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KEVIN TYRONE CUSTIS M.D.
NPI 1811976970
Family Medicine in Brooklyn, NY

Active since January 16, 2006
86 E 49TH ST, SUITE A, BROOKLYN, NY 11203(718) 363-6675 Get Directions Write a Review

NPPES record last updated: September 26, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kevin Tyrone Custis M.d. NPPES

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

KEVIN TYRONE CUSTIS M.D. (NPI 1811976970) is an individual family medicine provider in Brooklyn, New York, licensed in New York (211807) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1811976970
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKEVIN TYRONE CUSTISCredential: M.D.
Location Address86 E 49TH ST, SUITE ABrooklyn, NY 11203-1901
Mailing Address63 Meadow Lark LnBelle Mead, NJ 08502-4929 · (908) 281-7591 · Fax (908) 431-9329
Phone(718) 363-6675
Sole ProprietorYes
Enumeration DateJanuary 16, 2006
Last NPPES UpdateSeptember 26, 2012
✔ NPI 1811976970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NY · 211807✔ Licensed in NJ · 25MA08719200
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

86 E 49TH ST, Brooklyn, NY 11203
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Other Identifiers 3

Medicaid01976654NY
Medicare UPING91306NY
Medicare PIN11V181NY

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ELNA TAMAYO-PRADO M.D.
Pediatrics
86 E 49TH ST, SUITE G
BROOKLYN, NY 11203
Kings County (718) 363-6646
DR. JON DAVID KIRWIN M.D.
Surgery (Vascular Surgery)
86 E 49TH ST, KATZ BUILDING
BROOKLYN, NY 11203
Kings County (718) 288-1875
WESTIN MEDICAL HEALTH PC
Clinic/Center (Primary Care)
86 E 49TH ST
BROOKLYN, NY 11203
Kings County (718) 363-6835
DOVE PEDIATRIC SERVICE
Pediatrics
86 E 49TH ST, SUITE G
BROOKLYN, NY 11203
Kings County (718) 363-6646

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Custis's NPI number?

The NPI number for Kevin Custis is 1811976970. It was assigned to this individual provider in the NPPES registry on January 16, 2006.

Where is Kevin Custis located?

Kevin Custis practices at 86 E 49th St Suite A, Brooklyn, NY 11203. The listed phone number is (718) 363-6675.

What is Kevin Custis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Kevin Custis was last updated on September 26, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.