Active NPI
Nitin M Hate, MD
- Occupational Medicine Physician
- Cape Canaveral, FL
National Provider Identifier
1013035070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- ME051541
- Practice address
- 390 Challenger Road
Cape Canaveral, FL 32920 - Phone
- (321) 633-8650
- Fax
- (321) 633-8651
- NPI assigned
- Mar 27, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | ME051541 | FL | Primary |
Addresses
Primary practice location
390 Challenger Road
Cape Canaveral, FL 32920
Mailing address
805 Century Medical Drive
Credentialing Office
Titusville, FL 32809-3405
Phone (321) 633-8650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008398011 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME051541 | FL | MD | Occupational Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1013035070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 CENTURY MEDICAL DRIVE",
"address_2": "CREDENTIALING OFFICE",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "328093405",
"telephone_number": "321-633-8650",
"fax_number": "321-633-8651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 CHALLENGER ROAD",
"city": "CAPE CANAVERAL",
"state": "FL",
"postal_code": "32920",
"telephone_number": "321-633-8650",
"fax_number": "321-633-8651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATE",
"first_name": "NITIN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-27",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "FL",
"license": "ME051541",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008398011",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cape Canaveral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.