MR. NICHOLAS MANJARREZ IDC
NPI 1891229472
Military Health Care Provider - Independent Duty Corpsman in Groton, CT

Q: What is Nicholas Manjarrez's NPI number?

The NPI number for Nicholas Manjarrez is 1891229472. It was assigned to this individual provider in the NPPES registry on April 20, 2017.

Q: What is Nicholas Manjarrez'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 April 20, 2017

159 TROUT AVENUE, NAVAL UNDERSEA MEDICAL INSTITUTE, GROTON, CT 06349(860) 694-2876 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 25, 2023, Apr 20, 2017 (2 updates tracked since 2017).

On this page

About Mr. Nicholas Manjarrez Idc NPPES

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

MR. NICHOLAS MANJARREZ IDC (NPI 1891229472) is an individual independent duty corpsman provider in Groton, Connecticut and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1891229472

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameMR. NICHOLAS MANJARREZCredential: IDC

Location Address159 TROUT AVENUE, NAVAL UNDERSEA MEDICAL INSTITUTEGroton, CT 06349-5159

Mailing AddressPo Box 159Groton, CT 06349-5159 · (860) 694-6453

Phone(860) 694-2876

Sole ProprietorNo

Enumeration DateApril 20, 2017

Last NPPES UpdateOctober 25, 20232 updates tracked since enumeration

NPPES CertifiedOctober 25, 2023

✔ NPI 1891229472 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.

159 TROUT AVENUE, Groton, CT 06349

Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

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

MR. MICHAEL CHARLES STEWART JR. IDC

Military Health Care Provider (Independent Duty Corpsman)

159 TROUT AVENUE
GROTON, CT 06349

Southeastern Connecticut Planning Region (224) 623-3289

MR. DIEN TANG

Military Health Care Provider (Independent Duty Corpsman)

159 TROUT AVENUE
GROTON, CT 06349

Southeastern Connecticut Planning Region (978) 821-5791

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 Nicholas Manjarrez's NPI number?

The NPI number for Nicholas Manjarrez is 1891229472. It was assigned to this individual provider in the NPPES registry on April 20, 2017.

Where is Nicholas Manjarrez located?

Nicholas Manjarrez practices at 159 Trout Avenue Naval Undersea Medical Institute, Groton, CT 06349. The listed phone number is (860) 694-2876.

What is Nicholas Manjarrez'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 Nicholas Manjarrez was last updated on October 25, 2023. 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.