Individual provider Active NPI

Nitin Prabhakar Chitre, M.D.

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1841404829
Registry record updated Oct 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200282 Issued in NY
Practice address
174 Bay 29TH St
Brooklyn, NY 11214-5020
Phone
(718) 679-5355
NPI assigned
May 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 200282 NY Primary

Addresses

Primary practice location

174 Bay 29TH St
Brooklyn, NY 11214-5020

Mailing address

69 Revere Blvd
Edison, NJ 08820-1908
Phone (732) 574-9576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200282NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Family Medicine CurrentSince Jun 1, 2019 Accepting new patients
North Shore - Lij Medical PC CurrentSince Jun 1, 2019 Accepting new patients
Coney Island Medical Practice Plan, P.C. CurrentSince Sep 20, 2013 Accepting new patients
Physicians of University Hospital, PC CurrentSince May 1, 2013 Accepting new patients
Physicians of University Hospital, PC CurrentSince May 1, 2013 Accepting new patients

Locations

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

300 Community Dr
Plandome, NY 11030

242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458

375 Seguine Ave
Staten Island, NY 10309
Phone (718) 226-2000

1 Edgewater St
Fl 6
Staten Island, NY 10305
Phone (718) 226-1047

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855

401 Seaview Ave
Lowr
Staten Island, NY 10305
Phone (718) 226-6186

972 Brush Hollow Rd
Westbury, NY 11590

Interoperability endpoints

  • Direct secure messaging: nchitre144907@nychhc.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224633600000",
    "number": "1841404829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 REVERE BLVD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201908",
            "telephone_number": "732-574-9576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 BAY 29TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112145020",
            "telephone_number": "718-679-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHITRE",
        "first_name": "NITIN",
        "middle_name": "PRABHAKAR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2008-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "200282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.