Active NPI
Jayaselvi Kolli MD PC
- Obstetrics & Gynecology Physician
- Niagara Falls, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- JAYASELVI KOLLI MD PC
- Practice address
- 6934 Elaine Drive
Niagara Falls, NY 14304 - Phone
- (716) 278-9619
- Fax
- (716) 213-0935
- NPI assigned
- Jun 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jayaselvi Kolli, MD
- Title
- Owner
- Phone
- (716) 278-9619
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
6934 Elaine Drive
Niagara Falls, NY 14304
Mailing address
908 Niagara Falls Blvd
Suite 208
North Tonawanda, NY 14120-2019
Phone (716) 692-2160
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02730918 | Medicaid | NY |
Other names 1
- Aum OB Gyn Associates
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D1018923 | Jayaselvi Kolli MD PC | Provider-performed microscopy | Nov 4, 2027 |
National Provider Directory
National Provider DirectoryLocations
621 10th St
#304
Niagara Falls, NY 14301
Phone (716) 278-9619
6934 Elaine Dr
Niagara Falls, NY 14304
Phone (716) 278-9619
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Niagara Falls, NY
- NPI 1548239726
-
- Physician Assistant
- Niagara Falls, NY
- NPI 1467505735
-
- Obstetrics & Gynecology Nurse Practitioner
- Amherst, NY
- NPI 1194784637
-
- Adult Health Nurse Practitioner
- Niagara Falls, NY
- NPI 1275968141
-
- Obstetrics & Gynecology Physician
- Amherst, NY
- NPI 1558321372
-
- Obstetrics & Gynecology Physician
- Oceanside, CA
- NPI 1932203478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1195516800000",
"number": "1982630133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 NIAGARA FALLS BLVD",
"address_2": "SUITE 208",
"city": "NORTH TONAWANDA",
"state": "NY",
"postal_code": "141202019",
"telephone_number": "716-692-2160",
"fax_number": "716-213-0935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6934 ELAINE DRIVE",
"city": "NIAGARA FALLS",
"state": "NY",
"postal_code": "14304",
"telephone_number": "716-278-9619",
"fax_number": "716-213-0935"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAYASELVI KOLLI MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-22",
"last_updated": "2007-11-20",
"status": "A",
"authorized_official_last_name": "KOLLI",
"authorized_official_first_name": "JAYASELVI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "716-278-9619",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02730918",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Aum OB Gyn Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Niagara Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.