Provider Demographics
NPI:1962626325
Name:A.B.K. NEUROLOGICAL ASSOCIATES, PA
Entity Type:Organization
Organization Name:A.B.K. NEUROLOGICAL ASSOCIATES, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEUROLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SAI
Authorized Official - Middle Name:SKR
Authorized Official - Last Name:KOLLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-333-8004
Mailing Address - Street 1:201 SAINT PAULS AVE
Mailing Address - Street 2:SUITE 15W
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-3724
Mailing Address - Country:US
Mailing Address - Phone:201-333-8004
Mailing Address - Fax:201-333-8425
Practice Address - Street 1:2757 JOHN F KENNEDY BLVD
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-5507
Practice Address - Country:US
Practice Address - Phone:201-333-8004
Practice Address - Fax:201-333-8425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA586342084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty