Avi Mae Pelly, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86330378 Issued in NJ

Practice address

3250 W 66TH St Apt 548
Edina, MN 55435-5514

Phone

(651) 447-6737

NPI assigned

Jul 24, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Barnabas Health Medical Group PC

  • Specialist
  • Elizabeth, NJ
  • NPI 1841557246
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1972331593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 N MAIN ST",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087362941",
            "telephone_number": "732-580-5426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 W 66TH ST APT 548",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355514",
            "telephone_number": "651-447-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLY",
        "first_name": "AVI",
        "middle_name": "MAE",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-24",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "86330378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Therese Pederson, CNP, FNP-C
• Lane Daniel Pederson, PSYD LP
• Pediatric Neuropsychology Services, P.C.
• Douglas Pelcak, MA
• Katherine Mary Pellant Kaufman, ATC
• Kyra Marie Peloquin, PT, DPT
• Stephen Peltier, D.C.
• Heidi Peluf, COTA/L
• Nicole Peluso, CNP
• Kathryn Pendleton, M.D.

• Registered Dietitian in Edina, MN
• Providers in Edina, MN by specialty
• Registered Dietitian in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.