Alexandra Conde Green MD PA

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

ALEXANDRA CONDE GREEN MD PA

Doing business as

ACG Plastic Surgery

Practice address

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

Phone

(561) 617-0240

Fax

(561) 763-9353

NPI assigned

Aug 9, 2019

Organization subpart

No

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

Authorized official

Name

Alexandra Conde Green, MDNPI 1689930075

Title

Doctor

Phone

(561) 617-0240

Specialties & licenses 1

Addresses

Other names 1

• ACG Plastic Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexandra Conde Green, MD

  • Plastic Surgery Physician
  • Boca Raton, FL
  • NPI 1689930075
  Medicare reassignment NPD Authorized official
• Shana Morreale, PA-C

  • Physician Assistant
  • Tampa, FL
  • NPI 1750034187
  NPD (past)

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1861048498",
    "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",
            "fax_number": "561-763-9353"
        },
        {
            "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": {
        "organization_name": "ALEXANDRA CONDE GREEN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-09",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "CONDE GREEN",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "561-617-0240",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACG Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alex Scheuermann, LLC
• Alex Soller MD PA
• Michele Alex, DDS
• Danielle Alexander, OTR/L
• Nicole Alexander, PA-C
• Alexandra Kehoe, OD PLLC
• Farrell Fritz Alexis, PHARM. D
• Anthony Joseph Alfano, PTA
• Valentina Sofia Alfano
• Linda Alfieri Inc.

• Plastic Surgery Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.