Organization Active NPI

Pedirite Medical de LLC

  • General Practice Physician
  • Wilmington, DE
National Provider Identifier
1538800099
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
PEDIRITE MEDICAL DE LLC
Practice address
2801 W 6TH St
Wilmington, DE 19805-1828
Phone
(212) 764-0008
NPI assigned
Apr 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Authorized official

Name
Mr. Sol Klein
Title
Member
Phone
(212) 734-6621

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

2801 W 6TH St
Wilmington, DE 19805-1828

Mailing address

267 Broadway FL 2
Brooklyn, NY 11211-6216
Phone (212) 764-0008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220419000908 DE Part B Supplier - Clinic/Group Practice 3779970942 Receives reassigned benefits from 2 practitioners
Practice locations: Wilmington, DE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754006400000",
    "number": "1538800099",
    "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",
            "telephone_number": "212-764-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 W 6TH ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198051828",
            "telephone_number": "212-764-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIRITE MEDICAL DE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-06",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "SOL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "212-734-6621",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; 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.