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Main Medical-Mystic, LLC

Internal Medicine Physician in Mystic, CT · enumerated 2007 · authorized official Roy Main, Owner/Physician.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1003001850

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Registry record

Entity type Organization (Type 2)
Legal business name Main Medical-Mystic, LLC
Practice address 23 Clara Dr, Suite 201, Mystic, CT, 06355
Fax (860) 536-9770
Enumeration date Sep 13, 2007
Last updated in NPPES Sep 13, 2007

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 031865 (CT) Primary

Authorized official

Name Roy Main
Title Owner/Physician

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Main Medical-Mystic, LLC?
Main Medical-Mystic, LLC is registered in NPPES as a Internal Medicine Physician (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-09-13.