DR. CAROLINE O BLACK M.D. NPI 1023351079

NPI Information

  • NPI: 1023351079
  • Provider Name: DR. CAROLINE O BLACK, M.D.
  • Classification: Emergency Medicine - 207PP0204X
  • Specialization: Pediatric Emergency Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: EMERGENCY DEPARTMENT
    5 PERRYRIDGE ROAD
    GREENWICH, CT
    ZIP 06830
  • Phone: (032) 863-3637

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NPI Details

DR. Caroline O Black, M.D. is a pediatric emergency medicine emergency medicine in Greenwich, CT with 13 years of experience. The provider is pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. DR. Caroline O Black, M.D. NPI is 1023351079. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduation Year:2013

The provider's business location address is:

EMERGENCY DEPARTMENT
5 PERRYRIDGE ROAD
GREENWICH, CT
ZIP 06830
Phone: (032) 863-3637

The NPI 1023351079 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/28/2013 and was last updated on 6/2/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207PP0204XEmergency MedicinePediatric Emergency Medicine25MA10612900NEW JERSEYNo
2207PP0204XEmergency MedicinePediatric Emergency Medicine79850CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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