Individual provider Active NPI

Olga Danilava, CNS

  • Nutritionist
  • Brooklyn, NY
National Provider Identifier
1982498564
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
17899 Issued in NY
Practice address
1225 44TH St
Brooklyn, NY 11219-2080
Phone
(347) 746-0453
NPI assigned
Apr 8, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 17899 NY Primary

Addresses

Primary practice location

1225 44TH St
Brooklyn, NY 11219-2080

Mailing address

175 W 76TH St Apt 7E
New York, NY 10023-8308
Phone (917) 770-2434

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260114001116 NY Practitioner - Registered Dietitian Or Nutrition Professional 0143706754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boro Park Nutrition LLCGroup PAC ID 7012334402, 10 clinicians

Practice addresses (Care Compare)

1225 44TH St
Brooklyn, NY 11219-2080
Phone (347) 746-0453

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
17899NYMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Boro Park Nutrition, LLC Nutritionist CurrentSince Dec 1, 2025 Accepting new patients
Boro Park Dietitian CurrentSince Apr 13, 2025 Accepting new patients

Locations

29 Little Nassau St
Brooklyn, NY 11205
Phone (718) 360-0580

Organizations & group practices 2

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": "1744070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1982498564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 W 76TH ST APT 7E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100238308",
            "telephone_number": "917-770-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 44TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192080",
            "telephone_number": "347-746-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANILAVA",
        "first_name": "OLGA",
        "credential": "CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-08",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NY",
            "license": "17899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.