Sai Samba Krishna R. Kolla, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

MA58634 Issued in NJ

Practice address

2757 Kennedy Blvd
Jersey City, NJ 07306

Phone

(201) 333-8004

Fax

(201) 333-8425

NPI assigned

Nov 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Neurology

Education

Other, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: s.s.krishna.kolla@direct.christhospital.md
• Direct secure messaging: sai.kolla@ehi.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A.B.K. Neurological Associates, PA

  • Neurology Physician
  • Jersey City, NJ
  • NPI 1962626325
  NPD Authorized official
• Hudson Hospital Opco LLC

  dba Christ Hospital

  • General Acute Care Hospital
  • Jersey City, NJ
  • NPI 1871859306
  NPD
• Apex Medical Associates P.a.

  • Internal Medicine Physician
  • Jersey City, NJ
  • NPI 1467519025
  NPD (past)
• Open MRI of Clifton, LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Clifton, NJ
  • NPI 1770532145
  NPD (past)

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750457693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SAINT PAULS AVE",
            "address_2": "15W",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063724",
            "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",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07306",
            "telephone_number": "201-333-8004",
            "fax_number": "201-333-8425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLLA",
        "first_name": "SAI",
        "middle_name": "SAMBA KRISHNA R.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "MA58634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcin K Kociuba, D.O.
• Jacqueline Kocot, P.A.
• Feraydoon Kohan, MD
• Kristina Maria Kohler, CNM
• Joshua Kolb, DO
• Vamsi K Kolli
• Ana Miguel Komotar, MD
• Nguessan Pelagie Konan, LPN
• Fady Konds
• Caroline Eberechi Konkwo Jr., MENTAL HEALTH COUNSE

• Neurology Physician in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Neurology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• 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.