NPIMap

Organization Active NPI

Brownsville Community Development Corporation

Doing business as Brownsville MultiService Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, NY
National Provider Identifier
1578612412
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
Doing business as
Brownsville MultiService Family Health Center
Practice address
592 Rockaway Ave
Brooklyn, NY 11212-5539
Phone
(718) 345-5000
Fax
(718) 346-6747
NPI assigned
Jan 9, 2007
Last updated
Dec 4, 2025By the provider in NPPES
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
Joyce Banful
Title
Director of Credentialing
Phone
(718) 345-5000

Specialties & licenses 1

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

Addresses

Primary practice location

592 Rockaway Ave
Brooklyn, NY 11212-5539

Mailing address

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

Other practice location 1

657 E 98th St
Brooklyn, NY 11236-1305
Phone (718) 345-8605

Other identifiers 1

IdentifierTypeStateIssuer
00723253MedicaidNY

Other names 1

  • Brownsville MultiService Family Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20070219000101 NY Part A Provider - Federally Qualified Health Center (FQHC) 7416903323 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Brooklyn, NY
O20071130000198 NY Part B Supplier - Clinic/Group Practice 7416903323 Receives reassigned benefits from 39 practitioners
3 other NPIs on this enrollment
Practice locations: Brooklyn, NY
O20101112000753 NY Part A Provider - Federally Qualified Health Center (FQHC) 7416903323 Practice locations: Brooklyn, NY

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1578612412. Details of each certification follow.

Federally qualified health center certification: CCN 331958

Legal name
BROWNSVILLE COMMUNITY DEVELOPMENT CORPORATION
Doing business as
BMS ISIS @ BRISTOL
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 18, 2008
Last certification
Feb 18, 2008
Ownership / control type
Non-profit – church related
Organization structure
CorporationProprietary
Incorporated
Dec 1, 1974 in NY
Enrollment address
259 Bristol St
Brooklyn, NY 11212-5540

Federally qualified health center certification: CCN 331836

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
Oct 1, 1992
Last certification
Oct 1, 1992
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 1, 1974 in NY
Enrollment address
592 Rockaway Ave
Brooklyn, NY 11212-5539

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 4

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0901885Brownsville Multi-Service Family Health Center592 Rockaway Ave, Brooklyn, NY 11212Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

259 Bristol St
Fl 1
Brooklyn, NY 11212
Phone (718) 345-5000

650 Ashford St
Brooklyn, NY 11207
Phone (347) 505-1800

657 E 98th St
Brooklyn, NY 11236
Phone (718) 345-8605

Ownership & related parties

All disclosed owners & managing parties 12

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 Other Jan 1, 2010
OtherBoard Member Jan 1, 2010
Edmund Awuah Individual W-2 Managing EmployeeCfo May 1, 2006
Other May 1, 2006
Corporate OfficerCfo Jan 1, 1996
Donald Matheson Individual Other Jan 1, 1995
OtherBoard Member Jan 1, 1995
Harvey Lawrence Individual 5% Or Greater Direct Ownership Interest Jan 1, 1996
Corporate Officer Jan 1, 1996
Corporate OfficerCeo Jan 1, 1996
W-2 Managing Employee Jan 1, 1999
Mattie McBride Individual Other Jan 1, 2005
OtherBoard Member Jan 1, 2005
Michelle Coffey Individual Other Jan 1, 2008
OtherSecretary Jan 1, 2008
Karen Benker Individual Other Jan 1, 2008
Maurice a Reid Individual Other Jan 1, 1994
OtherTreasurer Jan 1, 1994
Belinda Ruffin Individual Other Aug 1, 2009
Walter Campbell Individual Other Jan 1, 1984
OtherVice Chair Jan 1, 1984
Catherine Green Individual Other Sep 1, 2013
Yvonne Graham Individual Other Sep 1, 2014
OtherBoard Member Sep 1, 2014

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 47

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1578612412",
    "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": "718-346-6747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "592 ROCKAWAY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112125539",
            "telephone_number": "718-345-5000",
            "fax_number": "718-346-6747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "657 E 98th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112361305",
            "country_code": "US",
            "telephone_number": "718-345-8605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BROWNSVILLE COMMUNITY DEVELOPMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "BANFUL",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "718-345-5000"
    },
    "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": "00723253",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brownsville MultiService Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brownsville MultiService Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.