Nina Grillo-Balthrop Mack, MA, NBC-HWC

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

1460 Broadway FL 16
New York, NY 10036-7312

Phone

(508) 410-3305

NPI assigned

Mar 1, 2023

Last updated

Mar 1, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• Drugviu Inc

  dba ViuHealth

  • Clinic/Center
  • New York, NY
  • NPI 1407555717
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1073212825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 BROADWAY FL 16",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100367312",
            "telephone_number": "508-410-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 BROADWAY FL 16",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100367312",
            "telephone_number": "508-410-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "NINA",
        "middle_name": "GRILLO-BALTHROP",
        "credential": "MA, NBC-HWC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer T Mack
• Jeremy R Mack, MD
• Keisha Mack, FNP-C
• Lian Alana Mack, MD
• Lorina Mack, LMSW
• Patricia Fogarty Mack, MD
• Richard J Mack, LCSW
• Sashane O Mack, COTA
• Tabethah Mack
• Teri Mack, OTR/L

• Health & Wellness Coach in New York, NY
• Providers in New York, NY by specialty
• Health & Wellness Coach in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.