JEREMIAH JORDAN DECASTEELE
NPI 1508636366
Military Health Care Provider - Independent Duty Corpsman in Groton, CT

Q: What is Jeremiah Decasteele's NPI number?

The NPI number for Jeremiah Decasteele is 1508636366. It was assigned to this individual provider in the NPPES registry on January 3, 2024.

Q: What is Jeremiah Decasteele's specialty?

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

Active since January 03, 2024

63 OHIO AVE, GROTON, CT 06340(631) 992-0705 Get Directions Write a Review

NPPES record last updated: January 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jeremiah Jordan Decasteele NPPES

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

JEREMIAH JORDAN DECASTEELE (NPI 1508636366) is an individual independent duty corpsman provider in Groton, Connecticut and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1508636366

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameJEREMIAH JORDAN DECASTEELE

Location Address63 OHIO AVEGroton, CT 06340-6106

Mailing Address63 Ohio AveGroton, CT 06340-6106 · (631) 992-0705

Phone(631) 992-0705

Sole ProprietorYes

Enumeration DateJanuary 3, 2024

NPPES CertifiedJanuary 3, 2024

✔ NPI 1508636366 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.

63 OHIO AVE, Groton, CT 06340

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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 Jeremiah Decasteele's NPI number?

The NPI number for Jeremiah Decasteele is 1508636366. It was assigned to this individual provider in the NPPES registry on January 3, 2024.

Where is Jeremiah Decasteele located?

Jeremiah Decasteele practices at 63 Ohio Ave, Groton, CT 06340. The listed phone number is (631) 992-0705.

What is Jeremiah Decasteele'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 Jeremiah Decasteele was last updated on January 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.