Individual provider Active NPI

Rebecca Mandel, PA

  • Physician Assistant
  • Hollywood, FL
National Provider Identifier
1124416003
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9113620 Issued in FL
Practice address
4340 Sheridan St Ste 101
Hollywood, FL 33021-3567
Phone
(954) 983-5533
NPI assigned
Dec 31, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9113620 FL Primary

Addresses

Primary practice location

4340 Sheridan St Ste 101
Hollywood, FL 33021-3567

Mailing address

4340 Sheridan St Ste 101
Hollywood, FL 33021-3567
Phone (954) 983-5533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160310002239 NY Practitioner - Physician Assistant 3678879079 Reassigns benefits to 2 organizations
I20201201002732 FL Practitioner - Physician Assistant 3678879079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin and Cancer AssociatesGroup PAC ID 1759284847, 65 clinicians

Practice addresses (Care Compare)

4340 Sheridan St
Suite 101
Hollywood, FL 33021-3567
Phone (954) 983-5533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
018210NYMDSpeech-Language Pathologist
PA9113620FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Skin and Cancer Associates CurrentSince Nov 1, 2025 Accepting new patients
Essen Medical Associates,PC CurrentSince Jul 24, 2016 Accepting new patients
Sobel & Sofman MD PA PastSince Nov 1, 2025 Accepting new patients

Locations

13660 S Jog Rd
Ste 8
Delray Beach, FL 33446
Phone (561) 637-4040

2925 NE 199th St
Ste 205
Miami, FL 33180
Phone (305) 933-6716

1560 Sawgrass Corporate Pkwy
Ste 220
Sunrise, FL 33323

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

Interoperability endpoints

  • Direct secure messaging: rebecca.mandel@forefrontdermatology.emadirect.md
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1419984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1124416003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 SHERIDAN ST STE 101",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213567",
            "telephone_number": "954-983-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 SHERIDAN ST STE 101",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213567",
            "telephone_number": "954-983-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDEL",
        "first_name": "REBECCA",
        "name_prefix": "Miss",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-31",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9113620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.