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BLACK ROCK PEDIATRICS
NPI 1760629232
Pediatrics in Fairfield, CT

Active since January 20, 2009CLIA 07D1096439 · Waiver
1817 BLACK ROCK TPKE, SUITE 206, FAIRFIELD, CT 06825(203) 337-5333 Get Directions Write a Review

NPPES record last updated: January 5, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Black Rock Pediatrics NPPES

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

BLACK ROCK PEDIATRICS (NPI 1760629232) is a healthcare organization registered as a pediatrics in Fairfield, Connecticut and active in the NPI registry since January 2009. The organization holds a CLIA Waiver certificate valid through December 12, 2027 and lists Elin R Cohen, President, as its authorized official.

NPPES Registry Identity

NPI1760629232
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameBLACK ROCK PEDIATRICS
Location Address1817 BLACK ROCK TPKE, SUITE 206Fairfield, CT 06825-3546
Mailing Address1817 Black Rock Tpke, Suite 206Fairfield, CT 06825-3546 · (203) 337-5333 · Fax (203) 337-5360
Phone(203) 337-5333
Organization SubpartNo
Authorized OfficialElin R CohenPresident · (203) 650-6030
Enumeration DateJanuary 20, 2009
Last NPPES UpdateJanuary 5, 2012
✔ NPI 1760629232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CT · 037492
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1817 BLACK ROCK TPKE, Fairfield, CT 06825
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D1096439

Black Rock Pediatrics PC Attn-Diane Sather · Fairfield, CT
Active · expires Dec 12, 2027
CLIA Number07D1096439
Laboratory TypePhysician Office
Certificate Effective DateDecember 13, 2025
Certificate Expiration DateDecember 12, 2027
Laboratory DirectorElin R. Cohen MD
Laboratory Phone(203) 337-5333
Laboratory LocationBlack Rock Pediatrics PC Attn-Diane Sather1817 Black Rock Turnpike, Suite 206, Fairfield, CT 06825
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

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

DR. FIGEN AYSE BAYDUR DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
1817 BLACK ROCK TPKE
FAIRFIELD, CT 06825
Greater Bridgeport Planning Region (203) 333-0050
NORTHEAST OPHTHALMIC PLASTIC AND RECONSTRUCTIVE SURGEONS PLLC
Ophthalmology
1817 BLACK ROCK TPKE
FAIRFIELD, CT 06825
Greater Bridgeport Planning Region (203) 424-0228
EMMA S COOKE ND
Naturopath
1817 BLACK ROCK TPKE
FAIRFIELD, CT 06825
Greater Bridgeport Planning Region (914) 582-5084
DR. LAWRENCE I LIPTON D.M.D.
Dentist (Pediatric Dentistry)
1817 BLACK ROCK TPKE, SUITE #3
FAIRFIELD, CT 06825
Greater Bridgeport Planning Region (203) 336-5544
CARDINAL CHIROPRACTIC, LLC
Clinic/Center
1817 BLACK ROCK TPKE, SUITE 102
FAIRFIELD, CT 06825
Greater Bridgeport Planning Region (203) 368-9990
DALMA VICTORIA HEYN MSW, LMSW
Counselor (Mental Health)
1817 BLACK ROCK TPKE
FAIRFIELD, CT 06825
Greater Bridgeport Planning Region (203) 717-1339
JOEL J BEAMAN DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
1817 BLACK ROCK TPKE
FAIRFIELD, CT 06825
Greater Bridgeport Planning Region (203) 333-0050
FAIRFIELD-MONROE ORTHODONTICS, LLC
Dentist (Orthodontics and Dentofacial Orthopedics)
1817 BLACK ROCK TPKE
FAIRFIELD, CT 06825
Greater Bridgeport Planning Region (203) 333-0050

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 Pediatrics's NPI number?

The NPI number for Black Rock Pediatrics is 1760629232. It was assigned to this organization in the NPPES registry on January 20, 2009.

Where is Black Rock Pediatrics located?

Black Rock Pediatrics is located at 1817 Black Rock Tpke Suite 206, Fairfield, CT 06825. The listed phone number is (203) 337-5333.

What is Black Rock Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Black Rock Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D1096439) is associated with this NPI, valid through December 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Black Rock Pediatrics was last updated on January 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.