Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kevin T Custis M D P C

Organization Family Medicine Physician · NPI 1376511881

Kevin T Custis M D P C is a Family Medicine Physician in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006

Practice location Address checks out

887 E New York Ave
Brooklyn, NY 11203-1309
Phone: (718) 778-0069
Fax: (718) 778-0035
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 211807 (NY)

Record details

NPI number1376511881
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Custis — Ceo · (718) 363-6675
NPI enumeratedMarch 9, 2006
Last updated in NPPESAugust 6, 2015
Mailing address63 Meadow Lark Ln, Belle Mead, NJ 08502-4929

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