Individual provider Active NPI

Terese Jimenez Manalansan, M.A., CCC/SLP

  • Speech-Language Pathologist
  • Metuchen, NJ
National Provider Identifier
1508185547
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00472200 Issued in NJ
Practice address
4 Bridge St BLDG C
Metuchen, NJ 08840
Phone
(732) 623-9619
NPI assigned
May 28, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 41YS00472200 NJ Primary

Addresses

Primary practice location

4 Bridge St BLDG C
Metuchen, NJ 08840

Mailing address

24 Albourne St
Edison, NJ 08837-3353
Phone (732) 623-9619

Other practice location 1

276 Main St
2nd Floor
Metuchen, NJ 08840-2453
Phone (732) 623-9619

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
41YS00472200NJMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1508185547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 ALBOURNE ST",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373353",
            "telephone_number": "732-623-9619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 BRIDGE ST BLDG C",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "08840",
            "telephone_number": "732-623-9619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "276 Main St",
            "address_2": "2nd Floor",
            "address_purpose": "LOCATION",
            "city": "Metuchen",
            "state": "NJ",
            "postal_code": "088402453",
            "country_code": "US",
            "telephone_number": "732-623-9619",
            "fax_number": "732-623-9619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANALANSAN",
        "first_name": "TERESE",
        "middle_name": "JIMENEZ",
        "credential": "M.A., CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-28",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00472200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metuchen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.