Benjamin Gibli, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

150946-1 Issued in NY

Practice address

100 W 57TH St
Unit 8D
New York, NY 10019

Phone

(201) 310-8343

NPI assigned

Feb 27, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1164847141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 BUTTERNUT DR",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074172244",
            "telephone_number": "201-891-5160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W 57TH ST",
            "address_2": "UNIT 8D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10019",
            "telephone_number": "201-310-8343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBLI",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-27",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "150946-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1164847141",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTRATION CERTIFICATE, NYSED DIVISION OF PROFESSIONAL SERVICES - PHYSICIAN",
            "identifier": "150946-1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATE NUMBER:",
            "identifier": "9374509UPD",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Niezja Gibbs
• Rhiannon Gibbs
• Tafia M Gibbs, NP
• Tresha Ann Gibbs, MD
• Monica Gibilisco, DO
• Cali Gibney
• Allan Gibofsky, MD
• Laura Aimee Gibofsky, MS, RD, CDN
• Richard P Gibralter, MD
• Alana Gibson-Akong, LMSW

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.