DR. ETHAN BALK PHD, RD
NPI 1124535372
Dietitian, Registered - Nutrition, Metabolic in New Haven, CT

Q: What is Ethan Balk's NPI number?

The NPI number for Ethan Balk is 1124535372. It was assigned to this individual provider in the NPPES registry on January 9, 2018.

Q: What is Ethan Balk's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Metabolic, with taxonomy code 133VN1006X.

Q: When was this NPI record last updated?

The NPPES record for Ethan Balk was last updated on January 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 09, 2018

40 TEMPLE ST STE 7B, NEW HAVEN, CT 06510(203) 785-6060 Get Directions Write a Review

NPPES record last updated: January 9, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Ethan Balk Phd, Rd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ETHAN BALK PHD, RD (NPI 1124535372) is an individual nutrition, metabolic provider in New Haven, Connecticut, licensed in Connecticut (1448) and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1124535372

Entity TypeIndividualMale

Primary Taxonomy133VN1006X

Provider Legal NameDR. ETHAN BALKCredential: PHD, RD

Location Address40 TEMPLE ST STE 7BNew Haven, CT 06510-2715

Mailing Address40 Temple St Ste 7bNew Haven, CT 06510-2715

Phone(203) 785-6060

Sole ProprietorNo

Enumeration DateJanuary 9, 2018

✔ NPI 1124535372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, Registered · Nutrition, MetabolicDietary & Nutritional Service Providers

Taxonomy Code133VN1006X

License✔ Licensed in CT · 1448

Definition

A registered dietitian who achieves specialized competency in metabolic nutrition.

40 TEMPLE ST STE 7B, New Haven, CT 06510

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Other Identifiers 1

Other14175906Caqh Provider Id

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIELLE T FRIEDMAN MD

Surgery

40 TEMPLE ST STE 7B
NEW HAVEN, CT 06510

South Central Connecticut Planning Region (203) 785-6060

RANDAL ZHOU M.D.

Surgery

40 TEMPLE ST STE 7B
NEW HAVEN, CT 06510

South Central Connecticut Planning Region (203) 785-6060

DR. GRIGORIY VITALYEVICH KLIMOVICH M.D.

Surgery

40 TEMPLE ST STE 7B
NEW HAVEN, CT 06510

South Central Connecticut Planning Region (203) 785-6060

STEPHANIE JESSICA DUPREE APRN

Nurse Practitioner (Family)

40 TEMPLE ST STE 7B
NEW HAVEN, CT 06510

South Central Connecticut Planning Region (203) 785-6060

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Balk's NPI number?

The NPI number for Ethan Balk is 1124535372. It was assigned to this individual provider in the NPPES registry on January 9, 2018.

Where is Ethan Balk located?

Ethan Balk practices at 40 Temple St Ste 7B, New Haven, CT 06510. The listed phone number is (203) 785-6060.

What is Ethan Balk's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Metabolic, with taxonomy code 133VN1006X.

When was this NPI record last updated?

The NPPES record for Ethan Balk was last updated on January 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.