Active NPI
Pedirite Medical MD LLC
- General Practice Physician
- Baltimore, MD
National Provider Identifier
1841809613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- PEDIRITE MEDICAL MD LLC
- Practice address
- 3330 Wilkens Ave
Baltimore, MD 21229-4610 - Phone
- (212) 764-0008
- NPI assigned
- Jul 28, 2020
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
3330 Wilkens Ave
Baltimore, MD 21229-4610
Mailing address
267 Broadway FL 2
Brooklyn, NY 11211-6216
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Primary Podiatric Medicine Podiatrist
- Germantown, MD
- NPI 1588665418
DC, MD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595894400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739404800000",
"number": "1841809613",
"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": "3330 WILKENS AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212294610",
"telephone_number": "212-764-0008"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIRITE MEDICAL MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-28",
"last_updated": "2025-02-13",
"certification_date": "2025-02-13",
"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": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.