UNITED STATES NAVY
NPI 1962959478
Military Health Care Provider - Independent Duty Corpsman in Groton, CT

Active since September 01, 2016
1 CRYSTAL LAKE RD, BLDG 159 NAVAL UNDERSEA MEDICAL INST. NAVSUBASE NLON, GROTON, CT 06349(860) 694-6483 Get Directions Write a Review

NPPES record last updated: September 1, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About United States Navy NPPES

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

UNITED STATES NAVY (NPI 1962959478) is a healthcare organization registered as an independent duty corpsman in Groton, Connecticut and active in the NPI registry since September 2016. The organization lists James J Mucciarone, Commander / Oic Naval Undersea Med, as its authorized official.

NPPES Registry Identity

NPI1962959478
Entity TypeOrganization
Primary Taxonomy1710I1002X
Legal Business NameUNITED STATES NAVY
Location Address1 CRYSTAL LAKE RD, BLDG 159 NAVAL UNDERSEA MEDICAL INST. NAVSUBASE NLONGroton, CT 06349-2300
Mailing Address1 Crystal Lake Road, Bldg 159 Naval Undersea Medical Inst. Navsubase NlonGroton, CT 06340
Organization SubpartNo
Authorized OfficialJames J MucciaroneCommander / Oic Naval Undersea Med · (860) 694-6483
Enumeration DateSeptember 1, 2016
NPI 1962959478 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.
1 CRYSTAL LAKE RD, Groton, CT 06349

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Military Health Care Provider (Independent Duty Corpsman)
1 CRYSTAL LAKE RD, NAVAL UNDERSEA MEDICAL INSTITUTE BLDG 159
GROTON, CT 06349
Military Health Care Provider (Independent Duty Corpsman)
1 CRYSTAL LAKE RD
GROTON, CT 06349
Military Health Care Provider (Independent Duty Corpsman)
1 CRYSTAL LAKE RD, NAVAL UNDERSEA MEDICAL INSTITUTE BLDG 159
GROTON, CT 06349

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 United States Navy's NPI number?

The NPI number for United States Navy is 1962959478. It was assigned to this organization in the NPPES registry on September 1, 2016.

Where is United States Navy located?

United States Navy is located at 1 Crystal Lake Rd Bldg 159 Naval Undersea Medical Inst. Navsubase Nlon, Groton, CT 06349. The listed phone number is (860) 694-6483.

What is United States Navy'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 United States Navy was last updated on September 1, 2016. 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.