Active NPI
Total Foot Care,PC
- Foot & Ankle Surgery Podiatrist
- Smithtown, NY
National Provider Identifier
1881758225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- NO-3889
- Legal business name
- TOTAL FOOT CARE,PC
- Practice address
- 373 Route 111
Smithtown, NY 11787-4759 - Phone
- (631) 265-8802
- Fax
- (631) 265-8809
- NPI assigned
- Dec 20, 2006
- Last updated
- Jan 17, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Waynej Joseph Bodamer, D.P.M.
- Title
- President
- Phone
- (631) 265-8802
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | NO-3889 | NY | Primary |
Addresses
Primary practice location
373 Route 111
Smithtown, NY 11787-4759
Mailing address
373 Route 111
Smithtown, NY 11787-4759
Phone (631) 265-8802
National Provider Directory
National Provider DirectoryLocations
373 Route 111
Ste 18
Smithtown, NY 11787
Phone (631) 257-5599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200528000000",
"number": "1881758225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "373 ROUTE 111",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117874759",
"telephone_number": "631-265-8802",
"fax_number": "631-265-8809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "373 ROUTE 111",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117874759",
"telephone_number": "631-265-8802",
"fax_number": "631-265-8809"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOTAL FOOT CARE,PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-20",
"last_updated": "2008-01-17",
"status": "A",
"authorized_official_last_name": "BODAMER",
"authorized_official_first_name": "WAYNEJ",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "631-265-8802",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NY",
"license": "NO-3889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.