IndividualActive
Nicholas Manjarrez, IDC
NPI 1891229472 · Independent Duty Corpsman · Groton, CT
Nicholas Manjarrez, IDC is a Independent Duty Corpsman provider in Groton, CT (NPI 1891229472).
Provider details
- NPI number
- 1891229472
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
159 Trout Avenue
Naval Undersea Medical Institute
Groton, CT 06349-5159
Phone: (860) 694-2876
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 159
Groton, CT 06349-5159
Registry dates
- Enumerated
- 2017-04-20
- Last updated
- 2023-10-25
- Certified
- 2023-10-25
Frequently asked questions
- What is Nicholas Manjarrez's NPI number?
- Nicholas Manjarrez's National Provider Identifier (NPI) is 1891229472, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicholas Manjarrez's specialty?
- Nicholas Manjarrez is listed in the NPPES registry with a primary specialty of Independent Duty Corpsman (Other Service Providers).
- Where is Nicholas Manjarrez located?
- Nicholas Manjarrez's practice location on file with NPPES is 159 Trout Avenue, Groton, CT 06349-5159.
- What is Nicholas Manjarrez's phone number?
- The practice phone number listed in the NPPES registry for Nicholas Manjarrez is (860) 694-2876.
- Is Nicholas Manjarrez's NPI active?
- Yes — Nicholas Manjarrez's NPI (1891229472) is active in the NPPES registry as of the last update on 2023-10-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.