OrganizationActive
Black Rock Pediatrics
NPI 1760629232 · Pediatrics Physician · Fairfield, CT
Provider details
- NPI number
- 1760629232
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Elin Cohen, President(203) 650-6030
- License
- 037492 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1817 Black Rock Tpke
Suite 206
Fairfield, CT 06825-3546
Phone: (203) 337-5333
Street-level locationGet directions
Mailing address
1817 Black Rock Tpke
Fairfield, CT 06825-3546
Registry dates
- Enumerated
- 2009-01-20
- Last updated
- 2012-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.