Individual provider Active NPI

Sairamachandra Rao Kolla, M.D

  • Physical Medicine & Rehabilitation Physician
  • Jershey City, NJ
National Provider Identifier
1174503205
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
234221 Issued in NY
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070209000638 NY Practitioner - Physical Medicine and Rehabilitation 3173525730 Reassigns benefits to 2 organizations
Practice locations: Brooklyn, NY
I20100514000842 NJ Practitioner - Physical Medicine and Rehabilitation 3173525730 Practice locations: Jershey City, NJ; South Plainfield, NJ; Paterson, NJ; Newark, NJ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
234221NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Empire Medical of Rockaway Beach PC CurrentSince Sep 16, 2019 Accepting new patients
A.B.K. Neurological Associates, PA CurrentSince Feb 3, 2014 Accepting new patients
Empire Medical of Rockaway Beach PastSince Sep 16, 2019 Accepting new patients
Barnert Imaging LLC PastSince Apr 9, 2020 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

  • Direct secure messaging: sairamachandra.kolla@abkneurologicalassociatespa.ehi.direct-ci.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.