CUSTOM DIETETICS, PC
NPI 1063596880
Dietitian, Registered in Williamsville, NY

Q: What is Custom Dietetics, PC's NPI number?

The NPI number for Custom Dietetics, PC is 1063596880. It was assigned to this organization in the NPPES registry on October 25, 2006.

Q: What is Custom Dietetics, PC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Active since October 25, 2006

2829 WEHRLE DR STE 7B, WILLIAMSVILLE, NY 14221(716) 626-7415(716) 632-0389 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 31, 2026, May 2, 2023, Sep 25, 2020 and 2 more (5 updates tracked since 2016).

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About Custom Dietetics, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CUSTOM DIETETICS, PC (NPI 1063596880) is a healthcare organization registered as a dietitian, registered in Williamsville, New York and active in the NPI registry since October 2006. The organization lists Allyson Erica Odachowski, President/registered Dietitian, as its authorized official.

NPPES Registry Identity

NPI1063596880

Entity TypeOrganization

Primary Taxonomy133V00000X

Legal Business NameCUSTOM DIETETICS, PC

Location Address2829 WEHRLE DR STE 7BWilliamsville, NY 14221-7387

Mailing Address2829 Wehrle Dr Ste 7bWilliamsville, NY 14221-7387 · (716) 626-7415 · Fax (716) 632-0389

Phone(716) 626-7415

Fax(716) 632-0389

Organization SubpartNo

Authorized OfficialAllyson Erica OdachowskiPresident/registered Dietitian · (716) 626-7415

Enumeration DateOctober 25, 2006

Last NPPES UpdateMarch 31, 20265 updates tracked since enumeration

NPPES CertifiedMarch 31, 2026

✔ NPI 1063596880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in NY · 005917-1

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Also ListedNutritionistTaxonomy 133N00000X

2829 WEHRLE DR STE 7B, Williamsville, NY 14221

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Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Custom Dietetics, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 8 clinicians reassign Medicare billing to Custom Dietetics, PC, which bills Medicare for the services they deliver. Of these, 7 practice at this address. They are listed nearest first.