NPIMap

Organization Active NPI

Titan Health Partners LLC

Doing business as Solara Primary Care

  • 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
Doing business as
Solara Primary Care
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
Last updated
Jan 30, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
TITAN HEALTH PARTNERS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Edward J LicitraNPI 1538139548
Title
Chief Executive Officer / Chairman
Phone
(732) 390-7750

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

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

  • Solara Primary Care Doing business as

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 Cen58 organizations share this tax ID, including this one
Part of
St Mary Regional Cancer Cen

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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.