Individual provider Active NPI

Susana Mandel, ARNP

  • Nurse Practitioner
  • Aventura, FL
National Provider Identifier
1982032439
Registry record updated Oct 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP 9344374 Issued in FL
Practice address
20770 W Dixie Hwy
Aventura, FL 33180-1146
Phone
(305) 933-9740
Fax
(305) 933-9742
NPI assigned
Oct 18, 2013
Last updated
Oct 18, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP 9344374 FL Primary

Addresses

Primary practice location

20770 W Dixie Hwy
Aventura, FL 33180-1146

Mailing address

3850 Hollywood Blvd
Suite 301
Hollywood, FL 33021-6748
Phone (954) 961-1200

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140605000488 FL Practitioner - Nurse Practitioner 2860616208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Group of Florida, P.a.Group PAC ID 1153367107, 54 clinicians

Practice addresses (Care Compare)

1611 NW 12 Ave
Miami, FL 33136-1005
Phone (305) 585-1111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP 9344374FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Group of Florida, P.a. CurrentSince Jan 6, 2018 Accepting new patients

Locations

2999 NE 191st St
Ph 1
Aventura, FL 33180
Phone (305) 405-6910

3850 Hollywood Blvd
Ste 201
Hollywood, FL 33021
Phone (954) 961-1200

3850 Hollywood Blvd
Ste 301
Hollywood, FL 33021
Phone (954) 961-1200

3850 Hollywood Blvd
Ste 403
Hollywood, FL 33021
Phone (954) 961-1200

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

Interoperability endpoints

  • Direct secure messaging: smandel@dcm.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1382054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382054400000",
    "number": "1982032439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 HOLLYWOOD BLVD",
            "address_2": "SUITE 301",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216748",
            "telephone_number": "954-961-1200",
            "fax_number": "954-963-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20770 W DIXIE HWY",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801146",
            "telephone_number": "305-933-9740",
            "fax_number": "305-933-9742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDEL",
        "first_name": "SUSANA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-18",
        "last_updated": "2013-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP 9344374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.