| A.b.k. Neurological Associates, Pa | |
|
2757 John F Kennedy Blvd Jersey City NJ 07306-5507 | |
| (201) 333-8004 | |
| (201) 333-8425 |
| Full Name | A.b.k. Neurological Associates, Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2757 John F Kennedy Blvd, Jersey City, New Jersey |
| Authorized Official Name and Position | Sai S.k.r. Kolla (NEUROLOGIST) |
| Authorized Official Contact | 2013338004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A.b.k. Neurological Associates, Pa 201 Saint Pauls Ave Suite 15w Jersey City NJ 07306-3724 Ph: (201) 333-8004 | A.b.k. Neurological Associates, Pa 2757 John F Kennedy Blvd Jersey City NJ 07306-5507 Ph: (201) 333-8004 |
| NPI Number | 1962626325 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9537399068 |
|---|---|
| Medicare Enrollment ID | O20140303001420 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962626325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | MA58634 (New Jersey) | Primary |
| Provider Name | Sai Samba Krishna R Kolla |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750457693 PECOS PAC ID: 0941300750 Enrollment ID: I20070710000110 |
| Provider Name | Sairamachandra R Kolla |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1174503205 PECOS PAC ID: 3173525730 Enrollment ID: I20100514000842 |
| Provider Name | Veralyn P Gonzalez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508265778 PECOS PAC ID: 1557583259 Enrollment ID: I20141113000894 |
| Provider Name | Madhavi Latha Kolla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366699233 PECOS PAC ID: 5890984199 Enrollment ID: I20230222003164 |
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