JAMIL ODEH PA
NPI 1679628424
Physician Assistant - Medical in New York, NY
About Jamil Odeh Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAMIL ODEH PA (NPI 1679628424) is an individual medical provider in New York, New York, licensed in New York (5234707) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jamil Odeh Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10021
NEW YORK, NY 10021
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jamil Odeh's NPI number?
The NPI number for Jamil Odeh is 1679628424. It was assigned to this individual provider in the NPPES registry on January 24, 2007.
Where is Jamil Odeh located?
Jamil Odeh practices at 525 E 68th St, New York, NY 10021. The listed phone number is (212) 746-4935.
What is Jamil Odeh's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Jamil Odeh enrolled in Medicare?
Yes. Jamil Odeh is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jamil Odeh was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jamil Odeh, PA · NPI 1679628424
Medical physician in New York, New York. Individual provider, active in the CMS NPPES registry since January 24, 2007.
## Identity
- **NPI:** 1679628424 (Entity type: Individual)
- **Enumerated:** January 24, 2007
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 5234707 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 525 E 68TH ST, New York, NY 10021-4870
- **Phone:** (212) 746-4935
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1679628424) · Data from the CMS NPPES public registry.