NPIMap

Organization Active NPI

Pedirite Medical PA PLLC

  • Podiatrist
  • Brooklyn, NY
National Provider Identifier
1922658236
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
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
Last updated
Aug 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Authorized official

Name
Jacob FinestoneNPI 1811916208
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.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

267 Broadway FL 2
Brooklyn, NY 11211-6216

Mailing address

267 Broadway FL 2
Brooklyn, NY 11211-6216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

301 Valley View Blvd
Altoona, PA 16602
Phone (715) 944-0845

432 Maple Ave
New Britain, PA 18901
Phone (215) 345-1452

800 W Miner St
West Chester, PA 19382
Phone (484) 920-6200

Practitioners & affiliated clinicians

Practitioners 29

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.

View all 29

NPI Registry JSON

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

{
    "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.

Verify at the official NPI Registry.