Individual provider Active NPI

Ajay M Kalola, LPT

  • Orthopedic Physical Therapist
  • Old Bridge, NJ
National Provider Identifier
1487749644
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
40QA00694600 Issued in NJ
Practice address
14 Woodward Dr
Suite B
Old Bridge, NJ 08857-3363
Phone
(732) 360-1100
Fax
(732) 360-1170
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 40QA00694600 NJ Primary

Addresses

Primary practice location

14 Woodward Dr
Suite B
Old Bridge, NJ 08857-3363

Mailing address

14 Woodward Dr
Suite B
Old Bridge, NJ 08857-3363
Phone (732) 360-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061102000047 NJ Practitioner - Physical Therapist in Private Practice 2769489806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
State University of New York Downstate Medical Center, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Ajay Consulting CorporationGroup PAC ID 3476550583, 6 clinicians

Practice addresses (Care Compare)

14 Woodward Dr
Suite B
Old Bridge, NJ 08857-3746
Phone (732) 360-1100

Merit-based Incentive Payment System (MIPS)

Final score
88.94 of 100Reported as group
Quality
80
Improvement activities
40
Cost
73.13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA00694600NJMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ajay Consulting Corporation Orthopedic CurrentSince Sep 5, 2006 Accepting new patients
Imaginginterventions, LLC PastSince Sep 5, 2006 Accepting new patients

Locations

14 Woodward Dr
Ste B
Old Bridge, NJ 08857
Phone (732) 360-1100

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1487749644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 WOODWARD DR",
            "address_2": "SUITE B",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573363",
            "telephone_number": "732-360-1100",
            "fax_number": "732-360-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 WOODWARD DR",
            "address_2": "SUITE B",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573363",
            "telephone_number": "732-360-1100",
            "fax_number": "732-360-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALOLA",
        "first_name": "AJAY",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA00694600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.