Organization Active NPI

Titan Health Team, Inc.

  • Primary Care Clinic/Center
  • Boynton Beach, FL
National Provider Identifier
1457852840
Registry record updated Feb 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
225164 Issued in NY
Legal business name
TITAN HEALTH TEAM, INC.
Practice address
4 Westgate LN Apt C
Boynton Beach, FL 33436-6358
Phone
(516) 224-4157
Fax
(516) 864-4599
NPI assigned
Feb 22, 2018
Last updated
Feb 22, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
TITAN HEALTH TEAM, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 22, 2018

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

Authorized official

Name
Dr. Denise C Santucci, MDNPI 1023098076
Title
President
Phone
(516) 224-4157

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 225164 NY Primary

Addresses

Primary practice location

4 Westgate LN Apt C
Boynton Beach, FL 33436-6358

Mailing address

4 Westgate LN Apt C
Boynton Beach, FL 33436-6358

Other identifiers 1

IdentifierTypeStateIssuer
02365837MedicaidNY

National Provider Directory

National Provider Directory
Part of
Titan Health Team Inc

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": "1519257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519257600000",
    "number": "1457852840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WESTGATE LN APT C",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334366358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WESTGATE LN APT C",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334366358",
            "telephone_number": "516-224-4157",
            "fax_number": "516-864-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TITAN HEALTH TEAM, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TITAN HEALTH TEAM, INC.",
        "enumeration_date": "2018-02-22",
        "last_updated": "2018-02-22",
        "status": "A",
        "authorized_official_last_name": "SANTUCCI",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-224-4157",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "225164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02365837",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.