NPIMap

Individual provider Active NPI

Eugene Gibilaro, M.D.

  • Pulmonary Disease Physician
  • Brooklyn, NY
National Provider Identifier
1043267610
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
160737 Issued in NY
Practice address
421 78TH St Ste B
Brooklyn, NY 11209-3447
Phone
(718) 630-5408
Fax
(718) 748-6487
NPI assigned
May 28, 2006
Last updated
Jul 2, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 160737 NY
Pulmonary Disease Physician 207RP1001X 160737 NY Primary

Addresses

Primary practice location

421 78TH St Ste B
Brooklyn, NY 11209-3447

Mailing address

143 82ND St
Brooklyn, NY 11209-4342
Phone (718) 836-6600

Other identifiers 2

IdentifierTypeStateIssuer
13E431OtherNYEMPIRE BLUE CROSS
01077783OtherNYNYS MEDICAID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050318000324 NY Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 8628023025 Reassigns benefits to 3 organizations
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

623 Bay Ridge Pkwy
Brooklyn, NY 11209-3329
Phone (718) 630-5408

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
160737NYMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Medical Care PLLC Critical Care Medicine CurrentSince Jun 1, 2015 Accepting new patients
Infinite Medical PC CurrentSince Mar 2, 2025 Accepting new patients
University Physicians Group P C Past Accepting new patients
Naser Yazigi MD PC Past Accepting new patients
Intermed Care PC Past Accepting new patients
Gerard M. Casale M.D. PLLC PastSince Apr 21, 2011 Accepting new patients
Hamilton Park Multicare Past Accepting new patients
Sheepshead Nursing and Rehabilitation Center LLC Past Accepting new patients
Yazigi Medical Care PLLC Critical Care Medicine Past Accepting new patients

Locations

150 55th St
Brooklyn, NY 11220
Phone (718) 630-7123

250 Skillman St
Ste 202
Brooklyn, NY 11205

623 Bay Ridge Pkwy
Brooklyn, NY 11209
Phone (718) 630-5408

623 Bay Ridge Pkwy
#1
Brooklyn, NY 11209
Phone (718) 833-7535

11915 27th Ave
Flushing, NY 11354
Phone (631) 681-4754

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hamilton Park Nursing and Rehabilitation CenterBrooklyn, NY, CCN 335710 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Mar 1, 2016
Nov 24, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Hamilton Park Multicare

    dba Hamilton Park Nursing and Rehabilitation Center

    • Skilled Nursing Facility
    • Brooklyn, NY
    • NPI 1578899076

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

Organizations & group practices 11

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

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1043267610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 82ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094342",
            "telephone_number": "718-836-6600",
            "fax_number": "718-630-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 78TH ST STE B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093447",
            "telephone_number": "718-630-5408",
            "fax_number": "718-748-6487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBILARO",
        "first_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "160737",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "160737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS",
            "identifier": "13E431",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS MEDICAID",
            "identifier": "01077783",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.