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Export Provider Record NPI 1093705832
Jeff OdietMD
Active
NPI Number1093705832
NPI TypeNPI-1 Individual
SpecialtyInternal Medicine
Provider Details
NPI1093705832
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2005-10-24
Last Updated2011-07-12
Mailing Address2 Essex Center Dr
Peabody, MA 01960-2902
United States
Phone: (978) 532-2800 | Fax: (978) 977-4491
📍 View Map
Primary Practice Address2 Essex Center Dr
Peabody, MA 01960-2902
United States
Phone: (978) 532-2800 | Fax: (978) 977-4491
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDMA3194671
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207R00000X – Internal MedicineMA160253
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About NPI 1093705832

Jeff Odiet MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1093705832. The primary specialty listed is Internal Medicine. The provider is located in Peabody, MA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-10-24. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1093705832?

NPI 1093705832 belongs to Jeff Odiet MD, a Internal Medicine in Peabody, MA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1093705832 active?

The current status of NPI 1093705832 in the NPPES registry is Active. The record was last updated on 2011-07-12.

What specialty is NPI 1093705832?

NPI 1093705832 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1093705832?

You can verify NPI 1093705832 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1093705832?

The primary practice address on file for NPI 1093705832 is 2 Essex Center Dr, Peabody, MA 01960-2902. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1093705832 issued?

NPI 1093705832 was first issued (enumerated) on 2005-10-24. The NPPES record was last updated on 2011-07-12.

Practice Location Map

Jeff Odiet is located at 2 Essex Center Dr, Peabody, MA. Use the map below to find directions or verify the practice location.

📍 2 Essex Center Dr, Peabody, MA 01960-2902  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Jeff Odiet. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1093705832. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Internal Medicine160253MA
Data Verified from CMS NPPES Last synced: 2026-06-23 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162