Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eugene Koblik, APRNMSNFNP

Individual provider Nurse Practitioner · NPI 1538953633

Eugene Koblik, APRNMSNFNP is a Nurse Practitioner in Greenwich, Connecticut. Graduated from University of Connecticut School of Medicine in 2025, 1 year ago. Practices with Northeast Medical Group Inc, a 1,360-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
1
Trained at
University of Connecticut School of Medicine
Licensed in
CT
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

5 Perryridge Rd
Greenwich, CT 06830-4608
Phone: (203) 863-3566
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 15927 (CT)
Registered Nurse Taxonomy 163W00000X · Licence 179050 (CT)

Record details

NPI number1538953633
Entity typeIndividual (Type 1)
GenderMale
Credentials APRNMSNFNP
Sole proprietorNo
NPI enumeratedApril 5, 2025
Last updated in NPPESMarch 5, 2026
Certification dateMarch 5, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Group practice Northeast Medical Group Inc — 1360 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Greenwich