Active NPIOrganization

Main Street Medical Providers LLC

Internal Medicine in Parsippany, New Jersey

NPI Number1790497444
Practice location
65 Leah Way, Parsippany, NJ 07054-3448
Fax
646-701-5598
Last updated
December 14, 2022

Main Street Medical Providers LLC is a healthcare organization based in Parsippany, NJ. Main Street Medical Providers LLC practices in Parsippany, NJ. The NPI Number for Main Street Medical Providers LLC is 1790497444. The current practice location address for Main Street Medical Providers LLC is 65 Leah Way, Parsippany, NJ 07054-3448 and can be reached out via phone at 551-223-7912 and via fax at 646-701-5598.

Provider Profile Details

NPI Number
1790497444
Provider Name
Main Street Medical Providers LLC
Provider Entity Type
Organization
Address
65 Leah Way, Parsippany, NJ 07054-3448
Phone Number
551-223-7912
Fax Number
646-701-5598
Primary Taxonomy
Internal Medicine · 207R00000X
Organization Subpart
No
Authorized Official
Dr. Santhosh Chakilam, MD · Owner · 551-223-7912
Provider Enumeration Date
December 14, 2022
Last Update Date
December 14, 2022
Certification Date
December 14, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
65 Leah Way
Parsippany, NJ 07054-3448
Zip
07054-3448
Phone Number
551-223-7912
Fax Number
646-701-5598
Parsippany, NJ 07054Get directions →

Provider Business Mailing Address Details

Address
65 Leah Way
Parsippany, NJ 07054-3448
City
Parsippany
State
NJ
Zip
07054-3448
Phone Number
551-223-7912
Fax Number
646-701-5598

License Information

Taxonomy
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Main Street Medical Providers LLC?

The NPI number of Main Street Medical Providers LLC is 1790497444. It was assigned on December 14, 2022 and is currently active in the NPPES registry.

What is the specialty of Main Street Medical Providers LLC?

Main Street Medical Providers LLC is registered under the primary taxonomy Internal Medicine (code 207R00000X).

Where does Main Street Medical Providers LLC practice?

The practice location is 65 Leah Way, Parsippany, NJ 07054-3448. The office can be reached at 551-223-7912 (phone) or 646-701-5598 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790497444 directly on the NPPES registry website.

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