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

ANTHONY J GERVASI IDC
NPI 1932622230
Military Health Care Provider - Independent Duty Corpsman in Groton, CT

Active since July 19, 2017
159 TROUT AVE, GROTON, CT 06340(860) 694-6450 Get Directions Write a Review

NPPES record last updated: July 19, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Anthony J Gervasi Idc NPPES

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

ANTHONY J GERVASI IDC (NPI 1932622230) is an individual independent duty corpsman provider in Groton, Connecticut and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1932622230
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameANTHONY J GERVASICredential: IDC
Location Address159 TROUT AVEGroton, CT 06340
Mailing Address15 Greenwood StGroton, CT 06340-2521
Phone(860) 694-6450
Sole ProprietorNo
Enumeration DateJuly 19, 2017
✔ NPI 1932622230 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 AVE, Groton, CT 06340
Open in Google Maps ↗

Other Providers at the Same Location NPPES 6

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

ANDREW TRISTAN BELL IDC
Military Health Care Provider (Independent Duty Corpsman)
159 TROUT AVE
NEW LONDON, CT 06340
Southeastern Connecticut Planning Region (760) 406-3791
AUSTIN BEAUDEAN LENZI
Military Health Care Provider (Independent Duty Corpsman)
159 TROUT AVE
GROTON, CT 06340
Southeastern Connecticut Planning Region (860) 694-6450
RUSSELL JENNINGS RIDER IDC
Military Health Care Provider (Independent Duty Corpsman)
159 TROUT AVE
GROTON, CT 06340
Southeastern Connecticut Planning Region (860) 694-6464
BRYAR TAYLOR GREEN
Military Health Care Provider (Independent Duty Corpsman)
159 TROUT AVE
GROTON, CT 06340
Southeastern Connecticut Planning Region (860) 694-2876
ADAM S GREEN
Military Health Care Provider (Independent Duty Corpsman)
159 TROUT AVE
GROTON, CT 06340
Southeastern Connecticut Planning Region (661) 203-1325
MR. GEORGE CHARLES FRICKE
Military Health Care Provider (Independent Duty Corpsman)
159 TROUT AVE
GROTON, CT 06340
Southeastern Connecticut Planning Region (904) 673-1037

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 Anthony Gervasi's NPI number?

The NPI number for Anthony Gervasi is 1932622230. It was assigned to this individual provider in the NPPES registry on July 19, 2017.

Where is Anthony Gervasi located?

Anthony Gervasi practices at 159 Trout Ave, Groton, CT 06340. The listed phone number is (860) 694-6450.

What is Anthony Gervasi'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 Anthony Gervasi was last updated on July 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.