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BLACK ROCK TPK MED GRP
NPI 1295733491
Internal Medicine in Trumbull, CT

Active since July 12, 2005
5520 PARK AVE, SUITE 203, TRUMBULL, CT 06611(203) 334-7400(203) 338-0455 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Jul 21, 2022, Aug 22, 2020 (3 updates tracked since 2020).

About Black Rock Tpk Med Grp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLACK ROCK TPK MED GRP (NPI 1295733491) is a healthcare organization registered as an internal medicine in Trumbull, Connecticut and active in the NPI registry since July 2005. The organization lists Elizabeth Fernandez, Office Administrator, as its authorized official.

NPPES Registry Identity

NPI1295733491
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBLACK ROCK TPK MED GRP
Location Address5520 PARK AVE, SUITE 203Trumbull, CT 06611-3463
Mailing Address5520 Park Ave, Suite 203Trumbull, CT 06611-3463 · (203) 334-7400 · Fax (203) 338-0455
Phone(203) 334-7400
Fax(203) 338-0455
Organization SubpartNo
Authorized OfficialElizabeth FernandezOffice Administrator · (203) 334-7400
Enumeration DateJuly 12, 2005
Last NPPES UpdateSeptember 11, 20253 updates tracked since enumeration
✔ NPI 1295733491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CT · 013894
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X
5520 PARK AVE, Trumbull, CT 06611
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSANNA DAHL CRONMILLER F.N.P, APRN
Nurse Practitioner (Family)
5520 PARK AVE
TRUMBULL, CT 06611
Greater Bridgeport Planning Region (203) 502-8400
MRS. ALEXIS GRACE SHAUB PA
Physician Assistant (Medical)
5520 PARK AVE
TRUMBULL, CT 06611
Greater Bridgeport Planning Region (203) 502-8400
DR. TIMOTHY JOHN HEITZMAN PH.D.
Psychologist
5520 PARK AVE, SUITE 206
TRUMBULL, CT 06611
Greater Bridgeport Planning Region (203) 612-0908
JENNIFER ZHANG APRN
Nurse Practitioner (Family)
5520 PARK AVE
TRUMBULL, CT 06611
Greater Bridgeport Planning Region (203) 502-8400
KATHERINE AILEEN DUARTE APRN
Nurse Practitioner (Community Health)
5520 PARK AVE
TRUMBULL, CT 06611
Greater Bridgeport Planning Region (203) 372-6700
ROBIN BERGER MD
Obstetrics & Gynecology
5520 PARK AVE, SUITE 302
TRUMBULL, CT 06611
Greater Bridgeport Planning Region (203) 374-1018
CONNECTICUT PAIN CARE, P.C.
Specialist
5520 PARK AVE, SUITE 303
TRUMBULL, CT 06611
Greater Bridgeport Planning Region (203) 373-7330
DR. KERRY WRIGHT D.O.
Obstetrics & Gynecology
5520 PARK AVE, SUITE 302
TRUMBULL, CT 06611
Greater Bridgeport Planning Region (845) 418-0763

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Black Rock Tpk Med Grp's NPI number?

The NPI number for Black Rock Tpk Med Grp is 1295733491. It was assigned to this organization in the NPPES registry on July 12, 2005.

Where is Black Rock Tpk Med Grp located?

Black Rock Tpk Med Grp is located at 5520 Park Ave Suite 203, Trumbull, CT 06611. The listed phone number is (203) 334-7400.

What is Black Rock Tpk Med Grp's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Black Rock Tpk Med Grp was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.