Wittaya Payackapan, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

121997 Issued in NY

Practice address

365 Broadway
Amityville, NY 11701-2716

Phone

(631) 842-6626

Fax

(631) 842-6609

NPI assigned

Sep 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1982699351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 BROADWAY",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012716",
            "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",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012716",
            "telephone_number": "631-842-6626",
            "fax_number": "631-842-6609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYACKAPAN",
        "first_name": "WITTAYA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "121997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geeta Suryaleant Parikh, MD
• Kimberly Parker
• Diane Marie Parker, M.S., CCC/SLP
• Edria Parks
• Jitendra Patel, RPH
• Tiffany Pearson
• Yanique Peart
• Tayanee D Peay
• Jennifer Pena
• Pamela Pendergrast-Grayden, LMSW

• 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 Jul 13, 2026; 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.