NPIMap

Organization Active NPI

Titan Health Partners LLC

  • Family Medicine Physician
  • East Brunswick, NJ
National Provider Identifier
1316728892
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TITAN HEALTH PARTNERS LLC
Practice address
579A Cranbury Rd Ste 103
East Brunswick, NJ 08816-5426
Phone
(732) 724-3070
Fax
(732) 853-7422
NPI assigned
Oct 10, 2023
Organization subpart
Yes
Parent organization
TITAN HEALTH PARTNERS LLCAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Edward J Licitra
Title
Chief Executive Officer / Chairman
Phone
(732) 390-7750

Corporate family (same tax ID) 24

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
31D2293494Titan Health Partners, LLC579A Cranbury Rd,, East Brunswick, NJ 08816Certificate of waiverNov 8, 2027

National Provider Directory

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

579A Cranbury Rd Ste 103
East Brunswick, NJ 08816-5426

Mailing address

Titan Health Partners, LLC
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 30, 2024.

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1316728892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "TITAN HEALTH PARTNERS, LLC",
            "address_2": "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": "579A CRANBURY RD STE 103",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165426",
            "telephone_number": "732-724-3070",
            "fax_number": "732-853-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TITAN HEALTH PARTNERS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TITAN HEALTH PARTNERS LLC",
        "enumeration_date": "2023-10-10",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "LICITRA",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER / CHAIRMAN",
        "authorized_official_telephone_number": "732-390-7750"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Solara Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Solara Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.