NPIMap

Organization Active NPI

Titan Health Partners LLC

  • Hematology & Oncology Physician
  • East Brunswick, NJ
National Provider Identifier
1790396281
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
TITAN HEALTH PARTNERS LLC
Practice address
629 Cranbury Rd FL 2
East Brunswick, NJ 08816-4096
Phone
(732) 390-7750
Fax
(732) 390-7725
NPI assigned
Aug 10, 2020
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Edward J Licitra, MD, PHDNPI 1538139548
Title
Managing Partner
Phone
(732) 390-7750

Authorized official NPPES reports the 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).

Practitioners 108

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

View all 108

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in NJ, PA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20201209002560 NJ Part B Supplier - Clinic/Group Practice 3971915349 Receives reassigned benefits from 105 practitioners
Practice locations: Monroe Township, NJ; New Brunswick, NJ; Newton, NJ; Old Bridge, NJ; Parsippany, NJ; Robbinsville, NJ; Rutherford, NJ; Sayreville, NJ…
O20201211001669 PA Part B Supplier - Clinic/Group Practice 3971915349 Receives reassigned benefits from 14 practitioners
Practice locations: Langhorne, PA

National Provider Directory

Locations

579A Cranbury Rd
Ste 103
East Brunswick, NJ 08816
Phone (732) 390-4900

620 Cranbury Rd
Ste 202
East Brunswick, NJ 08816

34-36 Progress St
Ste B
Edison, NJ 08820

9 Centre Dr
Ste 115
Monroe Twp, NJ 08831
Phone (609) 655-5755

1 Washington Blvd
Ste 9
Robbinsville, NJ 08691
Phone (732) 314-0540

601 Route 37 W
Ste 101
Toms River, NJ 08755
Phone (732) 240-4545

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X Primary
Radiation Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0001X

Addresses

NPPES NPI Registry

Primary practice location

629 Cranbury Rd FL 2
East Brunswick, NJ 08816-4096

Mailing address

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

Other practice location 1

J2 Brier Hill Ct
East Brunswick, NJ 08816-3340
Phone (732) 390-7750

Other names 1

NPPES NPI Registry
  • Astera Cancer 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": "1597017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1790396281",
    "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": "629 CRANBURY RD FL 2",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164096",
            "telephone_number": "732-390-7750",
            "fax_number": "732-390-7725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "J2 Brier Hill Ct",
            "address_purpose": "LOCATION",
            "city": "East Brunswick",
            "state": "NJ",
            "postal_code": "088163340",
            "country_code": "US",
            "telephone_number": "732-390-7750",
            "fax_number": "732-390-0630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TITAN HEALTH PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-10",
        "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": "MANAGING PARTNER",
        "authorized_official_telephone_number": "732-390-7750",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Astera Cancer 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 enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.