Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Main Street Medical Providers LLC

Organization Internal Medicine Physician · NPI 1790497444

Main Street Medical Providers LLC is an Internal Medicine Physician in Parsippany, New Jersey. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

65 Leah Way
Parsippany, NJ 07054-3448
Phone: (551) 223-7912
Fax: (646) 701-5598
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1790497444
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Santhosh Chakilam — Owner · (551) 223-7912
NPI enumeratedDecember 14, 2022
Last updated in NPPESDecember 14, 2022
Certification dateDecember 14, 2022
Mailing address65 Leah Way, Parsippany, NJ 07054-3448

Other providers in Parsippany