INNA GIMELBRAND (MS, RDN) – Registered Dietitian, NPI 1104377399

INNA GIMELBRAND (MS, RDN) is a healthcare provider. based in Fort lee, New Jersey. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials MS, RDN. They hold a License No. 86042055 (IL). The NPI Number for INNA GIMELBRAND (MS, RDN) is 1104377399

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
INNA GIMELBRAND (MS, RDN)
NPI
1104377399
Phone
Not provided
Address
2050 CENTER AVE STE 325
Enumeration Date
22 October 2016
Last Update Date
22 October 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7328452200
Graduation Year
2016 (10 years ago)
PAC ID
6709267750
Group Practice PAC ID
8022164920
Professional Enrollment ID
I20220721002485
Address ID
NJ077268735MA200XXRDXX304
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

302 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in NJ

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Provider Addresses for INNA GIMELBRAND (MS, RDN)

  • Center Avenue, Fort Lee, Bergen County, New Jersey, 07024, United States

    FORT LEE, NJ 070244909

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-08-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220721002485IRegistered Dietitian Or Nutrition ProfessionalNJTBD
I20220812000154IRegistered Dietitian Or Nutrition ProfessionalNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97802Therapy procedure for nutrition management, each 15 minutes39095$0
97803Therapy procedure reassessment for nutrition management, each 15 minutes329105$0
View full utilization report →

Insurance plans in this area (ZIP 07024)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8022164920View full group profile
NameSpecialtyState
C H I R O P R A C T I CNJ
Physician AssistantNY
-NY
Endocrinology, Internal MedicineNJ
Nurse PractitionerNJ
Nurse PractitionerNY
Endocrinology, Internal MedicineNJ
Endocrinology, Internal MedicineNJ
-NY
Endocrinology, Internal MedicineNJ

Reviews

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Frequently asked questions

What is the 10-digit NPI for INNA GIMELBRAND (MS, RDN)?
INNA GIMELBRAND (MS, RDN) — NPI 1104377399 — is the standard way to identify this listing.
Does CMS list INNA GIMELBRAND (MS, RDN) as active?
Yes — INNA GIMELBRAND (MS, RDN) is active in the NPI listing used on this page.
What is INNA GIMELBRAND (MS, RDN)'s specialty?
The listing groups INNA GIMELBRAND (MS, RDN) with Registered Dietitian. Clinical services aligned with this taxonomy classification.
What area does INNA GIMELBRAND (MS, RDN) serve?
INNA GIMELBRAND (MS, RDN)'s listing highlights Fort Lee, New Jersey; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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