Active NPI
Sairamachandra Rao Kolla, M.D
- Physical Medicine & Rehabilitation Physician
- Jershey City, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 234221
- Practice address
- 2757 Kennedy Blvd
1St FL
Jershey City, NJ 07306-5507 - Phone
- (201) 333-8004
- Fax
- (201) 333-8425
- NPI assigned
- Jan 17, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 234221 | NY | Primary |
Addresses
Primary practice location
2757 Kennedy Blvd
1St FL
Jershey City, NJ 07306-5507
Mailing address
2757 John F Kennedy Blvd 1St
Jersey City, NJ 07306-5507
Phone (201) 333-8004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 234221 | NY | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empire Medical of Rockaway Beach PC | Current | Accepting new patients | |
| A.B.K. Neurological Associates, PA | Current | Accepting new patients | |
| Empire Medical of Rockaway Beach | Past | Accepting new patients | |
| Barnert Imaging LLC | Past | Accepting new patients |
Locations
2757 John F Kennedy Blvd
#1
Jersey City, NJ 07306
680 Broadway
Paterson, NJ 07514
Phone (973) 977-6600
680 Broadway
Ste 5
Paterson, NJ 07514
Phone (347) 768-2467
6410 Veterans Ave
Ste 102
Brooklyn, NY 11234
Phone (718) 763-3045
8820 Rockaway Beach Blvd
Rockaway Beach, NY 11693
Phone (718) 634-8018
Interoperability endpoints
- sairamachandra.kolla@abkneurologicalassociatespa.ehi.direct-ci.com
- skolla@1246.securemail.prognocis.com
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Rockaway Beach, NY
- NPI 1902089402
-
- Mobile Radiology Clinic/Center
- Flushing, NY
- NPI 1386174779
-
- Radiology Clinic/Center
- Paterson, NJ
- NPI 1710368576
-
- Neurology Physician
- Jersey City, NJ
- NPI 1962626325
-
- Primary Care Clinic/Center
- Rockaway Beach, NY
- NPI 1013284710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1174503205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2757 JOHN F KENNEDY BLVD 1ST",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073065507",
"telephone_number": "201-333-8004",
"fax_number": "201-333-8425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2757 KENNEDY BLVD",
"address_2": "1ST FL",
"city": "JERSHEY CITY",
"state": "NJ",
"postal_code": "073065507",
"telephone_number": "201-333-8004",
"fax_number": "201-333-8425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLLA",
"first_name": "SAIRAMACHANDRA",
"middle_name": "RAO",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-17",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "234221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.