Individual provider Active NPI

Elizabeth A Odierna, MD

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1447349766
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
209510 Issued in NY
Practice address
15811 Harry Van Arsdale Jr Ave
Flushing, NY 11365-3085
Phone
(718) 591-2014
Fax
(718) 591-9528
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 209510 NY Primary

Addresses

Primary practice location

15811 Harry Van Arsdale Jr Ave
Flushing, NY 11365-3085

Mailing address

15811 Harry Van Arsdale Jr Ave
Flushing, NY 11365-3085
Phone (718) 591-2014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050323000769 NY Practitioner - Internal MedicinePractitioner - Geriatric Medicine 0941256994

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Internal Medicine Past Accepting new patients
Montefiore Medical Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: eodierna29300@direct.ynhh.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1447349766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15811 HARRY VAN ARSDALE JR AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113653085",
            "telephone_number": "718-591-2014",
            "fax_number": "718-591-9528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15811 HARRY VAN ARSDALE JR AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113653085",
            "telephone_number": "718-591-2014",
            "fax_number": "718-591-9528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODIERNA",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "209510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.