Individual provider Active NPI

Danielle Kara Wolf, MS, RDN, CDN, LD

  • Registered Dietitian
  • North Bergen, NJ
National Provider Identifier
1881361079
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86089973 Issued in NJ
Practice address
7912 River Rd
North Bergen, NJ 07047-6271
Phone
(281) 516-8754
NPI assigned
Aug 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86089973 NJ Primary

Addresses

Primary practice location

7912 River Rd
North Bergen, NJ 07047-6271

Mailing address

770 River Rd Unit 452
Edgewater, NJ 07020-6624

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240905002400 NJ Practitioner - Registered Dietitian Or Nutrition Professional 8022558071 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
86089973NJMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Central Avenue Professional Services, PC CurrentSince Jan 5, 2026 Accepting new patients
Saint James Health, Inc CurrentSince Jun 24, 2024 Accepting new patients
Saint James Health Inc CurrentSince Jun 24, 2024 Accepting new patients
Saint James Health Inc Current Accepting new patients
Marjorie Nolan Cohn LLC Dietitian, Registered Past Accepting new patients

Locations

228 Lafayette St
Fl 2
Newark, NJ 07105
Phone (973) 344-0078

111 Central Ave
Newark, NJ 07102
Phone (973) 877-5060

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1881361079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 RIVER RD UNIT 452",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070206624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7912 RIVER RD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070476271",
            "telephone_number": "281-516-8754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "DANIELLE",
        "middle_name": "KARA",
        "credential": "MS, RDN, CDN, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "86089973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bergen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.