Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Kevin T Custis M D P C

Family Medicine Physician in Brooklyn, NY · enumerated 2006 · authorized official Kevin Custis, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1376511881

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Registry record

Entity type Organization (Type 2)

Legal business name Kevin T Custis M D P C

Practice address 887 E New York Ave, Brooklyn, NY, 11203

Phone (718) 778-0069

Fax (718) 778-0035

Enumeration date Mar 9, 2006

Last updated in NPPES Aug 6, 2015

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 211807 (NY) Primary

Authorized official

Name Kevin Custis

Title Ceo

Phone (718) 363-6675

Other identifiers

Identifier	Type	State	Issuer
7505055	Other	NY	AETNA US HEALTHCARE
40 V182	Other	NY	EMPIRE BLUE CROSS BLUE SHIELD
6016214	Other	NY	GHI
01976654	Medicaid	NY	-
40V183	Other	NY	EMPIRE BLUE CROSS BLUE SHIELD
P2215900	Other	NY	OXFORDN HEALTH PLANS
211807	Other	NY	HIP

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-08-06. Verify at npiregistry.cms.hhs.gov.

Where is Kevin T Custis M D P C located?

The practice location on file with NPPES is in Brooklyn, NY.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-08-06.