Healthcare Provider Details

I. General information

NPI: 1407772460
Provider Name (Legal Business Name): MAIN PSYCHIATRY GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

271 RTE 46 W STE A208
FAIRFIELD NJ
07004-2400
US

IV. Provider business mailing address

100 HOBOKEN AVE APT 309
JERSEY CITY NJ
07310-1157
US

V. Phone/Fax

Practice location:
  • Phone: 973-303-1054
  • Fax:
Mailing address:
  • Phone: 973-303-1054
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ORRIN PAUL MAIN
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 973-303-1054