOLCOTT AVE NE STE A
ALBUQUERQUE, NM 87109

Bernalillo County (505) 855-5500

DR. ELIZABETH ANNE BLASBERG M.D.

Otolaryngology (Facial Plastic Surgery)

4100 WOLCOTT AVE NE STE A
ALBUQUERQUE, NM 87109

Bernalillo County (505) 855-5500

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 Elizabeth MD Facial Plastic Surgery LLC's NPI number?

The NPI number for Elizabeth MD Facial Plastic Surgery LLC is 1609653336. It was assigned to this organization in the NPPES registry on September 14, 2023.

Where is Elizabeth MD Facial Plastic Surgery LLC located?

Elizabeth MD Facial Plastic Surgery LLC is located at 4100 Wolcott Ave NE Ste A, Albuquerque, NM 87109. The listed phone number is (505) 855-5500.

What is Elizabeth MD Facial Plastic Surgery LLC's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Does Elizabeth MD Facial Plastic Surgery LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D2337382) is associated with this NPI, valid through January 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Elizabeth MD Facial Plastic Surgery LLC was last updated on September 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.