Black Rock Tpk Med Grp

Black Rock Tpk Med Grp is a healthcare organization registered as Internal Medicine Physician in Trumbull, CT, holding Type 2 (organization) NPI 1295733491 since 2005. The authorized official on file is Elizabeth Fernandez, Office Administrator.

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NPI	1295733491
Entity type	Organization (Type 2)
Legal business name	Black Rock Tpk Med Grp
Practice address	5520 PARK AVE, SUITE 203, Trumbull, CT, 06611
Phone	2033347400
Fax	2033380455
Enumeration date	2005-07-12
Last updated in NPPES	2025-09-11

Authorized official

Name	Elizabeth Fernandez
Title	Office Administrator
Phone	2033347400

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
207RH0003X	Hematology & Oncology Physician	Secondary	—	CT
207R00000X	Internal Medicine Physician	Primary	013894	CT

Copy-ready billing details

Provider: Black Rock Tpk Med Grp
NPI: 1295733491
Taxonomy: 207R00000X (Internal Medicine Physician)
Address: 5520 PARK AVE, SUITE 203, Trumbull, CT, 06611

Providers at this address

NPI	Name	Type	Specialty	Location
1487652665	David Witt	Individual	Hematology & Oncology Physician	Trumbull, CT
1700885100	Bhawna Gupta	Individual	Family Medicine Physician	Trumbull, CT
1588652358	Pardeep Sood	Individual	Interventional Pain Medicine Physician	Trumbull, CT
1992774384	Jacob Hen	Individual	Pediatric Pulmonology Physician	Trumbull, CT
1487691754	Helena Squicciarini	Individual	Obstetrics & Gynecology Physician	Trumbull, CT
1891733457	Northeast Spine & Rehab., LLC	Organization	Physical Therapy Clinic/Center	Trumbull, CT
1578592713	Jonathan Fillmore	Individual	Endocrinology, Diabetes & Metabolism Physician	Trumbull, CT
1609892058	Melanie Albright	Individual	Advanced Practice Midwife	Trumbull, CT

Verify this record

Cross-check NPI 1295733491 against the authoritative CMS record: view Black Rock Tpk Med Grp on the official NPPES registry .

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. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-09-11. Verify at npiregistry.cms.hhs.gov.

Where is Black Rock Tpk Med Grp located?

The practice location on file with NPPES is in Trumbull, CT.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-09-11.