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

Christian M Custodio, MD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1679544613

Christian M Custodio, MD is a Physical Medicine and Rehabilitation in New York, New York. Graduated from Rutgers R W Johnson Medical School (CAM/NEW Bruns/Pisc) in 1998, 28 years ago. Practices with MSK Nassau, a 98-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
28
Trained at
Rutgers R W Johnson Medical School (CAM/NEW Bruns/Pisc)
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1275 York Ave
New York, NY 10021-6007
Phone: (646) 227-3813
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 228649 (NY)

Record details

NPI number1679544613
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 28, 2006
Last updated in NPPESJuly 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolRUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated 1998 (28 years in practice)
Group practice Msk Nassau — 98 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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