Healthcare Provider Details
I. General information
NPI: 1821088915
Provider Name (Legal Business Name): TITAN HEALTH PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/28/2005
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1608 ROUTE 88 W STE 250
BRICK NJ
08724-3044
US
IV. Provider business mailing address
1608 ROUTE 88 W STE 250
BRICK NJ
08724-3009
US
V. Phone/Fax
- Phone: 732-840-8880
- Fax: 732-840-3939
- Phone: 732-840-8880
- Fax: 732-840-3939
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RH0003X |
| Taxonomy | Hematology & Oncology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
EILEEN
PENG
Title or Position: CL ADMIN
Credential:
Phone: 732-390-7750