National Provider Identifier Database

BLACK ROCK TPK MED GRP
Internal Medicine

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.


Contact Information

BLACK ROCK TPK MED GRP
5520 PARK AVE
SUITE 203
TRUMBULL, CT06611-3463
Phone: 203-334-7400
Fax: 203-338-0455
Website:
Specialty Taxonomy Code
* Internal Medicine 207R00000X
Hematology & Oncology 207RH0003X

* Indicates primary specialty

NPI Profile & details for BLACK ROCK TPK MED GRP

NPI Number 1295733491
Legal business name
LBN
BLACK ROCK TPK MED GRP
Authorized official ELIZABETH FERNANDEZ - (OFFICE ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 07/12/2005
Last updated 09/11/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers
  • CT License #: 013894

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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