Active NPI
Amina Grunko, M.S., R.D., L.D.N.
- Registered Dietitian
- Arlington, MA
National Provider Identifier
1790730356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1279
- Practice address
- 53 River St
Arlington, MA 02474-3535 - Phone
- (781) 643-0532
- NPI assigned
- May 23, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1279 | MA | Primary |
| Pediatric Nutrition Registered Dietitian | 133VN1004X | 1279 | MA |
Addresses
Primary practice location
53 River St
Arlington, MA 02474-3535
Mailing address
53 River St
Arlington, MA 02474-3535
Phone (781) 643-0532
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1279 | MA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1790730356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 RIVER ST",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024743535",
"telephone_number": "781-643-0532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 RIVER ST",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024743535",
"telephone_number": "781-643-0532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUNKO",
"first_name": "AMINA",
"name_prefix": "Mrs.",
"credential": "M.S., R.D., L.D.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-23",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "1279",
"primary": true
},
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "MA",
"license": "1279",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.