Active NPI
Pedirite Medical PA PLLC
- Podiatrist
- Brooklyn, NY
National Provider Identifier
1922658236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- PEDIRITE MEDICAL PA PLLC
- Practice address
- 267 Broadway FL 2
Brooklyn, NY 11211-6216 - Phone
- (212) 764-0008
- NPI assigned
- Sep 18, 2019
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Jacob Finestone
- Title
- Owner
- Phone
- (212) 734-6621
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 29
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191111001772 | PA | Part B Supplier - Clinic/Group Practice | 9830521913 |
Receives reassigned benefits from 27 practitioners Practice locations: Doylestown, PA; Hatboro, PA; Philadelphia, PA; Spring House, PA |
| O20250523001679 | NC | Part B Supplier - Clinic/Group Practice | 9830521913 |
Receives reassigned benefits from 1 practitioner Practice locations: Elizabeth Cty, NC; Hertford, NC |
National Provider Directory
National Provider DirectoryLocations
267 Broadway
#2
Brooklyn, NY 11211
701 Lansdale Ave
Lansdale, PA 19446
Phone (215) 368-0900
6212 Walnut St
Philadelphia, PA 19139
Phone (215) 476-6264
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
267 Broadway FL 2
Brooklyn, NY 11211-6216
Mailing address
267 Broadway FL 2
Brooklyn, NY 11211-6216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 4, 2025.
{
"created_epoch": "1568764800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754265600000",
"number": "1922658236",
"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": "267 BROADWAY FL 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112116216",
"telephone_number": "212-764-0008"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIRITE MEDICAL PA PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-18",
"last_updated": "2025-08-04",
"certification_date": "2025-08-04",
"status": "A",
"authorized_official_last_name": "FINESTONE",
"authorized_official_first_name": "JACOB",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "212-734-6621"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.