SOUTH ISLAND PODIATRY SPECIALISTS,PC
NPI 1376607713
Podiatrist - Foot & Ankle Surgery in Medford, NY

NPI Status: Active since December 20, 2006

Contact Information

1641 ROUTE 112
MEDFORD, NY
ZIP 11763
Phone: (631) 447-0800
Fax: (631) 447-0801

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  • Organization
  • Podiatrist
  • Foot & Ankle Surgery

About SOUTH ISLAND PODIATRY SPECIALISTS,PC

This page provides the complete NPI Profile along with additional information for South Island Podiatry Specialists,pc, a provider established in Medford, New York operating as a Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1376607713 assigned on December 2006. The practitioner's primary taxonomy code is 213ES0103X with license number N0-3889 (NY). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Wayne Joseph Bodamer D.p.m. (President)

NPI
1376607713
Provider Name
SOUTH ISLAND PODIATRY SPECIALISTS,PC
Entity Type
Organization
Location Address
1641 ROUTE 112 MEDFORD, NY 11763
Location Phone
(631) 447-0800
Location Fax
(631) 447-0801
Mailing Address
1641 ROUTE 112 MEDFORD, NY 11763
Mailing Phone
(631) 447-0800
Mailing Fax
(631) 447-0801
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-20-2006
Last Update Date
06-13-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Podiatrist Foot & Ankle Surgery

Taxonomy Code
213ES0103X
Type
Podiatric Medicine & Surgery Service Providers
License No.
N0-3889
License State
NY

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. WAYNE JOSEPH BODAMER D.P.M.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(631) 447-0800

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
P0W821MEDICARE PIN (08)NY 
5866630001MEDICARE NSC (07) 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1376607713, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
6
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
0
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
7
Unchanged
Pos 9
1
Doubled → 2
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 6 → 12 → 3 7 → 14 → 5 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 4 + 6 + 1 + 2 + 0 + 1 + 4 + 7 + 2 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1376607713.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Podiatrist (Foot Surgery)
1641 ROUTE 112
MEDFORD, NY 11763
Clinic/Center (Podiatric)
1641 ROUTE 112
MEDFORD, NY 11763
Counselor (Mental Health)
1641 ROUTE 112
MEDFORD, NY 11763

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376607713, enumerated as an "organization" on December 20, 2006.

The provider is located at 1641 ROUTE 112 MEDFORD, NY 11763 and the phone number is (631) 447-0800.

Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.