MR. SIMON MATTHEW MAKUCHOWSKI IDC
NPI 1356633598
Military Health Care Provider - Independent Duty Corpsman in Gales Ferry, CT

Active since May 06, 2011
4 OAKRIDGE DR, GALES FERRY, CT 06335(609) 731-5613 Get Directions Write a Review

NPPES record last updated: May 6, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Simon Matthew Makuchowski Idc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SIMON MATTHEW MAKUCHOWSKI IDC (NPI 1356633598) is an individual independent duty corpsman provider in Gales Ferry, Connecticut and active in the NPI registry since May 2011.

NPPES Registry Identity

NPI1356633598
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. SIMON MATTHEW MAKUCHOWSKICredential: IDC
Location Address4 OAKRIDGE DRGales Ferry, CT 06335-1111
Mailing Address4 Oakridge DrGales Ferry, CT 06335-1111 · (609) 731-5613
Sole ProprietorYes
Enumeration DateMay 6, 2011
NPI 1356633598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

4 OAKRIDGE DR, Gales Ferry, CT 06335

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Simon Makuchowski's NPI number?

The NPI number for Simon Makuchowski is 1356633598. It was assigned to this individual provider in the NPPES registry on May 6, 2011.

Where is Simon Makuchowski located?

Simon Makuchowski practices at 4 Oakridge Dr, Gales Ferry, CT 06335. The listed phone number is (609) 731-5613.

What is Simon Makuchowski's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Simon Makuchowski was last updated on May 6, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.