OrganizationActive
Main Medical-Mystic, LLC
NPI 1003001850 · Internal Medicine Physician · Mystic, CT
Provider details
- NPI number
- 1003001850
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Roy Main, Owner/Physician(860) 536-1666
- License
- 031865 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
23 Clara Dr
Suite 201
Mystic, CT 06355-1959
Phone: (860) 536-1666
Fax: (860) 536-9770
Street-level locationGet directions
Mailing address
23 Clara Dr
Mystic, CT 06355-1959
Registry dates
- Enumerated
- 2007-09-13
- Last updated
- 2007-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.