DR. WAYNE JOSEPH BODAMER D.P.M. NPI 1457317562

NPI Information

  • NPI: 1457317562
  • Provider Name: DR. WAYNE JOSEPH BODAMER, D.P.M.
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • Address: 373 ROUTE 111
    SMITHTOWN, NY
    ZIP 11787
  • Phone: (631) 265-8802

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NPI Details

DR. Wayne Joseph Bodamer, D.P.M. is a foot and ankle surgery podiatrist in Smithtown, NY. DR. Wayne Joseph Bodamer, D.P.M. NPI is 1457317562. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

373 ROUTE 111
SMITHTOWN, NY
ZIP 11787-759
Phone: (631) 265-8802
Fax: (631) 265-8809

The enumeration date for this NPI number is 4/26/2006 and was last updated on 11/27/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle Surgery003889NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1AH00139OTHERNEW YORKMDNY
2P368761OTHERNEW YORKOXFORD HEALTH PLAN
31457317562MEDICARE NSCNEW YORK
40056853OTHERNEW YORKGHI
5P41901MEDICARE PINNEW YORK
60301399-007OTHERNEW YORKCIGNA HMO
796401OTHERNEW YORKAETNA US HEALTHCARE
8P41901OTHERNEW YORKEMPIRE BLUECROSS/BLUE SHI
9PPD162OTHERNEW YORKHEALTHNET
10T51306MEDICARE UPINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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