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NPI 1881758225ActiveOrganization· Podiatrist, Foot & Ankle Surgery· Smithtown, NY

Podiatrist, Foot & Ankle Surgery in Smithtown, New York, registered in NPPES in December 2006. The authorized official on file is Waynej Joseph Bodamer, D.P.M., President.

Overview

NPI1881758225
StatusActive
Entity typeOrganization
NPI issuedDec 20, 2006
Last updated in NPPESJan 17, 2008

Specialties and licenses

TaxonomyCodeLicenseState
Podiatrist, Foot & Ankle Surgery Primary213ES0103XNO-3889NY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Podiatrist, Foot & Ankle Surgery providers in Smithtown

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