MS. INNA GEDZBERG
NPI 1720277171
Physician Assistant - Medical in Bronx, NY
About Ms. Inna Gedzberg NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. INNA GEDZBERG (NPI 1720277171) is an individual medical provider in Bronx, New York, licensed in New York (004996) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Inna Gedzberg is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BRONX, NY 10467
BRONX, NY 10467
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Inna Gedzberg's NPI number?
The NPI number for Inna Gedzberg is 1720277171. It was assigned to this individual provider in the NPPES registry on October 22, 2007.
Where is Inna Gedzberg located?
Inna Gedzberg practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (718) 920-2961.
What is Inna Gedzberg's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Inna Gedzberg enrolled in Medicare?
Yes. Inna Gedzberg is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Inna Gedzberg was last updated on October 22, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ms. Inna Gedzberg · NPI 1720277171
Medical physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since October 22, 2007.
## Identity
- **NPI:** 1720277171 (Entity type: Individual)
- **Enumerated:** October 22, 2007
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 004996 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 111 E 210TH ST, Bronx, NY 10467-2401
- **Phone:** (718) 920-2961
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** October 22, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1720277171) · Data from the CMS NPPES public registry.