FAMILY MEDICAL CARE OF MARINE PARK, P.C.
NPI 1902004484
Family Medicine in Brooklyn, NY

Q: What is Family Medical Care Of Marine Park, P.C.'s specialty?

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

Active since July 06, 2007

2915 AVENUE S, BROOKLYN, NY 11229(718) 998-9669(718) 339-5614 Get Directions Write a Review

NPPES record last updated: May 28, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Family Medical Care Of Marine Park, P.c. NPPES

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

FAMILY MEDICAL CARE OF MARINE PARK, P.C. (NPI 1902004484) is a healthcare organization registered as a family medicine in Brooklyn, New York and active in the NPI registry since July 2007. The organization lists Eugene John Mancuso, President, as its authorized official.

NPPES Registry Identity

NPI1902004484

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameFAMILY MEDICAL CARE OF MARINE PARK, P.C.

Location Address2915 AVENUE SBrooklyn, NY 11229-2544

Mailing Address2915 Avenue SBrooklyn, NY 11229 · (718) 998-9669 · Fax (718) 339-5614

Phone(718) 998-9669

Fax(718) 339-5614

Organization SubpartNo

Authorized OfficialEugene John MancusoPresident · (718) 998-9669

Enumeration DateJuly 6, 2007

Last NPPES UpdateMay 28, 2014

✔ NPI 1902004484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

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.

2915 AVENUE S, Brooklyn, NY 11229

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Other Identifiers 1

Medicare PINWEX651NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 33D0864219

Family Medical Care Of Marine Park PC · Brooklyn, NY

Expired · Jul 8, 2026

CLIA Number33D0864219

Laboratory TypePhysician Office

Certificate Effective DateJuly 9, 2024

Certificate Expiration DateJuly 8, 2026

Laboratory DirectorDr. Eugene J. Mancuso

Laboratory Phone(718) 998-9669

Laboratory LocationFamily Medical Care Of Marine Park PC2915 Avenue S, Brooklyn, NY 11229

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 6

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

MARIA KOURMOLIS P.T.

Physical Therapist