Organization Active NPI

Atlantic Coast Plastic Surgery, PA

  • Plastic Surgery Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1780606665
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME 94792 Issued in FL
Legal business name
ATLANTIC COAST PLASTIC SURGERY, PA
Practice address
3345 Burns Rd
Suite 206
Palm Beach Gardens, FL 33410-4324
Phone
(561) 691-4439
Fax
(561) 296-4156
NPI assigned
Jul 23, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Thomas Angelo Pane, M.D.NPI 1932163896
Title
Physician
Phone
(561) 775-7819

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X ME 94792 FL Primary

Addresses

Primary practice location

3345 Burns Rd
Suite 206
Palm Beach Gardens, FL 33410-4324

Mailing address

3345 Burns Rd
Suite 206
Palm Beach Gardens, FL 33410-4324
Phone (561) 691-4439

National Provider Directory

National Provider Directory

Locations

3345 Burns Rd
Ste 206
Palm Beach Gardens, FL 33410
Phone (561) 691-4439

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780606665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 BURNS RD",
            "address_2": "SUITE 206",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104324",
            "telephone_number": "561-691-4439",
            "fax_number": "561-296-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 BURNS RD",
            "address_2": "SUITE 206",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104324",
            "telephone_number": "561-691-4439",
            "fax_number": "561-296-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC COAST PLASTIC SURGERY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PANE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ANGELO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "561-775-7819",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME 94792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.