South Island Podiatry Specialists,pc
NPI 1376607713 · Foot & Ankle Surgery Podiatrist · Medford, NY
South Island Podiatry Specialists,pc is a Foot & Ankle Surgery Podiatrist organization in Medford, NY (NPI 1376607713).
Provider details
- NPI number
- 1376607713
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Wayne Bodamer, President(631) 447-0800
- License
- N0-3889 (NY)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-12-20
- Last updated
- 2008-06-13
Frequently asked questions
- What is South Island Podiatry Specialists,pc's NPI number?
- South Island Podiatry Specialists,pc's National Provider Identifier (NPI) is 1376607713, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Island Podiatry Specialists,pc?
- South Island Podiatry Specialists,pc is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is South Island Podiatry Specialists,pc located?
- South Island Podiatry Specialists,pc's practice location on file with NPPES is 1641 Route 112, Medford, NY 11763-3635.
- What is South Island Podiatry Specialists,pc's phone number?
- The practice phone number listed in the NPPES registry for South Island Podiatry Specialists,pc is (631) 447-0800.
- Who is the authorized official for South Island Podiatry Specialists,pc?
- The authorized official listed on South Island Podiatry Specialists,pc's NPPES record is Wayne Bodamer, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Island Podiatry Specialists,pc's NPI active?
- Yes — South Island Podiatry Specialists,pc's NPI (1376607713) is active in the NPPES registry as of the last update on 2008-06-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.