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Dr. Ethan Balk, PHD, RD

Metabolic Nutrition Registered Dietitian in New Haven, CT · enumerated 2018.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124535372

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Registry record

Entity type Individual (Type 1)
Name Dr. Ethan Balk
Credential PHD, RD
Sex Male
Practice address 40 Temple St Ste 7b, New Haven, CT, 06510
Phone (203) 785-6060
Enumeration date Jan 9, 2018
Last updated in NPPES Jan 9, 2018

Taxonomy & licenses

133VN1006X Metabolic Nutrition Registered Dietitian Dietary & Nutritional Service Providers · License 1448 (CT) Primary
PHD · Doctor of Philosophy: A doctoral degree; in healthcare often held by clinical psychologists and researchers. About the PHD credential

Other identifiers

Identifier Type State Issuer
14175906 Other - CAQH PROVIDER ID

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Ethan Balk?
The National Provider Identifier (NPI) for Ethan Balk is 1124535372, a Type 1 (individual) record in the CMS NPPES registry.
Where does Ethan Balk practice?
The practice location on file with NPPES is in New Haven, CT. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-01-09.