Wittaya Payackapan MD. PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

WITTAYA PAYACKAPAN MD. PC

Practice address

365 Broadway
Suite #5
Amityville, NY 11743

Phone

(631) 842-6626

Fax

(631) 842-6609

NPI assigned

Apr 1, 2009

Last updated

Apr 1, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Wittaya Payackapan, M.DNPI 1982699351

Title

President

Phone

(631) 842-6626

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Wittaya Payackapan, MD

  • Orthopaedic Surgery Physician
  • Amityville, NY
  • NPI 1982699351
  Authorized official Same address or phone

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1629210950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 BROADWAY",
            "address_2": "SUITE #5",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "11743",
            "telephone_number": "631-842-6626",
            "fax_number": "631-842-6609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 BROADWAY",
            "address_2": "SUITE #5",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "11743",
            "telephone_number": "631-842-6626",
            "fax_number": "631-842-6609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WITTAYA PAYACKAPAN MD. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "PAYACKAPAN",
        "authorized_official_first_name": "WITTAYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-842-6626",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00349615",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Desiree Williams, D.C.
• Nurismate Williams, MMP, LMT, CNA
• Paula Willis, LPN
• Wills Family Health NP PLLC
• Winthrop Community Medical Affiliates, P.C. (South Shore Cardiovascular Medicine)
• Yohanna Enjia Wong
• Ghislaine Woolley
• Wsnchs East Inc (South Oaks Hospital Broadlawn Manor NCC)
• Daylynn Wu
• Latasha Yancey

• Orthopaedic Surgery Physician in Amityville, NY
• Providers in Amityville, NY by specialty
• Orthopaedic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.