Doctor profile · Federal record
Dr. Shelby Blackley
Surgical Physician Assistant · Trumbull, CT
- NPI 1518584259
- 6 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
5520 Park Ave Ste Wp-2300
Trumbull, CT 066113463
(203) 374-0310 - Mailing address
-
60 Metropolitan Park Dr
Riverside, RI 029152150
Credentials & registration
- NPI registered
- June 2020 — 6 yrs on file
- Profile last updated
- October 1, 2025
- Specialty taxonomy
- 363AS0400X — NUCC code
- State license (1)
- Connecticut #4908
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1518584259. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$323
Transactions
11
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ABBVIE INC. | 8 | $257.52 | |
| REVANCE THERAPEUTICS, INC. | 3 | $65.34 |
By nature of payment
Frequently asked questions
What is Dr. Shelby Blackley's medical specialty?
Dr. Shelby Blackley practices Surgical Physician Assistant in Trumbull, CT.
Where does Dr. Shelby Blackley practice?
Dr. Shelby Blackley practices at 5520 Park Ave Ste Wp-2300, Trumbull, CT 066113463. Office phone: 2033740310.
What is Dr. Shelby Blackley's NPI?
Dr. Shelby Blackley's National Provider Identifier (NPI) is 1518584259, issued by NPPES.