Rachele Mamo

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

1800 N Federal Hwy Ste 104
Pompano Beach, FL 33062-1011

Phone

(954) 782-0010

Fax

(954) 781-2139

NPI assigned

Jan 2, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1386117364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 N FEDERAL HWY STE 104",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330621011",
            "telephone_number": "954-782-0010",
            "fax_number": "954-781-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N FEDERAL HWY STE 104",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330621011",
            "telephone_number": "954-782-0010",
            "fax_number": "954-781-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMO",
        "first_name": "RACHELE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-02",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Rose Malalel, APRN
• Jordan Michael Malcolm
• Yansy A Maldonado
• Benjamin A Mallett
• Daniela Malsbury
• Teodora Mandic
• Jennifer Manke
• David L Manning, LMHC- MH18227
• Irena Mannings
• Nicholas Val Manocchio, PA

• Medical Physician Assistant in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.