1. Home
  2. Directory
  3. Connecticut
  4. Groton
  5. Military Health Care Provider
  6. NPI Profile

ANDRE JEROME MARIN SUB IDC
NPI 1649578915
Military Health Care Provider - Independent Duty Corpsman in Groton, CT

Active since March 10, 2011
17 CYPRESS LN, GROTON, CT 06340(216) 256-3186 Get Directions Write a Review

NPPES record last updated: March 10, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andre Jerome Marin Sub Idc NPPES

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

ANDRE JEROME MARIN SUB IDC (NPI 1649578915) is an individual independent duty corpsman provider in Groton, Connecticut and active in the NPI registry since March 2011.

NPPES Registry Identity

NPI1649578915
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameANDRE JEROME MARINCredential: SUB IDC
Location Address17 CYPRESS LNGroton, CT 06340-3004
Mailing Address17 Cypress LnGroton, CT 06340-3004
Phone(216) 256-3186
Sole ProprietorNo
Enumeration DateMarch 10, 2011
✔ NPI 1649578915 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.
17 CYPRESS LN, Groton, CT 06340
Open in Google Maps ↗

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MANDISSA SARAFINA THOMPSON
Military Health Care Provider (Independent Duty Corpsman)
17 CYPRESS LN
GROTON, CT 06340
Southeastern Connecticut Planning Region (215) 087-0799

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 Andre Marin's NPI number?

The NPI number for Andre Marin is 1649578915. It was assigned to this individual provider in the NPPES registry on March 10, 2011.

Where is Andre Marin located?

Andre Marin practices at 17 Cypress Ln, Groton, CT 06340. The listed phone number is (216) 256-3186.

What is Andre Marin'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 Andre Marin was last updated on March 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.