Manimegalai Rajagopal, M.SC.CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3802 Issued in MA

Practice address

111 South Bedford Street
Judith Wisnia and Associate Inc
Burlington, MA 01803-5145

Phone

(781) 272-2100

Fax

(781) 272-0404

NPI assigned

Oct 19, 2006

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073695318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 BOYLSTON ST",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023682837",
            "telephone_number": "781-961-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SOUTH BEDFORD STREET",
            "address_2": "JUDITH WISNIA AND ASSOCIATE INC",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018035145",
            "telephone_number": "781-272-2100",
            "fax_number": "781-272-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJAGOPAL",
        "first_name": "MANIMEGALAI",
        "name_prefix": "Mrs.",
        "credential": "M.SC.CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "3802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haider Rahman, M.D.
• Imad Rahman, OD
• Saad Ur Rahman, M.D.
• Pooja Santosh Raibagkar, M.D.
• Shanker Raja, M.D.
• Sharanya Ramakrishnan, MBBS
• Anil Ramineni, M.D.
• David James Ramsey, M.D., PH.D., M.P.H.
• Uzma M. Ramzan, M.D.
• George Curtis Rand, PA-C

• Speech-Language Pathologist in Burlington, MA
• Providers in Burlington, MA by specialty
• Speech-Language Pathologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.