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Main Street Medical Providers LLC

Internal Medicine Physician in Parsippany, NJ · enumerated 2022 · authorized official Santhosh Chakilam, Owner.

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

National Provider Identifier

1790497444

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Registry record

Entity type Organization (Type 2)
Legal business name Main Street Medical Providers LLC
Practice address 65 Leah Way, Parsippany, NJ, 07054
Fax (646) 701-5598
Enumeration date Dec 14, 2022
Last updated in NPPES Dec 14, 2022

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Santhosh Chakilam
Title Owner

Other identifiers

Identifier Type State Issuer
25MA09915600 Other NJ LICENSE

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 the NPI number for Main Street Medical Providers LLC?
The NPI for Main Street Medical Providers LLC is 1790497444, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Main Street Medical Providers LLC?
NPPES lists Santhosh Chakilam (Owner) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-12-14.