BLACK ROCK TPK MED GRP – Internal Medicine Physician, NPI 1295733491

BLACK ROCK TPK MED GRP is a healthcare provider. based in Trumbull, Connecticut. specializing in Internal Medicine Physician. The organization holds a License No. 013894 (CT). The NPI Number for BLACK ROCK TPK MED GRP is 1295733491

Main info

Organization
Name
BLACK ROCK TPK MED GRP
NPI
1295733491
Phone
(203) 334-7400
Address
5520 PARK AVE
Authorized Official
ELIZABETH FERNANDEZ OFFICE ADMINISTRATOR
Enumeration Date
12 July 2005
Last Update Date
11 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for BLACK ROCK TPK MED GRP

  • 5520, Park Avenue, Trumbull, Fairfield County, Connecticut, 06604, United States

    SUITE 203

    TRUMBULL, CT 066113463

    Phone: (203) 334-7400

    Fax: (203) 338-0455

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06611)

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Reviews

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Frequently asked questions

How do I look up BLACK ROCK TPK MED GRP by NPI?
Use NPI 1295733491 when you need to reference BLACK ROCK TPK MED GRP in forms, claims, or directories.
Is BLACK ROCK TPK MED GRP's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does BLACK ROCK TPK MED GRP treat or focus on?
Patients typically see BLACK ROCK TPK MED GRP under the specialty Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is BLACK ROCK TPK MED GRP's primary listing?
We display Trumbull, Connecticut because that is what the record indicates for BLACK ROCK TPK MED GRP.
Is BLACK ROCK TPK MED GRP a real provider?
This page reflects official NPPES data for NPI 1295733491. Always confirm identity and privileges with the practice and licensing boards.

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