Individual provider Active NPI

Alexandra Conde Green, MD

  • Plastic Surgery Physician
  • Boca Raton, FL
National Provider Identifier
1689930075
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME137217 Issued in FL
Practice address
6100 Glades Rd Ste 302
Boca Raton, FL 33434-4372
Phone
(561) 617-0240
Fax
(561) 763-9353
NPI assigned
Apr 10, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X ME137217 FL Primary

Addresses

Primary practice location

6100 Glades Rd Ste 302
Boca Raton, FL 33434-4372

Mailing address

6100 Glades Rd Ste 302
Boca Raton, FL 33434-4372
Phone (561) 617-0240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191025002542 FL Practitioner - Plastic and Reconstructive Surgery 4486986619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6100 Glades Rd
Suite 302
Boca Raton, FL 33434-4372
Phone (561) 617-0240

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME137217FLMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alexandra Conde Green MD PA Plastic Surgery CurrentSince Jun 4, 2019 Accepting new patients

Locations

21644 State Road 7
Boca Raton, FL 33428
Phone (561) 488-8210

6100 Glades Rd
Ste 302
Boca Raton, FL 33434
Phone (561) 617-0240

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

550 SE 6th Ave
Delray Beach, FL 33483
Phone (561) 425-9139

550 SE 6th Ave
#100
Delray Beach, FL 33483
Phone (561) 440-8020

5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1689930075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 GLADES RD STE 302",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334344372",
            "telephone_number": "561-617-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 GLADES RD STE 302",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334344372",
            "telephone_number": "561-617-0240",
            "fax_number": "561-763-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDE GREEN",
        "first_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-10",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME137217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.