Individual provider Active NPI

Steven Michael Warden, RDN

  • Metabolic Nutrition Registered Dietitian
  • Grand Island, NY
National Provider Identifier
1265044275
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X
License
010390 Issued in NY
Practice address
1990 Whitehaven Rd
Grand Island, NY 14072-1846
Phone
(716) 704-0684
Fax
(716) 625-1236
NPI assigned
Aug 20, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Dietetics Nutrition Registered Dietitian 133VN1501X
Metabolic Nutrition Registered Dietitian 133VN1006X 010390 NY Primary

Addresses

Primary practice location

1990 Whitehaven Rd
Grand Island, NY 14072-1846

Mailing address

2000 Metropica Way Apt 506
Sunrise, FL 33323-3218
Phone (716) 969-3032

Other practice location 1

75 E 3rd St
Dunkirk, NY 14048-2239
Phone (716) 363-6050

Other practice location 2

1435 Shadyside Rd
Lakewood, NY 14750-9645
Phone (716) 969-3032

Other practice location 3

2000 Metropica Way Apt 506
Sunrise, FL 33323-3218
Phone (716) 969-3032

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231212002997 NY Practitioner - Registered Dietitian Or Nutrition Professional 7517316813

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Chautauqua Center, Inc CurrentSince Nov 6, 2023 Accepting new patients
Buffalo Nutrition & Dietetics, PLLC Nutrition, Metabolic Past Accepting new patients
United Nutrition & Dietetics, PLLC Nutrition, Metabolic PastSince Aug 6, 2023 Accepting new patients

Locations

1134 Central Ave
Dunkirk, NY 14048
Phone (716) 366-6036

107 Institute St
Jamestown, NY 14701
Phone (716) 484-4334

Organizations & group practices 3

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": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1265044275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 METROPICA WAY APT 506",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333233218",
            "telephone_number": "716-969-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 WHITEHAVEN RD",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "140721846",
            "telephone_number": "716-704-0684",
            "fax_number": "716-625-1236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Dunkirk",
            "state": "NY",
            "postal_code": "140482239",
            "country_code": "US",
            "telephone_number": "716-363-6050",
            "fax_number": "833-974-1992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1435 Shadyside Rd",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "NY",
            "postal_code": "147509645",
            "country_code": "US",
            "telephone_number": "716-969-3032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Metropica Way Apt 506",
            "address_purpose": "LOCATION",
            "city": "Sunrise",
            "state": "FL",
            "postal_code": "333233218",
            "country_code": "US",
            "telephone_number": "716-969-3032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARDEN",
        "first_name": "STEVEN",
        "middle_name": "MICHAEL",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-20",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1501X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "NY",
            "license": "010390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.