Pedirite Medical CT PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PEDIRITE MEDICAL CT PLLC

Practice address

55 Grand St
New Britain, CT 06052-2021

Phone

(212) 764-0008

NPI assigned

Aug 4, 2020

Last updated

Aug 4, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sol Klein

Title

Member

Phone

(212) 764-0008

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Theresa Integral Dy Djama, DPM

  • Podiatrist
  • Bridgeport, CT
  • NPI 1265828818
  Medicare reassignment NPD
• Shivani Panchal, DPM

  • Podiatrist
  • Stamford, CT
  • NPI 1295267730
  Medicare reassignment NPD
• Cassandre Sophia Aman, DPM

  • Primary Podiatric Medicine Podiatrist
  • Binghamton, NY
  • NPI 1700374956

  CT, Single Specialty

  Medicare reassignment NPD
• Osman D Joasil, D.P.M.

  • Podiatrist
  • Bronx, NY
  • NPI 1184948176

  CT

  Medicare reassignment NPD
• Emma Otieno, DPM

  • Podiatrist
  • New York, NY
  • NPI 1730716119

  CT

  Medicare reassignment NPD
• Stephanie Haddad, DPM

  • Podiatrist
  • Brooklyn, NY
  • NPI 1659863157
  NPD

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596499200000",
    "number": "1316557309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 BROADWAY FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112116216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 GRAND ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060522021",
            "telephone_number": "212-764-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIRITE MEDICAL CT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-04",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "SOL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "212-764-0008"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Ann Pearson, MFTA
• Jolanta Alicia Pecora, M.A.CCCA.
• Lauren Marie Pedersen, LMFT
• Pediatric Dentistry and Orthodontics PLLC
• Pediatric Dentistry, P.C.
• John Pelegano, MD
• Meghan Pellerin
• Mark Pennington, M.D.
• Stephanie Pennington, PH.D.
• Toni Penta, PT

• General Practice Physician in New Britain, CT
• Providers in New Britain, CT by specialty
• General Practice Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.