Ebenezer Odoom MD PC
NPI 1942642038 · Geriatric Medicine (Internal Medicine) Physician · Queens Village, NY
Ebenezer Odoom MD PC is a Geriatric Medicine (Internal Medicine) Physician organization in Queens Village, NY (NPI 1942642038).
Provider details
- NPI number
- 1942642038
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ebenezer Odoom, President(347) 276-4570
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
- 2013-07-18
- Last updated
- 2013-07-18
Frequently asked questions
- What is Ebenezer Odoom MD PC's NPI number?
- Ebenezer Odoom MD PC's National Provider Identifier (NPI) is 1942642038, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ebenezer Odoom MD PC?
- Ebenezer Odoom MD PC is classified in the NPPES registry as Geriatric Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Ebenezer Odoom MD PC located?
- Ebenezer Odoom MD PC's practice location on file with NPPES is 21530 Hillside Ave, Queens Village, NY 11427-1831.
- What is Ebenezer Odoom MD PC's phone number?
- The practice phone number listed in the NPPES registry for Ebenezer Odoom MD PC is (718) 740-1701.
- Who is the authorized official for Ebenezer Odoom MD PC?
- The authorized official listed on Ebenezer Odoom MD PC's NPPES record is Ebenezer Odoom, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ebenezer Odoom MD PC's NPI active?
- Yes — Ebenezer Odoom MD PC's NPI (1942642038) is active in the NPPES registry as of the last update on 2013-07-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.