TAKE SHAPE PLASTIC SURGERY PA
NPI 1972609816
Plastic Surgery in Plantation, FL

Active since September 16, 2006
4161 NW 5TH ST, SUITE 100, PLANTATION, FL 33317(954) 585-3800(954) 585-6100 Get Directions Write a Review

NPPES record last updated: July 11, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Take Shape Plastic Surgery Pa NPPES

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

TAKE SHAPE PLASTIC SURGERY PA (NPI 1972609816) is a healthcare organization registered as a plastic surgery in Plantation, Florida and active in the NPI registry since September 2006. The organization lists Russell F Sassani, Owner, as its authorized official.

NPPES Registry Identity

NPI1972609816
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameTAKE SHAPE PLASTIC SURGERY PA
Location Address4161 NW 5TH ST, SUITE 100Plantation, FL 33317-2101
Mailing Address4161 Nw 5th St, Suite 100Plantation, FL 33317-2101 · (954) 585-3800 · Fax (954) 585-6100
Fax(954) 585-6100
Organization SubpartNo
Authorized OfficialRussell F SassaniOwner · (954) 585-3800
Enumeration DateSeptember 16, 2006
Last NPPES UpdateJuly 11, 2007
✔ NPI 1972609816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
4161 NW 5TH ST, Plantation, FL 33317

Other Identifiers 1

Medicare ID-Type UnspecifiedK6200FL

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Take Shape Plastic Surgery Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Take Shape Plastic Surgery PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Plastic and Reconstructive Surgery
NPI 1194788026
4161 NW 5TH ST SUITE 100
Plantation, FL 33317
(954) 585-3800
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Take Shape Plastic Surgery PA's NPI number?

The NPI number for Take Shape Plastic Surgery PA is 1972609816. It was assigned to this organization in the NPPES registry on September 16, 2006.

Where is Take Shape Plastic Surgery PA located?

Take Shape Plastic Surgery PA is located at 4161 NW 5th St Suite 100, Plantation, FL 33317. The listed phone number is (954) 585-3800.

What is Take Shape Plastic Surgery PA's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Take Shape Plastic Surgery PA enrolled in Medicare?

Yes. Take Shape Plastic Surgery PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Take Shape Plastic Surgery PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Take Shape Plastic Surgery PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Take Shape Plastic Surgery PA was last updated on July 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.