NPIMap

Organization Active NPI

Titan Health Partners, LLC

  • Internal Medicine Physician
  • Old Bridge, NJ
National Provider Identifier
1245093475
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TITAN HEALTH PARTNERS, LLC
Practice address
21 Angela Drive Ste 201
Old Bridge, NJ 08857-1986
Phone
(732) 724-3040
Fax
(732) 242-4811
NPI assigned
Jan 31, 2024
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Eileen Peng
Title
Ci Vice President
Phone
(732) 390-7750

Corporate family (same tax ID) 23

Organizations that report the same tax identification number in the National Provider Directory.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2298962Titan Health Partners, LLC21 Angela Drive, Ste 201, Old Bridge, NJ 08857Certificate of waiverFeb 11, 2028

National Provider Directory

National Provider Directory
Tax ID family
St Mary Regional Cancer Cen (55 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

21 Angela Drive Ste 201
Old Bridge, NJ 08857-1986

Mailing address

629 Cranbury Rd FL 2
East Brunswick, NJ 08816-4096
Phone (732) 390-7750

Other names 1

NPPES NPI Registry
  • Solara Primary Care Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 31, 2024.

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1245093475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 CRANBURY RD FL 2",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164096",
            "telephone_number": "732-390-7750",
            "fax_number": "732-390-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 ANGELA DRIVE STE 201",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088571986",
            "telephone_number": "732-724-3040",
            "fax_number": "732-242-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TITAN HEALTH PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "PENG",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "CI VICE PRESIDENT",
        "authorized_official_telephone_number": "732-390-7750"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Solara Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Old Bridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.