Malayandi Rajamanickam, M.D.

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

ME95507 Issued in FL

Practice address

117 Via Azurra
Jupiter, FL 33458-6908

Phone

(561) 743-6928

NPI assigned

May 19, 2006

Last updated

Nov 4, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446595200000",
    "number": "1447204060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 VIA AZURRA",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334586908",
            "telephone_number": "561-743-6928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 VIA AZURRA",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334586908",
            "telephone_number": "561-743-6928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJAMANICKAM",
        "first_name": "MALAYANDI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2015-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "NJ",
            "license": "MA029277",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "FL",
            "license": "ME95507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rabiner Rehabilitation Center Inc
• Arne Rabiner, PT
• Jordan Paige Racicot
• Radiant Medical Group LLC
• Radiology Services of Jupiter Medical Specialists, LLC
• Raju Mangrola, MD, PA
• Ralfton Dialysis, LLC (Jupiter Dialysis)
• Leena Ramani, MD
• Amanda Ramos, FNP-BC
• Mary C Ramos

• Facial Plastic Surgery Physician in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Facial Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.