Raffaele Gibilisco,MD,PA

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

RAFFAELE GIBILISCO,MD,PA

Practice address

435 59TH St
1St FL
West New York, NJ 07093-2107

Phone

(201) 295-1456

Fax

(201) 295-0266

NPI assigned

Feb 2, 2012

Last updated

Jan 16, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Raffaele Gibilisco, M.D.NPI 1124134002

Title

President

Phone

(201) 295-1456

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Raffaele A Gibilisco, MD, PA

  • Gastroenterology Physician
  • West New York, NJ
  • NPI 1124134002
  Authorized official Same address or phone
• Yudi Camacho

  • Endocrinology, Diabetes & Metabolism Physician
  • West New York, NJ
  • NPI 1417477340

  Multi-Specialty

  NPD (past)
• Syed M Shah, MD

  • Physical Medicine & Rehabilitation Physician
  • West New York, NJ
  • NPI 1760496152
  NPD (past)
• Petronela G Iorga, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Framingham, MA
  • NPI 1811918774
  NPD (past)

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1285906552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 59TH ST",
            "address_2": "1ST FL",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070932107",
            "telephone_number": "201-295-1456",
            "fax_number": "201-295-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 59TH ST",
            "address_2": "1ST FL",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070932107",
            "telephone_number": "201-295-1456",
            "fax_number": "201-295-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFFAELE GIBILISCO,MD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-02",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "GIBILISCO",
        "authorized_official_first_name": "RAFFAELE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-295-1456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PSN Pharmacy Inc
• PSN Pharmacy Inc (Central Pharmacy)
• Datus Puryear
• Quantum Dental Group LLC
• Quantum Dental Group LLC
• Ravi Bhavesh Raithatha, OD
• Jayashree Ramakrishnan, D.D.S.
• Martis Ramirez, LAC
• Luz Selenia Ramos, APRN-C
• Rey Fernando Pedraza Ramos, M.D.

• Specialist in West New York, NJ
• Providers in West New York, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.