Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Titan Primary Care, Inc

Organization Addiction Medicine (Family Medicine) Physician · NPI 1053921957

Titan Primary Care, Inc is an Addiction Medicine (Family Medicine) Physician in Jackson Heights, New York. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3753 90th St Ste 11
Jackson Heights, NY 11372-7879
Phone: (623) 738-6372
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Family Medicine) Physician (primary) Taxonomy 207QA0401X

Record details

NPI number1053921957
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pablo Bustos — Ceo · (623) 738-6372
NPI enumeratedAugust 5, 2020
Last updated in NPPESAugust 5, 2020
Certification dateAugust 5, 2020
Mailing address3753 90th St Ste 11, Jackson Heights, NY 11372-7879