DR. WAYNE JOSEPH BODAMER D.P.M.
NPI 1457317562
Podiatrist - Foot & Ankle Surgery in Smithtown, NY

Active since April 26, 2006
373 ROUTE 111, SMITHTOWN, NY 11787(631) 265-8802(631) 265-8809 Get Directions Write a Review

NPPES record last updated: November 27, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Wayne Joseph Bodamer D.p.m. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WAYNE JOSEPH BODAMER D.P.M. (NPI 1457317562) is an individual foot & ankle surgery provider in Smithtown, New York, licensed in New York (003889) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1457317562
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. WAYNE JOSEPH BODAMERCredential: D.P.M.
Location Address373 ROUTE 111Smithtown, NY 11787-4759
Mailing Address1641 Route 112Medford, NY 11763-3635 · (631) 447-0800 · Fax (631) 447-0801
Fax(631) 265-8809
Sole ProprietorNo
Enumeration DateApril 26, 2006
Last NPPES UpdateNovember 27, 2007
NPI 1457317562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in NY · 003889
373 ROUTE 111, Smithtown, NY 11787

Other Identifiers 10

OtherAH00139NY · Mdny
OtherP368761NY · Oxford Health Plan
Medicare NSC1457317562NY
Other0056853NY · Ghi
Medicare PINP41901NY
Other0301399-007NY · Cigna Hmo
Other96401NY · Aetna Us Healthcare
OtherP41901NY · Empire Bluecross/blue Shi
OtherPPD162NY · Healthnet
Medicare UPINT51306NY

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
373 ROUTE 111, SUITE 14
SMITHTOWN, NY 11787
Dentist
373 ROUTE 111, STE 16
SMITHTOWN, NY 11787
Urology
373 ROUTE 111, SUITE 7
SMITHTOWN, NY 11787
Dietitian, Registered
373 ROUTE 111, SUITE 16
SMITHTOWN, NY 11787
Psychologist
373 ROUTE 111, SUITE 10
SMITHTOWN, NY 11787
Internal Medicine
373 ROUTE 111, SUITE 14
SMITHTOWN, NY 11787
Urology
373 ROUTE 111, SUITE 7
SMITHTOWN, NY 11787
Dermatology
373 ROUTE 111, SUITE 10
SMITHTOWN, NY 11787

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wayne Bodamer's NPI number?

The NPI number for Wayne Bodamer is 1457317562. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is Wayne Bodamer located?

Wayne Bodamer practices at 373 Route 111, Smithtown, NY 11787. The listed phone number is (631) 265-8802.

What is Wayne Bodamer's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Wayne Bodamer was last updated on November 27, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.