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MAIN MEDICAL-MYSTIC, LLC
NPI 1003001850
Internal Medicine in Mystic, CT

Active since September 13, 2007
23 CLARA DR, SUITE 201, MYSTIC, CT 06355(860) 536-1666(860) 536-9770 Get Directions Write a Review

NPPES record last updated: September 13, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Main Medical-mystic, Llc NPPES

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

MAIN MEDICAL-MYSTIC, LLC (NPI 1003001850) is a healthcare organization registered as an internal medicine in Mystic, Connecticut and active in the NPI registry since September 2007. The organization lists Roy Martin Main, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1003001850
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMAIN MEDICAL-MYSTIC, LLC
Location Address23 CLARA DR, SUITE 201Mystic, CT 06355-1959
Mailing Address23 Clara Dr, Suite 201Mystic, CT 06355-1959 · (860) 536-1666 · Fax (860) 536-9770
Phone(860) 536-1666
Fax(860) 536-9770
Organization SubpartNo
Authorized OfficialRoy Martin MainOwner/physician · (860) 536-1666
Enumeration DateSeptember 13, 2007
✔ NPI 1003001850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CT · 031865
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
23 CLARA DR, Mystic, CT 06355
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Other Identifiers 2

Medicare PINC02861CT
Medicare UPINB30093CT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

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

MRS. LAURA ANN WHITE OTRL
Occupational Therapist
23 CLARA DR, VISIONS SIGHT AND LEARNING CENTER
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 572-4805
JENNIFER FELICELLI PA-C
Physician Assistant
23 CLARA DR
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 536-1666
DR. SUNGSIL CHO MD
Family Medicine
23 CLARA DR
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 572-5782
DR. ADRIENNE LYNNE MAROLD PARAD M.D.
Family Medicine
23 CLARA DR, SUITE 203
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 464-2028
MRS. GABRIELLE EDEN PIERCE PA-C
Physician Assistant
23 CLARA DR, SUITE 201
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 536-1666
BRUCE A. BERLOW M.D.
Specialist
23 CLARA DR, SUITE 204
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 536-2995
COASTAL CHIROPRACTIC & FAMILY WELLNESS CENTRE
Nurse Practitioner (Family)
23 CLARA DR, SUITE 105
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 572-7711
SANDY ZHANG APRN
Nurse Practitioner (Family)
23 CLARA DR
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 572-5782

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 Main Medical-Mystic, LLC's NPI number?

The NPI number for Main Medical-Mystic, LLC is 1003001850. It was assigned to this organization in the NPPES registry on September 13, 2007.

Where is Main Medical-Mystic, LLC located?

Main Medical-Mystic, LLC is located at 23 Clara Dr Suite 201, Mystic, CT 06355. The listed phone number is (860) 536-1666.

What is Main Medical-Mystic, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Main Medical-Mystic, LLC was last updated on September 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.