NPIMap

Organization Active NPI

Brownsville Community Development Corporation

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, NY
National Provider Identifier
1376881029
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
BROWNSVILLE COMMUNITY DEVELOPMENT CORPORATION
Practice address
650 Ashford St
Brooklyn, NY 11207-7315
Phone
(347) 505-1800
NPI assigned
Jan 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Harvey Lawrence
Title
President/Ceo
Phone
(718) 345-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

650 Ashford St
Brooklyn, NY 11207-7315

Mailing address

592 Rockaway Ave
Brooklyn, NY 11212-5539
Phone (718) 345-5000

Other identifiers 1

IdentifierTypeStateIssuer
03739282MedicaidNY

Other names 1

  • Brownsville Multi-Service Family Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071130000198 NY Part B Supplier - Clinic/Group Practice 7416903323 Receives reassigned benefits from 39 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Brooklyn, NY
O20130408000074 NY Part A Provider - Federally Qualified Health Center (FQHC) 7416903323 Practice locations: Brooklyn, NY

Federally qualified health center certification: CCN 331075

Legal name
BROWNSVILLE COMMUNITY DEVELOPMENT CORPORATION
Doing business as
BROWNSVILLE MULTI-SERVICE FAMILY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 6, 2013
Last certification
Jun 6, 2013
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 5, 1974 in NY
Enrollment address
650 Ashford St
Brooklyn, NY 11207-7315
Related CCNs
331950

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Camille E Taylor8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

408 Rockaway Ave
Fl 3
Brooklyn, NY 11212

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lisa Kenner Individual OtherBoard Member May 15, 2013
Edmund Awuah Individual W-2 Managing Employee May 1, 2013
Donald Matheson Individual OtherBoard Member May 15, 2013
Harvey Lawrence Individual W-2 Managing EmployeePresident & Ceo May 15, 2013
Mattie McBride Individual OtherBoard Member May 15, 2013
Michelle Coffey Individual OtherBoard Member May 15, 2013
Karen Benker Individual OtherPresident Ceo May 15, 2013
Maurice a Reid Individual Other May 15, 2013
Camille Camille Taylor-Mullings Individual Corporate DirectorChief Medical Director Oct 1, 2012
Walter Campbell Individual OtherBoard Member May 15, 2013

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1376881029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "592 ROCKAWAY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112125539",
            "telephone_number": "718-345-5000",
            "fax_number": "718-345-5794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 ASHFORD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112077315",
            "telephone_number": "347-505-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWNSVILLE COMMUNITY DEVELOPMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-30",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "718-345-5000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03739282",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brownsville Multi-Service Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brownsville Multi-Service Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.