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TITAN PRIMARY CARE, INC
NPI 1053921957
Family Medicine - Addiction Medicine in Jackson Heights, NY

Active since August 05, 2020
3753 90TH ST STE 11, JACKSON HEIGHTS, NY 11372(623) 738-6372 Get Directions Write a Review

NPPES record last updated: August 5, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Titan Primary Care, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TITAN PRIMARY CARE, INC (NPI 1053921957) is a healthcare organization registered as an addiction medicine in Jackson Heights, New York and active in the NPI registry since August 2020. The organization lists Pablo Esteban Bustos, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053921957
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameTITAN PRIMARY CARE, INC
Location Address3753 90TH ST STE 11Jackson Heights, NY 11372-7879
Mailing Address3753 90th St Ste 11Jackson Heights, NY 11372-7879 · (623) 738-6372
Phone(623) 738-6372
Organization SubpartNo
Authorized OfficialPablo Esteban BustosCeo · (623) 738-6372
Enumeration DateAugust 5, 2020
NPPES CertifiedAugust 5, 2020
✔ NPI 1053921957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
3753 90TH ST STE 11, Jackson Heights, NY 11372
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Titan Primary Care, Inc's NPI number?

The NPI number for Titan Primary Care, Inc is 1053921957. It was assigned to this organization in the NPPES registry on August 5, 2020.

Where is Titan Primary Care, Inc located?

Titan Primary Care, Inc is located at 3753 90th St Ste 11, Jackson Heights, NY 11372. The listed phone number is (623) 738-6372.

What is Titan Primary Care, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

When was this NPI record last updated?

The NPPES record for Titan Primary Care, Inc was last updated on August 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.