Active NPI
Samantha Jo Grimaldi, MS, RD, CDCES, CDN
- Pediatric Nutrition Registered Dietitian
- Buffalo, NY
National Provider Identifier
1427679752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nutrition Registered Dietitian
- Practice address
- 1001 Main St FL 2
Buffalo, NY 14203-1009 - Phone
- (716) 440-2351
- NPI assigned
- Apr 28, 2020
- Last updated
- Oct 1, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | |||
| Pediatric Nutrition Registered Dietitian | 133VN1004X | Primary | ||
| Registered Dietitian | 133V00000X |
Addresses
Primary practice location
1001 Main St FL 2
Buffalo, NY 14203-1009
Mailing address
6092 Hewson Rd
Lake View, NY 14085-9582
Phone (716) 440-2351
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaleida Health | Current | Accepting new patients | |
| Kaleida Health | Current | Accepting new patients |
Locations
100 High St
Buffalo, NY 14203
Phone (716) 632-3700
1001 Main St
Fl 2
Buffalo, NY 14203
Phone (716) 323-6410
900 Hertel Ave
Buffalo, NY 14216
Phone (716) 871-1571
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759276800000",
"number": "1427679752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6092 HEWSON RD",
"city": "LAKE VIEW",
"state": "NY",
"postal_code": "140859582",
"telephone_number": "716-440-2351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 MAIN ST FL 2",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142031009",
"telephone_number": "716-440-2351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIMALDI",
"first_name": "SAMANTHA",
"middle_name": "JO",
"name_prefix": "Miss",
"credential": "MS, RD, CDCES, CDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-28",
"last_updated": "2025-10-01",
"certification_date": "2025-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": null,
"license": null,
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.