Individual provider Active NPI

Nitin M Hate, MD

  • Occupational Medicine Physician
  • Cape Canaveral, FL
National Provider Identifier
1013035070
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
ME051541 Issued in FL
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

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
008398011MedicaidFL

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

LicenseStateTypeSpecialty
ME051541FLMDOccupational 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.

Verify at the official NPI Registry.