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Titan Health Partners LLC

Organization Active NPI Hematology & Oncology Physician · Bridgewater, NJ

NPI 1497095053 · NPPES record last updated Jan 30, 2024

Key facts

NPI
1497095053
Entity type
Organization (NPI type 2)
Primary specialty
Hematology & Oncology Physician 207RH0003X
Legal business name
TITAN HEALTH PARTNERS LLC
Practice address
1200 US Highway 22East
FL 3
Bridgewater, NJ 08807
Phone
(732) 390-7750
NPI assigned
Feb 19, 2013
Organization subpart
No

Authorized official

Name
Edward J Licitra, MD, PHD NPI 1538139548
Title
Ceo/Chairman
Phone
(732) 390-7750

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

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 24

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

Practitioners 98

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 98

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20210427002730 NJ DME Supplier - Physician - General Practice 3971915349 Practice locations: Bridgewater, NJ

National Provider Directory

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

Locations

30 Rehill Ave
Ste 2500
Somerville, NJ 08876
Phone (908) 927-8700

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 207RH0003X Yes

Addresses

Primary practice location

1200 US Highway 22East
FL 3
Bridgewater, NJ 08807

Mailing address

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

Other practice location 1

30 Rehill Ave Fl 2
Suite 2500
Somerville, NJ 08876-2500
Phone (908) 927-8700

Other identifiers

IdentifierTypeStateIssuer
6682390018OtherNJMEDICARE NSC DMERC PTAN
7892570002OtherNJNSC DMERT PTAN

Other names

  • Astera Cancer Care Doing business as

Other providers in Bridgewater, NJ

All providers in Bridgewater, NJ · Hematology & Oncology Physician in New Jersey

Sources for this page

Verify at the official NPI Registry.