Custom Dietetics, PC
NPI 1063596880 · Registered Dietitian · Williamsville, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Custom Dietetics, PC is a Registered Dietitian organization in Williamsville, NY (NPI 1063596880).
Provider details
- NPI number
- 1063596880
- Entity type
- Organization
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Allyson Odachowski, President/Registered Dietitian(716) 626-7415
- License
- 005917-1 (NY)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
- Nutritionist133N00000X
Dietary & Nutritional Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-25
- Last updated
- 2026-03-31
- Certified
- 2026-03-31
Frequently asked questions
- What is Custom Dietetics, PC's NPI number?
- Custom Dietetics, PC's National Provider Identifier (NPI) is 1063596880, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Custom Dietetics, PC?
- Custom Dietetics, PC is classified in the NPPES registry as Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Custom Dietetics, PC located?
- Custom Dietetics, PC's practice location on file with NPPES is 2829 Wehrle Dr Ste 7b, Williamsville, NY 14221-7387.
- What is Custom Dietetics, PC's phone number?
- The practice phone number listed in the NPPES registry for Custom Dietetics, PC is (716) 626-7415.
- Does Custom Dietetics, PC accept Medicare?
- Custom Dietetics, PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Custom Dietetics, PC?
- The authorized official listed on Custom Dietetics, PC's NPPES record is Allyson Odachowski, President/Registered Dietitian. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Custom Dietetics, PC's NPI active?
- Yes — Custom Dietetics, PC's NPI (1063596880) is active in the NPPES registry as of the last update on 2026-03-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.