Siara Nicole Kolpon, PHYSICIAN ASSITANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

196 Paterson Ave Ste 302
East Rutherford, NJ 07073-1841

Phone

(201) 500-9450

Fax

(201) 500-9451

NPI assigned

Aug 15, 2018

Sex

Female

Sole proprietor

No

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 NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: skolpon201260@ahs.direct-ci.com

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.

• City Orthopaedics & Sports Medicine LLC

  • Orthopaedic Surgery Physician
  • East Rutherford, NJ
  • NPI 1245725191
  Medicare reassignment
• SMGH Physician Practice Management, LLC

  • Internal Medicine Physician
  • Passaic, NJ
  • NPI 1033578075
  Medicare reassignment
• St Marys General Medical Group PC

  • Internal Medicine Physician
  • Passaic, NJ
  • NPI 1477261741
  Medicare reassignment
• The Painless Center LLC

  • Pain Medicine (Anesthesiology) Physician
  • Tenafly, NJ
  • NPI 1306388764
  NPD (past)

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720051200000",
    "number": "1730669243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 PATERSON AVE STE 302",
            "city": "EAST RUTHERFORD",
            "state": "NJ",
            "postal_code": "070731841",
            "telephone_number": "201-500-9450",
            "fax_number": "201-500-9451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 PATERSON AVE STE 302",
            "city": "EAST RUTHERFORD",
            "state": "NJ",
            "postal_code": "070731841",
            "telephone_number": "201-500-9450",
            "fax_number": "201-500-9451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 E 25th St Fl 6",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100108207",
            "country_code": "US",
            "telephone_number": "212-433-2662",
            "fax_number": "201-500-9451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "59 Main St Ste 201",
            "address_purpose": "LOCATION",
            "city": "West Orange",
            "state": "NJ",
            "postal_code": "070525333",
            "country_code": "US",
            "telephone_number": "973-447-3525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLPON",
        "first_name": "SIARA",
        "middle_name": "NICOLE",
        "credential": "PHYSICIAN ASSITANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2024-07-04",
        "certification_date": "2024-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laxy Kesavarapu
• Sarah Khalil
• Daniel S Kim
• Min Seong Kim
• Leah Ayala Klavan, PT, DPT
• Lauren Kravitz, ATC
• Julia Kulesa, CPHT
• Jordan Lau, DC
• Brendan Lauria, PT, DPT
• Peter Joseph Lazaris, DPT

• Physician Assistant in East Rutherford, NJ
• Providers in East Rutherford, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2024; 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.