IndividualActive
Raffaele Gibilisco, MD, PA
NPI 1124134002 · Gastroenterology Physician · West New York, NJ
Provider details
- NPI number
- 1124134002
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, PA
- Sex
- Male
- Sole proprietor
- No
- License
- MA060124 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
435 59th St
1st Floor
West New York, NJ 07093-2107
Phone: (201) 295-1456
Fax: (201) 295-0266
Street-level locationGet directions
Mailing address
Po Box 4067
Warren, NJ 07059-0067
Registry dates
- Enumerated
- 2006-08-22
- Last updated
- 2015-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.