RAPHAEL DAVID GILDENGORN MD
NPI 1639813694
Pediatrics in Brooklyn, NY

Q: What is Raphael Gildengorn's NPI number?

The NPI number for Raphael Gildengorn is 1639813694. It was assigned to this individual provider in the NPPES registry on April 26, 2022.

Q: What is Raphael Gildengorn's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since April 26, 2022PECOS Enrolled

74 WALLABOUT ST, BROOKLYN, NY 11249(718) 260-4600 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 29, 2025, May 14, 2025, Apr 26, 2022 (3 updates tracked since 2022).

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About Raphael David Gildengorn Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAPHAEL DAVID GILDENGORN MD (NPI 1639813694) is an individual pediatrics provider in Brooklyn, New York, licensed in New York (333345) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639813694

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameRAPHAEL DAVID GILDENGORNCredential: MD

Location Address74 WALLABOUT STBrooklyn, NY 11249-7830

Mailing Address14704 75th AveFlushing, NY 11367-2932 · (347) 419-2156

Phone(718) 260-4600

Sole ProprietorYes

Enumeration DateApril 26, 2022

Last NPPES UpdateMay 29, 20253 updates tracked since enumeration

NPPES CertifiedMay 29, 2025

✔ NPI 1639813694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NY · 333345

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

74 WALLABOUT ST, Brooklyn, NY 11249

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raphael David Gildengorn Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11249 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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