Black Rock Tpk Med Grp
NPI 1295733491ActiveOrganization· Internal Medicine· Trumbull, CT
Internal Medicine in Trumbull, Connecticut, registered in NPPES in July 2005. The authorized official on file is Elizabeth Fernandez, Office Administrator.
Overview
| NPI | 1295733491 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 12, 2005 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 013894 | CT |
| Internal Medicine, Hematology & Oncology | 207RH0003X | — | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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