Ebenezer Odoom MD PC
NPI 1942642038ActiveOrganization· Internal Medicine, Geriatric Medicine· Queens Village, NY
Internal Medicine, Geriatric Medicine in Queens Village, New York, registered in NPPES in July 2013. The authorized official on file is Ebenezer Odoom, MD, President.
Overview
| NPI | 1942642038 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 18, 2013 |
| Last updated in NPPES | Jul 18, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Geriatric Medicine Primary | 207RG0300X | — | — |
| Pediatrics | 208000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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