Active NPI
Blackfin Capital
- Supports Brokerage Agency
- Greenwich, CT
National Provider Identifier
1013420728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Supports Brokerage Agency
- Legal business name
- BLACKFIN CAPITAL
- Practice address
- 44 S Stanwich Rd
Greenwich, CT 06831-3109 - Phone
- (561) 331-0808
- Fax
- (561) 331-6253
- NPI assigned
- Nov 16, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrea Trevino
- Title
- Admin
- Phone
- (561) 331-0808
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Supports Brokerage Agency | 251X00000X | Primary |
Addresses
Primary practice location
44 S Stanwich Rd
Greenwich, CT 06831-3109
Mailing address
6415 Lake Worth Rd Ste 102
Greenacres, FL 33463-3009
Phone (561) 331-0808
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510790400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1585267200000",
"number": "1013420728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6415 LAKE WORTH RD STE 102",
"city": "GREENACRES",
"state": "FL",
"postal_code": "334633009",
"telephone_number": "561-331-0808",
"fax_number": "561-237-6034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 S STANWICH RD",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068313109",
"telephone_number": "561-331-0808",
"fax_number": "561-331-6253"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLACKFIN CAPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-16",
"last_updated": "2020-03-27",
"certification_date": "2020-03-27",
"status": "A",
"authorized_official_last_name": "TREVINO",
"authorized_official_first_name": "ANDREA",
"authorized_official_title_or_position": "ADMIN",
"authorized_official_telephone_number": "561-331-0808"
},
"taxonomies": [
{
"code": "251X00000X",
"taxonomy_group": "",
"desc": "Supports Brokerage",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.